sop-collection-sources.html

<form name="dataForm" action="payment-page.address" method="POST">
  <input type="hidden" name="username" value="lfs-000100111">
  <input type="hidden" name="reference" value="5555">
  <input type="hidden" name="currency" value="AUD">
  <input type="hidden" name="total" value="98000">
  <input type="hidden" name="promo_code" value="1012">
  <input type="hidden" name="promo_description" value="12 months interest free with no minumum repayments">
</form>