Application for User Account

<form name="Application" method="email" target="application@bsodwiki.com" email="Your Email" sender="web@domain.com" submit="Send Inquiry" reset="Reset">

   hidden: name="testform" value="additional info"
   text:* name="name" prompt="Your RealName"
   select: name="category" prompt="Please select problem category" option="Linux Software" option="Linux Hardware"
   text:* name="summary" prompt="Problem summary"
   textarea: name="description" prompt="Problem description" rows="10" cols="50"
   select: name="priority" prompt="Priority" option="Low" option="Medium" option="High" value="Medium"

</form>