Listing 1547

<form action="https://orderpagetest.ic3.com/hop/orderform.jsp" method="post">
   <?php InsertSignature3("15","usd", "authorization")?>
 
   <input type="hidden" name="billTo_firstName" value="John">
   <input type="hidden" name="billTo_lastName" value="Doe">
 
   <input type="submit" value="Buy Now">
</form>