<form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post"><!-- [et_pb_line_break_holder] --><input type="hidden" name="cmd" value="_s-xclick"><!-- [et_pb_line_break_holder] --><input type="hidden" name="hosted_button_id" value="E4NSG9PLLUC4G"><!-- [et_pb_line_break_holder] --><table><!-- [et_pb_line_break_holder] --><tr><td><input type="hidden" name="on0" value="Souvenir Ad Rates">Souvenir Ad Rates</td></tr><tr><td><select name="os0"><!-- [et_pb_line_break_holder] --> <option value="Full Page">Full Page $150.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Half Page">Half Page $100.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Quarter Page">Quarter Page $75.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Business Card">Business Card $50.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Patron">Patron $25.00 USD</option><!-- [et_pb_line_break_holder] --></select> </td></tr><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --><input type="hidden" name="currency_code" value="USD"><!-- [et_pb_line_break_holder] --><input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!"><!-- [et_pb_line_break_holder] --><img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1"><!-- [et_pb_line_break_holder] --></form>