<form action="https://www.paypal.com/cgi-bin/webscr" method="post" target="_top">
<input type="hidden" name="cmd" value="_s-xclick">
<input type="hidden" name="hosted_button_id" value="QKCU4YZ8FF2F2">
<table>
<tr><td><input type="hidden" name="on0" value="Reason for payment">Reason for payment</td></tr><tr><td><select name="os0">
<option value="Application Fee">Application Fee </option>
<option value="Deposit">Deposit </option>
<option value="Broker Fee">Broker Fee </option>
<option value="VDF Fee (Agents Only)">VDF Fee (Agents Only) </option>
</select> </td></tr>
<tr><td><input type="hidden" name="on1" value="Other">Other</td></tr><tr><td><input type="text" name="os1" maxlength="200"></td></tr>
</table>
<input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_paynowCC_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>
<img data-id="834"  src="https://buyerben.com/wp-content/uploads/2019/03/z-logo.jpg" alt="" width="150" height="59" class="alignnone size-full wp-image-834" />