Web To Lead Form problem

Web To Lead Form problem

Hi i have gone through these forums looking for an answer to my problem but none of them have worked.  I had a perfectly working web to lead form working about 3 weeks ago.  I wasn't getting leads for a while so I tested it and on submit I am getting a blank page on submit with  https://crm.zoho.com/crm/WebToLeadForm in the URL field.

There is an s in my Https and my domain name in the form points to the exact path of the form page (as this was suggested in an other soution thread.  Form is at http://www.jeffersonpayroll.ie/callback  
and code of form is below.

This lead generation is very important to me so any  help to  have it resolved quickly is appreciated - thanks.

Using Wordpress for site (self hosted)


<div id="crmWebToEntityForm" align="center"><form action="https://crm.zoho.com/crm/WebToLeadForm" method="POST" name="WebToLeads105328000001160003" onsubmit="javascript:document.charset=&quot;UTF-8&quot;; return checkMandatery()" accept-charset="UTF-8">
<table style="border-top: 1px solid #999999; border-bottom: 1px solid #999999; background-color: #ffffff;" width="550" border="0" cellspacing="0" cellpadding="5">
<tbody>
<tr>
<td style="background-color: #f5f5f5; border-bottom: 2px dotted #dadada; color: #000000; font-family: sans-serif; font-size: 14px;" colspan="2" align="left"><strong>Enquiry Form</strong></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Your Company   :</td>
<td width="75%"><input type="text" name="Company" maxlength="100" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">First Name   :</td>
<td width="75%"><input type="text" name="First Name" maxlength="40" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Last Name   :</td>
<td width="75%"><input type="text" name="Last Name" maxlength="80" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Email   :</td>
<td width="75%"><input type="text" name="Email" maxlength="100" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Phone   :</td>
<td width="75%"><input type="text" name="Phone" maxlength="30" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">No of Employees   :</td>
<td width="75%"><input type="text" name="No of Employees" maxlength="16" /></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Specifc Requirements (if any)   :</td>
<td width="75%"><textarea name="LEADCF4"></textarea></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Your Dept/Area   :</td>
<td width="75%"><select name="LEADCF1"> <option value="-None-">-None-</option> <option value="Finance">Finance</option> <option value="HR">HR</option> <option value="Payroll">Payroll</option> <option value="Administration">Administration</option> <option value="Procurement">Procurement</option> <option value="Senior Management">Senior Management</option> <option value="Owner/Director">Owner/Director</option> </select></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Your located in   :</td>
<td width="75%"><select name="LEADCF2"> <option value="-None-">-None-</option> <option value="IRE">IRE</option> <option value="UK">UK</option> <option value="USA">USA</option> <option value="Europe">Europe</option> <option value="Asia Pacific">Asia Pacific</option> </select></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Payroll Type(s)   :</td>
<td width="75%"><select name="LEADCF3"> <option value="-None-">-None-</option> <option value="Monthly">Monthly</option> <option value="Weekly">Weekly</option> <option value="Fortnightly">Fortnightly</option> <option value="Bi-Monthly">Bi-Monthly</option> <option value="Monthly &amp; Weekly">Monthly &amp; Weekly</option> <option value="Monthly &amp; Fortnightly">Monthly &amp; Fortnightly</option> <option value="Weekly &amp; Fortnightly">Weekly &amp; Fortnightly</option> <option value="Monthly &amp; Bi-Monthly">Monthly &amp; Bi-Monthly</option> <option value="Weekly &amp; Bi-Monthly">Weekly &amp; Bi-Monthly</option> <option value="Quarterly">Quarterly</option> <option value="Annual">Annual</option> <option value="Other Variation">Other Variation</option> </select></td>
</tr>
<tr>
<td style="font-family: sans-serif; font-size: 12px; font-weight: bold;" align="right" nowrap="nowrap" width="25%">Currently Processed   :</td>
<td width="75%"><select name="LEADCF8"> <option value="-None-">-None-</option> <option value="Start-Up">Start-Up</option> <option value="Processed In-House">Processed In-House</option> <option value="Other Payroll Provider">Other Payroll Provider</option> </select></td>
</tr>
<tr>
<td style="background-color: #eaeaea;" colspan="2" align="center"><input type="submit" name="save" value="Send" /></td>
</tr>
</tbody>
</table>
<script type="text/javascript">// <![CDATA[
 var mndFileds=new Array('Company','First Name','Last Name');var fldLangVal=new Array('Company','First Name','Last Name');function checkMandatery(){for(i=0;i<mndFileds.length;i++){ var fieldObj=document.forms['WebToLeads105328000001160003'][mndFileds[i]];if((fieldObj) &#038;&#038; ((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0){alert(fldLangVal[i] +' cannot be empty'); fieldObj.focus(); return false;}else if(fieldObj &#038;&#038; (fieldObj.nodeName=='SELECT') &#038;&#038; (fieldObj.options[fieldObj.selectedIndex].value=='-None-')){alert(fldLangVal[i] +' cannot be none'); fieldObj.focus(); return false;}}}
// ]]></script>

</form></div>