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<FORM ACTION="https://<SERVER-NAME>/pay/order.cfm" METHOD="POST">
<INPUT TYPE="HIDDEN" NAME="Merchant_ID" VALUE="Your Merchant_ID">
<INPUT TYPE="HIDDEN" NAME="OrderNumber " VALUE="A03032011_26">
<INPUT TYPE="HIDDEN" NAME="OrderAmount" VALUE="66.66">
<INPUT TYPE="HIDDEN" NAME="OrderCurrency" VALUE="BYN">
<INPUT TYPE="HIDDEN" NAME="FirstName" VALUE="Test">
<INPUT TYPE="HIDDEN" NAME="LastName" VALUE="Testov">
<INPUT TYPE="HIDDEN" NAME="Email" VALUE="test@assist.by">
<INPUT TYPE="HIDDEN" NAME="OrderComment" VALUE="Example of an order payment">
<INPUT TYPE="SUBMIT" NAME="Submit" VALUE="Pay">
</FORM>