<div id="signup-wrapper"> <div id="mc_embed_signup"> <form action="https://assos.us10.list-manage.com/subscribe/post-json?u=9f9d237f8e4adfd29c2b8f166&id=6861fa2c9c&f_id=008fdee1f0&c=?" method="get" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank"> <h5>—ASSOS LONDON BOUTIQUE—</h5> <h2></h2> <p>Registration form: by filling-in this format<br> you accept to receive NL dedicated to our Store,<br> including activities and special promotions.</p> <div id="mc_embed_signup_scroll"> <div class="mc-field-row"> <div class="mc-field-group"> <input type="email" name="EMAIL" class="required email" id="mce-EMAIL" placeholder="Email *" required> </div> </div> <div class="mc-field-row"> <div class="mc-field-group half"> <input type="text" name="FNAME" class="" id="mce-FNAME" placeholder="First Name"> </div> <div class="mc-field-group half"> <input type="text" name="LNAME" class="" id="mce-LNAME" placeholder="Last Name"> </div> </div> <div class="mc-field-row"> <div class="mc-field-group mc-field-group--select"> <select name="STATO" id="mce-STATO" class="select stato" required></select> </div> </div> <div class="mc-field-row"> <div class="mc-field-group mc-field-group--select" style="width:auto;"> <select name="phone-country" id="phone-country" class="select phone-country"></select> </div> <div class="mc-field-group"> <input type="text" name="PHONE" id="mce-PHONE" placeholder="Phone number"> </div> </div> <div class="mc-field-group field-hide"> <input type="text" value="LUG" name="STORE" class="" id="mce-STORE"> </div> <div class="mc-field-group" style="display:none;"> <label for="mce-SOURCE">Source </label> <input type="hidden" value="lnd_boutique_subcr" name="SOURCE" class="" id="mce-SOURCE"> <span id="mce-SOURCE-HELPERTEXT" class="helper_text"></span> </div> <div class="mc-field-row"> <div class="mc-field-group mc-field-group--gender"> <div class="mc-field-group-title"><label for="mce-GENDER" >Gender *</label></div> <div class="mc-field-radio-group"> <div><input class="radio" id="undeclared" name="GENDER" type="radio" value="" required> <label for="undeclared">Undeclared</label></div> <div><input class="radio" id="male" name="GENDER" type="radio" value="male"> <label for="male">Male</label></div> <div><input class="radio" id="female" name="GENDER" type="radio" value="female"> <label for="female">Female</label></div> </div> </div> </div> <div class="mc-field-row"> <div class="mc-field-group mc-field-group"> <div class="mc-field-checkbox-group"> <div><input class="checkbox" type="checkbox" value="" required> <label>I accept the <a href="/customer-service/?section=privacy-policy">Privacy Policy</a> of www.assos.com *</label></div> </div> </div> </div> <div id="mce-responses" class="clear"> <div class="response" id="mce-error-response" style="display:none"></div> <div class="response" id="mce-success-response" style="display:none"></div> </div>  <div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_9f9d237f8e4adfd29c2b8f166_6861fa2c9c" tabindex="-1" value=""></div> <div class="clear"><input type="submit" value="SUBMIT" name="subscribe" id="mc-embedded-subscribe" class="button"></div> </div> </form> <div id="subscribe-message"> <p>Email address already registered.</p> </div> </div> <div id="subscribe-result"> <div class="result"> <h2>THANK YOU!</h2>  <p>register another one email</p> <div class="cta-wrapper"> <p><a class="link-as-outlined secondary js-quick-buy-gto-gold" href="javascript:location.reload();">Refresh</a></p> </div> </div> </div> </div>