I have both the newsletter and membership plugins

Hi,

I have both the newsletter and membership plugins installed, but the widget doesn't seem to be doing what I it's supposed to do:

can't enter name
can't select option for group

When I click the button to subscribe it says right away that I have successful subscribed, and there is a list of groups with no checkmark; no option to click. You can see a snapshot here: https://db.tt/hK2Ib9kH

my url: http://tinyurl.com/k3jv9ec