App that would let me get an customer email for a freebie

App that would let me get an customer email for a freebie

UtopiaPSD
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Hi! I want to add freebies to my store, but I want to get an email from a client as a "payment" for the freebie, I thought about an app like EcomSend Popups but it would only work for one freebie, I have a tab for all the freebies and I need the form to be on the product page. Let me know if you know an app like this

 

Thanks

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