<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();
                            ?>