<form class="omnisend-subscribe-form" style="width: 100%;">
<input type="text" class="omnisend-subscribe-input-email" placeholder="Enter your email address" style="width: 100%; height: 34px; display: block; color: #ffffff; font-size: 15px; font-family: Arial, sans-serif; padding: 6px; border: 1px solid #cfcfcf; outline-width: 0px; -webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box;">
<input type="submit" value="Subscribe!" style="width: 100%; height: 34px; display: block; color: #ffffff; font-size: 16px; font-weight: bold; font-family: Arial, sans-serif; padding: 8px; margin-top: 5px; background-color: #a2a2a2; border-width: 0px; -webkit-border-radius: 3px; -moz-border-radius: 3px; border-radius: 3px; outline-width: 0px; cursor: pointer;">
</form>