</span>
<form data-id=”embedded_signup:form” class=”ctct-custom-form Form” name=”embedded_signup” method=”POST” action=”https://visitor2.constantcontact.com/api/signup”>
<h2 style=”margin:0;”>Sign up to stay in touch!</h2>
<p>Thanks for your interest in joining our mailing list. Please complete the information below and click Sign Up.</p>
<!– The following code must be included to ensure your sign-up form works properly. –>
<input data-id=”ca:input” type=”hidden” name=”ca” value=”2cbce313-5aae-442b-b2c6-bdfb02e87033″>
<input data-id=”list:input” type=”hidden” name=”list” value=”1″>
<input data-id=”source:input” type=”hidden” name=”source” value=”EFD”>
<input data-id=”required:input” type=”hidden” name=”required” value=”list,email,first_name,last_name”>
<input data-id=”url:input” type=”hidden” name=”url” value=””>
<p data-id=”Email Address:p” ><label data-id=”Email Address:label” data-name=”email” class=”ctct-form-required”>Email Address</label> <input data-id=”Email Address:input” type=”text” name=”email” value=”” maxlength=”80″></p>
<p data-id=”First Name:p” ><label data-id=”First Name:label” data-name=”first_name” class=”ctct-form-required”>First Name</label> <input data-id=”First Name:input” type=”text” name=”first_name” value=”” maxlength=”50″></p>
<p data-id=”Last Name:p” ><label data-id=”Last Name:label” data-name=”last_name” class=”ctct-form-required”>Last Name</label> <input data-id=”Last Name:input” type=”text” name=”last_name” value=”” maxlength=”50″></p>
<button type=”submit” class=”Button ctct-button Button–block Button-secondary” data-enabled=”enabled”>Sign Up</button>

</form>
</div>
</div>

var localizedErrMap = {};
localizedErrMap[‘required’] = ‘This field is required.’;
localizedErrMap[‘ca’] = ‘An unexpected error occurred while attempting to send email.’;
localizedErrMap[’email’] = ‘Please enter your email address in name@email.com format.’;
localizedErrMap[‘birthday’] = ‘Please enter birthday in MM/DD format.’;
localizedErrMap[‘anniversary’] = ‘Please enter anniversary in MM/DD/YYYY format.’;
localizedErrMap[‘custom_date’] = ‘Please enter this date in MM/DD/YYYY format.’;
localizedErrMap[‘list’] = ‘Please select at least one email list.’;
localizedErrMap[‘generic’] = ‘This field is invalid.’;
localizedErrMap[‘shared’] = ‘Sorry, we could not complete your sign-up. Please contact us to resolve this.’;
localizedErrMap[‘state_mismatch’] = ‘Mismatched State/Province and Country.’;
localizedErrMap[‘state_province’] = ‘Select a state/province’;
localizedErrMap[‘selectcountry’] = ‘Select a country’;
var postURL = ‘https://visitor2.constantcontact.com/api/signup’;

https://static.ctctcdn.com/h/contacts-embedded-signup-assets/1.0.2/js/signup-form.js
<!–End CTCT Sign-Up Form–>