Markup used for MD SPCA Luminate email form.

mdspca-luminate-email-signup.html

<div class="section module--email">
  <h3 class="module__heading email__heading">Stay Up To Date</h3>
  <p>Sign up to get more information about news and events at the MD SPCA.</p>
  <form action="http://support.mdspca.org/site/Survey" method="post" target="_blank">
    <div class="hidden">
      <INPUT id=cons_info_component value=t type=hidden name=cons_info_component /><INPUT id=SURVEY_ID value=1662 type=hidden name=SURVEY_ID />
      <SPAN style="DISPLAY: none">
      <INPUT id=denySubmit alt="This field is used to prevent form submission by scripts." name=denySubmit />Please leave this field empty</SPAN>
    </div>
    <div class="control-group full_name">
      <label for="cons_first_name">Your Name</label>
      <input type="text" id="cons_first_name" name="cons_first_name" placeholder='First Name' style="display: inline-block; width: 49%;">
      <input type="text" id="cons_last_name" name="cons_last_name" placeholder='Last Name' style="display: inline-block; width: 49%;">
    </div>
    <div class="control-group email__address">
      <label for="email">Email Address</label>
      <input type="text" id="email" name="email_address" placeholder='email@address.com'>
    </div>
    <div class="control-group submit-group email__submit">
      <label for="email-submit">Submit Your Email Address</label>
      <button type="submit" id="email-submit" name="ACTION_SUBMIT_SURVEY_RESPONSE">Submit</button>
    </div>
  </form>
</div>