Custom designed form has fname, lastname, email, submit & 'X').
Would like it to pop up when someone comes to the home page.
Integrate it with mail chimp email account.
Once user submits, the pop up should never come back again.
Must work cross browsers & OSs.
Must work on on ipad, iphone, droid, tablets.
Form can be supplied in PSD, EPS & JPG.
Skills: css, css3, html, html5, jquery