The Perl Toolchain Summit needs more sponsors. If your company depends on Perl, please support this very important event.
<p>Fields that are <b>highlighted</b> are required.</p>
<form action="TEST" method="get">
<div><input id="_submitted" name="_submitted" type="hidden" value="1" /></div>
<table>
<tr valign="top">
  <td>Email</td>
  <td><input id="email" name="email" type="text" value="pete@peteson.com" /></td>
</tr>
<tr valign="top">
  <td><b>First Name</b></td>
  <td><input id="first_name" name="first_name" type="text" value="Nate" /></td>
</tr>
<tr valign="top">
  <td align="center" colspan="2"><input id="_submit" name="_submit" type="submit" value="Submit" /></td>
</tr>
</table>
</form>