Scrambled Form

Hi there, could someone take a look at my website and tell me why my form isn’t showing up as it should? It looks scrambled!

Link the website, please scroll down!

Here’s the code I’m using:

<label> Select a Service </label>
Checks (personal, certified, cashier's, traveler's) and money orders payable to "U.S. Department of State"
[radio_custom GovtFeeRadio use_label_element "195|First Time Passport $170.00 + Execution Fee $25.00" "170|Passport Renewal $170.00" "195|Lost/Stolen/Mutilated Passport $170.00 + Execution Fee $25.00" "165|Child / Minor (Under 16) $140.00 + Execution Fee $25.00" "170|Second Passport $170.00" "170|Limited Validity $170.00" "90|Passport Card without passport book?(Adult) $90.00" "200|Passport Card with passport book?(Adult) $170.00 + $30.00" "75|Passport Card without passport book (Child) $75.00" "155|Passport Card with passport book (Child) $140.00 + $15.00" "60|Name Change (Less than 1 year since passport was issued) $60.00" "170|Name Change (More than 1 year since passport was issued) $170.00"]

<label> Select a Processing Time </label>
[radio_custom ExpServiceFeeRadio use_label_element "195|First Time Passport $170.00 + Execution Fee $25.00" "170|Passport Renewal $170.00" "195|Lost/Stolen/Mutilated Passport $170.00 + Execution Fee $25.00" "165|Child / Minor (Under 16) $140.00 + Execution Fee $25.00" "170|Second Passport $170.00" "170|Limited Validity $170.00" "90|Passport Card without passport book?(Adult) $90.00" "200|Passport Card with passport book?(Adult) $170.00 + $30.00" "75|Passport Card without passport book (Child) $75.00" "155|Passport Card with passport book (Child) $140.00 + $15.00" "60|Name Change (Less than 1 year since passport was issued) $60.00" "170|Name Change (More than 1 year since passport was issued) $170.00"][radio_custom radio_custom-280 use_label_element "698|Same Day $499 + Same Day Slot Fee $199" "448|2 Day $349 + 3 Day Slot Fee $99" "249|3 Day $249" "169|5-7 Day $169" "99|7-10 Day $99" "69|10-14 Day $69"]

<label> Select a Shipping Option </label>
[radio_custom Shipping use_label_element "29|Priority Overnight Delivery $29" "78|First Overnight (8:30 AM) $78" "42|Saturday Delivery $42" "0|I will include a prepaid return air bill $0" "5|I will provide a FedEx account number $5"]

<label> Grand Total $[calculated GrandTotal "GovtFeeRadio + ExpServiceFeeRadio + Shipping"] </label>

• This topic was modified 7 years, 7 months ago by aaqib.usman.

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