Vip paypal

<form name="pg_frm" method="post" action="https://www.paygol.com/pay" >
<input type="hidden" name="pg_serviceid" value="340206">
<input type="hidden" name="pg_currency" value="USD">
<input type="hidden" name="pg_name" value="vip">
<input type="hidden" name="pg_custom" value="">
<input type="hidden" name="pg_price" value="3">
<input type="hidden" name="pg_return_url" value="">
<input type="hidden" name="pg_cancel_url" value="">
<input type="image" name="pg_button" src="https://www.paygol.com/webapps/buttons/es/black.png" border="0" alt="Realiza pagos con PayGol: la forma mas facil!" title="Realiza pagos con PayGol: la forma mas facil!" >
</form>