<form method="POST" action="https://www.asecurecart.net/server/cart.aspx/alaskamedallions">

<input type="hidden" name="ID" value="2011 Eagle Two Ounce Proof">
<input type="hidden" name="Price" value="194.00">
<input type="hidden" name="Multi" value="N">
<input type="hidden" name="ReturnLink" value="http://www.alaskamedallions.com">
<br>
<input type="submit" name="Submit" value="Add to Cart">
</form>