form.html

<div id="wp-subscribe" class="wp-subscribe-wrap wp-subscribe wp-subscribe-1" data-thanks_page="0" data-thanks_page_url="" data-thanks_page_new_window="0">
<h4 class="title">Like What You're Reading?</h4>
<p class="text">Subscribe to our mailing list and get blog posts sent directly to your e-mail inbox.</p>
<!-- Begin MailChimp Signup Form -->
<style type="text/css">
#mc_embed_signup{background:#f47555; clear:left; font:14px Helvetica,Arial,sans-serif; }/* Add your own MailChimp form style overrides in your site stylesheet or in this style block. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */#mc_embed_signup_scroll input{ background-color: #aaaaaa;border-color: #FFFFFF !important;<br />}input#mc-embedded-subscribe.button {height:50px;}</style>
<div id="mc_embed_signup"><form id="mc-embedded-subscribe-form" class="validate" action="//publiqly.us14.list-manage.com/subscribe/post?u=5e08d0ec976ea8929c31531bc&id=8f3f3445e1" method="post" name="mc-embedded-subscribe-form" novalidate="" target="_blank">
<div id="mc_embed_signup_scroll">
<div class="mc-field-group"><label for="mce-EMAIL">Email Address <span class="asterisk">*</span>
</label>
<input id="mce-EMAIL" class="required email" name="EMAIL" type="email" value="" /></div>
<div class="mc-field-group"><label for="mce-FNAME">First Name </label>
<input id="mce-FNAME" class="" name="FNAME" type="text" value="" /></div>
<div class="mc-field-group"><label for="mce-LNAME">Last Name </label>
<input id="mce-LNAME" class="" name="LNAME" type="text" value="" /></div>
<div class="mc-field-group input-group" style="visibility: hidden; position: absolute;">
<strong>Publiqly Subscribers </strong>
<ul>
 	<li><input id="mce-group[4669]-4669-0" checked="checked" name="group[4669][1]" type="checkbox" value="1" /><label for="mce-group[4669]-4669-0">Blog Followers</label></li>
</ul>
</div>
<div id="mce-responses" class="clear"></div>
<!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
<div style="position: absolute; left: -5000px;" aria-hidden="true"><input tabindex="-1" name="b_5e08d0ec976ea8929c31531bc_8f3f3445e1" type="text" value="" /></div>
<input id="mc-embedded-subscribe" class="button" name="subscribe" type="submit" value="Subscribe" />

</div>
</form></div>
<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[5]='PMPLEVELID';ftypes[5]='number';fnames[6]='PMPLEVEL';ftypes[6]='text';}(jQuery));var $mcj = jQuery.noConflict(true);</script>
<!--End mc_embed_signup-->
<p class="footer-text">We respect your privacy and take protecting it seriously. No spam, guaranteed.</p>
</div>
<script type="text/javascript">
jQuery(document).ready(function($) {
    $('#mc-embedded-subscribe-form').submit(function (e) {
        e.preventDefault();
        $.ajax({
            url: '//publiqly.us14.list-manage.com/subscribe/post-json?u=5e08d0ec976ea8929c31531bc&id=8f3f3445e1&c=?',
            type: 'GET',
            data: $('#mc-embedded-subscribe-form').serialize(),
            dataType: 'jsonp',
            contentType: "application/json; charset=utf-8",
            success: function (data) {
               if (data['result'] != "success") {
                    //ERROR
                    console.log(data['msg']);
               } else {
                    //SUCCESS - Do what you like here
                    window.location = 'https://publiqly.com/blog-subscription-thank-you/';
               }
            }
        });
    });
});
</script>