Mail Chimp Subscription Form http://www.wppicker.com/add-stylish-mailchimp-subscription-form-without-plugin/

mailchimp-form.html

<!-- Begin MailChimp Signup Form -->
<div id="mc_embed_signup" class="wpp-mailchimp">
<form action="xxxxxxxxxx" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
<div id="mc_embed_signup_scroll">
	 <h2>Newsletter</h2>
	 <p>Enter your email address to subscribe to this blog and receive notifications of new posts by email</p>
<div class="mc-field-group">
   <input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL" placeholder="Your Email Address">
</div>
<div class="mc-field-group">
	<input type="text" value="" name="FNAME" class="" id="mce-FNAME" placeholder="First Name">
</div>
<div class="mc-field-group">
	<input type="text" value="" name="LNAME" class="" id="mce-LNAME" placeholder="Last Name">
</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>    <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
  <div style="position: absolute; left: -5000px;"><input type="text" name="yyyyyyyyyy" tabindex="-1" value=""></div>
    <div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
  </div>
  <p>Thank you for your interest !</p>
</form>
</div>
<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';}(jQuery));var $mcj = jQuery.noConflict(true);</script>
<!--End mc_embed_signup-->