document.writeln('<table cellpadding="0" cellspacing="0" border="0"><form method="post" name="passports" action="http://www.travelvisapro.com/?passport,do.affiliate,id.1205" target="_self">');
document.writeln("<tr><td>");
document.writeln("<select name='passport_type' onchange='javascript:this.form.submit()'>");
document.writeln("<option value=''>--Select Passport--</option>");
document.writeln("<option value='New_passport'>New passport</option>");document.writeln("<option value='Passport_renewal'>Passport renewal</option>");document.writeln("<option value='Add_pages'>Add pages</option>");document.writeln("<option value='Lost_or_stolen'>Lost or stolen</option>");document.writeln("<option value='Name_change'>Name change</option>");document.writeln("<option value='Second_passport'>Second passport</option>");document.writeln("<option value='Passport_for_child'>Passport for child</option>");document.writeln("<option value='Lost_or_stolen_for_child'>Lost or stolen for child</option>");
document.writeln("</select></td></tr>");
document.writeln("</form></table>");