way to create a table in service request form

way to create a table in service request form

Does anyone know of a way to create a table like format in a service request form?   Trying to provide an easy way to request more than one 'request' in one service request.  Something that would accomplish same goal as below:
 
 
Userid            Environment      Role                        Access Type
Userid1          Production         Developer                Read Only
Userid2          QA                    Tester                     Read Only
Userid2          Development       Tester                    Read Only
Etc.

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