<form action="https://www.secure-server-hosting.com/secutran/secuitems.php" method="post">
    <input type="hidden" name="filename" value="SH200000/payment.html" />
    <input type="hidden" name="transactionamount" value="10.00" />
    <input type="hidden" name="transactioncurrency" value="GBP" />
    <input type="hidden" name="shreference" value="SH200000" />
    <input type="hidden" name="checkcode" value="123456" />
    <input type="hidden" name="secuitems" value="[pd1|sku1|Product 1 (size: large)|50.00|2|10.00]" />
    <input type="submit" value="Proceed to Payment" />
</form>

External CSS

This Pen doesn't use any external CSS resources.

External JavaScript

This Pen doesn't use any external JavaScript resources.