1. <style>
  2. .link,
  3. .link a,
  4. .signupframe
  5. {
  6. 	color: #226699;
  7. 	font-family: Arial, Helvetica, sans-serif;
  8. 	font-size: 13px;
  9. 	}
  10. 	.link,
  11. 	.link a {
  12. 		text-decoration: none;
  13. 		}
  14. 	.signupframe {
  15. 		border: 1px solid #FF2525;
  16. 		background: #ffffff;
  17. 		}
  18. .signupframe .required {
  19. 	font-size: 10px;
  20. 	}
  21. </style>
  22. <form method=post action="https://app.icontact.com/icp/signup.php" name="icpsignup" id="icpsignup3216" accept-charset="UTF-8" onsubmit="return verifyRequired3216();" >
  23. <input type=hidden name=redirect value="http://www.icontact.com/www/signup/thanks.html" />
  24. <input type=hidden name=errorredirect value="http://www.icontact.com/www/signup/error.html" />
  25.  
  26. <div id="SignUp">
  27. <table width="260" class="signupframe" border="0" cellspacing="0" cellpadding="5">
  28. 	<tr>
  29.       <td valign=top align=right>
  30.         <span class="required">*</span> Email
  31.       </td>
  32.       <td align=left>
  33.         <input type=text name="fields_email">
  34.       </td>
  35.     </tr>
  36. 	<tr>
  37.       <td valign=top align=right>
  38.          First Name
  39.       </td>
  40.       <td align=left>
  41.         <input type=text name="fields_fname">
  42.       </td>
  43.     </tr>
  44. 	<tr>
  45.       <td valign=top align=right>
  46.          Last Name
  47.       </td>
  48.       <td align=left>
  49.         <input type=text name="fields_lname">
  50.       </td>
  51.     </tr>
  52.     <input type=hidden name="listid" value="10548">
  53.     <input type=hidden name="specialid:10548" value="ZXO6">
  54.  
  55.     <input type=hidden name=clientid value="661189">
  56.     <input type=hidden name=formid value="3216">
  57.     <input type=hidden name=reallistid value="1">
  58.     <input type=hidden name=doubleopt value="0">
  59.     <tr>
  60.       <td> </td>
  61.       <td><span class="required">*</span> = Required Field</td>
  62.     </tr>
  63.     <tr>
  64.       <td> </td>
  65.       <td><input type="submit" name="Submit" value="Submit"></td>
  66.     </tr>
  67.     </table>
  68. </div>
  69. </form>
  70. <script type="text/javascript">
  71.  
  72. var icpForm3216 = document.getElementById('icpsignup3216');
  73.  
  74. if (document.location.protocol === "https:")
  75.  
  76. 	icpForm3216.action = "https://app.icontact.com/icp/signup.php";
  77. function verifyRequired3216() {
  78.   if (icpForm3216["fields_email"].value == "") {
  79.     icpForm3216["fields_email"].focus();
  80.     alert("The Email field is required.");
  81.     return false;
  82.   }
  83.  
  84.  
  85. return true;
  86. }
  87. </script>
  88. <span class="link"><a href="http://www.icontact.com">Email Marketing</a> You Can Trust</span>
  89.