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.
I'm not sure if I understand all the functions from the attached email that you have, but if you would like to recreate that form using JotForm, I believe the answer is "Yes".
You may want to check our form builder and try adding different forms fields there, example would be check boxes, text box, logos, and the likes.
I assume that you are new to our Form builder? If you are, please do check the following resources that you can use as a reference:
Frequently Asked Questions - Know the basic about JotForm
How To Get You Started - Getting started page
The JotForm YouTube Channel - Video tutorials from our YouTube Channel
Comprehensive User Guide - A page where you can search for list of different guides and tutorials.
I hope this helps. Do let us know if you need more information on this.