Quick Simple Form Html

Hello,

Please view the attached form graphic. Please convert it to a HTML form.

– Name (first & last ) and Email fields > Ensure validation check
– Passing variables ( Name and Email ) from this form to our main PHP signup form which is on another page.

I believe:
http://www.dreamincode.net/forums/topic/12009-passing-variables-from-one-page-to-another/

We prefer to get this done immediately.
Thank you
Derrick

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