<%= label_tag :first_name %> <%= text_field_tag :first_name, "John" %>

<%= label_tag :last_name %> <%= text_field_tag :last_name, "Smith" %>

<%= label_tag :payer_email %> <%= text_field_tag :payer_email, "jsmith@example.com" %>

<%= label_tag :item_name %> <%= text_field_tag :item_name, "Associate Membership" %>

<%= label_tag :payment_gross %> <%= text_field_tag :payment_gross, "25.00" %>

<%= label_tag :transaction_subject %> <%= text_field_tag :transaction_subject, "" %>

<%= label_tag :payment_date %> <%= text_field_tag :payment_date, "20:46:54 Jun 20, 2013 PDT" %>

<%= label_tag :txn_type %> <%= text_field_tag :txn_type, "subscr_payment" %>

<%= label_tag :subscr_id %> <%= text_field_tag :subscr_id, "I-1234567890" %>

<%= label_tag :residence_country %> <%= text_field_tag :residence_country, "US" %>

<%= label_tag :mc_currency %> <%= text_field_tag :mc_currency, "USD" %>

<%= label_tag :business %> <%= text_field_tag :business, "hslfinances@gmail.com" %>

<%= label_tag :payment_type %> <%= text_field_tag :payment_type, "instant" %>

<%= label_tag :protection_eligibility %> <%= text_field_tag :protection_eligibility, "Ineligible" %>

<%= label_tag :verify_sign %> <%= text_field_tag :verify_sign, "12ru9021j9f21j90fj1290fj2910fj0219fj0" %>

<%= label_tag :payer_status %> <%= text_field_tag :payer_status, "verified" %>

<%= label_tag :txn_id %> <%= text_field_tag :txn_id, "1234567890" %>

<%= label_tag :receiver_email %> <%= text_field_tag :receiver_email, "hslfinances@gmail.com" %>

<%= label_tag :payer_id %> <%= text_field_tag :payer_id, "V812314914" %>

<%= label_tag :receiver_id %> <%= text_field_tag :receiver_id, "V90R1280182" %>

<%= label_tag :payment_status %> <%= text_field_tag :payment_status, "Completed" %>

<%= label_tag :payment_fee %> <%= text_field_tag :payment_fee, "0.85" %>

<%= label_tag :mc_fee %> <%= text_field_tag :mc_fee, "0.85" %>

<%= label_tag :mc_gross %> <%= text_field_tag :mc_gross, "25.00" %>

<%= label_tag :charset %> <%= text_field_tag :charset, "windows-1252" %>

<%= label_tag :notify_version %> <%= text_field_tag :notify_version, "3.7" %>

<%= label_tag :ipn_track_id %> <%= text_field_tag :ipn_track_id, "9d3d032d9070" %>