document.write('	Check-in :</td>')
document.write('	<td><select name="in_day">')
document.write('	<option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option selected="selected" value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>')
document.write('	<select name="in_month" onchange="checkDates(this);">')
document.write('	<option selected="selected" value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11">November</option><option value="12">December</option><option value="1">January 2011</option><option value="2">February 2011</option></select>')
document.write('&nbsp; &nbsp;  Check-out : ')
document.write('	<select name="out_day">')
document.write('	<option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option selected="selected" value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>')
document.write('	<select name="out_month">')
document.write('	<option selected="selected" value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11">November</option><option value="12">December</option><option value="1">January 2011</option><option value="2">February 2011</option></select></td></tr>')
document.write('	<tr><td>Room :</td>')
document.write('	<td><select name="room"> ')
document.write('	<option value="sgl">Single &nbsp;- 1 people - one bed</option>')
document.write('	<option value="dbl" selected>Double &nbsp;- 2 people - one bed</option>')
document.write('	<option value="twn">Twin &nbsp;- 2 people - two beds</option>')
document.write('	<option value="tp">Triple &nbsp;- 3 people</option>')
document.write('	<option value="qd">Quadruple &nbsp;- 4 people</option>')
document.write('	</select>')

document.write('	&nbsp; &nbsp; Extra-bed : ')
document.write('	<input type="radio" name="extrabed" value="0" checked="checked" />No')
document.write('	<input type="radio" name="extrabed" value="1" />Yes')
document.write('	</td></tr>')

document.write('	<tr><td>Star Rating :</td>')
document.write('	<td><select name="cat"> ')
document.write('	<option value="0">Any Star Rating</option> ')
document.write('	<option value="2">2 Stars-Hotels - Economical</option>')
document.write('	<option value="3">3 Stars-Hotels - Comfortable</option>')
document.write('	<option value="4">4 Stars-Hotels - Luxurious</option>')
document.write('	</select> ')
document.write('	&nbsp; &nbsp;Area : ')
document.write('	<select name="codep"> ')
document.write('	<option value="Q00">Any &nbsp;Quarter in Paris</option>')
document.write('	<option value="Q01"> Latin Quarter - Ile de la Cit&eacute;</option><option value="Q02"> Saint-Germain des Pr&eacute;s</option>')
document.write('	<option value="Q03"> Louvre - Vend&ocirc;me - Concorde</option><option value="Q08"> Eiffel Tower - Invalides</option>')
document.write('	<option value="Q09"> Champs Elys&eacute;es</option><option value="Q10"> Op&eacute;ra - Madeleine</option>')
document.write('	<option value="Q13"> Montmartre - Sacre Coeur</option><option value="Q04"> Marais - Bastille</option>')
document.write('	<option value="Q05"> Nation - Gare de Lyon</option><option value="Q06"> Place d\'\Italie</option>')
document.write('	<option value="Q07"> Montparnasse</option>e<option value="Q11"> La Villette</option>')
document.write('	<option value="Q12"> R&eacute;publique - Eurostar Station</option><option value="Q14"> Parc des Expositions - Passy</option>')
document.write('	<option value="Q15"> La D&eacute;fense District</option><option value="Q20"> Roissy Charles de Gaulle</option></select> ')
document.write('	</td></tr> ')
document.write('	<tr><td>Order by :</td>')
document.write('	<td><select name="order"> ')
document.write('	<option value="" selected="selected"></option>')
document.write('	<option value="p">Price</option>')
document.write('	<option value="d">Discount</option>')
document.write('	<option value="c">Star rating</option>')
document.write('	<option value="r">Customers rating</option>')
document.write('	<option value="n">Name</option>')
document.write('	</select>')
document.write('	</td></tr>')