"First Name", "middle_name" => "Middle Name", "last_name" => "Last Name", "phone" => "Phone"); $submit = "Submit Phone Number"; ?> Customer Phone Number

Please enter your phone number below.

"; if(isset($message)) #36 { echo $message; } /* Loop that displays the form fields */ foreach($labels as $field => $label) { echo "
\n"; #46 } echo "\n"; #48 echo "\n"; ?>