<form action=”https://www.paypal.com/cgi-bin/webscr” method=”post” target=”_top”>
<input type=”hidden” name=”cmd” value=”_s-xclick”>
<input type=”hidden” name=”hosted_button_id” value=”BJPJXT4ZJWZPW”>
<table>
<tr><td><input type=”hidden” name=”on0″ value=”Number of Deeds”>Number of Deeds</td></tr><tr><td><select name=”os0″>
<option value=”1 Deed”>1 Deed $25.00 USD</option>
<option value=”2 Deeds”>2 Deeds $50.00 USD</option>
<option value=”3 Deeds”>3 Deeds $75.00 USD</option>
<option value=”4 Deeds”>4 Deeds $100.00 USD</option>
</select> </td></tr>
<tr><td><input type=”hidden” name=”on1″ value=”Location of Property”>Location of Property</td></tr><tr><td><input type=”text” name=”os1″ maxlength=”200″></td></tr>
</table>
<input type=”hidden” name=”currency_code” value=”USD”>
<input type=”image” src=”https://www.paypalobjects.com/en_US/i/btn/btn_paynowCC_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>