<div style="margin-bottom: 4px;">[text* text-564 30/50 watermark "Name*"]</div>
<div style="margin-bottom: 4px;">[email* Email 30/50 watermark "Your Email*"]</div>
<div style="margin-bottom: 10px;">[text* phone 30/50 watermark "Phone Number*"]</div>
<p>[submit "Join"]</p>