PayPal Form Issue

<form action="https://www.paypal.com/cgi-bin/webscr" method="post">
        <input type="hidden" name="cmd" value="_s-xclick">
         <input type="hidden" name="hosted_button_id" value="XXXXXXXXXX">
          
            <p><strong>Donation Form</strong><br />
            <p>Please mark the donation type below</p>
              <p>
                <label class="question"><strong>Community Donation: </strong></label>
                <br />
                <input type="radio" name="donation_50" class="multiple_choice" id="donation_50" value="Radio-0" />
                <label for="donation_50" >$50</label>
                <br />
                <input name="donation_100" type="radio" class="multiple_choice" id="donation_100" value="Radio-1" checked="checked" />
                <label for="donation_100" >$100</label> 
                <br />
                <input type="radio" name="donation_500" class="multiple_choice" id="donation_500" value="Radio-2" />
                <label for="donation_500" >$500</label> 
                <br />
                <input type="radio" name="donation_other" class="multiple_choice" id="donation_other" value="Radio-3" />
                <label for="donation_other" >Other $</label>
                <br />
                <input type="radio" name="donation_scholarship" class="multiple_choice" id="donation_scholarship" value="Radio-4" />
                <label for="donation_scholarship" >Child’s scholarship</label>
                <br />
                <input type="radio" name="donation_oh" class="multiple_choice" id="donation_oh" value="Radio-5" />
                <label for="donation_oh" >Opportunity House class</label>
                <br />
                <input type="radio" name="donation_go" class="multiple_choice" id="donation_go" value="Radio-6" />
              <label for="donation_go" >General Operating Fund</label>              
              <p>
                
                <label class="question"><strong>Business Donation: </strong></label>  
                <br />
                <input type="checkbox" name="business" value="silver">
                Business Silver $250
                <br />
                <input type="checkbox" name="business" value="gold">
                Business Gold $500
                <br />
                <input type="checkbox" name="business" value="platinum">
                Business Platinum $1000
          <label class="question"><strong><br />
            <br />
            Contact information:</strong></label>
            <p><strong>Name:
  <input type="text" name="fname" size="45">
              </strong> </p>
            <p><strong>Address:
              </strong>
              <input type="text" name="address" size="30" id="address">
              <br />
            <p><strong>City:
  <input type="text" name="city" size="20">
                State: <input type="text" name="state" size="5">
                Zip: <input type="text" name="zip" size="9">
                
              </strong><br />
            <p><strong>Business Name:               
                </strong>
              <input type="text" name="bizname" size="50">
              </p>
              <p><strong>Business Address:</strong>
                <input type="text" name="bizaddress" size="35">
              </p>
            <p><strong>City:
              <input type="text" name="bizcity" size="20">
                State: <input type="text" name="bizstate" size="5">
                Zip:</strong>
              <input type="text" name="bizzip" size="9">
          </p>
            <p><strong>Phone (optional):</strong>
              <input type="text" name="phone" size="15" id="phone" />
            </p>
            <p><strong>Email:</strong>
              <input type="text" name="ermail" size="40" />
            </p>
        <input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_donateCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
<img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>

Select allOpen in new window