<form name=test action=https://select.worldpay.com/wcc/purchase method=POST>
<input type=hidden name="testMode" value="100">
<input type=hidden name="M_session" value="XsessionX">
<input type=hidden name="instId" value="Xworldpay_instX">
<input type=hidden name="cartId" value="ONLINE ORDER">
<input type=hidden name=amount value=0>
<input type=hidden name=desc value="Domain Name Purchase">
<input type=hidden name=noOfPayments value="0">
<input type=hidden name=normalAmount value="XqtX">
<input type=hidden name=intervalMult value="3">
<input type=hidden name=intervalUnit value="3">
<input type=hidden name=currency value="Xcurrency_codeX">
<input type=hidden name=startDelayMult value="1">
<input type=hidden name=startDelayUnit value="1">
<input type=hidden name=initialAmount value="Xwith_taxX">
<input type=hidden name=startDate>
<input type=hidden name=futurePayType value="regular">
<input type=hidden name=option value=0>
<input type=hidden name="name" value="XfirstnameX XsurnameX">
<input type=hidden name="email" value="XemailX">
<input type=hidden name="tel" value="XtelephoneX">
<input type=hidden name="fax" value="XfaxX">
<input type=hidden name="address" value="Xaddress1X Xaddress2X XtownX XcountyX">
<input type=hidden name="postcode" value="XpostcodeX">
<input type="image" value="pay" name="buy" src="../program_images/payment-worldpay.gif">
</form>