Lead Capture form not working

Hi,

I am setting up the Lead Capture form, I have put in the proper email, but when I test it I do not receive the desired information. Please let me know what I am doing wrong.

Also testing this on firefox the form does not show the name email address etc as it does in the other browsers.

I have provided screen shots.

Thank you.

 

Do let us know your website link.

 

The website link is: harmonymhbs.com

Also is there CSS to remove the carousel only?

Thank you.

 

Please provide the following information listed below.

Thread Link:
Your Website URL:
WordPress Username:
WordPress Password:

Send this information on our email at [email protected]