Repair web submission form

ONE HOUR JOB! Repair a web submission form. There is just a minor coding error I cannot find. I promise this is a $100 for ONE hour job. Someone with a good working knowledge of web forms should be able to identify and fix the easy problem in less than one hour, or you will be paid MORE. Make your bid, we need this done NOW, and I will respond immediately with the form for you to look at and see if you can do it. Thanks