Attached are the 2 files, the form itself and the php to submit. Here are
the commands I run on the sql server:

create database olug_test;

CREATE TABLE olug_test_form (   id mediumint(9) NOT NULL auto_increment,
insertdate datetime NOT NULL,   first_name varchar(255) default NULL,
last_name varchar(255) default NULL,   email_address varchar(255) default
NULL,   phone_number varchar(30) default NULL,   company_name varchar(60)
default NULL,   address varchar(60) default NULL,   city varchar(60)
default NULL,   state varchar(2) default NULL,   zipcode varchar(10)
default NULL,   company_url varchar(255) default NULL,   favorite_color
text,   what_is_your_quest varchar(255) default NULL,   PRIMARY KEY
(id));

grant alter,delete,index,insert,select,update on olug_test.olug_test_form
to 'oluguser'@'%' identified by 'olugpassword' with grant option;

flush privileges;


That's pretty much it :)