Problem with form

We have a problem with this form, is left wondering and fails would need to know what the reason, it is urgent please !!!! The form is: http://www.jotform.com//?formID=31215695813657

I see you mentioned that you're having an issue with your jotform.

Can you please explain to us more about the exact issue you are having with it?

I checked it but so far it seems to be working normally.

Are you getting any errors on your end? Is it not submitting? Or? Please explain.

You may want to try clearing your browser cache to see if that helps otherwise let us know.