some help?

[FluxFX]

can i get some help please, i have tried with two diffrent forms and i cnat get it to work, what i sthe matter with this form

http://fluxfx.net/hosting.php3

i have tried alot of things but i cant get teh form to work, i tried a pre installed script, then i installed one myself, then i tried remotly hosted, can someone help me with what is wrong with it? thanks

 

[Supernerd]

The apply button takes you to the wrong link, The same page.

Try re-programming the apply button or get a different editor

 

[FluxFX]

what code should i replace this with? i have tried again.. no hope