HTML Code:
<form action="https://www.paypal.com/cgi-bin/webscr" method="post"> <input type="hidden" name="cmd" value="_xclick"> <input type="hidden" name="business" value=""> <input type="hidden" name="lc" value="US"> <input type="hidden" name="button_subtype" value="services"> <input type="hidden" name="no_note" value="0"> <input type="hidden" name="currency_code" value="USD"> <input type="hidden" name="bn" value="PP-BuyNowBF:btn_buynowCC_LG.gif:NonHostedGuest"> <table> <tr><td><input type="hidden" name="on0" value="Conquer Online Points">Conquer Online Points</td></tr><tr><td><select name="os0"> <option value="5,000 Cps">5,000 Cps $2.00 USD</option> <option value="7,500 Cps">7,500 Cps $4.00 USD</option> <option value="10,000 Cps">10,000 Cps $6.00 USD</option> <option value="12,000 Cps">12,000 Cps $8.00 USD</option> <option value="15,000 Cps">15,000 Cps $10.00 USD</option> <option value="22,000 Cps">22,000 Cps $13.00 USD</option> <option value="26,000 Cps">26,000 Cps $16.00 USD</option> <option value="31,000 Cps">31,000 Cps $19.00 USD</option> <option value="35,000 Cps">35,000 Cps $26.00 USD</option> <option value="40,000 Cps">40,000 Cps $35.00 USD</option> </select> </td></tr> <tr><td><input type="hidden" name="on1" value="So Cheap Click To">So Cheap Click To</td></tr><tr><td><input type="text" name="os1" maxlength="200"></td></tr> </table> <input type="hidden" name="currency_code" value="USD"> <input type="hidden" name="option_select0" value="5,000 Cps"> <input type="hidden" name="option_amount0" value="2.00"> <input type="hidden" name="option_select1" value="7,500 Cps"> <input type="hidden" name="option_amount1" value="4.00"> <input type="hidden" name="option_select2" value="10,000 Cps"> <input type="hidden" name="option_amount2" value="6.00"> <input type="hidden" name="option_select3" value="12,000 Cps"> <input type="hidden" name="option_amount3" value="8.00"> <input type="hidden" name="option_select4" value="15,000 Cps"> <input type="hidden" name="option_amount4" value="10.00"> <input type="hidden" name="option_select5" value="22,000 Cps"> <input type="hidden" name="option_amount5" value="13.00"> <input type="hidden" name="option_select6" value="26,000 Cps"> <input type="hidden" name="option_amount6" value="16.00"> <input type="hidden" name="option_select7" value="31,000 Cps"> <input type="hidden" name="option_amount7" value="19.00"> <input type="hidden" name="option_select8" value="35,000 Cps"> <input type="hidden" name="option_amount8" value="26.00"> <input type="hidden" name="option_select9" value="40,000 Cps"> <input type="hidden" name="option_amount9" value="35.00"> <input type="hidden" name="option_index" value="0"> <input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_buynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!"> <img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1"> </form>