Contest 48hrs - email subscription form design - 30$

We need a subscription form for the following website:

hxxp://dev[.]exposnation[.]com (Remove [] brackets and replace xx with tt)

Form will replace the top-right form design in the content section.
Form needs to measure 300x300
Form needs, surname, name and email fields

Please be creative and inspire yourself from design and content.

Payment via paypal - 30$
This contest can lead to further work on same website for the winner.

 

do you need only the design? or code too?

 

Everything available for revisions. Email icon is free, downloaded from internet.
Editable text, full organized .psd.
Preview on website is not 300x300 it's scaled down to fit the designated area.
Thanks in advance.

 

Working on it!

 

Hi there! Here are my designs. Everything is from one corner to the next editable (.PSD). In case of any changes, let me know.

 

Hi, for now design. if you you can code as well, Bonus!

 

I like colors. It would take 3 fields: Surname, Name and Email. Also, less text. and no insider news crap.

This is a bilingual site, this means less designed txt is preferable, since the text will be code to switch languages.

 

I like it also. Very good looking with the enveloppe and logo. Creative. But also needs less designed text.

 

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My entry, please click on image to see full size:

 

my try. feedback please

 

I will come back with my entry in 30min;
LE: FULL EDITABLE ( ICONS, TEXT, FONTS, ETC )

 

Entry:

 

My entry. Feedback appreciated

 

This is my favorite, but missing a discreet submit button at bottom. and maybe a shadow at bottom.

 

Discreet enough?

 

Another try. Fb appreciated

 

i like it. Classy.