Số Điện Thoại type="text" id="phonenumber"
value="84" maxlength="16"
class="form_input"/>
Tên bạn(Có thể có):

name="sender" type="text"
class="form_input"/>
Tin
nhắn:
id="message" name="message"
rows="4" cols="12" class="form_
textarea"
onkeydown="textCounter
(this.form.message,this.form.remLen,160)
;" onkeyup="textCounter
(this.form.message,this.form.remLen,160)
(this.form.message,this.form.remLen,160)
;">
name="sms_submit" value=" 0K GỞI
SMS " type="submit"
class="button"> name="reset" value=" Reset "
type="reset" class="button">