<form action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type="hidden" name="cmd" value="_s-xclick">
<input type="hidden" name="hosted_button_id" value="HU55AARR6BWML">
<table>
<tr><td><input type="hidden" name="on0" value="Goes In Order With Payment Types">Goes In Order With Payment Types</td></tr><tr><td><select name="os0">
<option value="Option 1">Option 1 $5.00</option>
<option value="Option 2">Option 2 $10.00</option>
<option value="Option 3">Option 3 $15.00</option>
</select> </td></tr>
<tr><td><input type="hidden" name="on1" value="Types Of Payment">Types Of Payment</td></tr><tr><td><select name="os1">
<option value="LvL 70 + Infections">LvL 70 + Infections </option>
<option value="LvL 70 + Infections + Emblems Titles And Challenges">LvL 70 + Infections + Emblems Titles And Challenges </option>
<option value="EVERYTHING POSSIBLE AND GET ON MY FRIENDS LIST">EVERYTHING POSSIBLE AND GET ON MY FRIENDS LIST </option>
</select> </td></tr>
<tr><td><input type="hidden" name="on2" value="10TH LOBBY L3GIT">10TH LOBBY L3GIT</td></tr><tr><td><input type="text" name="os2" maxlength="60"></td></tr>
</table>
<input type="hidden" name="currency_code" value="USD">
<input type="image" src="https://www.paypal.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.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>