<form action="{FORM_LINK}" method="post">
<table cellspacing="0">
<tr>
<td width="10"></td>
<th class="{STYLE}" width="200">Name</th>
<th class="{STYLE}" width="200">Location</th>
<th class="{STYLE}" width="200">Home Phone</th>
<th class="{STYLE}" width="250">Email</th>
</tr>