
<!--Zoho Campaigns Web-Optin Form Starts Here-->
<div id="customForm">
<div class="quick_form_7_css" name="SIGNUP_BODY">
<div>
<div id="SIGNUP_HEADING">Enter you email to get your discount coupon</div>
<div style="position:relative;">
<div id="Zc_SignupSuccess" style="display:none;position:absolute;margin-left:4%;width:90%;background-color: white; padding: 3px; border: 3px solid rgb(194, 225, 154); margin-top: 10px;margin-bottom:10px;word-break:break-all ">
<table width="100%" cellpadding="0" cellspacing="0" border="0">
<tbody>
<tr>
<td width="10%">
<img class="successicon" src="https://vcvat.maillist-manage.com/images/challangeiconenable.jpg" align="absmiddle">
</td>
<td>
<span id="signupSuccessMsg" style="color: rgb(73, 140, 132); font-family: sans-serif; font-size: 14px;word-break:break-word"> Thank you for Signing Up</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<form method="POST" id="zcampaignOptinForm" action="https://maillist-manage.com/weboptin.zc" target="_zcSignup">
<div id="errorMsgDiv">Please correct the marked field(s) below.</div>
<div class="SIGNUP_FLD">
<input type="text" placeholder="Email" changeitem="SIGNUP_FORM_FIELD" name="CONTACT_EMAIL" id="EMBED_FORM_EMAIL_LABEL">
</div>
<div class="SIGNUP_FLD">
<input type="submit" name="SIGNUP_SUBMIT_BUTTON" id="zcWebOptin" value="Join Now">
</div>
<input type="hidden" id="fieldBorder" value="">
<input type="hidden" id="submitType" name="submitType" value="optinCustomView">
<input type="hidden" id="emailReportId" name="emailReportId" value="">
<input type="hidden" id="formType" name="formType" value="QuickForm">
<input type="hidden" name="zx" id="cmpZuid" value="12df73a51">
<input type="hidden" name="zcvers" value="3.0">
<input type="hidden" name="oldListIds" id="allCheckedListIds" value="">
<input type="hidden" id="mode" name="mode" value="OptinCreateView">
<input type="hidden" id="zcld" name="zcld" value="1cacf3e77c706e69">
<input type="hidden" id="zctd" name="zctd" value="">
<input type="hidden" id="document_domain" value="">
<input type="hidden" id="zc_Url" value="vcvat.maillist-manage.com">
<input type="hidden" id="new_optin_response_in" value="0">
<input type="hidden" id="duplicate_optin_response_in" value="0">
<input type="hidden" name="zc_trackCode" id="zc_trackCode" value="ZCFORMVIEW">
<input type="hidden" id="zc_formIx" name="zc_formIx" value="3zbdccc46b339a213229a05979b364a468b312324ca258475d515dce7586054e4e">
<input type="hidden" id="viewFrom" value="URL_ACTION">
<input type="hidden" id="scriptless" name="scriptless" value="yes">
</form>
</div>
</div>
</div>
<div id="zcOptinOverLay" oncontextmenu="return false" style="display:none;text-align: center; background-color: rgb(0, 0, 0); opacity: 0.5; z-index: 100; position: fixed; width: 100%; top: 0px; left: 0px; height: 988px;"></div>
<div id="zcOptinSuccessPopup" style="display:none;z-index: 9999;width: 800px; height: 40%;top: 84px;position: fixed; left: 26%;background-color: #FFFFFF;border-color: #E6E6E6; border-style: solid; border-width: 1px; box-shadow: 0 1px 10px #424242;padding: 35px;">
<span style="position: absolute;top: -16px;right:-14px;z-index:99999;cursor: pointer;" id="closeSuccess">
<img src="https://vcvat.maillist-manage.com/images/videoclose.png">
</span>
<div id="zcOptinSuccessPanel"></div>
</div>
<!--Zoho Campaigns Web-Optin Form Ends Here-->