HELP: Javascript online form not submitting from dynamic html site

See attached code

Here's the php input form:
<title>Apply Online -
Purchase.</title>(?php

$mail_to = "[email protected]"; 
$mail_subject = "Apply Online - Purchase.";

mail_body = "You have got a new mail by form:\Apply
Online - Purchase."; 
if (isset($Loan_Officer_Name)==1) $mail_body .=
"Loan_Officer_Name: $Loan_Officer_Name\n"; 
if (isset($Best_Time_To_Call)==1) $mail_body .=
"Best_Time_To_Call: $Best_Time_To_Call\n"; 
if (isset($Borrower)==1) $mail_body .= "Borrower:
$Borrower\n"; 
if (isset($Borrower_DOB)==1) $mail_body .=
"Borrower_DOB: $Borrower_DOB\n"; 
if (isset($Borrower_SS)==1) $mail_body .=
"Borrower_SS: $Borrower_SS\n"; 
if (isset($Co_Borrower)==1) $mail_body .=
"Co_Borrower: $Co_Borrower\n"; 
if (isset($Co_Borrower_DOB)==1) $mail_body .=
"Co_Borrower_DOB: $Co_Borrower_DOB\n"; 
if (isset($Co_Borrower_SS)==1) $mail_body .=
"Co_Borrower_SS: $Co_Borrower_SS\n"; 
if (isset($Borrower_Address)==1) $mail_body .=
"Borrower_Address: $Borrower_Address\n"; 
if (isset($Borrower_Home_Phone)==1) $mail_body .=
"Borrower_Home_Phone: $Borrower_Home_Phone\n"; 
if (isset($Borrower_City)==1) $mail_body .=
"Borrower_City: $Borrower_City\n"; 
if (isset($Borrower_State)==1) $mail_body .=
"Borrower_State: $Borrower_State\n"; 
if (isset($Borrower_Zip)==1) $mail_body .=
"Borrower_Zip: $Borrower_Zip\n"; 
if (isset($Borrower_Cell_Phone)==1) $mail_body .=
"Borrower_Cell_Phone: $Borrower_Cell_Phone\n"; 
if (isset($email)==1) $mail_body .= "email:
$email\n"; 
if (isset($Borrower_Cell_Phone)==1) $mail_body .=
"Borrower_Cell_Phone: $Borrower_Cell_Phone\n"; 
if (isset($email)==1) $mail_body .= "email:
$email\n"; 
if (isset($Borrower_Current_Employer)==1) $mail_body
.= "Borrower_Current_Employer: $Borrower_Current_Employer\n";

if (isset($Borrower_Years_on_Job)==1) $mail_body .=
"Borrower_Years_on_Job: $Borrower_Years_on_Job\n"; 
if (isset($Borrower_Position)==1) $mail_body .=
"Borrower_Position: $Borrower_Position\n"; 
if (isset($Borrower_Gross_Monthly_Salary)==1)
$mail_body .= "Borrower_Gross_Monthly_Salary:
$Borrower_Gross_Monthly_Salary\n"; 
if (isset($Borrower_Work_Phone)==1) $mail_body .=
"Borrower_Work_Phone: $Borrower_Work_Phone\n"; 
if (isset($Borrower_Bankruptcy)==1) $mail_body .=
"Borrower_Bankruptcy: $Borrower_Bankruptcy\n"; 
if (isset($Borrower_Work_Phone)==1) $mail_body .=
"Borrower_Work_Phone: $Borrower_Work_Phone\n"; 
mail($mail_to, $mail_subject, $mail_body);
?)

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