

<form action="https://www.nochex.com/nochex.dll/checkout" method=post>

<input type="hidden" name="email" value = "$coid">
<input type="hidden" name="amount" value = "$ammount">
<input type="hidden" name="ordernumber" value = "$template{'invoice_id'}">
<input type="hidden" name="description" value = "$plan_name">
<input type="hidden" name="logo" value = "$coi">

<input type="submit" value="Pay by NOCHEX"> 
</form>
