I confess to having forgotten how to code. I have been the hospital for 6 weeks with Pneumonia and I am out of practice and badly in need of some help.

I have a contact page at http://totalphysiqueonline.com/contact/ which refuses to Validate and I have no idea how to resolve the issue.

The trouble seems to be with the form elements not being properly closed.

Can someone please help me troubleshoot the issue?