NEw Form Not Taking Entries

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Hello, I have MC4WP installed on one site, and it’s been collecting data great for me.

So I have attempted to install a new form for a different audience on a different site, yet this form does not collect any information nor does it get passed along into the Mailchimp audience. Can someone help? Thank you.

The page I need help with: [log in to see the link]

 

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