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

<input type="hidden" name="ID" value="McCain Palin Medallion">
<input type="hidden" name="Describe" value="1 ounce .999 fine silver">
<input type="hidden" name="Price" value="74.95">
<input type="hidden" name="Multi" value="N">
<br>
<input type="submit" name="Submit" value="Add to Cart">
</form>