File: D:/HostingSpaces/SBogers93/fitale.nl/app/views/layouts/partials/mailChimp.blade.php
<div class="mail-chimp-row" id="nieuwsbrief">
<h2>Volg het laatste nieuws</h2>
<p>Schrijf je in voor de nieuwsbrief</p>
<!-- Begin MailChimp Signup Form -->
<div id="mc_embed_signup">
<form action="https://fitale.us14.list-manage.com/subscribe/post?u=712549879ba33129fa92f147c&id=885cb7626a"
method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate"
target="_blank" novalidate>
<div id="mc_embed_signup_scroll">
<div class="field-multiple">
<div class="mc-field-group">
<label for="mce-FNAME">Voornaam </label>
<input type="text" value="" name="FNAME" class="" id="mce-FNAME">
</div>
<div class="mc-field-group">
<label for="mce-LNAME">Achternaam </label>
<input type="text" value="" name="LNAME" class="" id="mce-LNAME">
</div>
<div class="clear"></div>
</div>
<div class="mc-field-group">
<label for="mce-MMERGE3">Bedrijfsnaam </label>
<input type="text" value="" name="MMERGE3" class="" id="mce-MMERGE3">
</div>
<div class="mc-field-group size1of2">
<label for="mce-MMERGE4-month">Birthday </label>
<div class="datefield">
<span class="subfield dayfield"><input class="birthday " type="text" pattern="[0-9]*" value=""
placeholder="DD" size="2" maxlength="2"
name="MMERGE4[day]" id="mce-MMERGE4-day"></span> /
<span class="subfield monthfield"><input class="birthday " type="text" pattern="[0-9]*" value=""
placeholder="MM" size="2" maxlength="2"
name="MMERGE4[month]" id="mce-MMERGE4-month"></span>
<span class="small-meta nowrap">( dag / maand )</span>
</div>
</div>
<div class="mc-field-group">
<label for="mce-EMAIL">E-mailadres <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div id="mce-responses" class="clear">
<div class="response" id="mce-error-response" style="display:none"></div>
<div class="response" id="mce-success-response" style="display:none"></div>
</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 type="text"
name="b_712549879ba33129fa92f147c_74596973b8"
tabindex="-1" value=""></div>
<div class="clear">
<input type="submit" value="Aanmelden" name="subscribe" id="mc-embedded-subscribe"
class="button">
</div>
</div>
</form>
</div>
<!--End mc_embed_signup-->
</div>