you say it doesn't work, I need details on exactly what "it doesn't work" means.
What exactly are you trying to do with the name and email fields?
What is it you are expecting to happen?
What is happening instead?
The phrase "it doesn't work" can mean a myriad of different things. For me to be able to offer assistance in finding out what is wrong, I will need a detailed explanation of what exactly is not working correctly, what it is supposed to be doing and what you expect it to be doing instead.