document.write('<select id="state" name="state" style="width: 50px; font-family: verdana, arial; font-size: 11px;">');
                    document.write('<option value="">---</option>');
                    document.write('<option value="AK">AK</option>');
                    document.write('<option value="AL">AL</option>');
                    document.write('<option value="AR">AR</option>');
                    document.write('<option value="AZ">AZ</option>');
                    document.write('<option value="CA">CA</option>');
                    document.write('<option value="CO">CO</option>');
                    document.write('<option value="CT">CT</option>');
                    document.write('<option value="DC">DC</option>');
                    document.write('<option value="DE">DE</option>');
                    document.write('<option value="FL">FL</option>');
                    document.write('<option value="GA">GA</option>');
                    document.write('<option value="HI">HI</option>');
                    document.write('<option value="IA">IA</option>');
                    document.write('<option value="ID">ID</option>');
                    document.write('<option value="IL">IL</option>');
                    document.write('<option value="IN">IN</option>');
                    document.write('<option value="KS">KS</option>');
                    document.write('<option value="KY">KY</option>');
                    document.write('<option value="LA">LA</option>');
                    document.write('<option value="MA">MA</option>');
                    document.write('<option value="MD">MD</option>');
                    document.write('<option value="ME">ME</option>');
                    document.write('<option value="MI">MI</option>');
                    document.write('<option value="MN">MN</option>');
                    document.write('<option value="MO">MO</option>');
                    document.write('<option value="MS">MS</option>');
                    document.write('<option value="MT">MT</option>');
                    document.write('<option value="NC">NC</option>');
                    document.write('<option value="ND">ND</option>');
                    document.write('<option value="NE">NE</option>');
                    document.write('<option value="NH">NH</option>');
                    document.write('<option value="NJ">NJ</option>');
                    document.write('<option value="NM">NM</option>');
                    document.write('<option value="NV">NV</option>');
                    document.write('<option value="NY">NY</option>');
                    document.write('<option value="OH">OH</option>');
                    document.write('<option value="OK">OK</option>');
                    document.write('<option value="OR">OR</option>');
                    document.write('<option value="PA">PA</option>');
                    document.write('<option value="RI">RI</option>');
                    document.write('<option value="SC">SC</option>');
                    document.write('<option value="SD">SD</option>');
                    document.write('<option value="TN">TN</option>');
                    document.write('<option value="TX">TX</option>');
                    document.write('<option value="UT">UT</option>');
                    document.write('<option value="VA">VA</option>');
                    document.write('<option value="VT">VT</option>');
                    document.write('<option value="WA">WA</option>');
                    document.write('<option value="WI">WI</option>');
                    document.write('<option value="WV">WV</option>');
                    document.write('<option value="WY">WY</option>');
                  document.write('</select>');