<form class="home_signup" action="http://campaign.digitalmailmaker.com/index.php" method="post" name="campaignform" onsubmit="return validate()" >
<input type="hidden" name="camp" value="lgix7zwyfa">
<input type="hidden" name="perso" value="WTI4OU1XbGtlbUZvY0hVNGFnPT0rRA==">
<div align="center">
<span class="signup_head">Become a Beauty Insider!</span><br />Join up to receive beauty secrets of the stars when we share with you who is doing what to look fabulous! Insiders also get <span style="color: #BA0000; font-weight: bold;">FREE SHIPPING &amp; Special Discounts!</span><br />
<br /></div>
<div class="signup_row">First Name: <input class="signup" type="text" name="first_name" size="24"></div>
<div class="signup_row">Last Name: <input class="signup" type="text" name="last_name" size="24"></div>
<div class="signup_row">Email: <input class="signemail" type="text" name="email" size="24"></div>
<br />This next item is to confirm that you are a real person and not a spam bot:
 [[text_captcha]]
<div align="center"><input type="submit" name="submit_form" value="Submit"></div>

</form>