Netman,
<form action="http://" method="post">
<div class="int"><input type="text" name="login" maxlength="15" size="5" value="Логин"/></div>
<div class="int"><input type="password" name="password" maxlength="15" size="6" value="Пароль"/></div>
<div class="int"><input type="submit" value="Биллинг"/></div></form>