<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="WUTVS9L7H7FXL">
<table>
<tr><td><input type="hidden" name="on0" value="Payment Options">Payment Options</td></tr><tr><td><select name="os0">
        <option value="Sow">Sow : $50.00 USD - monthly</option>
        <option value="Sow">Sow : $100.00 USD - monthly</option>
        <option value="SOW">SOW : $200.00 USD - monthly</option>
        <option value="SOW">SOW : $500.00 USD - monthly</option>
        <option value="SOW">SOW : $1,000.00 USD - monthly</option>
</select> </td></tr>
</table>
<input type="hidden" name="currency_code" value="USD">
<input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_subscribeCC_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>

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