How to: multiple inputbox in one popup?

[EXLent]

How do code multiple inputbox in one popup?
Right now I only one popup at a time.
I want popup that look like a form, like this:

First Name: |_______________| or To: |_______________|
Last Name: |_______________| or CC: |_______________|
Address: |_______________| or Subject: |_______________|
Phone: |_______________| or Comments: |_______________|

I want to use those input(variables) in objMail:
.subject =
.to=
.body=
.cc=