<p>
    <label>First Name </label>
    <input type="text" name="FNAME" 
    required="">
</p>
<p>
    <label>Last Name </label>
    <input type="text" name="LNAME" "
    required="">
</p>
<p>
    <label>Email address </label>
    <input type="email" name="EMAIL" required="">
</p>
<p>
                                                <b><label>InvesTech Subscriber Updates</label></b>
<p>
    <label>
        <input type="checkbox" name="INTERESTS[309eb02c8a][]" value="df487afb16"
        checked="true"> <span> Hotline Email</span>
    </label>
                      <p>
    <label>
        <input type="checkbox" name="INTERESTS[309eb02c8a][]" value="d0fcd9806b"
        checked="true"> <span> Latest Newsletter Email</span>
    </label>
                      <p>
    <label>
        <input type="checkbox" name="INTERESTS[309eb02c8a][]" value="9ff2a0edbb"
        checked="true"> <span> Market Insights Email</span>
    </label>
    
</p>




<p>
<label>
        <input type="checkbox" name="AGREE_TO_TERMS" value="1" required=""> I have read and agree to the terms &amp; conditions</label>
</p>
<p>
    <input type="submit" value="Save preferences">
</p>


