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<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" dir="ltr" lang="en">
<head>
<title>Velocity Volleyball: Pay Club Dues Online</title>
<script type="text/javascript">
<!--
function processForm(cost, name, team){
document.pay.amount.value = cost;
document.pay.on0.value = team;
document.pay.on1.value = name;
}
// -->
</script>
<body>
<center>
<form name="pay" action="https://www.paypal.com/cgi-bin/webscr" method="post">
<input type="hidden" name="cmd" value="_xclick">
<input type="hidden" name="business" value="lisad@velocityvolleyball.org">
<input type="hidden" name="item_name" value="CLUB DUES - THIRD">
<input type="hidden" name="no_shipping" value="0">
<input type="hidden" name="no_note" value="1">
<input type="hidden" name="currency_code" value="USD">
<input type="hidden" name="lc" value="US">
<input type="hidden" name="bn" value="PP-BuyNowBF">
<input type="hidden" name="amount">
<input type="hidden" name="on0">
<input type="hidden" name="on1">
<font name="verdana">Player's Name:</font><input type="text" name="name">
<select name="team" >
<option value="0">Please Select
Team:
<option value="720.30">18's
National Travel
<option value="617.40">17's
National Travel
<option value="720.30">16's
National Travel
<option value="720.30">15's
National Travel
<option value="565.95">16/15's
Regional Travel
<option value="565.95">14's
Regional Travel
<option value="360.15">14's
Regional
<option value="308.70">12's
Regional
</select>
<br><br>
<input type="image" src="https://www.paypal.com/en_US/i/btn/btn_paynow_SM.gif" border="0" name="submit" alt="Make payments with PayPal - it's fast, free and secure!"onClick="processForm(this.form.team.options[this.form.team.selectedIndex].value,
this.form.name.value,this.form.team.options[this.form.team.selectedIndex].text)">
<img alt="" border="0" src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1>
</form>>
<img alt="" border="0" src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>
</center>
</body>
</html>