document.write('<select name="State">');
document.write('<option value = "" selected>Select State</option>');
document.write('<option value="UNK">Outside US / Canada</option>');
document.write('<option value="AL">Alabama</option>');
document.write('<option value="AK">Alaska</option>');
document.write('<option value="AB">Alberta</option>');
document.write('<option value="AS">American Samoa</option>');
document.write('<option value="AZ">Arizona</option>');
document.write('<option value="AR">Arkansas</option>');
document.write('<option value="BC">British Columbia</option>');
document.write('<option value="CA">California</option>');
document.write('<option value="CO">Colorado</option>');
document.write('<option value="CT">Connecticut</option>');
document.write('<option value="DE">Delaware</option>');
document.write('<option value="DC">District Of Columbia</option>');
document.write('<option value="FL">Florida</option>');
document.write('<option value="GA">Georgia</option>');
document.write('<option value="GU">Guam</option>');
document.write('<option value="HI">Hawaii</option>');
document.write('<option value="ID">Idaho</option>');
document.write('<option value="IL">Illinois</option>');
document.write('<option value="IN">Indiana</option>');
document.write('<option value="IA">Iowa</option>');
document.write('<option value="KS">Kansas</option>');
document.write('<option value="KY">Kentucky</option>');
document.write('<option value="LA">Louisiana</option>');
document.write('<option value="ME">Maine</option>');
document.write('<option value="MB">Manitoba</option>');
document.write('<option value="MD">Maryland</option>');
document.write('<option value="MA">Massachusetts</option>');
document.write('<option value="MI">Michigan</option>');
document.write('<option value="MN">Minnesota</option>');
document.write('<option value="MS">Mississippi</option>');
document.write('<option value="MO">Missouri</option>');
document.write('<option value="MT">Montana</option>');
document.write('<option value="NE">Nebraska</option>');
document.write('<option value="NV">Nevada</option>');
document.write('<option value="NB">New Brunswick</option>');
document.write('<option value="NH">New Hampshire</option>');
document.write('<option value="NJ">New Jersey</option>');
document.write('<option value="NM">New Mexico</option>');
document.write('<option value="NY">New York</option>');
document.write('<option value="NF">Newfoundland</option>');
document.write('<option value="NC">North Carolina</option>');
document.write('<option value="ND">North Dakota</option>');
document.write('<option value="NT">Northwest Territories</option>');
document.write('<option value="NS">Nova Scotia</option>');
document.write('<option value="OH">Ohio</option>');
document.write('<option value="OK">Oklahoma</option>');
document.write('<option value="ON">Ontario</option>');
document.write('<option value="OR">Oregon</option>');
document.write('<option value="PA">Pennsylvania</option>');
document.write('<option value="PE">Prince Edward Island</option>');
document.write('<option value="PQ">Province du Quebec</option>');
document.write('<option value="PR">Puerto Rico</option>');
document.write('<option value="RI">Rhode Island</option>');
document.write('<option value="SK">Saskatchewan</option>');
document.write('<option value="SC">South Carolina</option>');
document.write('<option value="SD">South Dakota</option>');
document.write('<option value="TN">Tennessee</option>');
document.write('<option value="TX">Texas</option>');
document.write('<option value="UT">Utah</option>');
document.write('<option value="VT">Vermont</option>');
document.write('<option value="VI">Virgin Islands</option>');
document.write('<option value="VA">Virginia</option>');
document.write('<option value="WA">Washington</option>');
document.write('<option value="WV">West Virginia</option>');
document.write('<option value="WI">Wisconsin</option>');
document.write('<option value="WY">Wyoming</option>');
document.write('<option value="YT">Yukon Territory</option>');
document.write('<option value="UNK">Other</option>');
document.write('</select>');