[Plugin: Cross Registration Integration] Integration with email system UMC/eBizAC

Here is the registration code for my autoresponder:

<script language="JavaScript">
function checkSub(){
if (document.signup.email.value.indexOf('@', 0) == -1) {
alert("Please fill in your valid Email address.\nYour email should be in the following format: email@address.com")
document.signup.email.focus()
return false}
}</script><!-- rep_auto-6839 -->
<form action="http://ebizac.com/ar/optin.php" method="post" name="signup" onsubmit="return checkSub()">
<input type=hidden name="action" value="addlead">
<input type=hidden name="member" value="908">
<input type=hidden name="auto" value="6839">
<input type=hidden name="thankyou" value="">
<input type=hidden name="resubsetting" value="Y">
<input type=hidden name="resubredirect" value="">
<input type=hidden name="invalid_redirect" value="">

<table border=0 cellspacing=0 cellpadding=2><tr>
<td><font size="2" face="arial, verdana">First name:</font></td>
<td><input type=text size=20 name="fname"></td></tr>
<tr><td><font size="2" face="arial, verdana">Email address:</font></td>
<td><input type=text size=20 name="email"></td></tr>
<tr>
<td></td>
<td align=center><input type="submit" value="Subscribe"></td></tr></table></form>

Please let me know, what to put where in the settings, thanks!
Dan

http://wordpress.org/extend/plugins/cross-registration-integration/