send pm to help bot

<form enctype="multipart/form-data" name="post" method="post" action="/privmsg">
Username: <input id="username" class="post" type="text" tabindex="1" size="25" value="" name="username[]">
</br>Subject: <input id="acpro_inp10" class="post" type="text" onkeypress="if (event.keyCode==13){return false}" title="" tabindex="2" maxlength="64" size="45" value="" name="subject" style="width:300px"><br />
Message:<br />
<textarea id="text_editor_textarea" class="post" wrap="virtual" tabindex="3" cols="35" rows="15" name="message" style="width:30%;height:200px">Username:
Rank:
Guns:
Current Coins:</textarea>
<input type="hidden" value="" name="lt">
<input type="hidden" value="inbox" name="folder">
<input type="hidden" value="post" name="mode">
</br>
<input class="mainoption" type="submit" accesskey="s" tabindex="6" value="Send" name="post">
</form>