assalamualaikum

<center>

<b>NAME</b> :

 <input type="text" size="11" value="YOUR EXC NAME"

style="width:180px;font:11px trebuchet ms;color:#666;

border:1px  solid #eee;margin-right:6px;background-color:#ffffff;padding:2px;

padding-left:4px;" onclick="this.focus()" onfocus="this.select()">

<br>

<b>URL</b> :

<input type="text" size="11" value="http://.blogspot.com/"

style="width:180px;font:11px trebuchet ms;color:#666;

border:1px solid #eee;background-color:#ffffff;padding:2px;

padding-left:4px;" onclick="this.focus()" onfocus="this.select()">

</center>