Beta Team Signup

signup.html

<form action="http://makermedia.createsend.com/t/r/s/wairh/" method="post" id="subForm">
	
	<fieldset>
		<legend>Beta Team Sign Up</legend>
		
		<div class="clearfix">
			<label for="wairh-wairh">Email</label>
			<div class="input">
				<input class="xlarge" id="cm-wairh-wairh" name="cm-wairh-wairh" size="30" type="text">
			</div>
		</div><!-- /clearfix -->
		
		<div class="clearfix">
			<label for="First Name">First Name</label>
			<div class="input">
				<input class="xlarge" id="FirstName" name="cm-f-atdkdu" size="30" type="text">
			</div>
		</div><!-- /clearfix -->
		
		<div class="clearfix">
			<label for="Last Name">Last Name</label>
			<div class="input">
				<input class="xlarge" id="LastName" name="cm-f-atdkhl" size="30" type="text">
			</div>
		</div><!-- /clearfix -->
	
	</fieldset>
	
	<div class="actions">
		
		<button type="submit" class="btn primary" value="Subscribe">Submit</button>

	</div>
	
</form>