im having problems with my form using a php backend to mail the results

im not sure if its in my form or the php side of it.. can anyone take a look?

http://53mp.com/eduardo/loan.phps
http://53mp.com/eduardo/loanmailer.phps

i am using the same backend for my contact script here http://53mp.com/eduardo/contact.php the only difference with the backend on this and the one above thats not working, is the other one has a lot more variables.. but i dont know if its even getting that far..

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