Column 1	Column 2	Column 3	Column 4
Row 1, Cell 1 (spans 2 rows)	Row 1, Cell 2	Row 1, Cell 3	Row 1, Cell 4
	Row 2, Cell 2	Row 2, Cell 3	Row 2, Cell 4
Row 3, Cell 1	Row 3, Cell 2	Row 3, Cell 3	Row 3, Cell 4

Name (input type=name)



Phone (input type=tel)



Text Area (has its own element)