Mine

<html>
<head>
<link rel="SHORTCUT ICON" href="/cgiirc/images/favicon.ico">
<script language="JavaScript"><!--
function setjs() {
 if(navigator.product == 'Gecko') {
   document.loginform["interface"].value = 'mozilla';
 }else if(window.opera && document.childNodes) {
   document.loginform["interface"].value = 'opera7';
 }else if(navigator.appName == 'Microsoft Internet Explorer' &&
    navigator.userAgent.indexOf("Mac_PowerPC") > 0) {
    document.loginform["interface"].value = 'konqueror';
 }else if(navigator.appName == 'Microsoft Internet Explorer' &&
 document.getElementById && document.getElementById('ietest').innerHTML) {
   document.loginform["interface"].value = 'ie';
 }else if(navigator.appName == 'Konqueror') {
    document.loginform["interface"].value = 'konqueror';
 }else if(window.opera) {
   document.loginform["interface"].value = 'opera';
 }
}
function nickvalid() {
   var nick = document.loginform.Nickname.value;
   if(nick.match(/^[A-Za-z0-9\[\]\{\}^\\\|\_\-`]{1,32}$/))
      return true;
   alert('Please enter a valid nickname');
   document.loginform.Nickname.value = nick.replace(/[^A-Za-z0-9\[\]\{\}^\\\|\_\-`]/g, '');
   return false;
}
//-->
</script>
<title>CGI:IRC Login</title>
</head>
<body bgcolor="#ffffff" text="#000000">
<form method="post" action="http://debiancenter.org/cgi-bin/cgiirc/irc.cgi" name="loginform" onsubmit="setjs();return nickvalid()">
<input type="hidden" name="interface" value="nonjs">
<table border="0" cellpadding="5" cellspacing="0">
<tr><td colspan="4" align="center" bgcolor="#c0c0dd"><b>CGI:IRC Login</b></td></tr>
<tr><td align="right" bgcolor="#f1f1f1">Nickname</td><td align="left" bgcolor="#f1f1f1"><input type="text" name="Nickname" value="guest_109"></td><td colspan="2" bgcolor="#f1f1f1"></td></tr>

<tr><td align="right" bgcolor="#f1f1f1">Server</td><td align="left" bgcolor="#f1f1f1"><input type="text" name="Server" value="irc.freenode.net" disabled="1"></td><td colspan="2" bgcolor="#f1f1f1"></td></tr>

<tr><td align="right" bgcolor="#f1f1f1">Channel</td><td align="left" bgcolor="#f1f1f1"><select name="Channel" style="width: 100%">
<option>#epfl</option>
<option>#test</option>
</select></td><td colspan="2" bgcolor="#f1f1f1"></td></tr>

<tr><td align="left" bgcolor="#d9d9d9">
<small><a href="irc.cgi?adv=1">Advanced..</a></small>
</td><td colspan="3" align="right" bgcolor="#d9d9d9">
<input type="submit" value="Login" style="background-color: #d9d9d9">

</td></tr></table></form>

<small id="ietest"><a href="http://cgiirc.sourceforge.net/">CGI:IRC</a> 0.5.4 (2004/01/29)<br />
</small>
</body>
</html>