<form action="https://www.paypal.com/cgi-bin/webscr" method="post" <!-- [et_pb_line_break_holder] -->target="_top"><!-- [et_pb_line_break_holder] --><input type="hidden" name="cmd" value="_s-xclick"><!-- [et_pb_line_break_holder] --><input type="hidden" name="hosted_button_id" value="WRUBDSGBVMQ5A"><!-- [et_pb_line_break_holder] --><table><!-- [et_pb_line_break_holder] --><tr><td><input type="hidden" name="on0" value="Registration <!-- [et_pb_line_break_holder] -->Fees">Registration Fees</td></tr><tr><td><select name="os0"><!-- [et_pb_line_break_holder] --><option value="Early Registration (by April 5)">Early Registration (by <!-- [et_pb_line_break_holder] -->April 5) $600.00 USD</option><!-- [et_pb_line_break_holder] --><option value="Early Registration with Active Duty Military <!-- [et_pb_line_break_holder] -->Discount">Early Registration with Active Duty Military Discount $550.00 <!-- [et_pb_line_break_holder] -->USD</option><!-- [et_pb_line_break_holder] --><option value="Standard Registration">Standard Registration $650.00 <!-- [et_pb_line_break_holder] -->USD</option><!-- [et_pb_line_break_holder] --><option value="Standard Registration with Active Duty Military <!-- [et_pb_line_break_holder] -->Discount">Standard Registration with Active Duty Military Discount <!-- [et_pb_line_break_holder] -->$600.00 USD</option><!-- [et_pb_line_break_holder] --></select> </td></tr><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --><input type="hidden" name="currency_code" value="USD"><!-- [et_pb_line_break_holder] --><input type="image" <!-- [et_pb_line_break_holder] -->src="https://www.paypalobjects.com/en_US/i/btn/btn_buynowCC_LG.gif" <!-- [et_pb_line_break_holder] -->border="0" name="submit" alt="PayPal - The safer, easier way to pay <!-- [et_pb_line_break_holder] -->online!"><!-- [et_pb_line_break_holder] --><img alt="" border="0" <!-- [et_pb_line_break_holder] -->src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" <!-- [et_pb_line_break_holder] -->height="1"><!-- [et_pb_line_break_holder] --></form>