Add OPT-IN Area That Allows You to Place (Aweber Code)Update

I have a script seen at [login to view URL] I want to add an optin with that product you see at that website. Its got to be able to work with aweber and icontact, etc. So if they just plug the code into it, it will work. And there should be a way they can add there own optin along side of it. Must have the function , where it only allows opt in to work, after a social network is clicked. PM for more details.