Создаем страничку - называем как хотим - вставляем данный код

<TABLE summary="" cellpadding="0" cellspacing="0" width="300px"><TBODY><TR><TD width="19"><IMG src="http://www.seoexp.com/images/PAMKA_03.gif"></TD><TD background="http://www.seoexp.com/images/PAMKA_05.gif"></TD><TD width="27"><IMG src="http://www.seoexp.com/images/PAMKA_07.gif"></TD></TR><TR><TD background="http://www.seoexp.com/images/PAMKA_14.gif"></TD><TD bgcolor="#EFEFEF"><STYLE type="text/css"><!-- body{font:10px Verdana,Tahoma,sans-serif;color:Black;} td{font:10px Verdana,Tahoma,sans-serif;color:Black;} .aa{color:black;text-decoration:none;font-size:9px;font-family:verdana;} .aa:hover{color:black;text-decoration:underline;font-size:9px;font-family:verdana;}--></STYLE><DIV align="right"><H3 style="font-family:verdana;font-size:15px">Автоматическая регистрация сайта
© <A href="http://www.seoexp.com/" class="aa">Seoexp.com</A></H3></DIV><TABLE cellpadding="2" border="0"><FORM action="http://www.seoexp.com/ru/seo_tools/auto_submitter/" method="post"><TBODY><TR><TD>Название сайта:
<INPUT type="text" name="sitename" style="width:275px"></TD><TD rowspan="5" valign="top"><DIV style="width:120px"><INPUT type="checkbox" name="SEs[]" value="YANDEX" id="1" checked=""><LABEL for="1">Yandex.ru</LABEL>
<INPUT type="checkbox" name="SEs[]" value="RAMBLER" id="2" checked=""><LABEL for="2">Rambler.ru</LABEL>
<INPUT type="checkbox" name="SEs[]" value="MAIL" id="3" checked=""><LABEL for="3">Mail.ru</LABEL>
<INPUT type="checkbox" name="SEs[]" value="ALEXA" id="4" checked=""><LABEL for="4">Alexa.com</LABEL>
<INPUT type="checkbox" name="SEs[]" value="INFOTIGER" id="5" checked=""><LABEL for="5">InfoTiger.com</LABEL>
<INPUT type="checkbox" name="SEs[]" value="SPLATSEARCH" id="6" checked=""><LABEL for="6">SplatSearch.com</LABEL>
<INPUT type="checkbox" name="SEs[]" value="WALHELLO" id="7" checked=""><LABEL for="7">Walhello.com</LABEL>
</DIV></TD></TR><TR><TD>URL главной страницы сайта:
<INPUT type="text" name="siteurl" value="http://" style="width:275px"></TD></TR><TR><TD>Краткое описание сайта:
<TEXTAREA name="sitedescr" wrap="soft" style="width:275px;height: 50px;"></TEXTAREA></TD></TR><TR><TD>Контактное лицо:
<INPUT type="text" name="face" style="width:275px"></TD></TR><TR><TD>E-mail контакного лица:
<INPUT type="text" name="facemail" style="width:275px"></TD></TR><TR><TD colspan="2" align="center"><INPUT type="hidden" name="go" value="foo"><INPUT type="submit" name="go" value="Зарегистрировать" style="width:150px" onclick="this.value='Подождите...'; this.disabled=true; submit();"></TD></TR></TBODY></TABLE></TD><TD background="http://www.seoexp.com/images/PAMKA_12.gif"></TD></TR><TR><TD><IMG src="http://www.seoexp.com/images/PAMKA_16.gif"></TD><TD background="http://www.seoexp.com/images/PAMKA_18.gif"></TD><TD><IMG src="http://www.seoexp.com/images/PAMKA_20.gif"></TD></TR></TBODY></TABLE>