<form action="https://app.getresponse.com/add_subscriber.html" accept-charset="utf-8" method="post"><!-- [et_pb_line_break_holder] --> <!-- Name --><!-- [et_pb_line_break_holder] --><input placeholder="Ditt fulle navn" type="text" name="name"/><!-- [et_pb_line_break_holder] --> <!-- Email field (required) --><!-- [et_pb_line_break_holder] --><input placeholder="Skriv inn din epost" type="text" name="email"/><!-- [et_pb_line_break_holder] --><input placeholder="Skriv inn telefonnummer" name="custom_mobile_phone" type="text" value="" /><br/><!-- [et_pb_line_break_holder] --> <!-- List token --><!-- [et_pb_line_break_holder] --> <!-- Get the token at: https://app.getresponse.com/campaign_list.html --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="campaign_token" value="4fw25" /><!-- [et_pb_line_break_holder] --> <!-- Thank you page (optional) --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="thankyou_url" value="https://hopstockhelse.no/vi-gir-bort-50-rabattkuponger-for-fysioterapibehandling-typ/"/><!-- [et_pb_line_break_holder] --> <!-- Forward form data to your page (optional) --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="forward_data" value="post" /><!-- [et_pb_line_break_holder] --> <!-- Subscriber button --><!-- [et_pb_line_break_holder] --> <input type="submit" value="Motta min rabattkupong!"/><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] --> ::placeholder { /* Chrome, Firefox, Opera, Safari 10.1+ */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] --> opacityrgb(92,85,85); /* Firefox */<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->:-ms-input-placeholder { /* Internet Explorer 10-11 */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->::-ms-input-placeholder { /* Microsoft Edge */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> input[type=text], input[type=email] ,select {<!-- [et_pb_line_break_holder] --> width:33% !important;<!-- [et_pb_line_break_holder] --> padding: 15px 25px;<!-- [et_pb_line_break_holder] --> margin: 8px 0;<!-- [et_pb_line_break_holder] --> display: inline-block;<!-- [et_pb_line_break_holder] --> border: 2px solid rgb(234,232,232);<!-- [et_pb_line_break_holder] --> border-radius: 4px;<!-- [et_pb_line_break_holder] --> font-size:15px;<!-- [et_pb_line_break_holder] --> font-weight:500;<!-- [et_pb_line_break_holder] --> background-color:#fff ;<!-- [et_pb_line_break_holder] --> color:#222;<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> input[type=text]:focus {<!-- [et_pb_line_break_holder] --> border:2px solid rgb(245,241,241);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->input[type=submit]{<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> background-color: #36c0ad;<!-- [et_pb_line_break_holder] --> color: white;<!-- [et_pb_line_break_holder] --> padding: 18px 20px;<!-- [et_pb_line_break_holder] --> margin: 8px 0;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> border-radius: 5px;<!-- [et_pb_line_break_holder] --> font-size:25px;<!-- [et_pb_line_break_holder] --> font-weight:800;<!-- [et_pb_line_break_holder] --> border-bottom:5px solid #008C8B;<!-- [et_pb_line_break_holder] --> font-family:montserrat;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] -->input[type=submit]:hover {<!-- [et_pb_line_break_holder] --> background-color: #30b19f;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->

<form action="https://app.getresponse.com/add_subscriber.html" accept-charset="utf-8" method="post"><!-- [et_pb_line_break_holder] --> <!-- Name --><!-- [et_pb_line_break_holder] --><input class="mobil" placeholder="Ditt fulle navn" type="text" name="name"/><!-- [et_pb_line_break_holder] --> <!-- Email field (required) --><!-- [et_pb_line_break_holder] --><input class="mobil" placeholder="Skriv inn din epost" type="text" name="email"/><!-- [et_pb_line_break_holder] --><input class="mobil" placeholder="Skriv inn telefonnummer" name="custom_mobile_phone" type="text" value="" /><br/><!-- [et_pb_line_break_holder] --> <!-- List token --><!-- [et_pb_line_break_holder] --> <!-- Get the token at: https://app.getresponse.com/campaign_list.html --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="campaign_token" value="4fw25" /><!-- [et_pb_line_break_holder] --> <!-- Thank you page (optional) --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="thankyou_url" value="https://hopstockhelse.no/vi-gir-bort-50-rabattkuponger-for-fysioterapibehandling-typ/"/><!-- [et_pb_line_break_holder] --> <!-- Forward form data to your page (optional) --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="forward_data" value="post" /><!-- [et_pb_line_break_holder] --> <!-- Subscriber button --><!-- [et_pb_line_break_holder] --> <input class="mobil" type="submit" value="Motta min rabattkupong!"/><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><style><!-- [et_pb_line_break_holder] --> ::placeholder { /* Chrome, Firefox, Opera, Safari 10.1+ */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] --> opacityrgb(92,85,85); /* Firefox */<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->:-ms-input-placeholder { /* Internet Explorer 10-11 */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->::-ms-input-placeholder { /* Microsoft Edge */<!-- [et_pb_line_break_holder] --> color:#333 !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> input[type=text].mobil, input[type=email] ,select {<!-- [et_pb_line_break_holder] --> width:99% !important;<!-- [et_pb_line_break_holder] --> padding: 15px 25px;<!-- [et_pb_line_break_holder] --> margin: 8px 0;<!-- [et_pb_line_break_holder] --> display: inline-block;<!-- [et_pb_line_break_holder] --> border: 2px solid rgb(234,232,232);<!-- [et_pb_line_break_holder] --> border-radius: 4px;<!-- [et_pb_line_break_holder] --> font-size:15px;<!-- [et_pb_line_break_holder] --> font-weight:500;<!-- [et_pb_line_break_holder] --> background-color:#fff ;<!-- [et_pb_line_break_holder] --> color:#222;<!-- [et_pb_line_break_holder] --> box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> input[type=text]:focus {<!-- [et_pb_line_break_holder] --> border:2px solid rgb(245,241,241);<!-- [et_pb_line_break_holder] --> }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->input[type=submit].mobil{<!-- [et_pb_line_break_holder] --> width: 100%;<!-- [et_pb_line_break_holder] --> background-color: #36c0ad;<!-- [et_pb_line_break_holder] --> color: white;<!-- [et_pb_line_break_holder] --> padding: 18px 20px;<!-- [et_pb_line_break_holder] --> margin: 8px 0;<!-- [et_pb_line_break_holder] --> border: none;<!-- [et_pb_line_break_holder] --> border-radius: 5px;<!-- [et_pb_line_break_holder] --> font-size:18px;<!-- [et_pb_line_break_holder] --> font-weight:800;<!-- [et_pb_line_break_holder] --> border-bottom:5px solid #008C8B;<!-- [et_pb_line_break_holder] --> font-family:montserrat;<!-- [et_pb_line_break_holder] --> cursor: pointer;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] -->input[type=submit]:hover {<!-- [et_pb_line_break_holder] --> background-color: #30b19f;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --></style><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->