[optin_box style="12" alignment="center" action="http://www.talkbat.com/form.php?form=85" method="post" email_field="email" email_default="Enter your email address" email_order="1" integration_type="custom" double_optin="Y" name_field="CustomFields%5B2%5D" name_order="0" name_required="Y" name_default="Enter your first name"][optin_box_hidden][/optin_box_hidden][optin_box_code]
[/optin_box_code][optin_box_field name="headline"][/optin_box_field][optin_box_field name="paragraph"][/optin_box_field][optin_box_field name="privacy"]We value your privacy and would never spam you[/optin_box_field][optin_box_field name="top_color"]undefined[/optin_box_field][optin_box_button type="0" button_below="Y"]Join The Waiting List![/optin_box_button] [/optin_box]