Form does not post into my Leads area

Form does not post into my Leads area

I created a sign-up form at  http://www.amemoryjog.com/Download-Password-Management-App-iPhone.aspx. It allows the user to enter their email, first name and last name. It should submit their information into my leads section of Zoho CRM and then send the user a thank you email.

It does not seem to add the lead and does not send the thank you email.  Am I doing something wrong?