Create a simple signup form (to mailchimp) to my cargo web site

General information for the website: Create a simple signup form (to mailchimp) to my cargo web site
Kind of development: Customization of existing website
Description of every page/module: Hello
I wanted a simple button signup to connect to mail chimp account newsletter
when people enter a her mail it goes to my mail chimp list...
as the one in mail chimp that I can create does not look nice to me
I ask to some one who can make it... see the picture

simple design/enter your mail and it goes to my mail chimp list
and stay at the same place at the bottom of my menu..

let me know
Thanks
Benjamin
Description of requirements/features: Hello
I wanted a simple button signup to connect to mail chimp account newsletter
when people enter a her mail it goes to my mail chimp list...
as the one in mail chimp that I can create does not look nice to me
I ask to some one who can make it... see the picture

simple design/enter your mail and it goes to my mail chimp list
and stay at the same place at the bottom of my menu..

let me know
Thanks
Benjamin
Extra services needed: Customization, Optimization
Extra notes: