Billing Modification Form

[s2Member-Pro-PayPal-Form modify="1" level="2" ccaps="" desc="16 Days @ $53 / then $200 USD / Monthly (recurring charge, for ongoing access)" ps="paypal" lc="" cc="USD" dg="0" ns="1" custom="fixmywp.com" ta="53" tp="16" tt="D" ra="200" rp="1" rt="M" rr="1" rrt="" rra="2" accept="paypal" accept_via_paypal="paypal" coupon="" accept_coupons="0" default_country_code="" captcha="0" /]