I need a subscribe form for a premium newsletter.
Required data fields are:
first name *
last name *
street and no. *
zip code *
email adress *
email adress again (to confirm) *
cell phone number *
all fields with * are mandatory, subscription is not possible when empty.
furthermore one check-button. only when the button is clicked, the user can subscribe otherwise error message.
Please also verify that the email is the same in both email fields, otherwise error message.
All the data then should be send to my email adress which I can specify in the script.
Just give me the blank script, so I can implement it in my design without problems.