$host = "localhost";
$user = "YOUR_USERNAME";
$pass = "YOUR_PASSWORD";
$dbname = "asanchez41";

$cnx = mysqli_connect($host, $user, $pass, $dbname);

if (!$cnx) {
    die("Connection failed: " . mysqli_connect_error());
}

$custLast    = $_POST['custLast'];
$custFirst   = $_POST['custFirst'];
$custAddress = $_POST['custAddress'];
$custCity    = $_POST['custCity'];
$custState   = $_POST['custState'];
$custZip     = $_POST['custZip'];
$custEmail   = $_POST['custEmail'];
$custPhone   = $_POST['custPhone'];

$dt = date("Y-m-d H:i:s");

$sql = "INSERT INTO customer VALUES (
        null,
        '$custLast',
        '$custFirst',
        '$custAddress',
        '$custCity',
        '$custState',
        '$custZip',
        '$custEmail',
        '$custPhone',
        '$dt'
       )";

$result = mysqli_query($cnx, $sql);

if ($result) {
    echo "<h2>Customer record added successfully!</h2>";
} else {
    echo "<h2>Error inserting record:</h2>" . mysqli_error($cnx);
}

mysqli_close($cnx);