document.write('<td height=24 style="padding-left:120p">Äê&nbsp;</td>')
document.write('<td>')
document.write('<select name="year">')
document.write('<option  value=2010 >2010</option>')
document.write('<option  value=2011 >2011</option>')
document.write('<option  value=2012 >2012</option>')
document.write('<option  value=2013 >2013</option>')
document.write('<option  value=2014 >2014</option>')
document.write('<option  value=2015 >2015</option>')
document.write('<option  value=2016 >2016</option>')
document.write('<option  value=2017 >2017</option>')
document.write('<option  value=2018 >2018</option>')
document.write('<option  value=2019 >2019</option>')
document.write('<option  value=2020 >2020</option>')
document.write('<option  value=2021 >2021</option>')
document.write('<option  value=2022 >2022</option>')
document.write('<option  value=2023 >2023</option>')
document.write('<option  value=2024  selected >2024</option>')
document.write('</select>')
document.write('</td>')
document.write('<td height=24>ÔÂ&nbsp;</td>')
document.write('<td>')
document.write('<select name="month">')
document.write('<option  value=1 >1</option>')
document.write('<option  value=2 >2</option>')
document.write('<option  value=3 >3</option>')
document.write('<option  value=4  selected >4</option>')
document.write('<option  value=5 >5</option>')
document.write('<option  value=6 >6</option>')
document.write('<option  value=7 >7</option>')
document.write('<option  value=8 >8</option>')
document.write('<option  value=9 >9</option>')
document.write('<option  value=10 >10</option>')
document.write('<option  value=11 >11</option>')
document.write('<option  value=12 >12</option>')
document.write('</select>')
document.write('</td>')
document.write('<td height=24>ÈÕ&nbsp;</td>')
document.write('<td>')
document.write('<select name="day">')
document.write('<option  value=1 >1</option>')
document.write('<option  value=2 >2</option>')
document.write('<option  value=3 >3</option>')
document.write('<option  value=4 >4</option>')
document.write('<option  value=5 >5</option>')
document.write('<option  value=6 >6</option>')
document.write('<option  value=7 >7</option>')
document.write('<option  value=8 >8</option>')
document.write('<option  value=9 >9</option>')
document.write('<option  value=10 >10</option>')
document.write('<option  value=11 >11</option>')
document.write('<option  value=12 >12</option>')
document.write('<option  value=13 >13</option>')
document.write('<option  value=14 >14</option>')
document.write('<option  value=15 >15</option>')
document.write('<option  value=16 >16</option>')
document.write('<option  value=17 >17</option>')
document.write('<option  value=18 >18</option>')
document.write('<option  value=19 >19</option>')
document.write('<option  value=20 >20</option>')
document.write('<option  value=21 >21</option>')
document.write('<option  value=22 >22</option>')
document.write('<option  value=23 >23</option>')
document.write('<option  value=24 >24</option>')
document.write('<option  value=25 >25</option>')
document.write('<option  value=26 >26</option>')
document.write('<option  value=27 >27</option>')
document.write('<option  value=28  selected >28</option>')
document.write('<option  value=29 >29</option>')
document.write('<option  value=30 >30</option>')
document.write('<option  value=31 >31</option>')
document.write('</select>')
document.write('</td>')