$mech->submit_form(
     form_number => 1,
     fields      => {
     	'ctl00$ctl00$cphVeriCentre$cphLogin$txtUser'  => 'someone',
     	'ctl00$ctl00$cphVeriCentre$cphLogin$txtPW'    => 'pass',
  	 	'ctl00$ctl00$cphVeriCentre$cphLogin$ddlServers' 		=> 'Live',
     	}, 	 
 );
die unless ($mech->success);

$mech->dump_forms();