If you just want to add a user to Kulea’s CRM, i.e. it’s not coming from a FORM as discussed above then you can do this yourself, as follows:
<script type="text/JavaScript">
var __ma = __ma || [];
__ma.push([ 'crm', { 'email':'email@example.com', 'forename':'John', 'surname':'Smith' }]);
</script>