<form name="login" method="post" action="confirm.asp">
        <div align="center">          
          <p><br>
            <strong><span class="style16">Please insert your username and password to log into the system. </span></strong></p>
          <table width="312" border="1" cellspacing="3" bordercolor="#000000">
    <tr>
      <td width="92"><span class="style15">Username:</span></td>
      <td width="195" colspan="2"><input type=text name="username" size="25"></td>
      </tr>
    <tr>
      <td><span class="style15">Password:</span></td>
      <td colspan="2"><input type=text name="password" size="25"></td>
      </tr>
    <tr>
      <td colspan="3"><div align="center">
        <input name="Submit" type="submit" value="Submit">
      </div></td>
      </tr>
  </table>
  <br>
        </div>
      </form>

 <%
DIM strUsername, strPassword
strUsername = Request.Form("username")
strPassword = Request.Form("password")


IF strUsername <> "" AND strPassword <> "" THEN

' Process the form as you like here
' For example enter form to your database or send it via email

ELSE

Response.Write "<p>Please click back on your browser and complete the following fields:</p>"
IF strUsername <> "" THEN
ELSE
Response.Write "<b>• Username</b><br>"
END IF
IF strPassword<> "" THEN
ELSE
Response.Write "<b>• Password</b><br>"
END IF

END IF 
%>