document.write('<select name="State" id="State" CLASS=inputselect><option value="-1" selected>Select One</option><option value="0">Other</option><option value="1">Alabama</option><option value="2">Alaska</option><option value="3">Arizona</option><option value="4">Arkansas</option><option value="5">California</option><option value="6">Colorado</option><option value="7">Connecticut</option><option value="8">Delaware</option><option value="9">District of Columbia</option><option value="10">Florida</option><option value="11">Georgia</option><option value="12">Hawaii</option><option value="13">Idaho</option><option value="14">Illinois</option><option value="15">Indiana</option><option value="16">Iowa</option><option value="17">Kansas</option><option value="18">Kentucky</option><option value="19">Louisiana</option><option value="20">Maine</option><option value="21">Maryland</option><option value="22">Massachusetts</option><option value="23">Michigan</option><option value="24">Minnesota</option><option value="25">Mississippi</option><option value="26">Missouri</option><option value="27">Montana</option><option value="28">Nebraska</option><option value="29">Nevada</option><option value="30">New Hampshire</option><option value="31">New Jersey</option><option value="32">New Mexico</option><option value="33">New York</option><option value="34">North Carolina</option><option value="35">North Dakota</option><option value="36">Ohio</option><option value="37">Oklahoma</option><option value="38">Oregon</option><option value="39">Pennsylvania</option><option value="40">Rhode Island</option><option value="41">South Carolina</option><option value="42">South Dakota</option><option value="43">Tennessee</option><option value="44">Texas</option><option value="45">Utah</option><option value="46">Vermont</option><option value="47">Virginia</option><option value="48">Washington</option><option value="49">West Virginia</option><option value="50">Wisconsin</option><option value="51">Wyoming</option><option value="52">Alberta</option><option value="53">British Columbia</option><option value="54">Manitoba</option><option value="55">New Brunswick</option><option value="56">Newfoundland</option><option value="57">NW Territories</option><option value="58">Nova Scotia</option><option value="59">Ontario</option><option value="60">Prince Edward Is</option><option value="61">Quebec</option><option value="62">Saskatchewan</option><option value="63">Yukon</option></select>');