document.write("<tr>");
  document.write("<td width=25%><select name=month>");
                 document.write("<option value=01>January");
                 document.write("<option value=02>February");
                 document.write("<option value=03>March");
                 document.write("<option value=04>April");
                 document.write("<option value=05>May");
                 document.write("<option value=06>June");
                 document.write("<option value=07>July");
                 document.write("<option value=08>August");
                 document.write("<option value=09>September");
                 document.write("<option value=10>October");
                 document.write("<option selected value=11>November");
                 document.write("<option value=12>December");
         document.write("</select>");
        document.write("</td>");

        document.write("<td width=10%><select name=day>");
                 document.write("<option value=01>1");
                 document.write("<option value=02>2");
                 document.write("<option value=03>3");
                 document.write("<option value=04>4");
                 document.write("<option value=05>5");
                 document.write("<option value=06>6");
                 document.write("<option value=07>7");
                 document.write("<option value=08>8");
                 document.write("<option value=09>9");
                 document.write("<option value=10>10");
                 document.write("<option value=11>11");
                 document.write("<option value=12>12");
                 document.write("<option value=13>13");
                 document.write("<option value=14>14");
                 document.write("<option value=15>15");
                 document.write("<option value=16>16");
                 document.write("<option value=17>17");
                 document.write("<option value=18>18");
                 document.write("<option value=19>19");
                 document.write("<option value=20>20");
                 document.write("<option value=21>21");
                 document.write("<option value=22>22");
                 document.write("<option value=23>23");
                 document.write("<option value=24>24");
                 document.write("<option selected value=25>25");
                 document.write("<option value=26>26");
                 document.write("<option value=27>27");
                 document.write("<option value=28>28");
                 document.write("<option value=29>29");
                 document.write("<option value=30>30");
                 document.write("<option value=31>31");
         document.write("</select>");
        document.write("</td>");

        document.write("<td width=15%><select name=year>");
                 document.write("<option value=2006>2006");
                 document.write("<option value=2007>2007");
                 document.write("<option value=2008>2008");
                 document.write("<option selected value=2009>2009");
         document.write("</select>");
        document.write("</td>");
   
       document.write("<td><select name=time>");
                 document.write("<option value=00>00Z");
                 document.write("<option value=03>03Z");
                 document.write("<option value=06>06Z");
                 document.write("<option value=09>09Z");
                 document.write("<option selected value=12>12Z");
                 document.write("<option value=15>15Z");
                 document.write("<option value=18>18Z");
                 document.write("<option value=21>21Z");
         document.write("</select>");
        document.write("</td>");