Contact Form for website

I need one FORM that I can use on a website. I want the form to look like the one you see here: [login to view URL] You will have to adjust the width of the form to fit in to the left column here (I believe its a little less than 500 pixels): [login to view URL] The first part of the code should include: <form method="get" action="http://www.domeneshop.no/cgi-bin/mailto.cgi"><input type="hidden" name="_from" value="" /><input type="hidden" name="_to" value="" /><input type="hidden" name="_subject" value="Henvendelse fra nettsidene" /><input type="hidden" name="_resulturl" value="http://www.noracta.no/takk.html" /> I want it to be done using CSS for the exact formatting