<div class="form-row">
 <div class="col-md-6 mb-3">
   <label for="city"><span class="text-danger p-1" style="font-size:18
+px"><b>*</b></span>City</label>
   <input type="text" name="city" class="form-control" id="city" place
+holder="City" required>
 </div>

-----------------------------------

<b>Name:</b>         <input type="text" size="35" name="name">
<b>Address:</b>      <input type="text" size="35" name="address">
<b>Town/City:</b>    <input type="text" size="35" name="city">
<b>County/State:</b> <input type="text" size="35" name="state">
<b>Post/Zip:</b>     <input type="text" size="35" name="zip">
<b>Country:</b>      <input type="text" size="35" name="country">
<b>Email:</b>        <input type="text" size="35" name="email">


---------------------------------
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$message .= "<ul><li>Name:$FORM{'name'}<br>\n";
        $message .= "<li>Address: $FORM{'address'}<br>\n";
        $message .= "<li>City: $FORM{'city'}, $FORM{'state'}\. $FORM{'
+zip'}<br>\n";
        $message .= "<li>Country: $FORM{'country'}<br>\n";
        $message .= "<li>Email: $FORM{'email'}<br>\n";
        $message .= "<li>Phone $FORM{'phone'}<br>\n";
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$message .= "--"." $address\n";
    $message .= "--"." $city, $state\. $zip\n";
    $message .= "--"." $country\n";
    $message .= "--"." $phone\n";
    $message .= "--"." $email\n";
[download]

..where to look for the problem

In the perl code (which you have not shown) that builds the %Form hash and other variables.

poj

I don't know perl, so I don't know what builds the %form hash and other variables.

# Create invoice and Prepare for emailing
        $message  = "\n$sheader\n";
        $message .= "$saddress\n";
        $message .= "$sphone\n\n";
    $message .= "\n";
        $message .= "Date: $date\n"; 
        $message .= "Invoice No: $inv_num\n"; 
        $message .= "Customer Id: $sessionid\n\n"; 
        $message .= "---------------------------------------------\n";
    $message .= "Qty\t  Description\t\t\t\t\t  Amount\n";
        $message .= "---------------------------------------------\n";
    $message .= " 1 \t  $description\t  $amount\n";
     $message .= "---------------------------------------------\n";

    my $total = sprintf("TOTAL: %5.2f", $amount);

    $message .= "$total\n\n";
    $message .= "PAYMENT METHOD: $method\n\n";
    $message .= " Payment Type: $payment_type\n";
    $message .= " Payment Date: $payment_date\n";
    $message .= " Payment Status: $payment_status : $payment\n";
    $message .= " Account Status: $payer_status\n";
    $message .= " Address Status: $address_status\n";
    $message .= " Transcation ID: $auth_code\n\n";
    $message .= "SessionID: $sessionid\n\n";
    $message .= "BILLING ADDRESS:\n\n";
    $message .= "--"." $fname $lname\n";
    $message .= "--"." $address\n";
    $message .= "--"." $city, $state\. $zip\n";
    $message .= "--"." $country\n";
    $message .= "--"." $phone\n";
    $message .= "--"." $email\n";
    $message .= "\n";
    $message .= "-----------------------------------------------------
+------\n";
    $message .= "Remote HOST: $ENV{'REMOTE_HOST'}\n";
    $message .= "Remote IP address: $ENV{'REMOTE_ADDR'}\n";
    $message .= "Remote Browser: $ENV{'HTTP_USER_AGENT'}\n";


return $message;

} # end of sub
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