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Please help...I'm going blind!!! I am trying to set up a simple feedback form on a website. The form is at www.hotelguestdirect.com if you need to see that.

 

This is the error I get...Parse error: syntax error, unexpected ',' in /home/content/h/o/t/hotelguestdir/html/survey.php on line 160

 

Here is my code

<?php
// Field Mapping
$sFirstName = $_POST["txtFirstName"];
$sLastName = $_POST["txtLastName"];
$sHomeCity = $_POST["txtHomeCity"];
$sHomeState = $_POST["selHomeState"];
$sCountry = $_POST["selCountry"];
$sHotel = $_POST["txtHotel"];
$sCity = $_POST["txtCity"];
$sState = $_POST["selState"];
$sStayLength = $_POST["selStayLength"];
$sHowHelpful = $_POST["txtHowHelpful"];
$sImprovements = $_POST["txtImprovements"];


if (($sHotel == "") || ($sCity == "") || ($sState == "") || ($sStayLength == "") || ($sFirstName == ""))
{
print('<span style="color:#333; font-size:14px;">Please complete the required fields <a style="color:#333" href="index.html" onClick="history.go(-1);">Click here to go back</a></span>');
}
else
{
$sMailFrom = 'info@hotelguestdirect.com';

$sMailTo = 'graphics.hgd@gmail.com';
$sMailSubject = 'Guest Survey - Key Holder Brochures';

$sMailBody = '<p>Guest Response Survey</p>
<b>Hotel: </b>' . $sName . '<br />
<b>City: </b>' . $sCity . '<br />
<b>State: </b>' . $sState . '<br />
<b>Lenth of Stay </b> ' . $sStayLength . '<br />
<b>How was the brochure helpful: </b>' . $sHowHelpful . '<br />
<b>Input or Improvements: </b>' . $sImprovements . '<br />';

$sMailHeaders = "From: $sMailFrom\n";
$sMailHeaders = "Content-Type: text/html; charset=iso-8859-1\r\n";

if (mail($sMailTo, $sMailSubject, $sMailBody, $sMailHeaders))
{
	print('<span style="color:#333; font-size:14px;"><div align="center"><br /><br />Thank you, your information has been emailed!</div></span>');
}
else
{
	print('<span style="color:#333; font-size:14px;"><div align="center"><br /><br />Could not send e-mail, please contact the webmaster!</div></span>');
}
}
?>

 

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here is all the code from the top!!

 

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml">

<head>

<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />

<title>Hotel Guest Direct - Guest Survey</title>

<style type="text/css">

<!--

body {

background-color: #313131;

text-align: center;

font-size: 12px;

margin-top: 20px;

margin-right: 0px;

margin-bottom: 0px;

margin-left: 0px;

}

body,td,th {

font-family: Verdana, Geneva, sans-serif;

color: #333;

}

#container {

text-align: center;

height: 100%;

width: 787px;

position: relative;

margin-right: auto;

margin-left: auto;

}

.formarea {

text-align: left;

padding-right: 10px;

padding-left: 10px;

margin: 0px;

}

#top {

background-image: url(images/Comment-form_01.jpg);

background-repeat: no-repeat;

text-align: center;

left: 0px;

top: 0px;

right: 0px;

margin-right: auto;

margin-left: auto;

width: 786px;

height: 104px;

margin-top: 0px;

}

#topbar {

background-image: url(images/Comment-form_02.jpg);

width: 786px;

background-repeat: no-repeat;

text-align: center;

left: 0px;

top: 104px;

right: 0px;

margin-right: auto;

margin-left: auto;

width: 786px;

height: 100px;

margin-top: 0px;

margin-bottom: 0px;

position: absolute;

}

#titlebar {

background-image: url(images/Comment-form_04.jpg);

height: 56px;

width: 786px;

margin-right: auto;

margin-left: auto;

margin-top: 0px;

margin-bottom: -10px;

font-size: 18px;

padding-top: 10px;

background-repeat: no-repeat;

padding-bottom: -10px;

}

#contentbox {

background-repeat: repeat-y;

height: 475px;

width: 786px;

margin-right: auto;

margin-left: auto;

background-color: #DCDCDC;

margin-top: -10px;

margin-bottom: -10px;

background-image: url(images/Comment-form_05.jpg);

position: absolute;

top: 197px;

}

.header {

font-size: 18px;

font-weight: bold;

font-style: normal;

height: 10px;

}

#dividerbar {

background-image: url(images/Comment-form_03.jpg);

width: 786px;

height: 7px;

text-align: center;

margin-top: 0px;

margin-right: auto;

margin-bottom: 0px;

margin-left: auto;

position: absolute;

top: 180px;

}

#bottom {

height: 75px;

width: 786px;

margin-top: -10px;

margin-right: auto;

margin-bottom: 15px;

margin-left: auto;

background-image: url(images/Comment-form_06.jpg);

top: 662px;

position: absolute;

}

#footer {

font-size: 10px;

color: #CCC;

position: absolute;

top: 750px;

margin-right: auto;

margin-left: auto;

text-align: center;

width: 786px;

}

-->

</style></head>

 

<body>

 

<div id="container">

<div id="top"></div>

<div id="topbar"></div>

<div id="dividerbar"></div>

<div id="titlebar">Guest Survey</div>

<div id="contentbox">

<div class="formarea">

 

<?php

// Field Mapping

$sFirstName = $_POST["txtFirstName"];

$sLastName = $_POST["txtLastName"];

$sHomeCity = $_POST["txtHomeCity"];

$sHomeState = $_POST["selHomeState"];

$sCountry = $_POST["selCountry"];

$sHotel = $_POST["txtHotel"];

$sCity = $_POST["txtCity"];

$sState = $_POST["selState"];

$sStayLength = $_POST["selStayLength"];

$sHowHelpful = $_POST["txtHowHelpful"];

$sImprovements = $_POST["txtImprovements"];

 

 

if (($sHotel == "") || ($sCity == "") || ($sState == "") || ($sStayLength == "") || ($sFirstName == ""))

{

print('<span style="color:#333; font-size:14px;">Please complete the required fields <a style="color:#333" href="index.html" onClick="history.go(-1);">Click here to go back</a></span>');

}

else

{

$sMailFrom = 'info@hotelguestdirect.com';

 

$sMailTo = 'graphics.hgd@gmail.com';

$sMailSubject = 'Guest Survey - Key Holder Brochures';

 

$sMailBody = '<p>Guest Response Survey</p>

<b>Hotel: </b>' . $sName . '<br />

<b>City: </b>' . $sCity . '<br />

<b>State: </b>' . $sState . '<br />

<b>Lenth of Stay </b> ' . $sStayLength . '<br />

<b>How was the brochure helpful: </b>' . $sHowHelpful . '<br />

<b>Input or Improvements: </b>' . $sImprovements . '<br />';

 

$sMailHeaders = "From: $sMailFrom\n";

$sMailHeaders = "Content-Type: text/html; charset=iso-8859-1\r\n";

 

if (mail($sMailTo, $sMailSubject, $sMailBody, $sMailHeaders))

{

print('<span style="color:#333; font-size:14px;"><div align="center"><br /><br />Thank you, your information has been emailed!</div></span>');

}

else

{

print('<span style="color:#333; font-size:14px;"><div align="center"><br /><br />Could not send e-mail, please contact the webmaster!</div></span>');

}

}

?>

 

</div>

</div>

<div id="bottom"></div>

<div id="footer">Hotel Guest Direct, LLC ©2010</div>

</div>

</body>

</html>

Here is the html for the form, just in case that helps.

 

<form action="survey.php" method="post">

  <p>We appreciate your input. Please fill out the form completely. Fields marked with (*) are required.</p>

  <p><br />

    First Name*

      <input type="text" name="FirstName" id="FirstName" />

  Last Name

      <input type="text" name="LastName" id="LastName" />

      <br />

<br />

        Where are you from?*<br />

       

<input name="HomeCity" id="txtHomeCity" value="City"/>

     

<select name="HomeState" id="selHomeState" class="scrbox">

        <option selected="selected">State</option>

        <option value="al" >Alabama</option>

        <option value="ak" >Alaska</option>

        <option value="ar" >Arkansas</option>

        <option value="az" >Arizona</option>

        <option value="ca" >California</option>

        <option value="co" >Colorado</option>

        <option value="ct" >Connecticut</option>

        <option value="de" >Delaware</option>

        <option value="dc" >District of Columbia</option>

        <option value="fl" >Florida</option>

        <option value="ga" >Georgia</option>

        <option value="hi" >Hawaii</option>

        <option value="ia" >Iowa</option>

        <option value="id" >Idaho</option>

        <option value="il" >Illinois</option>

        <option value="in" >Indiana</option>

        <option value="ks" >Kansas</option>

        <option value="ky" >Kentucky</option>

        <option value="la" >Louisiana</option>

        <option value="ma" >Massachusetts</option>

        <option value="md" >Maryland</option>

        <option value="me" >Maine</option>

        <option value="mi" >Michigan</option>

        <option value="mn" >Minnesota</option>

        <option value="mo" >Missouri</option>

        <option value="ms" >Mississippi</option>

        <option value="mt" >Montana</option>

        <option value="nc" >North Carolina</option>

        <option value="nd" >North Dakota</option>

        <option value="ne" >Nebraska</option>

        <option value="nh" >New Hampshire</option>

        <option value="nj" >New Jersey</option>

        <option value="nm" >New Mexico</option>

        <option value="nv" >Nevada</option>

        <option value="ny" >New York</option>

        <option value="oh" >Ohio</option>

        <option value="ok" >Oklahoma</option>

        <option value="or" >Oregon</option>

        <option value="ot" >Outside of US</option>

        <option value="pa" >Pennsylvania</option>

        <option value="ri" >Rhode Island</option>

        <option value="sc" >South Carolina</option>

        <option value="sd" >South Dakota</option>

        <option value="tn" >Tennessee</option>

        <option value="tx" >Texas</option>

        <option value="ut" >Utah</option>

        <option value="va" >Virginia</option>

        <option value="vt" >Vermont</option>

        <option value="wa" >Washington</option>

        <option value="wi" >Wisconsin</option>

        <option value="wv" >West Virginia</option>

        <option value="wy" >Wyoming</option>

      </select>

   

<select name="Country" id="selCountry" class="scrbox">

        <option value="AF" selected="selected">Country</option>

        <option value="AF">Afghanistan</option>

        <option value="AX">Ã…Land Islands</option>

        <option value="AL">Albania</option>

        <option value="DZ">Algeria</option>

        <option value="AS">American Samoa</option>

        <option value="AD">Andorra</option>

        <option value="AO">Angola</option>

        <option value="AI">Anguilla</option>

        <option value="AQ">Antarctica</option>

        <option value="AG">Antigua And Barbuda</option>

        <option value="AR">Argentina</option>

        <option value="AM">Armenia</option>

        <option value="AW">Aruba</option>

        <option value="AU">Australia</option>

        <option value="AT">Austria</option>

        <option value="AZ">Azerbaijan</option>

        <option value="BS">Bahamas</option>

        <option value="BH">Bahrain</option>

        <option value="BD">Bangladesh</option>

        <option value="BB">Barbados</option>

        <option value="BY">Belarus</option>

        <option value="BE">Belgium</option>

        <option value="BZ">Belize</option>

        <option value="BJ">Benin</option>

        <option value="BM">Bermuda</option>

        <option value="BT">Bhutan</option>

        <option value="BO">Bolivia</option>

        <option value="BA">Bosnia And Herzegovina</option>

        <option value="BW">Botswana</option>

        <option value="BV">Bouvet Island</option>

        <option value="BR">Brazil</option>

        <option value="IO">British Indian Ocean Territory</option>

        <option value="BN">Brunei Darussalam</option>

        <option value="BG">Bulgaria</option>

        <option value="BF">Burkina Faso</option>

        <option value="BI">Burundi</option>

        <option value="KH">Cambodia</option>

        <option value="CM">Cameroon</option>

        <option value="CA">Canada</option>

        <option value="CV">Cape Verde</option>

        <option value="KY">Cayman Islands</option>

        <option value="CF">Central African Republic</option>

        <option value="TD">Chad</option>

        <option value="CL">Chile</option>

        <option value="CN">China</option>

        <option value="CX">Christmas Island</option>

        <option value="CC">Cocos (Keeling) Islands</option>

        <option value="CO">Colombia</option>

        <option value="KM">Comoros</option>

        <option value="CG">Congo</option>

        <option value="CD">Congo, The Democratic Republic Of The</option>

        <option value="CK">Cook Islands</option>

        <option value="CR">Costa Rica</option>

        <option value="CI">Cote D'Ivoire</option>

        <option value="HR">Croatia</option>

        <option value="CU">Cuba</option>

        <option value="CY">Cyprus</option>

        <option value="CZ">Czech Republic</option>

        <option value="DK">Denmark</option>

        <option value="DJ">Djibouti</option>

        <option value="DM">Dominica</option>

        <option value="DO">Dominican Republic</option>

        <option value="EC">Ecuador</option>

        <option value="EG">Egypt</option>

        <option value="SV">El Salvador</option>

        <option value="GQ">Equatorial Guinea</option>

        <option value="ER">Eritrea</option>

        <option value="EE">Estonia</option>

        <option value="ET">Ethiopia</option>

        <option value="FK">Falkland Islands (Malvinas)</option>

        <option value="FO">Faroe Islands</option>

        <option value="FJ">Fiji</option>

        <option value="FI">Finland</option>

        <option value="FR">France</option>

        <option value="GF">French Guiana</option>

        <option value="PF">French Polynesia</option>

        <option value="TF">French Southern Territories</option>

        <option value="GA">Gabon</option>

        <option value="GM">Gambia</option>

        <option value="GE">Georgia</option>

        <option value="DE">Germany</option>

        <option value="GH">Ghana</option>

        <option value="GI">Gibraltar</option>

        <option value="GR">Greece</option>

        <option value="GL">Greenland</option>

        <option value="GD">Grenada</option>

        <option value="GP">Guadeloupe</option>

        <option value="GU">Guam</option>

        <option value="GT">Guatemala</option>

        <option value=" Gg">Guernsey</option>

        <option value="GN">Guinea</option>

        <option value="GW">Guinea-Bissau</option>

        <option value="GY">Guyana</option>

        <option value="HT">Haiti</option>

        <option value="HM">Heard Island And Mcdonald Islands</option>

        <option value="VA">Holy See (Vatican City State)</option>

        <option value="HN">Honduras</option>

        <option value="HK">Hong Kong</option>

        <option value="HU">Hungary</option>

        <option value="IS">Iceland</option>

        <option value="IN">India</option>

        <option value="ID">Indonesia</option>

        <option value="IR">Iran, Islamic Republic Of</option>

        <option value="IQ">Iraq</option>

        <option value="IE">Ireland</option>

        <option value="IM">Isle Of Man</option>

        <option value="IL">Israel</option>

        <option value="IT">Italy</option>

        <option value="JM">Jamaica</option>

        <option value="JP">Japan</option>

        <option value="JE">Jersey</option>

        <option value="JO">Jordan</option>

        <option value="KZ">Kazakhstan</option>

        <option value="KE">Kenya</option>

        <option value="KI">Kiribati</option>

        <option value="KP">Korea, Democratic People'S Republic Of</option>

        <option value="KR">Korea, Republic Of</option>

        <option value="KW">Kuwait</option>

        <option value="KG">Kyrgyzstan</option>

        <option value="LA">Lao People'S Democratic Republic</option>

        <option value="LV">Latvia</option>

        <option value="LB">Lebanon</option>

        <option value="LS">Lesotho</option>

        <option value="LR">Liberia</option>

        <option value="LY">Libyan Arab Jamahiriya</option>

        <option value="LI">Liechtenstein</option>

        <option value="LT">Lithuania</option>

        <option value="LU">Luxembourg</option>

        <option value="MO">Macao</option>

        <option value="MK">Macedonia, The Former Yugoslav Republic Of</option>

        <option value="MG">Madagascar</option>

        <option value="MW">Malawi</option>

        <option value="MY">Malaysia</option>

        <option value="MV">Maldives</option>

        <option value="ML">Mali</option>

        <option value="MT">Malta</option>

        <option value="MH">Marshall Islands</option>

        <option value="MQ">Martinique</option>

        <option value="MR">Mauritania</option>

        <option value="MU">Mauritius</option>

        <option value="YT">Mayotte</option>

        <option value="MX">Mexico</option>

        <option value="FM">Micronesia, Federated States Of</option>

        <option value="MD">Moldova, Republic Of</option>

        <option value="MC">Monaco</option>

        <option value="MN">Mongolia</option>

        <option value="MS">Montserrat</option>

        <option value="MA">Morocco</option>

        <option value="MZ">Mozambique</option>

        <option value="MM">Myanmar</option>

        <option value="NA">Namibia</option>

        <option value="NR">Nauru</option>

        <option value="NP">Nepal</option>

        <option value="NL">Netherlands</option>

        <option value="AN">Netherlands Antilles</option>

        <option value="NC">New Caledonia</option>

        <option value="NZ">New Zealand</option>

        <option value="NI">Nicaragua</option>

        <option value="NE">Niger</option>

        <option value="NG">Nigeria</option>

        <option value="NU">Niue</option>

        <option value="NF">Norfolk Island</option>

        <option value="MP">Northern Mariana Islands</option>

        <option value="NO">Norway</option>

        <option value="OM">Oman</option>

        <option value="PK">Pakistan</option>

        <option value="PW">Palau</option>

        <option value="PS">Palestinian Territory, Occupied</option>

        <option value="PA">Panama</option>

        <option value="PG">Papua New Guinea</option>

        <option value="PY">Paraguay</option>

        <option value="PE">Peru</option>

        <option value="PH">Philippines</option>

        <option value="PN">Pitcairn</option>

        <option value="PL">Poland</option>

        <option value="PT">Portugal</option>

        <option value="PR">Puerto Rico</option>

        <option value="QA">Qatar</option>

        <option value="RE">Reunion</option>

        <option value="RO">Romania</option>

        <option value="RU">Russian Federation</option>

        <option value="RW">Rwanda</option>

        <option value="SH">Saint Helena</option>

        <option value="KN">Saint Kitts And Nevis</option>

        <option value="LC">Saint Lucia</option>

        <option value="PM">Saint Pierre And Miquelon</option>

        <option value="VC">Saint Vincent And The Grenadines</option>

        <option value="WS">Samoa</option>

        <option value="SM">San Marino</option>

        <option value="ST">Sao Tome And Principe</option>

        <option value="SA">Saudi Arabia</option>

        <option value="SN">Senegal</option>

        <option value="CS">Serbia And Montenegro</option>

        <option value="SC">Seychelles</option>

        <option value="SL">Sierra Leone</option>

        <option value="SG">Singapore</option>

        <option value="SK">Slovakia</option>

        <option value="SI">Slovenia</option>

        <option value="SB">Solomon Islands</option>

        <option value="SO">Somalia</option>

        <option value="ZA">South Africa</option>

        <option value="GS">South Georgia And The South Sandwich Islands</option>

        <option value="ES">Spain</option>

        <option value="LK">Sri Lanka</option>

        <option value="SD">Sudan</option>

        <option value="SR">Suriname</option>

        <option value="SJ">Svalbard And Jan Mayen</option>

        <option value="SZ">Swaziland</option>

        <option value="SE">Sweden</option>

        <option value="CH">Switzerland</option>

        <option value="SY">Syrian Arab Republic</option>

        <option value="TW">Taiwan, Province Of China</option>

        <option value="TJ">Tajikistan</option>

        <option value="TZ">Tanzania, United Republic Of</option>

        <option value="TH">Thailand</option>

        <option value="TL">Timor-Leste</option>

        <option value="TG">Togo</option>

        <option value="TK">Tokelau</option>

        <option value="TO">Tonga</option>

        <option value="TT">Trinidad And Tobago</option>

        <option value="TN">Tunisia</option>

        <option value="TR">Turkey</option>

        <option value="TM">Turkmenistan</option>

        <option value="TC">Turks And Caicos Islands</option>

        <option value="TV">Tuvalu</option>

        <option value="UG">Uganda</option>

        <option value="UA">Ukraine</option>

        <option value="AE">United Arab Emirates</option>

        <option value="GB">United Kingdom</option>

        <option value="US">United States</option>

        <option value="UM">United States Minor Outlying Islands</option>

        <option value="UY">Uruguay</option>

        <option value="UZ">Uzbekistan</option>

        <option value="VU">Vanuatu</option>

        <option value="VE">Venezuela</option>

        <option value="VN">Viet Nam</option>

        <option value="VG">Virgin Islands, British</option>

        <option value="VI">Virgin Islands, U.S.</option>

        <option value="WF">Wallis And Futuna</option>

        <option value="EH">Western Sahara</option>

        <option value="YE">Yemen</option>

        <option value="ZM">Zambia</option>

        <option value="ZW">Zimbabwe</option>

      </select>

      <p>Where did you stay? *<br />

    <input name="txtHotel" id="txtHotel" type="text" size="45" value="Hotel Name" />

    <input name="txtCity" id="txtCity" value="City"/>

    <select name="selState" id="selState" class="scrbox">

                <option selected="selected">Select State</option>

                <option value="al" >Alabama</option>

                <option value="ak" >Alaska</option>

                <option value="ar" >Arkansas</option>

                <option value="az" >Arizona</option>

                <option value="ca" >California</option>

                <option value="co" >Colorado</option>

                <option value="ct" >Connecticut</option>

                <option value="de" >Delaware</option>

                <option value="dc" >District of Columbia</option>

                <option value="fl" >Florida</option>

                <option value="ga" >Georgia</option>

                <option value="hi" >Hawaii</option>

                <option value="ia" >Iowa</option>

                <option value="id" >Idaho</option>

                <option value="il" >Illinois</option>

                <option value="in" >Indiana</option>

                <option value="ks" >Kansas</option>

                <option value="ky" >Kentucky</option>

                <option value="la" >Louisiana</option>

                <option value="ma" >Massachusetts</option>

                <option value="md" >Maryland</option>

                <option value="me" >Maine</option>

                <option value="mi" >Michigan</option>

                <option value="mn" >Minnesota</option>

                <option value="mo" >Missouri</option>

                <option value="ms" >Mississippi</option>

                <option value="mt" >Montana</option>

                <option value="nc" >North Carolina</option>

                <option value="nd" >North Dakota</option>

                <option value="ne" >Nebraska</option>

                <option value="nh" >New Hampshire</option>

                <option value="nj" >New Jersey</option>

                <option value="nm" >New Mexico</option>

                <option value="nv" >Nevada</option>

                <option value="ny" >New York</option>

                <option value="oh" >Ohio</option>

                <option value="ok" >Oklahoma</option>

                <option value="or" >Oregon</option>

                <option value="ot" >Outside of US</option>

                <option value="pa" >Pennsylvania</option>

                <option value="ri" >Rhode Island</option>

                <option value="sc" >South Carolina</option>

                <option value="sd" >South Dakota</option>

                <option value="tn" >Tennessee</option>

                <option value="tx" >Texas</option>

                <option value="ut" >Utah</option>

                <option value="va" >Virginia</option>

                <option value="vt" >Vermont</option>

                <option value="wa" >Washington</option>

                <option value="wi" >Wisconsin</option>

                <option value="wv" >West Virginia</option>

                <option value="wy" >Wyoming</option>

              </select>

      </p>

  <p>How long was your stay? *<br />

    <select name="StayLength" id="StayLength">

      <option>Select length of stay</option>

      <option value="1 night">1 night</option>

      <option value="2 nights">2 nights</option>

      <option value="3 nights">3 nights</option>

      <option value="4 nights">4 nights</option>

      <option value="5 nights">5 nights</option>

      <option value="6 nights">6 nights</option>

      <option value="7 nights">7 nights</option>

      <option value="8 nights">8 nights</option>

      <option value="9 nights">9 nights</option>

      <option value="10 nights">10 nights</option>

      <option value="11 nights">11 nights</option>

      <option value="12 nights">12 nights</option>

      <option value="13 nights">13 nights</option>

      <option value="14 + nights">14 or more nights</option>

    </select>

  </p>

<p>We hope you found the key holder brochure helpful during your stay. Please give us your feedback. Did you find a great restaraunt? Access a suggested service? Use the maps to get around?  <br />

  <textarea name="HowHelpful" cols="92" rows="5" id="HowHelpful"></textarea>

</p>

<p>We are always working to improve the key holder brochures. Please let us know if there was anything we could have done better.<br />

 

 

    <textarea name="Improvements" cols="92" rows="5" id="Improvements"></textarea>

  </p>

  <input name="Submit" type="submit" value="submit" />

  Thank you for your input!

  <wff:validation_errors/>

</form>

You have problems with the names of your fields...  this should be the right ones

// Field Mapping
$sFirstName = $_POST['FirstName'];
$sLastName = $_POST['LastName'];
$sHomeCity = $_POST['HomeCity'];
$sHomeState = $_POST['HomeState'];
$sCountry = $_POST['selCountry'];
$sHotel = $_POST['txtHotel'];
$sCity = $_POST['txtCity'];
$sState = $_POST['selState'];
$sStayLength = $_POST['StayLength'];
$sHowHelpful = $_POST['HowHelpful'];
$sImprovements = $_POST['Improvements'];

 

check them and try

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