Import the customerdata form my webshop automatically to one of my Mailchimp lists..no email addresses.

I do not reply to automated messages: please show me that you read my request. This is my website: [login to view URL] It is loading from my server from [login to view URL] At the bottom there is a form that sends the customer information to my database in the server. I want this information (time, name, telephone...but NO email address) to be sent/imported DIRECTLY to a list in my Mailchimp account, not going to my server database first. (Later I will probably ask you to do the same, but with also collecting the email addresses as part of the data..this is not part of the assignment now)