PHP self-emailing form doesn't work - php

Question

So I've been trying to get a PHP script to send an email to myself when a page form is filled out. An example of the page is found here:
http://tonybenwhite.byethost8.com/WSAWebpage/Action.html
The hosting service DOES allow PHP, and my web dev instructor said the PHP looks correct, but the email won't send. Here's the PHP script and the HTML form:
<?php
if(isset($_POST['send'])){
$to_address="my#email.com";
$subject="WSA Day of Action Entry";
$firstname=$_POST['firstname'];
$lastname=$_POST['lastname'];
$email=$_POST['email'];
$street1=$_POST['street1'];
$street2=$_POST['street2'];
$city=$_POST['city'];
$state=$_POST['state'];
$zip=$_POST['zip'];
$initials=$_POST['initials'];
$message="Name: " .$firstname." ".$lastname."\n";
$message .="Email: " .$email."\n";
$message .="Street: " .$street1."\n";
$message .="Street: " .$street2."\n";
$message .="City: " .$city."\n";
$message .="State: " .$state."\n";
$message .="Zip Code: " .$zip."\n";
$message .="Initials: " .$initials."\n";
$headers = 'From: '.$email."\r\n".
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
'X-Mailer: PHP/' .phpversion();
mail($to_address, $subject, $message, $headers);
}
?>
<form name="infoForm" method="post" action="email.php">
<fieldset class="formfield">
<p class="form">
Are you a registered voter in the state of Washington?<br>
<input type="checkbox" id="yesBox"/> Yes<br><br>
First Name: <input type="text" id="firstName" name="firstName"><br>
Last Name: <input type="text" id="lastName" name="lastName"><br><br>
Email: <input type="text" id="email" name="email" size="30"><br><br>
Street Address: <input type="text" id="street1" name="street1" size="30"><br>
<input type="text" id="street2" name="street2" size="30"><br>
City: <input type="text" id="city" name="city" size="30"><br>
State: <input type="text" id="state" name="state" size="30"><br>
Zip Code: <input type="text" id="zip" name="zip" size="30"><br><br>
Initials: <input type="text" id="initials" name="initials" size="3"><br><br>
<input type="submit" name="send" class="inputButton" id="send" value="Submit" disabled=true/> <input type="reset" name="resetFields" class="inputButton" id="reset" value="Reset"/><label id="disableLabel"> <i><font size="2px">Please confirm you are a WA State Voter!</font></i></label>
</p>
</fieldset>
</form>
Any ideas what I'm doing wrong?

Answer 1

Edit: The link you provided does have JS to work in conjunction with your submit button.
Disregard what was posted originally as strikethroughs, but continue reading passed that.
I don't know if this is your full and actual code, whether you have JS to check if all fields are filled, yet this disabled=true in:
<input type="submit" name="send" class="inputButton" id="send" value="Submit" disabled=true/>
The submit button will not be clickable since the submit is disabled / set to true.
This won't prevent mail from doing its job, however some of your form elements do not match your POST variables.
For instance:
$firstname=$_POST['firstname'];
$lastname=$_POST['lastname'];
along with name="firstName" and name="lastName"
those are case-sensitive, therefore they should be changed to name="firstname" and name="lastname" respectively.
Using the following in two seperate files was sent and received successfully. I'm wondering if you are using your entire code inside the same file.
If so, use action="" instead of email.php IF your file isn't named email.php
PHP
<?php
if(isset($_POST['send'])){
$to_address="my#email.com";
$subject="WSA Day of Action Entry";
$firstname=$_POST['firstname'];
$lastname=$_POST['lastname'];
$email=$_POST['email'];
$street1=$_POST['street1'];
$street2=$_POST['street2'];
$city=$_POST['city'];
$state=$_POST['state'];
$zip=$_POST['zip'];
$initials=$_POST['initials'];
$message="Name: " .$firstname." ".$lastname."\n";
$message .="Email: " .$email."\n";
$message .="Street: " .$street1."\n";
$message .="Street: " .$street2."\n";
$message .="City: " .$city."\n";
$message .="State: " .$state."\n";
$message .="Zip Code: " .$zip."\n";
$message .="Initials: " .$initials."\n";
$headers = 'From: '.$email."\r\n".
$headers = 'MIME-Version: 1.0' . "\r\n";
$headers .= 'Content-type: text/html; charset=iso-8859-1' . "\r\n";
'X-Mailer: PHP/' .phpversion();
mail($to_address, $subject, $message, $headers);
}
?>
HTML form:
<form name="infoForm" method="post" action="email.php">
<fieldset class="formfield">
<p class="form">
Are you a registered voter in the state of Washington?<br>
<input type="checkbox" id="yesBox"/> Yes<br><br>
First Name: <input type="text" id="firstname" name="firstname"><br>
Last Name: <input type="text" id="lastname" name="lastname"><br><br>
Email: <input type="text" id="email" name="email" size="30"><br><br>
Street Address: <input type="text" id="street1" name="street1" size="30"><br>
<input type="text" id="street2" name="street2" size="30"><br>
City: <input type="text" id="city" name="city" size="30"><br>
State: <input type="text" id="state" name="state" size="30"><br>
Zip Code: <input type="text" id="zip" name="zip" size="30"><br><br>
Initials: <input type="text" id="initials" name="initials" size="3"><br><br>
<input type="submit" name="send" class="inputButton" id="send" value="Submit" />
<input type="reset" name="resetFields" class="inputButton" id="reset" value="Reset"/>
<label id="disableLabel"> <i><font size="2px">Please confirm you are a WA State Voter!</font></i></label>
</p>
</fieldset>
</form>