ThaiSEOBoard.com

<div id="form1"><img alt="" src="https://www.thaiepay.com/epaylink/App_Themes/DefaultTheme/images/logo.png" /><br />
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<form name="PaymentForm" method="post" action="https://www.thaiepay.com/epaylink/payment.aspx" align="left">
    <div align="left"><span class="style9 style11">1.Order Number :&nbsp;     <input type="text" align="left" name="refno" value="" />     <span class="style12"> </span></span></div>
    <div align="left"><span class="style9 style11"><span class="style12">2. Your Email&nbsp;&nbsp; :&nbsp;&nbsp; &nbsp;   <input type="text" align="left" name="customeremail" value="" /><span class="style3"><br />
    3.Product Name :&nbsp;   <input type="text" name="productdetail" value="" /></span></span></span></div>
    <div align="left"><span class="style9 style11"><span class="style12"><span class="style3"> <span class="style3">     4. Total: &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;   <input type="text" align="left" name="total" value=" " />   <span class="style12"> &nbsp;</span></span></span></span></span><span class="style9 style11"><span class="style12"><span class="style3"><span class="style3"><span class="style12"> <br />
    &nbsp;&nbsp;   <br />
    <input type="submit" name="submit" value="Confirm Order" />   </span></span></span></span></span></div>
</form>
</div>