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<FORM ACTION="https://www.paypal.com/cgi-bin/webscr"
METHOD="POST">
<INPUT TYPE="hidden" NAME="cmd"
VALUE="_ext-enter">
<INPUT TYPE="hidden" NAME="redirect_cmd"
VALUE="_xclick">
<INPUT TYPE="hidden" NAME="business"
VALUE="recipient@paypal.com">
<INPUT TYPE="hidden"
NAME="undefined_quantity" VALUE="1">
<INPUT TYPE="hidden"
NAME="item_name" VALUE="hat">
<INPUT TYPE="hidden" NAME="item_number"
VALUE="123">
<INPUT TYPE="hidden" NAME="amount"
VALUE="15.00">
<INPUT TYPE="hidden" NAME="shipping"
VALUE="1.00">
<INPUT TYPE="hidden" NAME="shipping2"
VALUE="0.50">
<INPUT TYPE="hidden"
NAME="first_name" VALUE="John">
<INPUT TYPE="hidden" NAME="last_name"
VALUE="Doe">
<INPUT TYPE="hidden" NAME="address1" VALUE="9 Elm
Street">
<INPUT TYPE="hidden" NAME="address2" VALUE="Apt
5">
<INPUT TYPE="hidden" NAME="city" VALUE="Berwyn">
<INPUT
TYPE="hidden" NAME="state" VALUE="PA">
<INPUT TYPE="hidden" NAME="zip"
VALUE="19312">
<INPUT TYPE="hidden" NAME="night_phone_a"
VALUE="610">
<INPUT TYPE="hidden" NAME="night_phone_b"
VALUE="555">
<INPUT TYPE="hidden" NAME="night_phone_c"
VALUE="1234">
<INPUT TYPE="hidden" NAME="day_phone_a"
VALUE="610">
<INPUT TYPE="hidden" NAME="day_phone_b"
VALUE="555">
<INPUT TYPE="hidden" NAME="day_phone_c"
VALUE="1222">
<INPUT TYPE="image"
src="//images.paypal.com/images/x-click-but01.gif" BORDER="0" NAME="submit"
ALT="Make payments with PayPal - it's fast, free and
secure!">
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