<div class="np-front-subscription"> <div class="np-front-subscription-left"> <div class="form-inputs clearfix"> <div id="ajax-errors-subscribe" class="alert alert-danger" style="display: none;"></div> <div class="clear"></div> <div id="ajax-success-subscribe" class="alert alert-success" style="display: none;"></div> <div class="clear"></div> </div> <div class="form-inputs clearfix"> <h4 class="nps-popup-title"><span style="font-weight: bold;">Subscribe to our newsletter</span> <br /> <span>And receive a</span> $200 Voucher</h4> <ul class="nps-popup-list"> <li><img style="float: left; margin-right: 5px;" width="15" height="15" src="/modules/newsletterpro/views/img/front_subscription/subscribe_checkmark.png" />Exclusive benefits</li> <li><img style="float: left; margin-right: 5px;" width="15" height="15" src="/modules/newsletterpro/views/img/front_subscription/subscribe_checkmark.png" />Latest trends</li> <li><img style="float: left; margin-right: 5px;" width="15" height="15" src="/modules/newsletterpro/views/img/front_subscription/subscribe_checkmark.png" />Special offers</li> </ul> </div> <div class="form-inputs clearfix"> <div class="form-inputs clearfix"> <div class="form-group"><label>First name</label> <input class="form-control" type="text" name="firstname" value=""> </div> <div class="form-group"><label>Last name</label> <input class="form-control" type="text" name="lastname" value=""> </div> <div class="form-group"><label>Email^*</label> <div class="clear"></div> <input id="np-popup-email" class="form-control" type="text" name="email" value=""> <a href="#" name="submitNewsletterProSubscribe" id="submit-newsletterpro-subscribe" class="np-button submit-newsletterpro-subscribe"> <span>Send</span> </a> <div class="clear"></div> </div> </div> <div class="form-inputs clearfix"> <div class="form-group clearfix np-popup-subscription-footer"><span style="font-size: 12px;">*Offer cannot be combined with other ongoing promotions.</span></div> <div class="form-group clearfix" style="margin-bottom: 0;"> <a href="javascript:{}" id="newsletterpro-subscribe-close-forever" class="close-forever"> <span>Don't show next time.</span> </a> <div class="clear"></div> </div> </div> <div class="clear"></div> </div> <div class="clear"></div> </div> <div class="np-front-subscription-right"><img class="np-front-subscription-image" src="/modules/newsletterpro/views/img/front_subscription/front_subscription_responsive.jpg" /></div> <div class="clear"></div> </div>