<!– Begin MailChimp Signup Form –>
<div id=”mc_embed_signup” class=”nyt”><form class=”validate” id=”mc-embedded-subscribe-form” action=”http://psykologidialog.us5.list-manage.com/subscribe?u=3176f7506db324b914ae8d196&id=4023d17f83″ method=”post” name=”mc-embedded-subscribe-form” novalidate=”” target=”_blank”>
<div class=”mc-field-group”><input class=”required email” id=”mce-EMAIL” onclick=”this.value=”;” type=”email” name=”EMAIL” value=”Din email” onfocus=”this.select()” onblur=”this.value=!this.value?’Din email’:this.value;” /></div>
<div class=”mc-field-group”><input id=”mce-NAME” onclick=”this.value=”;” type=”text” name=”NAME” value=”Dit navn” onfocus=”this.select()” onblur=”this.value=!this.value?’Dit navn’:this.value;” /></div>
<div class=”clear” id=”mce-responses”></div>
<p></p>
<input class=”button” id=”mc-embedded-subscribe” type=”submit” name=”subscribe” value=”Tilmeld” />
</form></div>
<!–End mc_embed_signup–>
