Fix my php enroll page

The Task:

I recently had my website created by a company in India for my credit repair business. I am happy with how it turned out overall, but I'm having trouble communicating with them on how I want my enroll page to work. It's about the simplest php page in existence. I need someone to go into my site and get it to work. When a customer enrolls in my service, I need to get an email with all of his or her info along with a copy of the contract they signed.

Client's Testimonial After Completion:

Perfect work. The work was done on-time, on-budget, and exactly how I requested it. I am very satisfied.

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