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<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="6L26UU5WN4E24" />
  <table>
    <tr>
      <td>
        <input type="hidden" name="on0" value="Buy Tickets for 2024 Christmas Party at Phoenix Ballroom"/>
        Buy Tickets for 2024 Christmas Party at Phoenix Ballroom
      </td>
    </tr>
    <tr>
      <td>
        <select name="os0">
          <option value="Adults">
            Adults $52.00 USD
          </option>
          <option value="Kids Ages 13-18">
            Kids Ages 13-18 $26.00 USD
          </option>
          <option value="Kids 12 and Under">
            Kids 12 and Under $11.00 USD
          </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" title="PayPal - The safer, easier way to pay online!" alt="Buy Now" />
</form>