custom mailchimp form

<div class="custom-newslater">
    <div class="newslater-item heading">
        <h2>SIgn Up to Our Newslater</h2>
        <p>
            Subscribe to our mailing list to recives daily update to your mailing box
        </p>
    </div>

    <div class="newslater-item first-name">
        <label>First Name</label>
        <input type="text" name="FNAME"  placeholder="Your Name"/>
    </div>

    <div class="newslater-item email">
        <label for="email">Email address: </label>
        <input type="email" id="email" name="EMAIL" placeholder="Email address" required />
    </div>
    <input type="submit" value="Sign up" />
</div>