The image shows a computer screen with a webpage open. The webpage has a blue header with text and icons, and there is a blue bar at the top with text and icons. Below the header, there is a white section with a blue border containing a form with fields for input. The form includes fields for "Name" and "Email," with a "Next" button below them.

In the form, there are two people visible. One person is wearing a red shirt and appears to be filling out the form. The other person is partially visible, wearing a white shirt and seems to be looking at the form. There are no other people visible in the image.