<div class="wrap">
    <div id="ays-survey-subscribe-email-page-main">
        <div class="ays-survey-subscribe-email-page-info-header">
            <h1 class="ays-survey-subscribe-email-page-info-header-text" style="text-align: center;">Grab your GIFT</h1>
        </div>
        <div class="ays-survey-subscribe-email-page-info-box">
            <div class="ays-survey-subscribe-email-page-info-box-header">Want to become a Pro User of the plugin to make your experience advanced?<br/>We will choose 5 lucky users to win the Pro Version of the <a href="https://ays-pro.com/wordpress/survey-maker" target="_blank">Survey Maker</a> plugin (The websites with high DA rates will have an advantage.</div>
            <div class="ays-survey-subscribe-email-page-info-box-content">
                <div class="ays-survey-subscribe-email-page-info-box-conditions">Here are the conditions of the Giveaway:</div>
                <div>
                    <ul id="ays-survey-subscribe-email-page-info-box-conditions-list">
                        <li>The only thing you need to do: Just provide a backlink</li>
                        <li>
                            <div class="ays-survey-grab-gift-inputs">
                                <div>
                                    <span> Provide your email</span>
                                </div> 
                                <div> 
                                    <input type="text" class="ays-survey-subscribe-email-page-info-box-input" id="ays-survey-subscribe-email-page-info-box-input-email" placeholder="Email" />
                                </div> 
                            </div>
                        </li>
                        <li>
                            <div class="ays-survey-grab-gift-inputs">
                                <div>
                                    <span> Provide your website</span> 
                                </div>
                                <div>
                                    <input type="text" class="ays-survey-subscribe-email-page-info-box-input" id="ays-survey-subscribe-email-page-info-box-input-website" placeholder="Website" />
                                </div>
                            </div>
                        </li>
                    </ul>
                </div>
                <div>
                    <input type="submit" value="Submit" class="button button-primary" id="ays-survey-subscribe-email-page-info-box-input-submit" />
                    <span class="ays-survey-grab-gift-message-box"></span>
                </div>
            </div>
            <div class="ays-survey-subscribe-email-page-info-box-footer">We will get in touch and send you your gift in case you are one of the lucky ones. Get the <a href="https://ays-pro.com/wordpress/survey-maker" target="_blank">Survey Maker</a> plugin Pro Version as a gift, save $49 and make your experience more advanced and better.<br/>The final results will be summarized in November 10th.</div>
        </div>
    </div>
</div>