Help With HTML Form

[tweeter]

Hello everyone,

I need help with this HTML form:

http://www.instantinhomeincome.com

When you enter your information, you'll see that you get an error message. I can see in the code that the image map simply directs to the error message URL. I don't know much about forms so I was hoping someone out there could help me with this.

Thank you in advance!

[<CrGeary.com/>]

I never got an error. What does the error say