Mailchaimp Form

<form action="https://grlakes.us20.list-manage.com/subscribe/post?u=24c05e91242fbe9161a9524bb&amp;id=cdc062ad09&amp;f_id=00cc51e6f0" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
        <div id="mc_embed_signup_scroll">
        <h2>Subscribe</h2>
        <div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
	<label for="mce-EMAIL">Email Address  <span class="asterisk">*</span>
</label>
	<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL" required>
	<span id="mce-EMAIL-HELPERTEXT" class="helper_text"></span>
</div>
<div class="mc-field-group">
	<label for="mce-FNAME">First Name  <span class="asterisk">*</span>
</label>
	<input type="text" value="" name="FNAME" class="required" id="mce-FNAME" required>
	<span id="mce-FNAME-HELPERTEXT" class="helper_text"></span>
</div>
<div class="mc-field-group">
	<label for="mce-LNAME">Last Name  <span class="asterisk">*</span>
</label>
	<input type="text" value="" name="LNAME" class="required" id="mce-LNAME" required>
	<span id="mce-LNAME-HELPERTEXT" class="helper_text"></span>
</div>
<div class="mc-field-group size1of2">
	<label for="mce-PHONE">Phone Number </label>
	<input type="text" name="PHONE" class="" value="" id="mce-PHONE">
	<span id="mce-PHONE-HELPERTEXT" class="helper_text"></span>
</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_24c05e91242fbe9161a9524bb_cdc062ad09" tabindex="-1" value=""></div>
    <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
    </div>
</form>

Subscribe

* indicates required