document.write('Size: <select name="Size">');
document.write('<option>Please Select</option>');
document.write('<option value="0-3MO">0-3MO</option>');
document.write('<option value="6MO  ">6MO  </option>');
document.write('<option value="12MO ">12MO </option>');
document.write('<option value="18MO ">18MO </option>');
document.write('</select>');