Website troubleshooting

Here's the php script (Could I edit this?):

<?php require_once($_SERVER['DOCUMENT_ROOT']."/includes/header.php"); require_once("includes/sqlconnect.php");

$statesarray = array("AL"=>"Alabama","AK"=>"Alaska","AZ"=>"Arizona","AR"=>"Arkansas","CA"=>"California","CO"=>"Colorado","CT"=>"Connecticut","DE"=>"Delaware","DC"=>"District Of Columbia","FL"=>"Florida","GA"=>"Georgia","HI"=>"Hawaii","ID"=>"Idaho","IL"=>"Illinois", "IN"=>"Indiana", "IA"=>"Iowa", "KS"=>"Kansas","KY"=>"Kentucky","LA"=>"Louisiana","ME"=>"Maine","MD"=>"Maryland", "MA"=>"Massachusetts","MI"=>"Michigan","MN"=>"Minnesota","MS"=>"Mississippi","MO"=>"Missouri","MT"=>"Montana","NE"=>"Nebraska","NV"=>"Nevada","NH"=>"New Hampshire","NJ"=>"New Jersey","NM"=>"New Mexico","NY"=>"New York","NC"=>"North Carolina","ND"=>"North Dakota","OH"=>"Ohio","OK"=>"Oklahoma", "OR"=>"Oregon","PA"=>"Pennsylvania","RI"=>"Rhode Island","SC"=>"South Carolina","SD"=>"South Dakota","TN"=>"Tennessee","TX"=>"Texas","UT"=>"Utah","VT"=>"Vermont","VA"=>"Virginia","WA"=>"Washington","WV"=>"West Virginia","WI"=>"Wisconsin","WY"=>"Wyoming");

function showOptionsDrop($array) { $string = ''; foreach($array as $k => $v) { $string .= '<option value="'.$k.'"'.$s.'>'.$v.'</option>'."\n"; } return $string; }

?> <div id="interiorpages">

<span class="pagetitle">Contact Us</span><br /> <div id="sectionunderline"></div><br /> <form action = "processcontact.php" method="POST" class="form"> <fieldset> <legend>Contact Information</legend> <div id="tblspacer"> <table width="500px" border="0" cellspacing="3" cellpadding="2" align='left'> <tr> <td align="left" class="">First Name:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="firstname" value="" /></td> </tr> <tr> <td align="left" class="">Last Name:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="lastname" value="" /></td> </tr> <tr> <td align="left" class="">Company Name:</td> <td align="left" class=""><input type="text" class="textbox" name="company" value="" /></td> </tr> <tr> <td align="left" class="">Phone Number:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="phone" value="" /></td> </tr> <tr> <td align="left" class="">Fax:</td> <td align="left" class=""><input type="text" class="textbox" name="fax" value="" /></td> </tr> <tr> <td align="left" class="">Email:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="email" value="" /></td> </tr> <tr> <td align="left" class="">Address:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="address" value="" /></td> </tr> <tr> <td align="left" class="">City:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="city" value="" /></td> </tr> <tr> <td align="left" class="">State:<span class="asterisk"></span><br /></td> <td align="left" class="spacer"><?php echo "<select name='states' class='textbox'> <option value=0'>Choose a state</option>" . showOptionsDrop($statesarray) ; echo "</select>"; ?> </td> </tr> <tr> <td align="left" class="">Zip:<span class="asterisk"></span><br /></td> <td align="left" class=""><input type="text" class="textbox" name="zip" value="" /></td> </tr> <tr> <td align="left" class="">Type of Customer:<span class="asterisk"></span><br /></td> <td align="left" class=""> <input type="radio" name="service" value="Residential" /> Residential <input type="radio" name="service" value="Commercial" /> Commercial </td>
</tr> <tr> <td align="left" class="" valign="top">I would like an estimate on the following:<span class="asterisk">
</span><br /></td> <td align="left" class=""><textarea cols="40" rows="5" name="estimatereq" class="textarea"></textarea> </td> </tr> <tr> <td align="left" class="" valign="top">Special requests or comments:<span class="asterisk">*</span><br /></td> <td align="left" class=""><textarea cols="40" rows="5" name="specicalrequests" class="textarea"></textarea> </td> </tr>

    </table>
    <br /><br />
    <div align="right"><input type="submit" name="submit" value="Send info" class="button"></div>
</fieldset>
    </form>

<?php require_once($_SERVER['DOCUMENT_ROOT']."/includes/footer.php");?>

/r/techsupport Thread