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.
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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 did check your wix page and it seems the form fields are being displayed correctly. Please check the screenshot below:
With which browser you are having this issue with? I would suggest you to clear your browser cache and see if that solves your problem. The following guide should help you clearing browser cache: http://www.wikihow.com/Clear-Your-Browser's-Cache
If the issue persists, do get back to us with a screenshot of the problem. The following guide should help you upload image in forum post: https://www.jotform.com/answers/277033