News Letter

Is there a newsletter plugin available that can cover this..

Should have a “pop-over” style form fill with these “newsletter” sign up fields [just like all of the
other forms on the site]
The top of the form should say: “Let us share our best of the best with you monthly! …We
promise we won’t SPAM you!!”
Should include the following *Required fields and should state the message: *Indicates Required
Fields
*Name
*Email
*Re-type email
*Zip Code
Should include the following Optional fields:
Cell phone [for occasional SMS tips & deals! *Standard Cell phone texting
rates apply]
Sex [Male/Female] Checkbox Choice
Income Level – Choose from Check Box:
I’m broke
$20,000-$50,000
$50,000-$100,000
$100,000-$250,000
$250,000-$500,000
$5000,000-$1M
•I’m loaded
Interested in [Check box]:
Monthly E-News Letter
Discounts and Deals
Contests
Nutrition Tips and Savings
Fitness Tips and Savings
Detoxification Tips and Savings
Sleep Tips and Savings
Hormones Tips and Savings
Hot Beauty Tips and Savings
Survival Tips and Savings
Disease Tips and Savings
Additional box where if they choose they can fill in the
disease they would specifically like more info on…
Pet Tips and Savings

id you have any suggestion,, it’s truly appreciated.