opt in page for affiliate

Create an opt in page for a click bank affiliate site need quickly, something i may need to edit later with nvu if possible, or will stick to same coder for later updates as my time is limited can use some graphics and script from CB sales page ## Deliverables opt in page to include for for name and email i will provide a website i would like as a template will be adding video at a later date, same coder if you like I will provide the click bank sales page for ideas on content