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<FORM ACTION="https://SERVER-NAME/pay/silentpay.cfm " method="POST">
<INPUT TYPE="hidden" NAME="Merchant_ID" VALUE="Your_merchant_ID">
<INPUT TYPE="hidden" NAME="Login" VALUE="Service login">
<INPUT TYPE="hidden" NAME="Password" VALUE="Password">
<INPUT TYPE="hidden" NAME="OrderNumber" VALUE="011001-10">
<INPUT TYPE="hidden" NAME="OrderAmount" VALUE="22">
<INPUT TYPE="hidden" NAME="OrderCurrency" VALUE="RUB">
<INPUT TYPE="hidden" NAME="OrderComment" VALUE="Order 011001-10">
<INPUT TYPE="hidden" NAME="Delay" VALUE="0">
<INPUT TYPE="hidden" NAME="isConvert" VALUE="1">
<INPUT TYPE="hidden" NAME="Language" VALUE="RU">
<INPUT TYPE="hidden" NAME="ClientIP" VALUE="Customer IP address">
<INPUT TYPE="hidden" NAME="Cardtype" VALUE="Card type">
<INPUT TYPE="hidden" NAME="Cardnumber" VALUE="Card number">
<INPUT TYPE="hidden" NAME="Cardholder" VALUE="Card-holder">
<INPUT TYPE="hidden" NAME="Expiremonth" VALUE="Card expiration- month">
<INPUT TYPE="hidden" NAME="Expireyear" VALUE="Card expiration - year">
<INPUT TYPE="hidden" NAME="Cvc2" VALUE="CVC2 or CVV code">
<INPUT TYPE="hidden" NAME="Lastname" VALUE="Second name">
<INPUT TYPE="hidden" NAME="Firstname" VALUE="First name">
<INPUT TYPE="hidden" NAME="Middlename" VALUE="Middle name">
<INPUT TYPE="hidden" NAME="Email" VALUE="Email">
<INPUT TYPE="hidden" NAME="Address" VALUE="Customer address">
<INPUT TYPE="hidden" NAME="Homephone" VALUE="Customer home phone">
<INPUT TYPE="hidden" NAME="Workphone" VALUE="Customer work phone">
<INPUT TYPE="hidden" NAME="Mobilephone" VALUE="Customer mobile phone">
<INPUT TYPE="hidden" NAME="Fax" VALUE="Customer fax number">
<INPUT TYPE="hidden" NAME="Country" VALUE="Customer's country">
<INPUT TYPE="hidden" NAME="State" VALUE="Customer's region">
<INPUT TYPE="hidden" NAME="City" VALUE="Customer's city">
<INPUT TYPE="hidden" NAME="Zip" VALUE="Customer postal index">
<INPUT TYPE="hidden" NAME="TestMode" VALUE="Test mode">
<INPUT TYPE="hidden" NAME="Format" VALUE="Result format">
<INPUT TYPE="Submit"></FORM>