<FORM NAME="MainFrm" METHOD="POST" ACTION="/cgi-win/ccard/ccard15.exe" onSubmit="return showProcessPage(this);">
        <INPUT TYPE="HIDDEN" NAME="PROT" VALUE="HTTPS:">
        <INPUT TYPE="HIDDEN" NAME="HOST" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="Ecom_SchemaVersion" VALUE="http://www.ecml.org/version/1.0">
        <INPUT TYPE="HIDDEN" NAME="REQTYPE" VALUE="AUTHORIZE">
        <INPUT TYPE="HIDDEN" NAME="SALETYPE" VALUE="">
		<INPUT TYPE="HIDDEN" NAME="TRANSNUMBER" VALUE="0">
        <INPUT TYPE="HIDDEN" NAME="CHECK" VALUE="2/15/2002 9:35:40 AM$3918bea6-9d14d780-f9cecc5a-2f26eb1b-13f20c6c">
        <INPUT TYPE="HIDDEN" NAME="ACCOUNT" VALUE="26049115">
        <INPUT TYPE="HIDDEN" NAME="HPGUID" VALUE="%FD%805%9A%ED%84%E7%26%87%DD%B4%11%D7G%FD%D4%D3%9DB%A2%2F%FA%D5%FC=%DAv%2B%C1%FEp%C9%9E;%04%8F%E0%E6C%01%3E!%E6%A9%0B%CE%99%E2%AC%9C%CE%12%B1">
        <INPUT TYPE="HIDDEN" NAME="HELLOPAGE" VALUE="Default">
        <INPUT TYPE="HIDDEN" NAME="LANGUAGE" VALUE="1">
        <INPUT TYPE="HIDDEN" NAME="ENCODING" VALUE="iso8859-1">
        <INPUT TYPE="HIDDEN" NAME="ORGREFERER" VALUE="http://www.oliver-klozov.com/complete.html">
        <INPUT TYPE="HIDDEN" NAME="REF1" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF2" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF3" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF4" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF5" VALUE="">        
        <INPUT TYPE="HIDDEN" NAME="REF6" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF7" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF8" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF9" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REF10" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="CCEMAIL1" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="CCEMAIL2" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="REVSHARERID" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="Ecom_BillTo_Telecom_Phone_Number" VALUE="NOT ASKED">
        <INPUT TYPE="HIDDEN" NAME="REDISPLAYONUSERERROR" VALUE="YES">
        <INPUT TYPE="HIDDEN" NAME="NEWSTYLE" VALUE="YES">
        <INPUT TYPE="HIDDEN" NAME="EVENTCODE" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="EVENTDESCRIPTOR" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="LastDigits" VALUE="">
         <INPUT TYPE="HIDDEN" NAME="ENTITYID" VALUE="">
        <INPUT TYPE="HIDDEN" NAME="VERSION" VALUE="1">
        <INPUT TYPE="HIDDEN" NAME="THECOUNTRY" VALUE="US">
</form>