The form template must follow DSC template format which is the token based. Do not put direct input tags. Put the tokens instead. DSC will resolve tokens to the neccessary input tags automatically. Try the below form template.
<div><span style="font-weight: bold">Email:</span><span class="emailSignUp">%%Email Signup%%</span></span></div>
<div>%%SubmitButton%%</div>
DotShoppingCart Staff
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