<td><input name="local_first_name" value="<?php
echo $entry->getLocalFirstName();
?>
"></td>
</tr>
<tr>
<th>Local Last Name:</th>
<td><input name="local_last_name" value="<?php
echo $entry->getLocalLastName();
?>
"></td>
</tr>
<tr>
<th>Local Email:</th>
<td><input name="local_email" value="<?php
echo $entry->getLocalEmail();
?>
"></td>
</tr>
<tr>
<th>Local Phone:</th>
<td><input name="local_phone" value="<?php
echo $entry->getLocalPhone();
?>
"></td>
</tr>
<tr>
<th>Local Address:</th>
<td><input name="local_address" value="<?php
echo $entry->getLocalAddress();
?>