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219320 Multiple option paypal form

I need a paypal form for DONATION with multiple options, using this paypal helper library:

[url removed, login to view]

The form code is:

<form action="[url removed, login to view]" method="post">First Name:

<INPUT name="firstName" value="" size="24">

<BR>

Last Name: <INPUT name="lastName" value="" size="24">

<br>

Address: <INPUT name="Address" value="" size="32">

<br>

Address 2: <INPUT name="Address2" value="" size="32">

<br>

City: <INPUT name="City" value="" size="24">

<br>

State: <INPUT name="State" value="" size="12">

<br>

Zip:

<INPUT name="Ip" value="" size="24">

<BR>

Phone: <INPUT name="Phone" value="" size="24">

<br>

Email: <INPUT name="Email" value="" size="10">

<BR>

<div>

Please dedicate my donation <br><br>

In Honor of <INPUT name="Honor" value=" size="32"">

<br>

In Memory of <INPUT name="Memory" value="" size="32">

</div>

<div>

<INPUT TYPE=CHECKBOX name="NoName">I would prefer my name not be publicized in your newsletter, annual report, and website when you thank your donors.<BR>

<INPUT TYPE=CHECKBOX name="NoNews">I prefer not to receive your free quarterly newsletter, <i>Perspectives</i>, or other communications from you.<BR><br>

</div>

Comments or personal messages to the Center:<BR>

<TEXTAREA wrap="virtual" name="Comments" value="" rows=3 cols=20 MAXLENGTH=100>

</TEXTAREA><BR>

<input type="hidden" name="cmd" value="_xclick" />

<input type="hidden" name="business" value="test@[url removed, login to view]" />

<input type="hidden" name="item_name" value="Test Center" />

<input type="hidden" name="currency_code" value="USD" />

<input type="hidden" name="return" value="[url removed, login to view]" />

<input type="hidden" name="cancel_return" value="[url removed, login to view]" />

<input type="hidden" name="receiver_email" value="test@[url removed, login to view]" />

<input type="hidden" name="mrb" value="XXXXXXXX" />

<input type="hidden" name="pal" value="XXXXXXXX" />

<input type="hidden" name="no_shipping" value="0" />

<input type="hidden" name="no_note" value="0" />

<input type="image" name="submit" src="[url removed, login to view]" border="0" alt="Make payments with PayPal, it's fast, free, and secure!" />

</form>

Kemahiran: Semua Boleh, Javascript

Lihat lebih lanjut: value city, the business helper, paypal.x.com, paypal paypal com, paypal library, paypal com com, paypal .com, javascript code library, cgi communications, aol submit, aol image, aol . com, paypal x, paypal personal, my paypal.com, javascript image library, business helper, test center, html paypal, annual report , javascript paypal email form, javascript multiple, multiple form, post form hidden, javascript submit form email address

Tentang Majikan:
( 30 ulasan ) Denver, United States

ID Projek: #1965553

Dianugerahkan kepada:

coolguyinus2004

can be done right away.

$35 USD dalam 0 hari
(285 Ulasan)
7.4