{if $form.ask4fname || $form.require_name} {/if} {if $form.ask4lname || $form.require_name} {/if} {if $form.type != "unsubscribe"} {if $form.fieldsarray|@count > 0} {foreach from=$form.fieldsarray item=field} {if $field.type == 6} {ac_field_html field=$field} {else} {/if} {/foreach} {else} {/if} {/if} {if $site.gd and $form.captcha} {/if} {if $form.allowselection} {/if} {if $form.type == "both"} {else} {/if}
{"Email:"|alang}
{"First Name:"|alang}
{"Last Name:"|alang}
{$field.title|ac_field_title:$field.type} {ac_field_html field=$field nobubbles=1}
{"Verify"|alang}
{"Enter the text as it appears on the image"|alang}
  {"Select Lists:"|alang}
{/if} {foreach from=$form.lists item=l} {if $form.allowselection}
{else} {/if} {/foreach} {if $form.allowselection}
 
  {if $site.brand_links}
{$site.acpow} by ActiveCampaign
{/if}