<table border="1">
<tr>
<td>
<label for="month">Expiration Month</label>
<select name="month">
<script language="JavaScript" type="text/javascript">
var month = new Array("Jan", "Feb", "Mar", "Apr", "May", "Jun", "Jul", "Aug", "Sept", "Oct", "Nov", "Dec");
for (var m=0; m<month.length; m++)
{
document.write("<option>" +month[m]+ "</option>");
}
</script>
</select>
</td>
<td>
<label for="year">Expiration Year</label>
<select name="year">
<script language="JavaScript" type="text/javascript">
var year = new Date();
var year2 = year.getFullYear();
for (y=0; y<6; y++)
{
document.write("<option>" +(year2+y)+ "</option>");
document.write("<br />");
}
</script>
</select>
</td>
</tr>
<tr><td>
<input type="submit" value="Submit">
<input type="reset" value="reset">
</tr>
</td>
</form>
</table>
</div>
</body>
</html>