Incomplete values error message displayed on my form

I have tried contacting someone in regard to my form not working and I have had no luck in receiving support! I signed up for the free account as advised by an electronic response from you and it is still not working!

Today I had a customer call because they were trying to fill out my form, and I had to tell them that there are technical difficulties that I am working out (Thank goodness he called and did not just move onto the next business!!!) 

I would greatly appreciate some help. Every time I fill out this support form, I receive an automatic response that really does no help at all!

There must be a live person I can speak with? Either over the phone or by email? I really need this taken care of, or I'll be forced to remove it from our website and proceed with another company who provides usable forms and better support...

Please be noted that the responses received through this support forum are not automated and we at the support team can help you with the issues that you are experiencing with the forms. 

As I check your webpage, I'm also able to replicate the issue with Incomplete values error message on your form. As I tried to submit your JotForm using the direct link, I was able to submit the form without any issue. You should have received an email notification with the submission. As already mentioned by our colleague in his post, I still notice that some part of the source code has only embedded on your webpage. 

Please remove the added form code on your webpage and embed the following code :

http://www.jotform.com/help/104-How-to-get-the-Full-Source-Code-of-your-Form

Hope this information helps! Please get back to us if the issue still persists. We will be happy to assist you further.