MailChimp for WP
by fparent
HTML
<div class="newsletter-form">
<div class="form-line">
<div class="form-field">
<label>First Name</label>
<input type="text" name="FNAME">
</div>
</div>
<div class="form-line">
<div class="form-field">
<label>Last Name</label>
<input type="text" name="LNAME">
</div>
</div>
<div class="form-line">
<div class="form-field">
<label>Email Address (required)</label>
<input type="email" name="EMAIL" required="required">
</div>
</div>
<div class="form-line">
<strong>To which list(s) would you like to subscribe?</strong>
</div>
<div class="form-line">
<ul class="form-group">
<li class="form-checkbox">
<label>Individual</label>
<input type="checkbox" name="_mc4wp_lists[]" value="0c58b9f1a2" checked />
</li>
<li class="form-checkbox">
<label>Health professionals</label>
<ul>
<li>
<label>Occupational therapist</label>
<input type="checkbox" name="GROUPINGS[7481][]" value="Ergothérapeute">
</li>
<li>
<label>Physiotherapist</label>
<input type="checkbox" name="GROUPINGS[7481][]" value="Physiothérapeute">
</li>
<li>
<label>Social worker</label>
<input type="checkbox" name="GROUPINGS[7481][]" value="Travailleurs sociaux">
</li>
<li>
<label>Speech therapist</label>
<input type="checkbox" name="GROUPINGS[7481][]" value="Orthophoniste">
</li>
<li>
...