mailform virker ikke

hvorfor får jeg bare en tom mail når skemaet blive udfyldt!!!

        <form action="http://pub9.bravenet.com/emailfwd/senddata.php" method="post">
<input type="hidden" name="usernum" value="688238791" />
<input type="hidden" name="cpv" value="2" />
<table cellpadding="10" cellspacing="0" border="0" style="width: 241; border:1px solid #969696;" align="center" height="256">
<tr>
<td width="179" align="right" height="22">Navn(brugernavn):</td>
<td width="148" height="22"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<tr bgcolor="#f6f6f6">
<td width="179" align="right" style="border-top: solid 1px #969696;" height="23">Nickname/alias:</td>
<td style="border-top: solid 1px #969696;" width="148" height="23"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<td width="179" align="right" height="22">Alder:</td>
<td width="148" height="22"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<tr bgcolor="#f6f6f6">
<td width="179" align="right" style="border-top: solid 1px #969696;" height="23">Favorit-drink:</td>
<td style="border-top: solid 1px #969696;" width="148" height="23"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<td width="179" align="right" height="22">Adgangskode:</td>
<td width="148" height="22"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<tr bgcolor="#f6f6f6">
<td width="179" align="right" style="border-top: solid 1px #969696;" height="23">Gentag adgangskode:</td>
<td style="border-top: solid 1px #969696;" width="148" height="23"><input type="text" name="sample" value="" size="20" maxlength="40"></td>
</tr>
<tr>
</tr>
</font></td>
</tr>
<tr >
<td colspan="2" align="center" style="border-top: solid 1px #969696;" width="347" height="1"><textarea cols="40" rows="4" name="sample"></textarea><br><br><input type="submit" name="submit" Value="Submit Form">  <input type="reset" name="reset" value="Reset Form"></td>
</tr>
</table>
</form>


nogen der kan hjælpe og måske lave en der virker????