Subscribe

<style>
._form {
position:relative;
background:#fff;
width:400px;/*F*/
padding:0!important;
text-align:left;
}
._form em {
color:#9a9a9a;
}
._form a {
margin-left:3px;
}
._form ._field,
._form ._field ._label,
._form ._type_radio,
._form ._type_checkbox,
._form ._type_captcha,
._form ._field table {
background:none;
}
._form ._field {
position:relative;
width:100%;
cursor:move;
font-style:normal;
margin:1.2em 0;
padding:0;
overflow:hidden;
}
._form ._field input[type="text"] {
width:100%;
padding:8px;
font-size:16px;
border:1px solid #b6b6b6;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field ._label {
display:block;
margin:0 0 0.5em;
padding:0!important;
font-size:15px;
}
._form ._field ._option input[type="checkbox"],
._form ._field ._option input[type="radio"] {
position:relative;
width:13px;
height:13px;
margin:-4px 0 0 1px;
cursor:pointer;
vertical-align:middle;
}
._form ._field ._option input[type="submit"],
._form ._field ._option input[type="button"] {
margin:0;
cursor:pointer;
height:35px;
width:auto;
font-size:15px;
}
._form ._field ._option select {
display:block;
margin:0;
padding:0;
width:auto;
font-size:15px;
border:1px solid #b6b6b6;
}
._form ._type_radio ._option,
._form ._type_checkbox ._option {
font-size:13px;
font-weight:normal;
line-height:1.8;
}
._form ._type_date ._option input[type="text"] {
float:left;
width:100px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._type_date ._option input[type="button"] {
width:37px;
height:36px;
margin-left:5px;
padding:20px;
background:url(http://komodo.activehosted.com/admin/css/../images/icon_calendar.gif) no-repeat 0 0;
border:none;
outline:none;
text-indent:-9999px;
}
._form ._type_captcha img {
float:left;
margin:0 6px 0 0;
width:70px;
height:33px;
border:1px solid #b6b6b6;
}
._form ._type_captcha input[type="text"] {
margin:-14px 0 0 0!important;
width:25%;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field table {
width:100%!important;
}
._form ._field table tbody tr td {
width:50%!important;
font-size:15px;
}
._form {
width:400px;/*F*/
padding:16px!important;
background:#eff9fd;
color:#2c2c2c;
font-weight:normal;
border:1px solid #c4d5da;
-webkit-border-radius:4px;
-moz-border-radius:4px;
border-radius:4px;
}
._form #notice {
margin:10px 0 0 -3px!important;
padding:0;
color:#959c9f;
font-size:11px;
font-family:helvetica,arial,sans-serif;
}
._form #notice a, ._form #notice a:visited {
color:#959c9f;
text-decoration:underline;
}
._form ._field,
._form ._field ._label,
._form ._type_radio,
._form ._type_checkbox,
._form ._type_captcha,
._form ._field table {
background:none;
}
._form ._field {
position:relative;
width:100%;
cursor:default;
font-style:normal;
margin:0 0 16px!important;
padding:0!important;
overflow:hidden;
}
._form ._field input[type="text"],
._form ._field input[type="email"] {
width:100%;
margin:0!important;
padding:4px!important;
font-size:16px;
border:1px solid #b4c5cb;
border-top:1px solid #a5b4b9;
-webkit-border-radius:3px;
-moz-border-radius:3px;
border-radius:3px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field ._label {
margin:0 0 0.3em!important;
color:#546f79;
font-size:14px;
font-family:helvetica,arial,sans-serif;
font-weight:700;
}
._form ._field ._option {
margin:0;
padding:0;
color:#546f79;
font-size:13px;
font-family:helvetica,arial,sans-serif;
font-weight:normal;
line-height:20px;
}
._form ._type_header ._label {
width:100%;
font-style:normal;
font-size:20px!important;
line-height:24px;
color:#546f79;
margin:0 0 5px!important;
padding:0 0 10px!important;
overflow:hidden;
border-bottom:1px solid #e0e0e0;
}
._form ._type_input ._option textarea{
width:97%!important;
background:#fafafa;
border:1px solid #b4c5cb;
border-top:1px solid #a5b4b9;
-webkit-border-radius:3px;
-moz-border-radius:3px;
border-radius:3px;
}
._form ._field ._option input[type="submit"],
._form ._field ._option input[type="button"] {
width:auto;
margin:10px 0 0!important;
padding:8px 15px!important;
cursor:pointer;
font-family:helvetica,arial,sans-serif;
font-weight:700;
font-size:16px;
color:#ffffff;
background:#82aebe;
border:1px solid #6a9eb0;
border-bottom:1px solid #5f8e9f;
-webkit-border-radius:4px;
-moz-border-radius:4px;
border-radius:4px;
text-shadow:0px 1px 1px #5f8e9f!important;
}
._form ._type_input ._option input[type="submit"]:hover,
._form ._type_input ._option input[type="button"]:hover {
background:#6494a6;
}
._form ._type_radio ._option label {
display:inline;
font-size:16px;
font-weight:normal;
line-height:18px;
}
._form ._type_radio ._option label input[type="radio"] {
position:relative;
width:13px;
height:13px;
margin:-4px 0 0 1px!important;
cursor:pointer;
vertical-align:middle;
border:none;
line-height:18px;
}
._form ._type_date ._option input[type="text"] {
float:left;
width:100px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._type_date ._option input[type="button"] {
float:left;
width:24px;
height:24px;
margin:2px 0 0 5px!important;
padding:0;
background:url(http://komodo.activehosted.com/admin/templates/form-themes/simple-blue/images/icon_calendar.gif) no-repeat;
border:none;
outline:none;
text-indent:-9999px;
}
._form ._field ._option select {
display:block;
margin:0;
padding:0;
width:auto;
font-size:16px;
border:1px solid #cce0e7;
}
._form ._type_captcha img {
float:left;
width:88px;
height:44px;
margin:0 6px 0 0;
border:1px solid #cce0e7;
}
._form ._type_captcha input[type="text"] {
margin:0!important;
width:40%;
font-size:16px;
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
._form ._field table {
margin:0;
padding:0;
border-collapse:collapse;
width:100%!important;
table-layout:fixed;
margin-bottom:18px;
font-size:13px!important;
border-collapse:collapse;
border-spacing:0;
}
._form ._field table td {
padding:0 10px 0 0!important;
line-height:18px;
text-align:left;
font-size:13px!important;
color:#606060;
}
._form ._type_input ._option table tbody#_forward_rcpt input {margin:0 0 5px 0!important; width:96%!important;}
._form ._type_input ._option table tbody#_forward_rcpt img.image_addrcpt {cursor:pointer;}
.form_errors{
text-align:center;
font-size:15px;
margin:10px;
color:#900;
font-family:Arial, Helvetica, sans-serif;
font-weight:bold;
margin-bottom:20px;
}
</style>
<form action='//komodo.activehosted.com/proc.php' method='post' id='_form_1012' accept-charset='utf-8' enctype='multipart/form-data'>
<input type='hidden' name='f' value='1012'>
<input type='hidden' name='s' value=''>
<input type='hidden' name='c' value='0'>
<input type='hidden' name='m' value='0'>
<input type='hidden' name='act' value='sub'>
<input type='hidden' name='nlbox[]' value='2'>
<div class='_form'>
<div class='formwrapper'>
<div id='_field96'>
<div id='compile96' class='_field _type_header'>
<div class='_label '>
Komodo newsletter subscription
</div>
</div>
</div>
<div id='_field88'>
<div id='compile88' class='_field _type_input'>
<div class='_label '>
Email *
</div>
<div class='_option'>
<input type='email' name='email' >
</div>
</div>
</div>
<div id='_field90'>
<div id='compile90' class='_field _type_input'>
<table cellpadding='0' cellspacing='0'>
<tr>
<td>
<div class='_label '>
First Name
</div>
</td>
<td>
<div class='_label '>
Last Name
</div>
</td>
</tr>
<tr>
<td>
<div class='_option'>
<input type='text' name='firstname' >
</div>
</td>
<td>
<div class='_option'>
<input type='text' name='lastname' >
</div>
</td>
</tr>
</table>
</div>
</div>
<div id='_field218'>
<div id='compile218' class='_field _type_dropdown'>
<div class='_label '>
Country
</div>
<div class='_option'>
<select name='field[9]'>
<option value='Australia' >
Australia
</option>
<option value='Austria' >
Austria
</option>
<option value='UK' >
UK
</option>
<option value='Germany' >
Germany
</option>
<option value='France' >
France
</option>
<option value='Netherlands' >
Netherlands
</option>
<option value='Italy' >
Italy
</option>
<option value='United States' >
United States
</option>
<option value='Spain' >
Spain
</option>
<option value='Sweden' >
Sweden
</option>
<option value='Norway' >
Norway
</option>
<option value='Denmark' >
Denmark
</option>
<option value='Belgium' >
Belgium
</option>
<option value='Ireland' >
Ireland
</option>
<option value='Japan' >
Japan
</option>
<option value='China' >
China
</option>
<option value='Switzerland' >
Switzerland
</option>
<option value='Portugal' >
Portugal
</option>
<option value='Greece' >
Greece
</option>
<option value='Russia' >
Russia
</option>
<option value='Turkey' >
Turkey
</option>
<option value='Israel' >
Israel
</option>
<option value='Other' >
Other
</option>
</select>
</div>
</div>
</div>
<div id='_field89'>
<div id='compile89' class='_field _type_input'>
<div class='_option'>
<input type='submit' value="Subscribe">
</div>
</div>
</div>
</div>
<div class="preview_part">
<div id="notice">
<a href="http://www.activecampaign.com/" title="email marketing" target="_blank">email marketing</a>
by activecampaign
</div>
</div>
</div>
</form>