Dreamweaver CC and email webform via PHP help needed

This is the corresponding PHP - the current form is saved as a html page here - Get started. Enquire here for Loanfinder Business Loans.

<?php
// NOTE: this page must be saved as a .php file.
// And your server must support PHP 5.3+ and PHP Mail().
// Define variables and set to empty values
$result = $name = $email = $phone = $BusinessName = $State = $TimeInBusiness = $LoanSize = $PrivacyCheck = "";
$errName = $errEmail = $errPhone = "";
    if (isset($_POST["submit"])) {
        $name = $_POST['name'];
        $email = $_POST['email'];
        $phone = $_POST['phone'];
        $Businessname = $_POST['Businessname'];
        $State = $_POST['State'];
        $TimeInBusiness = $_POST['TimeInBusiness'];
        $LoanSize = $_POST['LoanSize'];
        $PrivacyCheck = $_POST['PrivacyCheck'];
     
             //valid address on your web server
        $from = 'loan@mywebsite.com.au';
        //your email address where you wish to receive mail
        $to = 'loan@mywebsite.com.au';
        $subject = 'Loan Enquiry';
        $headers = "From:$from\r\nReply-to:$email";
        $body = "From: $name\n E-Mail: $email\n Phone: $phone\n BusinessName: $BusinessName\n State: $State\n TimeInBusiness: $TimeInBusiness\n LoanSize: $LoanSize\n";
}
//end form processing script

// Check if name is entered
if (empty($_POST["name"])) {
$errName = "Please enter your name.";
} else {
    $name = test_input($_POST["name"]);
}
// Check if email is entered
if (empty($_POST["email"])) {
$errEmail = "Please enter your email address.";
} else {
    $email = test_input($_POST["email"]);
    // check if e-mail address is valid format
    if (!filter_var($email, FILTER_VALIDATE_EMAIL)) {
      $errEmail = "Invalid email format.";
    }
}
// Check if phone is entered
if (empty($_POST["phone"])) {
$phone = "Please enter your phone number.";
} else {
    $phone = test_input($_POST["phone"]);
}

//Check if privacy is entered
if (empty($_POST["PrivacyCheck"])) {
$errMessage = "Please check box for consent to privacy policy.";
} else {
    $message = test_input($_POST["PrivacyCheck"]);
}

   //sanitize data inputs   
   function test_input($data) {
   $data = trim($data);
   $data = stripslashes($data);
   $data = htmlspecialchars($data);
   $data = (filter_var($data, FILTER_SANITIZE_STRING));
   return $data;
}
// If there are no errors, send the email & output results to the form
if (!$errName && !$errEmail && !$errPhone &&  !$errPrivacyCheck) {
    if (mail ($to, $subject, $body, $from)) {
        $result='<div class="alert alert-success"><h2><span class="glyphicon glyphicon-ok"></span> Message sent!</h2><h3>Thank you for contacting us. Someone will be in touch with you soon.</h3></div>';
    } else {
        $result='<div class="alert alert-danger"><h2><span class="glyphicon glyphicon-warning-sign"></span> Sorry there was a form processing error.</h2> <h3>Please try again later.</h3></div>';
       }
    }

   //sanitize data inputs   
   function test_input($data) {
   $data = trim($data);
   $data = stripslashes($data);
   $data = htmlspecialchars($data);
   $data = (filter_var($data, FILTER_SANITIZE_STRING));
   return $data;
}

//end form processing script
?>

[email address changed by Mod]

Mod Note: Please ensure that you do not post valid personal details. These can be used by unsavoury elements to your detriment.

This is the form code which appears to work to work.

<!--begin HTML Form-->
<form class="form-horizontal" role="form" method="post" action=" ">

<div class="form-group">
<label for="name" class="col-sm-3 control-label"><span class="required">*</span> First Name:</label>
<div class="col-sm-5">
<input type="text" class="form-control" id="name" name="name" placeholder="First Name">
</div>
</div>

<div class="form-group">
<label for="email" class="col-sm-3 control-label"><span class="required">*</span> Email: </label>
<div class="col-sm-5">
<input type="email" class="form-control" id="email" name="email" placeholder="you@domain.com">
</div>
</div>

<div class="form-group">
<label for="phone" class="col-sm-3 control-label"><span class="required">*</span> Phone Number: </label>
<div class="col-sm-5">
<input type="tel" class="form-control" id="phone" name="phone" placeholder="0400 000 000 or 02 1234 5678">
</div>
</div>

<div class="form-group">
<label for="Business Name" class="col-sm-3 control-label"> Business Trading Name</label>
<div class="col-sm-7">
<input class="form-control" row="4" name="Business Name" placeholder="Business / Company Name">
</div>
</div>
<div class="form-group">
<label for="State" class="col-sm-3 control-label"> Select your State</label>
<div class="col-sm-9">
<select name="State" class="col-sm-3 control-label">
<option value="">Select</option>
<option value="NSW">NSW</option>
<option value="QLD">QLD</option>
<option value="VIC">VIC</option>
<option value="WA">WA</option>
<option value="SA">SA</option>
<option value="SA">NT</option>
<option value="SA">ACT</option>
<option value="SA">Other</option>
</select>

</div>
</div>
<p class="required">Time in Business
</p>
<p>
  <label>
    <input type="radio" name="Time In Business" value="radio" id="Less than 6 months">
    Less than 6 months</label>
  <br>
  <label>
    <input type="radio" name="Time In Business" value="radio" id="6 to 12 months">
    6 to 12 months</label>
  <br>
  <label>
    <input type="radio" name="Time In Business" value="radio" id="Over 1 year">
    Over 1 Year</label>
  <br>
</p>
<p class="required">Loan Amount Required
</p>
<p>
  <label>
    <input type="radio" name="Loan Size" value="radio" id="up to $50K">
    $5K to $50K</label>
  <br>
  <label>
    <input type="radio" name="Loan Size" value="radio" id="up to $250K">
    $50K to $250K</label>
  <br>
  <label>
    <input type="radio" name="Loan Size" value="radio" id="over $250K">
    Over $250K</label>
  <br>
</p>
<p> </p>
<div class="form-group">
  <p>
    <label>
      <input type="checkbox" name="PrivacyCheck" value="checkbox" id="PrivacyCheck">
      I have reviewed, understand and consent to the privacy policy</label>
    <br>
  </p>
</div>

<div class="form-group">
<div class="col-sm-offset-3 col-sm-6 col-sm-offset-3">
<button type="submit" id="submit" name="submit" class="btn-lg btn-primary btn-block">SUBMIT (Free and No obligation)</button>
</div>
</div>
<!--end Form--></form>