<p>Enter Your Name and Email To:</p>
 
<table class="form-list">
    <tbody>
    <tr>
    <td width="20"><i class="icon-one"></i></td>
    <td>Join Our Team</td>
    </tr>
    <tr>
    <td><i class="icon-two"></i></td>
    <td>Take the Pledge to End Bullying</td>
    </tr>
    <tr>
    <td><i class="icon-three"></i></td>
    <td>Get Your FREE Kit By Email</td>
    </tr>
    <tr>
    <td><i class="icon-four"></i></td>
    <td>Help Us End Bullying</td>
    </tr>
    </tbody>
</table>