default.php

<?php
// No direct access to this file
defined('_JEXEC') or die('Restricted access');

JHtml::_('behavior.keepalive');
JHtml::_('behavior.formvalidation');
JHtml::_('behavior.tooltip');

// get the menu parameters for use
$menuparams = $this->state->get("menuparams");

?>
    <h2 >Join With US</h2>
     
    <form class="form-validate" action="<?php echo JRoute::_('index.php'); ?>" method="post" id="joinwithus" name="joinwithus">
  	<fieldset>
        	<dl>
        	    <dt><?php echo $this->form->getLabel('fname'); ?></dt>
        	    <dd><?php echo $this->form->getInput('fname'); ?></dd>
                <dt></dt><dd></dd>
                <dt><?php echo $this->form->getLabel('lname'); ?></dt>
             	<dd><?php echo $this->form->getInput('lname'); ?></dd>
                <dt></dt><dd></dd>
                <dt><?php echo $this->form->getLabel('age'); ?></dt>
             	<dd><?php echo $this->form->getInput('age'); ?></dd>
                <dt></dt><dd></dd>
                <dt><?php echo $this->form->getLabel('city'); ?></dt>
             	<dd><?php echo $this->form->getInput('city'); ?></dd>
                <dt></dt><dd></dd>
                <dt><?php echo $this->form->getLabel('telephone'); ?></dt>
             	<dd><?php echo $this->form->getInput('telephone'); ?></dd>
                <dt></dt><dd></dd>
                <dt><?php echo $this->form->getLabel('email'); ?></dt>
             	<dd><?php echo $this->form->getInput('email'); ?></dd>
                <dt></dt><dd></dd>
                 <dt><?php echo $this->form->getLabel('comments'); ?></dt>
             	<dd><?php echo $this->form->getInput('comments'); ?></dd>
                <dt></dt><dd></dd>
                <dt></dt>
            	<dd><input type="hidden" name="option" value="com_myresourcelist" />
            	    <input type="hidden" name="task" value="joinwithus.submit" />
                </dd>
                <dt></dt>
                <dd><button type="submit" class="button"><?php echo JText::_('Submit'); ?></button>
			                <?php echo JHtml::_('form.token'); ?>
                </dd>
        	</dl>
        <fieldset>
    </form>
    <div class="clr"></div>