Some error codes with no logic

I am trying to work the form on a page that has pvii menu on it. So I am not sure if this is an issue or not? There is errors on the top of the page that I cant figure out.

The page can be seen here vista_bankruptcy_contact.html.

There is also code showing up in the form itself that I don't understand? Can someone take a look and point me in the right direction?

The Contact Form Solution pack uses server side PHP code. It cannot be used on a static page with the .html extension, it can only be used on a dynamic page with the .php extension.

As long as your host supports serving dynamic php page, you should only need to change the name of your page:
vista_bankruptcy_contact.html

to use the php extesnion:
vista_bankruptcy_contact.php