<form action=https://test.authorize.net/gateway/transact.dll method="post">
<tr class="adclass">
<td><strong>{{name}}</strong></td>
<td>
<input type="hidden" name="x_fp_sequence" value="{{fp_sequence}}">
<input type="hidden" name="x_fp_timestamp" value="{{fp_timestamp}}">
<input type="hidden" name="x_fp_hash" value="{{fp_hash}}">
<input type="hidden" name="x_login" value="{{business}}"/>
<input type="hidden" name="x_relay_response" value="TRUE"/>
<input type="hidden" name="x_show_form" value="PAYMENT_FORM"/>
<input type="hidden" name="x_relay_url" value="{{notify_url}}"/>
<input type="hidden" name="x_test_request" value="TRUE"/>
<input type="hidden" name="x_description" value="{{description}}"/>
<input type="hidden" name="x_amount" value="{{amount}}"/>
<input type="hidden" name="x_first_name" value=""/>
<input type="hidden" name="x_last_name" value=""/>
<input type="hidden" name="x_address" value=""/>
<input type="hidden" name="x_city" value=""/>
<input type="hidden" name="x_state" value=""/>
<input type="hidden" name="x_zip" value=""/>
<input type="hidden" name="x_country" value=""/>
<input type="hidden" name="x_phone" value=""/>
<input type="hidden" name="unicid" value="{{item_number}}"/>
<input src="images/payment/authorizenet.gif" type="image">
</td>
<td>
<input value="{{tpl_auto_Continue}}" type="submit"></td>
</tr>
<tr>
<td colspan="3"><hr></td>
</tr>
</form>