<form action="" method="post" target="_top"> <input type="hidden" name="cmd" value="_s-xclick"> <input type="hidden" name="hosted_button_id" value="KNJQ68MHMQ39Q"> <table> <tr><td><input type="hidden" name="on0" value="Select Type of Apparel you wish to purchase">Select Type of Apparel you wish to purchase</td></tr><tr><td><select name="os0"> <option value="Long Sleeve Polo">Long Sleeve Tops $65.00 AUD</option> <option value="Short Sleeve Polo">Short Sleeve Polo $35.00 AUD</option> <option value="Ladies T-Shirt">Ladies T-Shirt $35.00 AUD</option> <option value="Mens T-Shirt">Mens Singlets $30.00 AUD</option> <option value="Mens Hoodie">Mens Hoodie $55.00 AUD</option> </select> </td></tr> <tr><td><input type="hidden" name="on1" value="Select Size">Select Size</td></tr><tr><td><select name="os1"> <option value="Small">Small </option> <option value="Large">Large </option> <option value="X-Large">X-Large </option> <option value="XX- Large">XX- Large </option> <option value="Option 5">Option 5 </option> </select> </td></tr> <tr><td><input type="hidden" name="on2" value="Enter Mobile Contact Number">Enter Mobile Contact Number</td></tr><tr><td><input type="text" name="os2" maxlength="200"></td></tr> </table> <input type="hidden" name="currency_code" value="AUD"> <input type="image" src="" border="0" name="submit" alt="PayPal — The safer, easier way to pay online."> <img alt="" border="0" src="" width="1" height="1"> </form>