Unable to create an account

i have been having issue with my signing up 
please can i receive  help from on how to sign up to my account

Please try using this link to create an account: https://www.jotform.com/signup/

I did test the signup page and it is working properly. Here's a screenshot:

If the issue persists, please try using a different internet browser. 

Let us know how it goes. Thank you.