payment-form.html

<form name="checkout-form" action="https://paynow-sandbox.ipsi.com.au/bespoke/latitude" method="POST">
  <input type="hidden" name="total" value="122800">
  <input type="hidden" name="eapps_data" value="lpHFq4FQ9NwKkOgtn78qSKQqcF/23x6vat4AEUrCEPwxzeUnJ0CZ9PL423vFzsWnVpo5kmmIQfs+b/m+fucLcEFVZqh1ZOhsl8Rch0NzWU0A3EnU/BxmbTHfWkzE+DgRQltOTFf7otrbVL80xMmMdkvl1npBilJsXgQSd0RrEsjurIVlp2R3qP6ZFECqHdLozUZz+xOkol0jqEXuYWBef0O/V7tc5wYM30PnFPDpOVB9avvLWgz4YcePKj2+GW5+Sm03igLCJW2+Jf/x5iEEXoUt/WTqJw3HbAtaKTAAvg4=">
  <input type="hidden" name="currency" value="AUD">
  <input type="hidden" name="reference" value="555555">
  <input type="hidden" name="promo_code" value="1012">
  <input type="hidden" name="promo_description" value="12 Months Interest Free With Repayments">
  <input type="hidden" name="item[0][product_code]" value="1300">
  <input type="hidden" name="item[0][description]" value="iPhone">
  <input type="hidden" name="item[0][total]" value="79900">
  <input type="hidden" name="item[0][quantity]" value="1">
  <input type="hidden" name="item[1][product_code]" value="1300">
  <input type="hidden" name="item[1][description]" value="Toshiba MP3 Player">
  <input type="hidden" name="item[1][amount]" value="32900">
  <input type="hidden" name="item[1][description]" value="Toshiba MP3 Player">
  <input type="hidden" name="verification" value="7821196be718bbf5d01b80c1837fc831">
  <input type="submit" name="Submit" value="Submit">
</form>