[mc4wp_form id="2903"]
<script>(function() {
window.mc4wp = window.mc4wp || {
listeners: [],
forms: {
on: function(evt, cb) {
window.mc4wp.listeners.push(
{
event : evt,
callback: cb
}
);
}
}
}
})();
</script><!-- Mailchimp for WordPress v4.8.6 - https://wordpress.org/plugins/mailchimp-for-wp/ --><form id="mc4wp-form-2" class="mc4wp-form mc4wp-form-2903" method="post" data-id="2903" data-name="Newsletter form" ><div class="mc4wp-form-fields"><div style="display: flex">
<p style= "margin: 0 1rem 0 0">
<input type="text" name="FNAME" placeholder="First Name">
</p>
<p>
<input type="text" name="LNAME" placeholder="Last Name">
</p>
</div>
<!-- Form -->
<div class="form-group">
<div class="input-group">
<input type="email" name="EMAIL" class="form-control" id="mc-email" placeholder="Email Address" autocomplete="off">
<label for="mc-email"></label>
</div>
<div>
<button style="background-color: #f6decb !important; margin-top: 1.5rem" type="submit" class="btn btn-main btn-effect"><span style="color: #1c4127">Submit</span></button>
</div>
</div></div><label style="display: none !important;">Leave this field empty if you're human: <input type="text" name="_mc4wp_honeypot" value="" tabindex="-1" autocomplete="off" /></label><input type="hidden" name="_mc4wp_timestamp" value="1627443639" /><input type="hidden" name="_mc4wp_form_id" value="2903" /><input type="hidden" name="_mc4wp_form_element_id" value="mc4wp-form-2" /><div class="mc4wp-response"></div></form><!-- / Mailchimp for WordPress Plugin -->
