_mailchimp-form.html

<!-- Begin MailChimp Signup Form -->
                <div class="form" id="mc_embed_signup">
                    <form class="join validate" action="//colab.us13.list-manage.com/subscribe/post?u=91cb4582065c1cff8e48d58ad&amp;id=0409049d40" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" target="_blank">
                        
                        <label for="mce-EMAIL">Email Address </label>
                        <input type="email" value="" placeholder="your@email.com" name="EMAIL" class="required email" id="mce-EMAIL" required>

                        <label for="mce-FNAME">First Name </label>
                        <input type="text" value="" placeholder="First name" name="FNAME" class="first name" id="mce-FNAME" required>

                        <label for="mce-LNAME">Last Name </label>
                        <input type="text" value="" placeholder="Last name" name="LNAME" class="last name" id="mce-LNAME" required>

                        <!-- <a href="http://us13.campaign-archive2.com/home/?u=91cb4582065c1cff8e48d58ad&id=0409049d40" title="View previous campaigns">View previous campaigns.</a>-->

                        <div id="mce-responses">
                            <div class="response" id="mce-error-response"></div>
                            <div class="response" id="mce-success-response"></div>
                        </div>

                        <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
                        <div class="hide" aria-hidden="true"><input type="text" name="b_91cb4582065c1cff8e48d58ad_0409049d40" tabindex="-1" value=""></div>
                        
                        <input type="submit" class="button" value="Join" name="subscribe" id="mc-embedded-subscribe">

                    </form>
                </div>
                <!--End mc_embed_signup-->