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Customer Registration Issue

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Customer Registration Issue

I'm having a rather interesting issue here. I cannot figure it out.

 

When a customer tries to register, fills in all fields then hits submit, the form is not submitted.

 

It tells me "Email and name fields cannot be left blank" and "email is required".

 

Screeen shot: http://imgur.com/kL3j1Hg

 

Please help!