{source}

<div id="tmxxregform"></div>

<script type="text/javascript" src="/https://trackmaxx.ch/mailing/subscribe/load.js"></script>

<script>

  var tmxx = new tmxxregform();

  tmxx.ou = "a8f56e0b-6c0c-49fc-9b6d-8a908e4cb515";

  tmxx.language = "en";

  tmxx.load();

</script>

<style>

  #tmxxregform {

    padding: 10px;

    font-family: Arial;

    font-size: 16px;

    max-width: 500px;

  }

  .tmxxregformcaption {

    font-size: 16px;

  }

  .tmxxregforminput {

    width: 250px;

    font-size: 16px;

    padding: 6px;

    border: 1px solid lightgrey;

    margin-bottom: 10px;

    box-sizing: border-box;

    -webkit-box-sizing: border-box;

    -moz-box-sizing: border-box;

  }

  .tmxxregformconfirmation {

    font-size: 16px;

    line-height: 1.4;

  }

</style>

{/source}