document.write('<select name="in_date" class="input">');
document.write('<option value="2012-02-02" >2012-02-02</option>'); 
document.write('<option value="2012-02-03" >2012-02-03</option>'); 
document.write('<option value="2012-02-04" selected>2012-02-04</option>'); 
document.write('<option value="2012-02-05" >2012-02-05</option>'); 
document.write('<option value="2012-02-06" >2012-02-06</option>'); 
document.write('<option value="2012-02-07" >2012-02-07</option>'); 
document.write('<option value="2012-02-08" >2012-02-08</option>'); 
document.write('<option value="2012-02-09" >2012-02-09</option>'); 
document.write('<option value="2012-02-10" >2012-02-10</option>'); 
document.write('<option value="2012-02-11" >2012-02-11</option>'); 
document.write('</select>');