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Basically you need a drop down menu using the following code and then a form using the good old fashoined

<form> tags.

<html>
<head>
<title>My Page</title>
</head>
<body>
<form name="myform" action="your process page" method="POST">
<div align="center">
<select name="mydropdown">
<option value="Milk">Fresh Milk</option>
<option value="Cheese">Old Cheese</option>
<option value="Bread">Hot Bread</option>
</select>
</div>
</form>
</body>
</html>

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https://forums.phpfreaks.com/topic/74895-form-question/#findComment-378669
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