[Mailman-Users] additional forms in signup

I have approval required for new subscriptions to my list, and I manually send a message to the requester asking for some basic info about them before approving. Just want to keep spammers to an absolute minimum. Using the "Edit the HTML for the public list pages" feature, can I add additional forms in the info page for my list, to ask for the name and some basic info on the person requesting a subscription, besides just the email and password? And have it mailed to me as listadmin? I'm on a shared hosting environment, and don't have access to the Mailman application.

Thanks, Ken Grunke http://www.crwoodturner.com