ml form page

[vc_row][vc_column width=”1/2″][vc_single_image image=”18936″ img_size=”large”][/vc_column][vc_column width=”1/2″][vc_raw_html]%3C%21--%20Begin%20Mailchimp%20Signup%20Form%20--%3E%0A%3Clink%20href%3D%22%2F%2Fcdn-images.mailchimp.com%2Fembedcode%2Fclassic-10_7.css%22%20rel%3D%22stylesheet%22%20type%3D%22text%2Fcss%22%3E%0A%3Cstyle%20type%3D%22text%2Fcss%22%3E%0A%23mc_embed_signup%7Bbackground%3A%23fff%3B%20clear%3Aleft%3B%20font%3A14px%20Helvetica%2CArial%2Csans-serif%3B%20%7D%0A%2F%2A%20Add%20your%20own%20Mailchimp%20form%20style%20overrides%20in%20your%20site%20stylesheet%20or%20in%20this%20style%20block.%0A%20%20We%20recommend%20moving%20this%20block%20and%20the%20preceding%20CSS%20link%20to%20the%20HEAD%20of%20your%20HTML%20file.%20%2A%2F%0A%3C%2Fstyle%3E%0A%3Cdiv%20id%3D%22mc_embed_signup%22%3E%0A%3Cform%20action%3D%22https%3A%2F%2FBeccaTebon.us9.list-manage.com%2Fsubscribe%2Fpost%3Fu%3D27f19a59d18d290514e6aa9fd%26amp%3Bid%3Df59b90fc00%22%20method%3D%22post%22%20id%3D%22mc-embedded-subscribe-form%22%20name%3D%22mc-embedded-subscribe-form%22%20class%3D%22validate%22%20target%3D%22_blank%22%20novalidate%3E%0A%20%20%20%20%3Cdiv%20id%3D%22mc_embed_signup_scroll%22%3E%0A%3Ch2%3EMy%20Gift%20To%20You%3C%2Fh2%3E%3Cbr%3E%0A%3Ch3%3EWe%20need%20more%20description%20here%3C%2Fh3%3E%0A%3Cdiv%20class%3D%22indicates-required%22%3E%3Cspan%20class%3D%22asterisk%22%3E%2A%3C%2Fspan%3E%20indicates%20required%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22mc-field-group%22%3E%0A%3Clabel%20for%3D%22mce-EMAIL%22%3EEmail%20Address%20%20%3Cspan%20class%3D%22asterisk%22%3E%2A%3C%2Fspan%3E%0A%3C%2Flabel%3E%0A%3Cinput%20type%3D%22email%22%20value%3D%22%22%20name%3D%22EMAIL%22%20class%3D%22required%20email%22%20id%3D%22mce-EMAIL%22%3E%0A%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22mc-field-group%22%3E%0A%3Clabel%20for%3D%22mce-FNAME%22%3EFirst%20Name%20%20%3Cspan%20class%3D%22asterisk%22%3E%2A%3C%2Fspan%3E%0A%3C%2Flabel%3E%0A%3Cinput%20type%3D%22text%22%20value%3D%22%22%20name%3D%22FNAME%22%20class%3D%22required%22%20id%3D%22mce-FNAME%22%3E%0A%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22mc-field-group%22%3E%0A%3Clabel%20for%3D%22mce-LNAME%22%3ELast%20Name%20%20%3Cspan%20class%3D%22asterisk%22%3E%2A%3C%2Fspan%3E%0A%3C%2Flabel%3E%0A%3Cinput%20type%3D%22text%22%20value%3D%22%22%20name%3D%22LNAME%22%20class%3D%22required%22%20id%3D%22mce-LNAME%22%3E%0A%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22mc-field-group%22%3E%0A%3Clabel%20for%3D%22mce-MMERGE4%22%3EPhone%20%3C%2Flabel%3E%0A%3Cinput%20type%3D%22text%22%20value%3D%22%22%20name%3D%22MMERGE4%22%20class%3D%22%22%20id%3D%22mce-MMERGE4%22%3E%0A%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22mc-field-group%20size1of2%22%3E%0A%3Clabel%20for%3D%22mce-MMERGE8-month%22%3EBirthday%20%20%3Cspan%20class%3D%22asterisk%22%3E%2A%3C%2Fspan%3E%0A%3C%2Flabel%3E%0A%3Cdiv%20class%3D%22datefield%22%3E%0A%3Cspan%20class%3D%22subfield%20monthfield%22%3E%3Cinput%20class%3D%22birthday%20required%22%20type%3D%22text%22%20pattern%3D%22%5B0-9%5D%2A%22%20value%3D%22%22%20placeholder%3D%22MM%22%20size%3D%222%22%20maxlength%3D%222%22%20name%3D%22MMERGE8%5Bmonth%5D%22%20id%3D%22mce-MMERGE8-month%22%3E%3C%2Fspan%3E%20%2F%0A%3Cspan%20class%3D%22subfield%20dayfield%22%3E%3Cinput%20class%3D%22birthday%20required%22%20type%3D%22text%22%20pattern%3D%22%5B0-9%5D%2A%22%20value%3D%22%22%20placeholder%3D%22DD%22%20size%3D%222%22%20maxlength%3D%222%22%20name%3D%22MMERGE8%5Bday%5D%22%20id%3D%22mce-MMERGE8-day%22%3E%3C%2Fspan%3E%0A%3Cspan%20class%3D%22small-meta%20nowrap%22%3E%28%20mm%20%2F%20dd%20%29%3C%2Fspan%3E%0A%3C%2Fdiv%3E%0A%3C%2Fdiv%3E%20%3Cdiv%20id%3D%22mce-responses%22%20class%3D%22clear%22%3E%0A%3Cdiv%20class%3D%22response%22%20id%3D%22mce-error-response%22%20style%3D%22display%3Anone%22%3E%3C%2Fdiv%3E%0A%3Cdiv%20class%3D%22response%22%20id%3D%22mce-success-response%22%20style%3D%22display%3Anone%22%3E%3C%2Fdiv%3E%0A%3C%2Fdiv%3E%20%20%20%20%3C%21--%20real%20people%20should%20not%20fill%20this%20in%20and%20expect%20good%20things%20-%20do%20not%20remove%20this%20or%20risk%20form%20bot%20signups--%3E%0A%20%20%20%20%3Cdiv%20style%3D%22position%3A%20absolute%3B%20left%3A%20-5000px%3B%22%20aria-hidden%3D%22true%22%3E%3Cinput%20type%3D%22text%22%20name%3D%22b_27f19a59d18d290514e6aa9fd_f59b90fc00%22%20tabindex%3D%22-1%22%20value%3D%22%22%3E%3C%2Fdiv%3E%0A%20%20%20%20%3Cdiv%20class%3D%22clear%22%3E%3Cinput%20type%3D%22submit%22%20value%3D%22Subscribe%22%20name%3D%22subscribe%22%20id%3D%22mc-embedded-subscribe%22%20class%3D%22button%22%3E%3C%2Fdiv%3E%0A%20%20%20%20%3C%2Fdiv%3E%0A%3C%2Fform%3E%0A%3C%2Fdiv%3E%0A%3Cscript%20type%3D%27text%2Fjavascript%27%20src%3D%27%2F%2Fs3.amazonaws.com%2Fdownloads.mailchimp.com%2Fjs%2Fmc-validate.js%27%3E%3C%2Fscript%3E%3Cscript%20type%3D%27text%2Fjavascript%27%3E%28function%28%24%29%20%7Bwindow.fnames%20%3D%20new%20Array%28%29%3B%20window.ftypes%20%3D%20new%20Array%28%29%3Bfnames%5B0%5D%3D%27EMAIL%27%3Bftypes%5B0%5D%3D%27email%27%3Bfnames%5B1%5D%3D%27FNAME%27%3Bftypes%5B1%5D%3D%27text%27%3Bfnames%5B2%5D%3D%27LNAME%27%3Bftypes%5B2%5D%3D%27text%27%3Bfnames%5B6%5D%3D%27MMERGE6%27%3Bftypes%5B6%5D%3D%27text%27%3Bfnames%5B10%5D%3D%27MMERGE10%27%3Bftypes%5B10%5D%3D%27text%27%3Bfnames%5B11%5D%3D%27MMERGE11%27%3Bftypes%5B11%5D%3D%27text%27%3Bfnames%5B12%5D%3D%27MMERGE12%27%3Bftypes%5B12%5D%3D%27text%27%3Bfnames%5B13%5D%3D%27MMERGE13%27%3Bftypes%5B13%5D%3D%27text%27%3Bfnames%5B14%5D%3D%27MMERGE14%27%3Bftypes%5B14%5D%3D%27text%27%3Bfnames%5B15%5D%3D%27MMERGE15%27%3Bftypes%5B15%5D%3D%27text%27%3Bfnames%5B16%5D%3D%27MMERGE16%27%3Bftypes%5B16%5D%3D%27text%27%3Bfnames%5B17%5D%3D%27MMERGE17%27%3Bftypes%5B17%5D%3D%27text%27%3Bfnames%5B18%5D%3D%27MMERGE18%27%3Bftypes%5B18%5D%3D%27text%27%3Bfnames%5B19%5D%3D%27MMERGE19%27%3Bftypes%5B19%5D%3D%27text%27%3Bfnames%5B21%5D%3D%27MMERGE21%27%3Bftypes%5B21%5D%3D%27text%27%3Bfnames%5B22%5D%3D%27MMERGE22%27%3Bftypes%5B22%5D%3D%27text%27%3Bfnames%5B23%5D%3D%27MMERGE23%27%3Bftypes%5B23%5D%3D%27text%27%3Bfnames%5B24%5D%3D%27MMERGE24%27%3Bftypes%5B24%5D%3D%27text%27%3Bfnames%5B25%5D%3D%27MMERGE25%27%3Bftypes%5B25%5D%3D%27text%27%3Bfnames%5B26%5D%3D%27MMERGE26%27%3Bftypes%5B26%5D%3D%27text%27%3Bfnames%5B27%5D%3D%27MMERGE27%27%3Bftypes%5B27%5D%3D%27text%27%3Bfnames%5B28%5D%3D%27MMERGE28%27%3Bftypes%5B28%5D%3D%27text%27%3Bfnames%5B29%5D%3D%27MMERGE29%27%3Bftypes%5B29%5D%3D%27text%27%3Bfnames%5B3%5D%3D%27MERGE3%27%3Bftypes%5B3%5D%3D%27text%27%3Bfnames%5B4%5D%3D%27MMERGE4%27%3Bftypes%5B4%5D%3D%27text%27%3Bfnames%5B5%5D%3D%27MMERGE5%27%3Bftypes%5B5%5D%3D%27text%27%3Bfnames%5B7%5D%3D%272DAYDETOX%27%3Bftypes%5B7%5D%3D%27text%27%3Bfnames%5B9%5D%3D%27MMERGE9%27%3Bftypes%5B9%5D%3D%27phone%27%3Bfnames%5B8%5D%3D%27MMERGE8%27%3Bftypes%5B8%5D%3D%27birthday%27%3Bfnames%5B20%5D%3D%27MMERGE20%27%3Bftypes%5B20%5D%3D%27text%27%3B%7D%28jQuery%29%29%3Bvar%20%24mcj%20%3D%20jQuery.noConflict%28true%29%3B%3C%2Fscript%3E%0A%3C%21--End%20mc_embed_signup--%3E[/vc_raw_html][/vc_column][/vc_row]