User:Daniel Mayer/Sandbox
<html>
<form class="contrib" action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type="hidden" name="business" value="donation@wikipedia.org" /> <input type="hidden" name="item_name" value="</html>{{{OnetimeDonation}}}<html>" /> <input type="hidden" name="item_number" value="DONATE" /> <input type="hidden" name="no_note" value="0" /> <input type="hidden" name="cmd" value="_xclick"; /> <input type="hidden" name="on1" value="Comment" /> <input type="hidden" name="lc" value="</html>{{{PayPalLang}}}<html>" /> <input type="hidden" name="on0" value="Anonymity" /> <input type="hidden" name="notify_url" value="http://wikimediafoundation.org/cgi-bin/paywiki.cgi">
<label for="don-amount"></html>{{{OneTimeGiftOf}}}<html></label> |
<input type="text" name="amount" id="don-amount" maxlength="30" size="5" /> <select name="currency_code"> <option value="USD"></html>$ (USD)<html></option> <option value="EUR"></html>€ (EUR)<html></option> <option value="GBP" SELECTED></html>£ (GBP)<html></option> <option value="CAD"></html>$ (CAD)<html> </option> <option value="AUD"></html>$ (AUD)<html> </option> <option value="JPY"></html>¥ (JPY)<html> </option> </select> |
<label for="os1"></html>{{{ShortComment}}}<html></label> | <input type="text" size="30" name="os1" id="os1" maxlength="500" /> |
</html>{{{MentionName}}}<html> |
<input type="radio" name="os0" id="name-yes" value="Mention my name"><label for="name-yes"></html>{{{Yes}}}<html></label> <input type="radio" name="os0" id="name-no" checked="checked" value="Don't mention my name"><label for="name-no"></html>{{{No}}}<html></label> |
<input class="centered" type="submit" value="</html>{{{Submit}}}<html>" /> | <img src="http://upload.wikimedia.org/wikipedia/foundation/7/78/Credit_cards.png" alt="Visa, MasterCard, Discover, American Express, eCheck"/> |
</form>
</html>