<table>
<tr><td><input type="hidden" name="on0" value="Puppy Deposit or Pay in full">Puppy Deposit or Pay in full</td></tr><tr><td><select name="os0">
<option value="Option 1">Option 1 $100.00 USD</option>
<option value="Option 2">Option 2 $400.00 USD</option>
</select> </td></tr>
<tr><td><input type="hidden" name="on1" value="Pay in full">Pay in full</td></tr><tr><td><select name="os1">
<option value="Deposit">Deposit </option>
<option value="Pay in full">Pay in full </option>
<option value="Option 3">Option 3 </option>
</select> </td></tr>
</table>
<input type="hidden" name="currency_code" value="USD">
<input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_paynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
<img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1">
<