<div class="footer-col newsletter">
    <div class="footer-box">
        <div class="footer-head">{txt key=TEXT_XGX_NEWSLETTER}</div>
        {form id="subscribeform" action="xgx_newsletter_subscription" type=form name=subscribeform method=post conn=SSL}
        {form type=hidden name=process value=1}
        {form type=hidden name=quick value=1}
            <div class="form-group">
                <label class="sr-only" for="email">{txt key=TEXT_EMAIL}*</label>
                <input id="email" type="text" name="email" maxlength="40" class="form-control" value="{$smarty.session['customer']->customer_info['customers_email_address']}" placeholder="{$smarty.const.TEXT_EMAIL}">
            </div>
            <div class="form-group">
                <label class="sr-only" for="firstname">{txt key=TEXT_FIRSTNAME}*</label>
                <input id="firstname" type="text" name="firstname" maxlength="40" class="form-control" value="{$smarty.session['customer']->customer_default_address['customers_firstname']}" placeholder="{$smarty.const.TEXT_FIRSTNAME}">
            </div>
            <div class="form-group">
                <label class="sr-only" for="lastname">{txt key=TEXT_LASTNAME}*</label>
                <input id="lastname" type="text" name="lastname" maxlength="40" class="form-control" value="{$smarty.session['customer']->customer_default_address['customers_lastname']}" placeholder="{$smarty.const.TEXT_LASTNAME}">
            </div>
            <button type="submit" class="btn btn-primary"><i class="fa fa-envelope" aria-hidden="true"></i> {$smarty.const.BUTTON_SUBMIT}</button>
        {form type=formend}
    </div>
</div>