Solved!
<?
include("db.php");
if (isset($_POST['submitted'])) {
$bday = "$month/$day/$year";
$app_home_phone = "$app_home_phone1$app_home_phone2$app_home_phone3";
$sql = "INSERT INTO firstpage (date, firstname, mi, lastname, phone, email, dob)
VALUES ('$date','$app_first_name','$app_middle_i','$app_last_name','$app_home_phone','$email','$bday') ";
$result = mysql_query($sql)
or die ("Unable to get results.");
mail( "ryan@jumpstartmycredit.com", "JumpStartMyCredit.com Auto Application",
" First Name: $app_first_name\r MI: $app_middle_i \r Lastname: $app_last_name\r Phone: $app_home_phone\r DOB: $bday\r\r",
"From: $email" );
echo "
<form name=\"adtel1\" action=\"http://allstarloan.getayes.com/eng_app2.cfm?name=marcus1?ref=www.marcus1.getayes.com&secure_ref=yes&dealer_name=marcus1&domain_name=getayes&domain_type=com&domainster=0\" method=\"post\">
<input type=\"hidden\" name=\"app_first_name\" value=\"$app_first_name\">
<input type=\"hidden\" name=\"app_middle_i\" value=\"$app_middle_i\">
<input type=\"hidden\" name=\"app_last_name\" value=\"$app_last_name\">
<input type=\"hidden\" name=\"app_home_phone\" value=\"$app_home_phone\">
<input type=\"hidden\" name=\"email\" value=\"$email\">
<input type=\"hidden\" name=\"month\" value=\"$month\">
<input type=\"hidden\" name=\"day\" value=\"$day\">
<input type=\"hidden\" name=\"year\" value=\"$year\">
<input type=\"hidden\" name=\"submitted\" value=\"TRUE\">
<input type=\"hidden\" name=\"app_suffix\" value=\"$app_suffix\">
<INPUT type=\"hidden\" value=\"marcus1\" name=\"name\">
<SCRIPT LANGUAGE=\"JavaScript\">
<!--
document.adtel1.submit();
//--
</script>
</form>";
}
?>