Pamela - Form not working

WORDPRESS PAGE CODE:

<form action="http://www.test.efreebn-sermons.org/wp-content/themes/gallery/contact.php" method="post">
<table border="0" align="left" id="forms_table" >
<tbody>
<tr>
<td colspan="3"><strong>
</strong></td>
</tr>
<tr>
<td align="right" width="120">Send Email to:</td>
<td colspan="2">
<select name="sendto:">
<option value="p.cather@comcast.net">Church Office</option>
<option value="PastorRick@efreebn.org">Pastor Rick Wagner</option>
<option value="StuH@efreebn.org">Pastor Bill White</option>
<option value="BrettM@efreebn.org">Stu Hackman - Small Groups Director</option>
<option value="JulieR@efreebn.org">Julie Ryan - Involvement Director</option>
<option value="Peggyd@efreebn.org">Peggy Drake - Office/Facilities Manager</option>
<option value="connieunruh@gmail.com">Connie Unruh - Financial Secretary</option>
<option value="shelleym@efreebn.org">Shelley Monteith - Administrative Assistant</option>
<option value="KarenE@efreebn.org">Karen Estes - Administrative Assistan</option>
<option value="karenm@efreebn.org">Karen Mercer - Early Childhood Assistant</option>
</select></td>
<td>
</td>
</tr>
<tr>
<td align="right"><span style="color: red;">*</span> Name:</td>

<td width="26"><input  name="Name" size="25" /></td>
<td>
</tr>
<tr>
<td align="right"><span style="color: red;">*</span> Email:</td>
<td colspan="2"><input  type="text" name="Email" size="25" /></td>
</tr>

<tr>
<td align="right">Address (line 1):</td>
<td colspan="2"><input type="text" name="Address1" size="25"/></td>
</tr>
<tr>
<td align="right">Address (line 2):</td>
<td colspan="2"><input type="text" name="Address2" size="25"/></td>
</tr>
<tr>
<tr>
<td align="right">City:</td>
<td><input type="text" name="City" size="25"/></td>
<td align="left"><select name="state">
	<option value="AL">AL</option>
	<option value="AK">AK</option>
	<option value="AZ">AZ</option>
	<option value="AR">AR</option>
	<option value="CA">CA</option>
	<option value="CO">CO</option>
	<option value="CT">CT</option>
	<option value="DE">DE</option>
	<option value="DC">DC</option>
	<option value="FL">FL</option>
	<option value="GA">GA</option>
	<option value="HI">HI</option>
	<option value="ID">ID</option>
	<option value="IL" selected="yes">IL</option>
	<option value="IN">IN</option>
	<option value="IA">IA</option>
	<option value="KS">KS</option>
	<option value="KY">KY</option>
	<option value="LA">LA</option>
	<option value="ME">ME</option>
	<option value="MD">MD</option>
	<option value="MA">MA</option>
	<option value="MI">MI</option>
	<option value="MN">MN</option>
	<option value="MS">MS</option>
	<option value="MO">MO</option>
	<option value="MT">MT</option>
	<option value="NE">NE</option>
	<option value="NV">NV</option>
	<option value="NH">NH</option>
	<option value="NJ">NJ</option>
	<option value="NM">NM</option>
	<option value="NY">NY</option>
	<option value="NC">NC</option>
	<option value="ND">ND</option>
	<option value="OH">OH</option>
	<option value="OK">OK</option>
	<option value="OR">OR</option>
	<option value="PA">PA</option>
	<option value="RI">RI</option>
	<option value="SC">SC</option>
	<option value="SD">SD</option>
	<option value="TN">TN</option>
	<option value="TX">TX</option>
	<option value="UT">UT</option>
	<option value="VT">VT</option>
	<option value="VA">VA</option>
	<option value="WA">WA</option>
	<option value="WV">WV</option>
	<option value="WI">WI</option>
	<option value="WY">WY</option>
</select></td>
</tr>
<tr>
<tr>
<td align="right">Zip Code:</td>
<td colspan="2"><input type="text" name="Zip" size="5"/></td>
</tr>
<tr>
<td align="right">Home Phone:</td>
<td colspan="2"><input onfocus="this.select()" type="text" name="Home Phone" size="25" value="###-###-####"/></td>
</tr>
<tr>
<td align="right">Cell Phone:</td>
<td colspan="2"><input onfocus="this.select()" type="text" name="Cell Phone" size="25" value="###-###-####"/></td>
</tr>
<tr>
<td align="right">Work Phone:</td>
<td colspan="2"><input onfocus="this.select()" type="text" name="Work Phone" size="25" value="###-###-####"/></td>
</tr>

<td align="right">About me:</td>
<td colspan="2"><input type="radio" name="list" value="attender" /> I'm a regular attender
<input type="radio" name="list" value="visitor" /> I've attended a few times
<input type="radio" name="list" value="never" /> I've never visited Efree</td>
</tr>
<tr>
<td colspan="3">Message:</td>
</tr>
<tr>
<td colspan="3" align="center"><textarea name="Message" rows="5" cols="70"></textarea></td>
</tr>
<tr>
<td colspan="3" align="right"><input type="submit" name="send" value="Submit" /></td>
</tr>
<tr>
<td colspan="3" align="center"></td>
</tr>
</tbody>
</table>
</form>

MY CONTACT.PHP FILE CODE:

<?php
 $to = $_REQUEST['sendto'] ;
 $from = $_REQUEST['Email'] ;
 $name = $_REQUEST['Name'] ;
 $headers = "From: $from";
 $subject = "Email from Contact Us webpage";

 $fields = array();
 $fields{"Name"} = "Name";
 $fields{"Email"} = "Email";
 $fields{"Address1"} = "Address Line 1";
 $fields{"Address2"} = "Address Line 2";
 $fields{"City"} = "City";
 $fields{"State"} = "State";
 $fields{"Zip"} = "Zip Code";
 $fields{"Home"} = "Home Phone";
 $fields{"Cell"} = "Cell Phone";
 $fields{"Work"} = "Work Phone";
 $fields{"list"} = "Attendance:";
 $fields{"Message"} = "Message";

 $body = "We have received the following information:\n\n"; foreach($fields as $a => $b){ 	$body .= sprintf("%20s: %s\n",$b,$_REQUEST[$a]); }



 if($from == '') {print "You have not entered an email, please go back and try again";}
 else {
 if($name == '') {print "You have not entered a name, please go back and try again";}
 else {
 $send = mail($to, $subject, $body, $headers);

 if($send)
 {header( "Location: http://www.test.efreebn-sermons.org/thankyou" );}
 else
 {print "We encountered an error sending your mail, please notify webmaster@efreebn.org"; }
 }
}
 ?>