document.write('<select name="departureMonth" style="FONT-SIZE: 11px; COLOR: #000066; FONT-FAMILY: verdana, geneva, arial; BACKGROUND-COLOR: #EAECF4">');
document.write('<option value="2012-02" selected>2012-02</option>'); 
document.write('<option value="2012-03" >2012-03</option>'); 
document.write('<option value="2012-04" >2012-04</option>'); 
document.write('<option value="2012-05" >2012-05</option>'); 
document.write('<option value="2012-06" >2012-06</option>'); 
document.write('<option value="2012-07" >2012-07</option>'); 
document.write('<option value="2012-08" >2012-08</option>'); 
document.write('<option value="2012-09" >2012-09</option>'); 
document.write('<option value="2012-10" >2012-10</option>'); 
document.write('<option value="2012-11" >2012-11</option>'); 
document.write('<option value="2012-12" >2012-12</option>'); 
document.write('<option value="2013-01" >2013-01</option>'); 
document.write('</select>');
document.write('<span class="f12g"><font color="#666666"><select name="departureDay" style="FONT-SIZE: 11px; COLOR: #000066; FONT-FAMILY: verdana, geneva, arial; BACKGROUND-COLOR: #EAECF4" size="1"></font></span>');
document.write('<option value="01">01</option>'); 
document.write('<option value="02">02</option>'); 
document.write('<option value="03">03</option>'); 
document.write('<option value="04" selected>04</option>'); 
document.write('<option value="05">05</option>'); 
document.write('<option value="06">06</option>'); 
document.write('<option value="07">07</option>'); 
document.write('<option value="08">08</option>'); 
document.write('<option value="09">09</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">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>');