Help needed with this form in DW

Hi, i have created this form in dreamweaver but ive got this problem.
In the fields above the text field, the client needs to fill in some info such as name, email telephone number etc.
But the problem is when ill get the messages. Only the text from the large text field is there.
What did i do wrong??
http://www.hureninparamaribo.nl/contact.html
Thank you
Anybody??

Thank you for your response. So what do i have to do to fix this?
Date: Sun, 20 Jan 2013 07:57:56 -0700
From: [email protected]
To: [email protected]
Subject: Help needed with this form in DW
    Re: Help needed with this form in DW
    created by Ken Binney in Dreamweaver General - View the full discussion
You have several duplicate "name" attributes in these rows which also appears in the first row
Telefoon:
Huurperiode:
Aantal personen:
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