| Title | GetResponse |
| Field 1 Title | GetResponse tracking Name |
| Field 2 Title | |
| Field 3 Title | |
| Form Target | http://www.getresponse.com/cgi-bin/add.cgi |
| Hidden Fields | <input type="hidden" name="tracking_name" id="tracking_name" value="~field1title~"> <input type="hidden" name="confirmation_url" id="confirmation_url" value="~redirect~"> <input type="hidden" name="error_url" id="error_url" value="~redirect~"> <input type="hidden" name="custom_ref" id="custom_ref" value="~capturepage~"> |
| First Name Form Name | subscriber_name |
| Last Name Form Name | custom_LastName |
| Email Form Name | subscriber_email |
| Phone Form Name | custom_Phone |
| Address Form Name | |
| City Form Name | |
| State Form Name | |
| Zipcode Form Name | |
| Additional Form Names Prefix | custom_ |
