Problem setting up quickcontact.php

Hello,

Before I get into my main question, I was wondering if there is any possibility of integrating the contact form with Eloqua and having server side validation? Is this possible?

Main problem: I am building a company website that requires a contact form. I followed the instructions in the documentation but it's not working so I don't know how to set it up correctly. I added more fields (changed name to first name, added last name, company, title, phone).

Here is the website (in QA): corp.nimblefish.com/newsite

HTML:

				
				
					
						
							
								Send Us An Email
							
							

								

									

								  

					        
					          First name *
					          
					        

					        
					          Last name *
					          
					        

									

					        
					          Company *
					          
					        

									

					        
					          Title *
					          
					        

									

					        
					          Email *
					          
					        

									

					        
					          Phone *
					        	
					        

									

					        
					          Please briefly describe your marketing goals for Nimblefish products:
										
					        

					        
					          
					        

									
										[Close](#)
										Send Message
					        

				      
						
					
				

PHP:

 'francis.ngo@rrd.com', // Your Email Address
				'name' => 'Francis' // Your Name
			);

// $toemails[] = array(
// 				'email' => 'username@website.com', // Your Email Address
// 				'name' => 'Your Name' // Your Name
// 			);
//
// $toemails[] = array(
// 				'email' => 'username@website.com', // Your Email Address
// 				'name' => 'Your Name' // Your Name
// 			);

// Form Processing Messages
$message_success = 'We have **successfully** received your Message and will get Back to you as soon as possible.';

// Add this only if you use reCaptcha with your Contact Forms
$recaptcha_secret = ''; // Your reCaptcha Secret

$mail = new PHPMailer();

// If you intend you use SMTP, add your SMTP Code after this Line

if( $_SERVER['REQUEST_METHOD'] == 'POST' ) {
	if( $_POST['emailAddress'] != '' ) {

		$fname = $_POST['firstName'];
		$lname = $_POST['lastName'];
		$company = $_POST['company'];
		$title = $_POST['title'];
		$email = $_POST['emailAddress'];
		$phone = $_POST['busPhone'];
		$message = $_POST['comments1'];

		$subject = 'New Message From Nimblefish Contact Form';

		$botcheck = $_POST['quick-contact-form-botcheck'];

		if( $botcheck == '' ) {

			$mail->SetFrom( $email , $name );
			$mail->AddReplyTo( $email , $name );
			foreach( $toemails as $toemail ) {
				$mail->AddAddress( $toemail['email'] , $toemail['name'] );
			}
			$mail->Subject = $subject;

			$fname = isset($fname) ? "First Name: $fname

" : '';
			$lname = isset($lname) ? "Last Name: $lname

" : '';
			$company = isset($company) ? "Company: $company

" : '';
			$title = isset($title) ? "Title: $title

" : '';
			$email = isset($email) ? "Email: $email

" : '';
			$phone = isset($phone) ? "Phone: $phone

" : '';
			$message = isset($message) ? "Comments: $message

" : '';

			$referrer = $_SERVER['HTTP_REFERER'] ? '

This Form was submitted from: ' . $_SERVER['HTTP_REFERER'] : '';

			$body = "$fname $lname $compnay $title $email $phone $message $referrer";

			// Runs only when reCaptcha is present in the Contact Form
			if( isset( $_POST['g-recaptcha-response'] ) ) {
				$recaptcha_response = $_POST['g-recaptcha-response'];
				$response = file_get_contents( "https://www.google.com/recaptcha/api/siteverify?secret=" . $recaptcha_secret . "&response=" . $recaptcha_response );

				$g_response = json_decode( $response );

				if ( $g_response->success !== true ) {
					echo '{ "alert": "error", "message": "Captcha not Validated! Please Try Again." }';
					die;
				}
			}

			$mail->MsgHTML( $body );
			$sendEmail = $mail->Send();

			if( $sendEmail == true ):
				echo '{ "alert": "success", "message": "' . $message_success . '" }';
			else:
				echo '{ "alert": "error", "message": "Email **could not** be sent due to some Unexpected Error. Please Try Again later.

**Reason:**
' . $mail->ErrorInfo . '" }';
			endif;
		} else {
			echo '{ "alert": "error", "message": "Bot **Detected**.! Clean yourself Botster.!" }';
		}
	} else {
		echo '{ "alert": "error", "message": "Please **Fill up** all the Fields and Try Again." }';
	}
} else {
	echo '{ "alert": "error", "message": "An **unexpected error** occured. Please Try Again later." }';
}

?>

I don't have much experience with PHP and using it for back end validation, please help. Thanks.

The problem is when I submit the form, form is processing (with loader) and then I get 500 internal error on quickcontact.php in devtool.

Is anyone available to help? Thanks.