PHP + EMAIL

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						<label>First Name</label><input type="text" name="first-name" id="name" maxlength="35" value="Please enter your first name!" onblur="if(this.value==''){this.value='Please enter your first name!'}" onfocus="if(this.value=='Please enter your first name!'){this.value=''}" />
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					<div class="form_input">
						<label>Phone Number</label><input type="text" name="phone-number" id="phone-number" maxlength="35" value="Please enter your phone number!" onblur="if(this.value==''){this.value='Please enter your phone number!'}" onfocus="if(this.value=='Please enter your phone number!'){this.value=''}" />
					</div>
					<div class="form_input">
						<label>Email</label><input type="text" name="email" id="email" maxlength="35" value="Please enter your email!" onblur="if(this.value==''){this.value='Please enter your email!'}" onfocus="if(this.value=='Please enter your email!'){this.value=''}" />
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		<div id="newsletter">
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<!-- Begin MailChimp Signup Form -->
<link href="http://cdn-images.mailchimp.com/embedcode/classic-081711.css" rel="stylesheet" type="text/css">
<style type="text/css">
	#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif;  width:250px;}
	/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.
	   We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */
</style>
<div id="mc_embed_signup">
<form action="MYSUB_CODE" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank">
	<h2>Subscribe to our mailing list</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
	<label for="mce-FNAME">First Name </label>
	<input type="text" value="" name="FNAME" class="" id="mce-FNAME">
</div>
<div class="mc-field-group size1of2">
	<label for="mce-PHONENR">Phone Number </label>
	<input type="number" name="PHONENR" class="" value="" id="mce-PHONENR">
</div>
<div class="mc-field-group">
	<label for="mce-EMAIL">Email Address  <span class="asterisk">*</span>
</label>
	<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</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 class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
</form>
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