Name: E-mail:

<form method="post" action="http://scripts.dreamhost.com/add_list.cgi">
   <input type="hidden" name="list" value="FromEmailAddress" />
   <input type="hidden" name="domain" value="DomainName" />
   <input type="hidden" name="emailit" value="1" />
   Name: <input name="name" /> E-mail: <input name="email" /><br />
   <input type="submit" name="submit" value="Join Our Announcement List" />
   <input type="submit" name="unsub" value="Unsubscribe" />
</form>