544080 Make Form Functional on PHP Site

This is the same website that you just worked on: Here is a form that I have created (with all of the fields in place) but it is not sending/working properly: [login to view URL] The previous designer did a form on this page that works properly: [login to view URL] I used copied this old form and used it as the basis for code for this new form... Does this need any security on it since it is such personal info?... Let me know how much time/money it will take to get the job done. Thank you