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.
Can you duplicate this form and provide an embed code?Asked by joey on November 24, 2015 at 05:36 PM
The form you posted can be created in JotForm. You can use text field, text box field and check box field to create your form. If this is the first time you create a form in Jotform, this guide might help you in creating you first form: How to Create Your First Web Form. Jotform can be embedded on different platforms. For more information, you can check this article: Which Form Embed Code Should I Use,
Do let us know if you need further assistance.