JSFiddle - React, Tailwind, and code Playground

by Sascha

HTML

<script src="https://code.jquery.com/jquery-3.4.1.slim.js"></script>
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.css">
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.16.0/umd/popper.js"></script>
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/js/bootstrap.js"></script>
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/font-awesome/4.7.0/css/font-awesome.css">
<div class="main-wraper padd-70-70 newsletter-block">
  <div class="container">
    <div class="row">
      <div class="col-md-6 col-sm-12 col-xs-12 d-flex justify-content-end">
        <div class="newsletter-title">
          <h2 class="color-white">Join Suite Vacations to Get FREE <br>Travel News and Special Offers!</h2>
          <h4 class="newsletter-subtitle color-white underline">Secret Deals - for our subscribers only...Besides it's FREE</h4>
        </div>
      </div>
      <div class="col-xs-12 col-sm-12 col-md-4  d-md-flex justify-content-start ">
        <form class="subscribe-form" onsubmit="return false;">
          <div class="form-group subscribe-input input-style-1 fl low-pad">
            <input type="text" id="navn" class="form-control" required="true" placeholder="Navn">
          </div>
          <div class="form-group subscribe-input input-style-1 fl low-pad">
            <input type="email" id="email" class="form-control" required="true" placeholder="Din e-mail">
          </div>
          <button type="submit" class="c-button b-60 bg-red-3 hv-red-3-o fr btn btn-primary btn-lg" data-toggle="modal" data-target="#myModal"><span>Compete Now</span></button>
        </form>
      </div>
    </div>
  </div>
</div>
<!-- Modal -->
<div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
  <div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
        <button type="button" class="close" data-dismiss="modal"...

CSS

.newsletter-block {
    background-color: #7c7c7c;
    }
    .newsletter-title h2 {
        padding-bottom: 24px;
        font-size: 2em;
    }
    .newsletter-subtitle {
        font-size: 16px;
    }
    .padd-70-70 {
        padding-top: 70px;
        padding-bottom: 70px;
    }
    .subscribe-form {
        width: 100%;
    }
    .subscribe-form .form-control {
        border-radius: 0px;
    }
    .subscribe-form button {
        border: 2px solid #e4a228;
        background: #e4a228;
        text-transform: uppercase;
        color: #fff;
        text-align: center;
        width: 100%;
        padding: 0.4em;
    }

JavaScript

$('#myModal').on('shown.bs.modal', function() {
  $('#myInput').focus();
});

$('#btn-subscribe').on('click', function() {
  let navn = $('#navn').val();
  let email = $('#email').val();
  let workshop = $('#mce-VAERKSTED').val();
  let gender = $('#mce-KON-1').is(':checked') ? 'Kvinde' : 'Mand';
  let zip = $('#mce-ZIP').val();
  window.alert(navn + ' - ' + email + ' - ' + workshop + ' - ' + gender + ' - ' + zip);
});