<div class="penci-bf-unsubscribe-email-error"></div>
<form method="post" action="" class="penci-bf-unsubscribe-form">
 <div class="penci-bf-unsubscribe-table">
 <div class="penci-bf-email-field">
 <input type="text" name="penci_bl_unsubscribe_email" id="penci_bl_unsubscribe_email"
 value="" placeholder="Enter email address..."/>
 </div>
 <div class="penci-bf-submit-field">
 <input type="submit" class="penci-bf-btn" id="penci_bl_unsubscribe_submit"
 name="penci_bl_unsubscribe_submit"
 value="Unsubscribe">
 </div>
 </div>
</form>