php HELP!!!

[the þrox™]

Whats wrong with my coding?

I keep getting this error:

Parse error: syntax error, unexpected $end....

PHP Code:

<?php 
 $to = $_REQUEST['sendto'] ; 
 $from = $_REQUEST['Name'] ; 
 $name = $_REQUEST['Name'] ;
 $address = $_REQUEST['Address'] ;
 $city = $_REQUEST['City'] ;
 $state = $_REQUEST['State'] ;
 $zip = $_REQUEST['Zip'] ;
 $phonenumber = $_REQUEST['PhoneNumber'] ;
 $headers = "From: $from"; 
 $subject = "Home Delivery Service Request"; 
 
 $fields = array(); 
 $fields{"Name"} = "Name"; 
 $fields{"Address"} = "Address"; 
 $fields{"City"} = "City"; 
 $fields{"State"} = "State"; 
 $fields{"Zip"} = "Zip"; 
 $fields{"PhoneNumber"} = "PhoneNumber"; 
 
 $body = "We have received the following information:\n\n"; foreach($fields as $a => $b){     $body .= sprintf("%20s: %s\n",$b,$_REQUEST[$a]); } 
 
 $headers2 = "From: comments@cometsatx.com"; 
 $subject2 = "Thank you for contacting us"; 
 $autoreply = "Thank you for contacting us. We will review your request for your area and will contact you as soon as it becomes avaliable!";
 
 if($from == '') {print "You have not entered a name, please go back and try again";} 
 else { 
 if($name == '') {print "You have not entered a name, please go back and try again";} 
 else {
 if($address == '') {print "You have not entered an address, please go back and try again";} 
 else {
 if($city == '') {print "You have not entered a city, please go back and try again";} 
 else {
 if($state == '') {print "You have not entered a state, please go back and try again";} 
 else {
 if($zip == '') {print "You have not entered a zip code, please go back and try again";} 
 else {
 if($phonenumber == '') {print "You have not entered a phone number, please go back and try again";} 
 else {
 $send = mail($to, $subject, $body, $headers); 
 $send2 = mail($from, $subject2, $autoreply, $headers2); 
 if($send) 
 {header( "Location: thankyou.htm" );} 
 else 
 {print "We encountered an error sending your mail, please notify webmaster@cometsatx.com"; } 
 ?>

Html portion of the form code:

<form method="post" action="hd.php"> 
   		    <table bgcolor=#fff0c3 align=left> 
   		      <tr>
   		        <td colspan=2><strong class="style6"><i>Request Service in Your Area:</i></strong></td></tr> 
   		      <tr><td class="style6">Department:</td><td><select name="sendto"> <option value="comments@cometsatx.com">HD Service</option></select></td></tr> 
   		      <tr><td class="style6"><font color=red>*</font> Name:</td><td><input size=25 name="Name"></td></tr> 
   		      <tr><td class="style6"><font color=red>*</font> Address:</td><td><input size=25 name="Address"></td></tr> 
   		      <tr><td class="style6"><font color=red>*</font> City:</td><td><input size=25 name="City"></td></tr> 
   		      <tr><td class="style6"><font color=red>*</font> State:</td><td><input size=1 name="State"></td></tr>
   		      <tr><td class="style6"><font color=red>*</font> Zip:</td><td><input size=4 name="Zip"></td></tr>  
   		      <tr><td class="style6"><font color=red>*</font> Phone Number:</td><td><input size=25 name="PhoneNumber"></td></tr>
   		      <tr><td colspan=2 align=center><input type=submit name="send" value="Submit"></td></tr> 
   		      <tr><td colspan=2 align=center><small class="style6">A <font color=red>*</font> indicates a field is required</small></td></tr> 
	        </table>
   		  </form>
          <br>
   		  <p align="right"><img src="images/hdplaceholder.png" width="278" height="202"></p>
   		  <p align="justify">&nbsp;</p>
   		 
	  <p align="justify">&nbsp;</p>
      <br>
      <br>
      <span class="style5"><br>
	  </span>
      <p align="justify" class="style5"><em>Any further questions can be answered by calling: (210) 332-3302 and ask our Home Delivery Service.</em></p>
	  <p align="justify">&nbsp;</p></td>



<td background="images/index_08.png" width="7" height="46" alt=""></td>

		<td background="images/index_09.png" width="242" height="46" alt="" valign="top">

Website to view form:

http://kkdigitaldesigns.com/cometcle...medelivery.htm