<form action="https://www.paypal.com/cgi-bin/webscr" method="post" target="_self">
<input type="hidden" name="cmd" value="_s-xclick" />
<input type="hidden" name="hosted_button_id" value="G7HQCF6W3H6YQ" />
<table>
<tr>
<td>
<input type="hidden" name="on0" value="Adults Tickets/Boletos Adultos"/>
Adults Tickets/Boletos Adultos
</td>
</tr>
<tr>
<td>
<select name="os0">
<option value="1 Ticket">
1 Ticket $100.00 USD
</option>
<option value="2 Tickets">
2 Tickets $200.00 USD
</option>
<option value="3 Tickets">
3 Tickets $300.00 USD
</option>
<option value="4 Tickets">
4 Tickets $400.00 USD
</option>
<option value="5 Tickets">
5 Tickets $500.00 USD
</option>
<option value="6 Tickets">
6 Tickets $600.00 USD
</option>
<option value="7 Tickets">
7 Tickets $700.00 USD
</option>
<option value="8 Tickets">
8 Tickets $800.00 USD
</option>
<option value="9 Tickets">
9 Tickets $900.00 USD
</option>
<option value="10 Tickets">
10 Tickets $1,000.00 USD
</option>
</select>
</td>
</tr>
<tr>
<td>
<input type="hidden" name="on1" value="How many Chicken Piccata Plates?"/>
How many Chicken Piccata Plates?
</td>
</tr>
<tr>
<td>
<input type="text" name="os1" maxLength="200" />
</td>
</tr>
<tr>
<td>
<input type="hidden" name="on2" value="How many Baked Haddock Plates?"/>
How many Baked Haddock Plates?
</td>
</tr>
<tr>
<td>
<input type="text" name="os2" maxLength="200" />
</td>
</tr>
</table>
<input type="hidden" name="currency_code" value="USD" />
<input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif" border="0" name="submit" title="PayPal - The safer, easier way to pay online!" alt="Add to Cart" />
</form>