<form name=”PaymentForm” method=”post” action=”http://davebreslow.org/dap/paypalCoupon.php” />
<input type=”hidden” name=”cmd” value=”_xclick”/>
<input type=”hidden” name=”currency_code” value=”USD” />
<input type=”hidden” name=”item_name” value=”Match Tough Audio Program” />
<div><input type=”image” src=”http://www.paypal.com/en_US/i/btn/btn_buynow_LG.gif” border=”0″ name=”submit” alt=”Make payments with PayPal – its fast, free and secure!” /></div>
</form>