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<FORM ACTION="https://SERVER-NAME/pay/silentpaymakeorder.cfm " method="POST">
<INPUT TYPE="hidden" NAME="Merchant_ID" VALUE="Ваш Merchant_ID">
<INPUT TYPE="hidden" NAME="OrderNumber" VALUE="011001-10">
<INPUT TYPE="hidden" NAME="OrderAmount" VALUE="22">
<INPUT TYPE="hidden" NAME="OrderCurrency" VALUE="BYN">
<INPUT TYPE="hidden" NAME="OrderComment" VALUE="оплата заказа 011001-10">
<INPUT TYPE="hidden" NAME="Language" VALUE="RU">
<INPUT TYPE="hidden" NAME="Lastname" VALUE="Фамилия покупателя">
<INPUT TYPE="hidden" NAME="Firstname" VALUE="Имя покупателя">
<INPUT TYPE="hidden" NAME="Middlename" VALUE="Отчество покупателя">
<INPUT TYPE="hidden" NAME="Email" VALUE="Email покупателя">
<INPUT TYPE="hidden" NAME="Address" VALUE="Адрес покупателя ">
<INPUT TYPE="hidden" NAME="Homephone" VALUE="Домашний телефон покупателя">
<INPUT TYPE="hidden" NAME="City" VALUE="Город">
<INPUT TYPE="Submit"></FORM>