Form will not submit

We are using a # of FS contact forms on our site, all work fine, but this particular form does nothing when you hit submit.

http://www.ftkfranchise.com/test/

I even created a new form with a few fields, and it submitted fine, it is just this one form, any ideas?

http://ww.wp.xz.cn/extend/plugins/si-contact-form/