No signup box

I put this in to a page in WP:

<div id="mrAutoRespDiv"></div>
jQuery(document).ready(function() {
   'base'         : '',
   'campaign'     : 1,
   'tmp'          : 'templates/signup-form.html',
   'remote'       : 'yes',
   'style'        : 'templates/css/signup.css',
   'processor'    : 'signup.php',
   'text'         : 'Join This Newsletter',
   'place_text1'  : 'Enter First Name',
   'place_text2'  : 'Enter email address..',
   'place_text3'  : 'Enter Last Name',
   'bt_text'      : 'SignUp',
   'bt_text_wait' : 'Please wait..'

And it is present in the output.

This is also present in the output and the links seems to work

<script src=""></script>
<script src="" charset="utf-8"></script>

Here is a link to the signup page:

But there is no signup box...