<?php } ?> </optgroup> </select> </td> </tr> <tr> <td align="right"> </td> <td> </td> <td> </td> </tr> <tr> <td align="right">Month * </td> <td> </td> <td><?php $monthChoices = EJHSJournalForm::getMonthFormChoices(); ?> <select name="month" id="month"> <optgroup style="font-size:11px; width:100px; "> <option value="" > Select Month </option> <?php foreach ($monthChoices as $key => $value) { ?> <option value="<?php echo $key; ?> " <?php if ($key == $month) { ?> selected="selected" <?php }
<option value="<?php echo $key; ?> "> <?php echo $value; ?> </option> <?php } ?> </optgroup> </select> </td> <td width="39%"> Number: <?php $numberChoices = EJHSJournalForm::getNumberFormChoices(); ?> <select name="num" id="num"> <optgroup style="font-size:11px; width:100px; "> <option value="" > Select Number </option> <?php foreach ($numberChoices as $key => $value) { ?> <option value="<?php echo $key; ?> " > <?php echo $value; ?> </option> <?php