<div id="mc_embed_signup">
<form name="mc-embedded-subscribe-form" class="validate" id="mc-embedded-subscribe-form" action="//lesexologue.us8.list-manage.com/subscribe/post?u=b99a753a12fded994c86ffc1d&amp;id=8beb1d6c4f" method="post" target="_blank" novalidate="">
<div id="mc_embed_signup_scroll">
<h2>S'inscrire à l'infolettre</h2>
<div class="indicates-required">
<span class="asterisk">*</span> indique requis</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Adresse courriel <span class="asterisk">*</span> </label> <input name="EMAIL" class="required email" id="mce-EMAIL" type="email" value="">
</div>
<div class="mc-field-group">
<label for="mce-FNAME">Prénom </label> <input name="FNAME" id="mce-FNAME" type="text" value="">
</div>
<div class="mc-field-group">
<label for="mce-LNAME">Nom </label> <input name="LNAME" id="mce-LNAME" type="text" value="">
</div>
<div class="clear" id="mce-responses">
<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-->
    <br>
<div aria-hidden="true" style="left: -5000px; position: absolute;">
<input name="b_b99a753a12fded994c86ffc1d_8beb1d6c4f" tabindex="-1" type="text" value=""></div>
<div class="clear">
<input name="subscribe" class="button" id="mc-embedded-subscribe" type="submit" value="Subscribe"></div>
</div>
</form>
</div>