<form 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="PWMENCE8WN7JQ">
<table>
<tr><td><input type="hidden" name="on0" value="2011-12 Membership
Fees">2011-12 Membership Fees</td></tr><tr><td><select name="os0">
<option value="Students from the Caribbean, Africa, etc...">Students
from the Caribbean, Africa, etc... $25.00</option>
<option value="Non-Students from the Caribbean, AFrica, Middle East,
etc.">Non-Students from the Caribbean, AFrica, Middle East, etc.
$50.00</option>
<option value="Students from North America and Europe">Students from
North America and Europe $40.00</option>
<option value="Non-students from North America/Europe earning less
than $25K">Non-students from North America/Europe earning less than
$25K $50.00</option>
<option value="$25 to $40">$25 to $40 $60.00</option>
<option value="$41 to $60">$41 to $60 $70.00</option>
<option value="$61 to $80">$61 to $80 $85.00</option>
<option value="$81 to $100">$81 to $100 $100.00</option>
<option value="More than $100K">More than $100K $120.00</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_buynowCC_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>