<form name="PayFastPayNowForm" action="https://payment.payfast.io/eng/process" method="post">
<input required type="hidden" name="cmd" value="_paynow">
<input required type="hidden" name="receiver" pattern="[0-9]" value="29905473">
<input required type="hidden" name="amount" value="499">
<input required type="hidden" name="item_name" maxlength="255" value="Secure Solv">
<input type="hidden" name="item_description" maxlength="255" value="A water backup solution that stores water for your home and automatically supplies it during outages. Includes professional installation, ongoing maintenance, and system monitoring, all in one monthly subscription.">
<input required type="hidden" name="subscription_type" pattern="1"value="1">
<input type="hidden" name="recurring_amount" value="499">
<input required type="hidden" name="cycles" pattern="[0-9]" value="0">
<input required type="hidden" name="frequency" pattern="[0-9]" value="3">
<table>
<tr>
<td colspan=2 align=center>
<input type="image" src="https://my.payfast.io/images/buttons/Subscribe/Primary-Large-Subscribe.png" alt="Subscribe" title="Subscribe with Payfast">
</td>
</tr>
</table>
</form>