What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.
At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.
We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.
Glad you like it. This form is from a recent internal contest we hosted, in preparation for the public Form Design Contest that's currently ongoing.
Here's the form design- feel free to clone it:
Here's a link to the design contest, if it's of interest:
Also, in December we're launching the Theme Store, where people can buy/sell (or give away for free, I believe), their form designs. It will have the above theme, most likely, and many more!
Let us know if you have further questions.
I made a separate forum thread for your concern. Please refer to this link: http://www.jotform.com/answers/461393.
There is a form template for this form:
You can simply click on "Use template" button to get it.