| <form action=”https://www.paypal.com/cgi-bin/webscr” method=”post” target=”_top”> |
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| <input type=”hidden” name=”cmd” value=”_s-xclick”> |
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| <input type=”hidden” name=”hosted_button_id” value=”4L8AUBNWLXB4U”> |
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| <table> |
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<tr><td><input type=”hidden” name=”on0″ value=”General_Payments”><h3> Please specify your: <i>First and Last Name, Student Number, Payment Subject</i> in the box below <br /><br /></h3> <h4> (i.e. ; ‘Sherry Smith‘, ‘s12345678‘, ‘For Transcript‘). <br /><br /></h4><h5><b>* There is a $6.00 minimum please.</b></h5> </td></tr><tr><td><input type=”text” name=”os0″ maxlength=”200″ placeholder=”Your Info Here”></td></tr> |
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| </table> |
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| <input type=”image” src=”https://inletgrovehs.com/wp-content/uploads/2020/04/paypal_button.png” border=”0″ name=”submit” alt=”PayPal – The safer, easier way to pay online!”> |
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| <img alt=”” border=”0″ src=”https://www.paypalobjects.com/en_US/i/scr/pixel.gif” width=”1″ height=”1″> |
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| </form> |
