Need Help With Breezingforms

Need Help With Breezingforms
I have a form set up on my joomla site that uses BreezingForms. I have set up the for correctly, but for some reason the summary page will not show any results. I need this fixed ASAP. Also, when the user clicks the submit button, I need this form data sent to the printer (with the image of the check printed below). I do not need the header/ navigation/ or any other information to print.

Below is a link to the form as it is now. Fill it out and click next to see the broken summary page.

http://www.drawninwardmedia.com/caavrs/index.php?option=com_content&view=article&id=16&Itemid=12

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