cannot complete SalesForce integration

I am attempting to link/integrate to Salesfoce

your system is requiring that I link and match fields for Account/Contact/Leat

I select Conact - I get FULL NAME and then a drop down for fields - but there are NO fields and it will not let me proceed

http://screencast.com/t/bHTOmpXV

Just says PLEASE SELECT _ with out any options!!!

Upon checking your form: http://www.jotform.us/form/61036839335155, I can see that your SalesForce account has not been authenticated:

Make sure your credentials are correct. I just tried the integration in my end, and the fields show:

Please try again, and let us know if you need more help.