<form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type="hidden" name="cmd" value="_s-xclick">
<input type="hidden" name="hosted_button_id" value="BCD53BJ86BFJ4">
<table>
<tr><td><input type="hidden" name="on0" value="2018 Bob Wright Symposium Registration">2018 Bob Wright Symposium Registration</td></tr><tr><td><select name="os0">
<option value="2018 BW Symposium 1 Ticket">2018 BW Symposium 1 Ticket $175.00 USD</option>
<option value="2018 BW Symposium 2 Tickets">2018 BW Symposium 2 Tickets $350.00 USD</option>
<option value="2018 BW Symposium 3 Tickets">2018 BW Symposium 3 Tickets $525.00 USD</option>
<option value="2018 BW Symposium 4 Tickets">2018 BW Symposium 4 Tickets $700.00 USD</option>
<option value="2018 BW Symposium 5 Tickets">2018 BW Symposium 5 Tickets $875.00 USD</option>
<option value="2018 Book Scholarship">2018 Book Scholarship $500.00 USD</option>
<option value="2018 Symposium Reserved Table">2018 Symposium Reserved Table $1,500.00 USD</option>
<option value="2018 Silver Level Sponsorship">2018 Silver Level Sponsorship $2,500.00 USD</option>
<option value="2018 Gold Level Sponsorship">2018 Gold Level Sponsorship $5,000.00 USD</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_cart_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">
</form>
