Landing Page with Slider Revolutions... how?

I want to create a simple landing page with slider revolutions. A give away shall be shown with a form field to enter the Email Address. Everybody who subscribes to the list will receive the gift.
So I would nee a form field - I created one in a slider, using the text/html layer. But it does not show up in the preview.
So my question: is that possible with Slider Revolution or would I need another plugin?

I dont have a direct-buyer licence, since I acquired slider revolution with the expedition theme. I would purchase a regular licence, when I could be sure, that this works.