Lead generation Free template

Newsletter signup form template

Grow an email list with a short, compliant signup that also asks what people want to read.

  • 4 questions
  • about under a minute
  • Works on Free
  • Hidden fields
  • No sign-up to start
  • Unlimited responses on Free
Preview · answers aren’t saved

First name

What would you like to hear about?

Consent*

We only use your email for this newsletter. Privacy policy: [link].

What’s inside the newsletter signup form template

This newsletter signup form template takes about 30 seconds to fill in: email, first name, the topics people care about and a clear consent box. Embed it inline, as a slider or a pop-up, and send new subscribers to your email tool with a webhook, Zapier or Make. The page each signup came from is saved too.

Change any question, theme or ending in the Pulseware survey maker, then share it by link, QR code or embed.

  • Hidden fields filled from the link: source_page, utm_campaign.
  1. 1 Email: Email
  2. 2 Short answer: First name (optional)
  3. 3 Multiple choice: What would you like to hear about? (optional)
  4. 4 Consent checkbox: Consent

Why this template works

  • Consent wording is clear and the box starts unticked.
  • Interest tags let you segment from day one.
  • Works inline, as a slider or as a pop-up.

Works with

Connect these after you publish, from the Connect tab.

  • Zapier Add subscribers to Mailchimp, Klaviyo, Beehiiv, ConvertKit or Campaign Monitor (or use Make or a webhook)
  • Google Sheets Keep a subscriber list
  • Double opt-in confirmation email Pro On Free: let your email tool send it.
  • Remove branding on embeds Pro

Questions about this template

Does Pulseware connect to Mailchimp?

Yes, through Zapier, Make, n8n or a webhook. Each signup can be added to your audience with its interests as tags.

Do I need a consent checkbox in Australia?

The Spam Act 2003 requires consent before you send marketing email. A clear, unticked checkbox is a simple way to get express consent. This is not legal advice.

Start with the newsletter signup form template

Edit it straight away with no account. You only confirm your email when you publish.