Change HTML code

Project Description:
Hello Everyone !

I need to fix html code in our affilate webpage, please see description bellow:

1) Go to http://affiliateprofitincome.com/safesww.html
2) You will see there is email place
3) If You take a look on code of email form, You will see that when You enter email, that email adress is added to AWEBER auto responder and EBIZ auto responder
4) So, i need to make that there was 3rd autoresponder ( and if i want, also more )
5) Unfortunately, i tried to make it, but couldn't and that why asking professionals like You to help.
6) If possible, i would like to make this code NOT vissible to ALL others - so the real code is on server.

In reality it should be to add THE SAME codelines which i have for 2 autoresponders already,
but unfortunately, looks like there is need to know a bit more.

I tried to write as simple as possible, hope You understood and can help.

I want that this code was fixed at price 30 usd.

Regards,
Tomass