document.write('\
\
  <select name="lfield4_match" size="1" id="input1"  class="g5">\
   <option value="" />Any\
   <option value="Vitamins" />Vitamins\
   <option value="Minerals" />Minerals\
   <option value="High+Performance+Supplements" />High Performance Supplements\
   <option value="Antioxidants" />Antioxidants\
   <option value="Beauty+Products" />Beauty Products\
   <option value="Books+and+Gift+Certificates" />Books and Gift Certificates\
   <option value="Digestive+Aids" />Digestive Aids\
   <option value="Energy+Boosters" />Energy Boosters\
   <option value="Essential+Fatty+Acids" />Essential Fatty Acids\
   <option value="Eye+Health" />Eye Health\
   <option value="Greens" />Greens\
   <option value="Herbs" />Herbs\
   <option value="Homeopathics" />Homeopathics\
   <option value="Joint+Care" />Joint Care\
   <option value="Men\'s+Health" />Men\'s Health\
   <option value="Mood+and+Sleep" />Mood and Sleep\
   <option value="Multi+Multi Vitamins &amp; Minerals\
   <option value="Protein+Powders" />Protein Powders\
   <option value="Weight+Loss" />Weight Loss\
   <option value="Women\'s+Health" />Women\'s Health\
  </select>\
 \
');