Something

/form/


<form id="form" name="contest" method="post" action="go.php">
  <h3>
    <input name="fname" type="text" value="First Name" /><Br/>
	<input name="lname" type="text" value="Last Name" /><br/>
	<input name="email " type="text" value="Email" /><br/>
	<input name="location" type="text" value="Location " /><br/>
	
    <input name="reset" type="reset" />
    <input name="submit" type="submit" />
  </h3>
</form>


/*go.php*/
<?php
include ('connect.php');
$ip = $_SERVER['REMOTE_ADDR'];
$first_name = $_POST['fname']; 
$last_name = $_POST['lname'];
$email = $_POST['email'];
$location = $_POST['location'];

$q = "INSERT INTO Contest ('fname', 'lname', 'email', 'location', 'ip') VALUES ($first_name, $last_name, $email, $location, $ip)";

mysql_query($q);

?>