<div class="mc4wp-form">
<div class="ova-mc4wp-form">
<div class="email">
<input type="email" name="EMAIL" placeholder="Email Address" required />
</div>
<div class="submit">
<button type="submit">
<span>Go</span>
</button>
</div>
</div>
</div>
<p style="display:none">
<label>List choice</label>
<label>
<input name="_mc4wp_lists[]" type="checkbox" value="a328b7e698" checked="true"> <span>Ovatheme</span>
</label>
</p>