<form action="https://www.paypal.com/cgi-bin/webscr" method="post"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="cmd" value="_cart"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="upload" value="1"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="business" value="[email protected]"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="currency_code" value="US"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="cancel_return" value="http://staging.biblestudytogether.com/order-printed-chronological-cross-reference-bible-reading-plan/"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="return" value="http://staging.biblestudytogether.com/www/thanks-for-ordering/"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="item_name_1" value="Booklet"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="amount_1" value="0.99"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type="hidden" name="item_name_2" value="Gift"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <table><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td>Number of Booklets ($0.99 each):</td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <select name="quantity_1"><!-- [et_pb_line_break_holder] --> <option value="1">1</option><!-- [et_pb_line_break_holder] --> <option value="2">2</option><!-- [et_pb_line_break_holder] --> <option value="3">3</option><!-- [et_pb_line_break_holder] --> <option value="4">4</option><!-- [et_pb_line_break_holder] --> <option value="5">5</option><!-- [et_pb_line_break_holder] --> <option value="6">6</option><!-- [et_pb_line_break_holder] --> <option value="7">7</option><!-- [et_pb_line_break_holder] --> <option value="8">8</option><!-- [et_pb_line_break_holder] --> <option value="9">9</option><!-- [et_pb_line_break_holder] --> <option value="10">10</option><!-- [et_pb_line_break_holder] --> <option value="11">11</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td>Gift Amount: </td><!-- [et_pb_line_break_holder] --> <td><!-- [et_pb_line_break_holder] --> <select name="amount_2"><!-- [et_pb_line_break_holder] --> <option value="5">$5</option><!-- [et_pb_line_break_holder] --> <option value="0">$0</option><!-- [et_pb_line_break_holder] --> <option value="3">$3</option><!-- [et_pb_line_break_holder] --> <option value="15">$15</option><!-- [et_pb_line_break_holder] --> <option value="40">$40</option><!-- [et_pb_line_break_holder] --> <option value="100">$100</option><!-- [et_pb_line_break_holder] --> <option value="200">$200</option><!-- [et_pb_line_break_holder] --> <option value="500">$500</option><!-- [et_pb_line_break_holder] --> <option value="1000">$1000</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> </table><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_paynowCC_LG.gif" name="submit" alt="Pay Now"><!-- [et_pb_line_break_holder] --></form>