Hello there,
I have gone through your project description, you are not able to login to your website, We can fix the bug, Ready to start working on this form today. Please send more details
We are a 10 year old IT company with highly skilled designers and developers to work on php, Mysql, Jquery, Wordpress, OSC, Magento, OpenCart, Mobile development, iPhone, Responsive etc.
It would be better if you come to have a close discussion over chat .
Best Regards
Harpreet Singh