Exercise/page two

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<form method="post" action="page_two.php" id='page_form'>

<input type="hidden" name="seat_id" value="46">
* First Name <input type="text" id="firstname" name="firstname" size="60" maxlength="255" value="Tim">
Last Name <input type="text" id="lastname" name="lastname" size="60" maxlength="255" value="Springer">
<label for="email_01">* E-mail</label> <input type="text" id="email" name="email" size="60" maxlength="255" value="tim.springer@ssbbartgroup.com">
<label for="phone-01">Phone <input type="text" id="phone" name="phone" size="60" maxlength="255" value="415 624 2705" title="Required">
<label for="a2134_ghjnc">Color Scheme</label> <select name="a2134_ghjnc" id="property_values">

<option selected>Default</option> <option>High Contrast</option> <option>Blue Steel</option> <option>Magnum</option> <option>Le Tigre</option> <option>Ferrari</option> <option>Storm</option> <option>Slate</option>

</select>
User Language <select name="user_lang">

<option selected>en</option> <option>ko</option>

</select>
Expiration Date Month<select id='e_month'

name='e_month'> <option value='1'>January</option> <option value='2'>Febuary</option> <option 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' selected>September</option> <option value='10'>October</option> <option value='11'>November</option> <option value='12'>December</option> </select>Day <select name='e_day' id='e_day'> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option selected>18</option> <option>19</option> <option>20</option> <option>21</option> <option>22</option> <option>23</option> <option>24</option> <option>25</option> <option>26</option> <option>27</option> <option>28</option> <option>29</option> <option>30</option> <option>31</option> </select> <label for='e_year'>Year</label> <select name='e_year' id='e_year'> <option>2009</option> <option selected>2010</option> <option>2011</option> <option>2012</option> <option>2013</option> <option>2014</option> <option>2015</option> <option>2016</option> <option>2017</option> <option>2018</option> <option>2019</option> <option>2020</option> <option>2021</option> <option>2022</option> <option>2023</option> <option>2024</option> <option>2025</option> <option>2026</option> <option>2027</option> <option>2028</option> <option>2029</option> <option>2030</option> <option>2031</option> <option>2032</option> <option>2033</option> <option>2034</option> <option>2035</option> <option>2036</option> <option>2037</option> <option>2038</option> <option>2039</option> <option>2040</option> <option>2041</option> <option>2042</option> <option>2043</option> <option>2044</option> <option>2045</option> <option>2046</option> <option>2047</option> <option>2048</option> <option>2049</option> <option>2050</option> <option>2051</option> <option>2052</option> <option>2053</option> <option>2054</option> <option>2055</option> <option>2056</option> <option>2057</option> <option>2058</option> <option>2059</option> <option>2060</option> <option>2061</option> <option>2062</option> <option>2063</option> <option>2064</option> <option>2065</option> <option>2066</option> <option>2067</option> <option>2068</option> <option>2069</option> <option>2070</option> <option>2071</option> <option>2072</option> <option>2073</option> <option>2074</option> <option>2075</option> <option>2076</option> <option>2077</option> <option>2078</option> <option>2079</option> <option>2080</option> <option>2081</option> <option>2082</option> <option>2083</option> <option>2084</option> <option>2085</option> <option>2086</option> <option>2087</option> <option>2088</option> <option>2089</option> <option>2090</option> <option>2091</option> <option>2092</option> <option>2093</option> <option>2094</option> <option>2095</option> <option>2096</option> <option>2097</option> <option>2098</option> <option>2099</option> <option>2100</option>

</select>
<input type="submit" name="submit" id="submit" value="Make it happen">

</form>