Easy Php Script

I need a PHP or other script that fires this pixel/script (below) when the page loads BUT DOES NOT pass any server variables or form values back.

This script will reside in a web thank you page and we do pass form variables to this page. I need to hide the IP, email address, and all form variables from the third-party script that uses the pixel for tracking.

PIXEL

<script src=”https://www.centralm.com/SaTrk/satrk.aspx?accid=46&mode=script”></script>

<noscript><img src=”https://www.centralm.com/SaTrk/satrk.aspx?accid=46&mode=image” height=”1″ width=”1″ /></noscript>

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