<form action="https://www.paypal.com/cgi-bin/webscr" method="post">
<table border="0" width="200" height="26">
<tbody>
<tr>
<td>Amount:  <input name="a3" size="7" type="textfield" /></td>
</tr>
</tbody>
</table>
<input name="cmd" type="hidden" value="_xclick-subscriptions" /> <input name="business" type="hidden" value="gil.77brasil@hotmail.com" /> <input name="item_name" type="hidden" value="Gil Family Monthly Support (brazilministry.com)" /> <input name="no_shipping" type="hidden" value="1" /> <input name="return" type="hidden" value="http://brazilministry.com/thankyou/" /> <input name="no_note" type="hidden" value="1" /> <input name="p3" type="hidden" value="1" /> <input name="t3" type="hidden" value="M" /> <input name="src" type="hidden" value="1" /> <input name="sra" type="hidden" value="1" /> <input name="currency_code" type="hidden" value="USD" /> <input alt="monthly support" name="submit" src="http://brazilministry.com/images/button_support.png" type="image" />

</form>