Pop up, med bruger undersøgelse

Hejsa, jeg ville gerne have hvis jeg kunne få nogle af jer herinde til at lave en "brugerundersøgelse".

Den skal ligne den som www.chart.dk har i en POPUP. Popup'pen kan jeg selv lave, men jeg vil gerne have at det bliver lavet til mysql, hvor jeg så på en side for sig selv kan se hvilke områder, aldersgruppe og køn der er mest af.

Hvis I kender den som er på chart.dk, så tag den som udgangspunkt :)

Håber i forstår hvad jeg mener og at I vil hjælpe mig med det :)

Jeg har lavet formularen, den er her :

<FORM action="check.func.php" enctype="multipart/form-data" method="POST">
Køn:
<select name="kon">
<option>Vælg Køn</option>
<option value="mand">Mand</option>
<option value="kvinde">Kvinde</option>
</select>
<br>
Aldersgruppe:
<select name="gruppe">
<option>Vælg Aldersgruppe</option>
<option value=1>0-12 år</option>
<option value=2>13-17  år</option>
<option value=3>18-24 år</option>
<option value=4>25-35 år</option>
<option value=5>36-49 år</option>
<option value=6>50-67 år</option>
<option value=7>68-?? år</option>
</select>
<br>
By / Postnr:
<select name="postnr">
<option>Vælg postnummer</option>
<option value='1050'>1050</option>
<option value='1051'>1051</option>
<option value='1052'>1052</option>
<option value='1053'>1053</option>
<option value='1054'>1054</option>
<option value='1055'>1055</option>
<option value='1056'>1056</option>
<option value='1057'>1057</option>
<option value='1058'>1058</option>
<option value='1059'>1059</option>
<option value='1060'>1060</option>
<option value='1061'>1061</option>
<option value='1062'>1062</option>
<option value='1063'>1063</option>
<option value='1064'>1064</option>
<option value='1065'>1065</option>
<option value='1066'>1066</option>
<option value='1067'>1067</option>
<option value='1068'>1068</option>
<option value='1069'>1069</option>
<option value='1070'>1070</option>
<option value='1071'>1071</option>
<option value='1072'>1072</option>
<option value='1073'>1073</option>
<option value='1074'>1074</option>
<option value='1100'>1100</option>
<option value='1101'>1101</option>
<option value='1102'>1102</option>
<option value='1103'>1103</option>
<option value='1104'>1104</option>
<option value='1105'>1105</option>
<option value='1106'>1106</option>
<option value='1107'>1107</option>
<option value='1110'>1110</option>
<option value='1111'>1111</option>
<option value='1112'>1112</option>
<option value='1113'>1113</option>
<option value='1114'>1114</option>
<option value='1115'>1115</option>
<option value='1116'>1116</option>
<option value='1117'>1117</option>
<option value='1118'>1118</option>
<option value='1119'>1119</option>
<option value='1120'>1120</option>
<option value='1121'>1121</option>
<option value='1122'>1122</option>
<option value='1123'>1123</option>
<option value='1124'>1124</option>
<option value='1125'>1125</option>
<option value='1126'>1126</option>
<option value='1127'>1127</option>
<option value='1128'>1128</option>
<option value='1129'>1129</option>
<option value='1130'>1130</option>
<option value='1131'>1131</option>
<option value='1150'>1150</option>
<option value='1151'>1151</option>
<option value='1152'>1152</option>
<option value='1153'>1153</option>
<option value='1154'>1154</option>
<option value='1155'>1155</option>
<option value='1156'>1156</option>
<option value='1157'>1157</option>
<option value='1158'>1158</option>
<option value='1159'>1159</option>
<option value='1160'>1160</option>
<option value='1161'>1161</option>
<option value='1162'>1162</option>
<option value='1163'>1163</option>
<option value='1164'>1164</option>
<option value='1165'>1165</option>
<option value='1166'>1166</option>
<option value='1167'>1167</option>
<option value='1168'>1168</option>
<option value='1169'>1169</option>
<option value='1170'>1170</option>
<option value='1171'>1171</option>
<option value='1172'>1172</option>
<option value='1173'>1173</option>
<option value='1174'>1174</option>
<option value='1175'>1175</option>
<option value='1200'>1200</option>
<option value='1201'>1201</option>
<option value='1202'>1202</option>
<option value='1203'>1203</option>
<option value='1204'>1204</option>
<option value='1205'>1205</option>
<option value='1206'>1206</option>
<option value='1207'>1207</option>
<option value='1208'>1208</option>
<option value='1209'>1209</option>
<option value='1210'>1210</option>
<option value='1211'>1211</option>
<option value='1212'>1212</option>
<option value='1213'>1213</option>
<option value='1214'>1214</option>
<option value='1215'>1215</option>
<option value='1216'>1216</option>
<option value='1217'>1217</option>
<option value='1218'>1218</option>
<option value='1219'>1219</option>
<option value='1220'>1220</option>
<option value='1221'>1221</option>
<option value='1250'>1250</option>
<option value='1251'>1251</option>
<option value='1252'>1252</option>
<option value='1253'>1253</option>
<option value='1254'>1254</option>
<option value='1255'>1255</option>
<option value='1256'>1256</option>
<option value='1257'>1257</option>
<option value='1258'>1258</option>
<option value='1259'>1259</option>
<option value='1260'>1260</option>
<option value='1261'>1261</option>
<option value='1262'>1262</option>
<option value='1263'>1263</option>
<option value='1264'>1264</option>
<option value='1265'>1265</option>
<option value='1266'>1266</option>
<option value='1267'>1267</option>
<option value='1268'>1268</option>
<option value='1270'>1270</option>
<option value='1271'>1271</option>
<option value='1300'>1300</option>
<option value='1301'>1301</option>
<option value='1302'>1302</option>
<option value='1303'>1303</option>
<option value='1304'>1304</option>
<option value='1305'>1305</option>
<option value='1306'>1306</option>
<option value='1307'>1307</option>
<option value='1308'>1308</option>
<option value='1309'>1309</option>
<option value='1310'>1310</option>
<option value='1311'>1311</option>
<option value='1312'>1312</option>
<option value='1313'>1313</option>
<option value='1314'>1314</option>
<option value='1315'>1315</option>
<option value='1316'>1316</option>
<option value='1317'>1317</option>
<option value='1318'>1318</option>
<option value='1319'>1319</option>
<option value='1320'>1320</option>
<option value='1321'>1321</option>
<option value='1322'>1322</option>
<option value='1323'>1323</option>
<option value='1324'>1324</option>
<option value='1325'>1325</option>
<option value='1326'>1326</option>
<option value='1327'>1327</option>
<option value='1328'>1328</option>
<option value='1329'>1329</option>
<option value='1350'>1350</option>
<option value='1352'>1352</option>
<option value='1353'>1353</option>
<option value='1354'>1354</option>
<option value='1355'>1355</option>
<option value='1356'>1356</option>
<option value='1357'>1357</option>
<option value='1358'>1358</option>
<option value='1359'>1359</option>
<option value='1360'>1360</option>
<option value='1361'>1361</option>
<option value='1362'>1362</option>
<option value='1363'>1363</option>
<option value='1364'>1364</option>
<option value='1365'>1365</option>
<option value='1366'>1366</option>
<option value='1367'>1367</option>
<option value='1368'>1368</option>
<option value='1369'>1369</option>
<option value='1370'>1370</option>
<option value='1371'>1371</option>
<option value='1400'>1400</option>
<option value='1401'>1401</option>
<option value='1402'>1402</option>
<option value='1403'>1403</option>
<option value='1404'>1404</option>
<option value='1405'>1405</option>
<option value='1406'>1406</option>
<option value='1407'>1407</option>
<option value='1408'>1408</option>
<option value='1409'>1409</option>
<option value='1410'>1410</option>
<option value='1411'>1411</option>
<option value='1412'>1412</option>
<option value='1413'>1413</option>
<option value='1414'>1414</option>
<option value='1415'>1415</option>
<option value='1416'>1416</option>
<option value='1417'>1417</option>
<option value='1418'>1418</option>
<option value='1419'>1419</option>
<option value='1420'>1420</option>
<option value='1421'>1421</option>
<option value='1422'>1422</option>
<option value='1423'>1423</option>
<option value='1424'>1424</option>
<option value='1425'>1425</option>
<option value='1426'>1426</option>
<option value='1427'>1427</option>
<option value='1428'>1428</option>
<option value='1429'>1429</option>
<option value='1430'>1430</option>
<option value='1431'>1431</option>
<option value='1432'>1432</option>
<option value='1433'>1433</option>
<option value='1450'>1450</option>
<option value='1451'>1451</option>
<option value='1452'>1452</option>
<option value='1453'>1453</option>
<option value='1454'>1454</option>
<option value='1455'>1455</option>
<option value='1456'>1456</option>
<option value='1457'>1457</option>
<option value='1458'>1458</option>
<option value='1459'>1459</option>
<option value='1460'>1460</option>
<option value='1461'>1461</option>
<option value='1462'>1462</option>
<option value='1463'>1463</option>
<option value='1464'>1464</option>
<option value='1465'>1465</option>
<option value='1466'>1466</option>
<option value='1467'>1467</option>
<option value='1468'>1468</option>
<option value='1470'>1470</option>
<option value='1471'>1471</option>
<option value='1472'>1472</option>
<option value='1473'>1473</option>
<option value='1550'>1550</option>
<option value='1551'>1551</option>
<option value='1552'>1552</option>
<option value='1553'>1553</option>
<option value='1554'>1554</option>
<option value='1555'>1555</option>
<option value='1556'>1556</option>
<option value='1557'>1557</option>
<option value='1558'>1558</option>
<option value='1559'>1559</option>
<option value='1560'>1560</option>
<option value='1561'>1561</option>
<option value='1562'>1562</option>
<option value='1563'>1563</option>
<option value='1564'>1564</option>
<option value='1567'>1567</option>
<option value='1568'>1568</option>
<option value='1569'>1569</option>
<option value='1570'>1570</option>
<option value='1571'>1571</option>
<option value='1572'>1572</option>
<option value='1573'>1573</option>
<option value='1574'>1574</option>
<option value='1575'>1575</option>
<option value='1576'>1576</option>
<option value='1577'>1577</option>
<option value='1600'>1600</option>
<option value='1601'>1601</option>
<option value='1602'>1602</option>
<option value='1603'>1603</option>
<option value='1604'>1604</option>
<option value='1605'>1605</option>
<option value='1606'>1606</option>
<option value='1607'>1607</option>
<option value='1608'>1608</option>
<option value='1609'>1609</option>
<option value='1610'>1610</option>
<option value='1611'>1611</option>
<option value='1612'>1612</option>
<option value='1613'>1613</option>
<option value='1614'>1614</option>
<option value='1615'>1615</option>
<option value='1616'>1616</option>
<option value='1617'>1617</option>
<option value='1618'>1618</option>
<option value='1619'>1619</option>
<option value='1620'>1620</option>
<option value='1621'>1621</option>
<option value='1622'>1622</option>
<option value='1623'>1623</option>
<option value='1624'>1624</option>
<option value='1631'>1631</option>
<option value='1632'>1632</option>
<option value='1633'>1633</option>
<option value='1634'>1634</option>
<option value='1635'>1635</option>
<option value='1650'>1650</option>
<option value='1651'>1651</option>
<option value='1652'>1652</option>
<option value='1653'>1653</option>
<option value='1654'>1654</option>
<option value='1656'>1656</option>
<option value='1657'>1657</option>
<option value='1658'>1658</option>
<option value='1659'>1659</option>
<option value='1660'>1660</option>
<option value='1661'>1661</option>
<option value='1662'>1662</option>
<option value='1663'>1663</option>
<option value='1664'>1664</option>
<option value='1665'>1665</option>
<option value='1666'>1666</option>
<option value='1667'>1667</option>
<option value='1668'>1668</option>
<option value='1669'>1669</option>
<option value='1670'>1670</option>
<option value='1671'>1671</option>
<option value='1672'>1672</option>
<option value='1673'>1673</option>
<option value='1674'>1674</option>
<option value='1675'>1675</option>
<option value='1676'>1676</option>
<option value='1677'>1677</option>
<option value='1699'>1699</option>
<option value='1700'>1700</option>
<option value='1701'>1701</option>
<option value='1702'>1702</option>
<option value='1703'>1703</option>
<option value='1704'>1704</option>
<option value='1705'>1705</option>
<option value='1706'>1706</option>
<option value='1707'>1707</option>
<option value='1708'>1708</option>
<option value='1709'>1709</option>
<option value='1710'>1710</option>
<option value='1711'>1711</option>
<option value='1712'>1712</option>
<option value='1713'>1713</option>
<option value='1714'>1714</option>
<option value='1715'>1715</option>
<option value='1716'>1716</option>
<option value='1717'>1717</option>
<option value='1718'>1718</option>
<option value='1719'>1719</option>
<option value='1720'>1720</option>
<option value='1721'>1721</option>
<option value='1722'>1722</option>
<option value='1723'>1723</option>
<option value='1724'>1724</option>
<option value='1725'>1725</option>
<option value='1726'>1726</option>
<option value='1727'>1727</option>
<option value='1728'>1728</option>
<option value='1729'>1729</option>
<option value='1730'>1730</option>
<option value='1731'>1731</option>
<option value='1732'>1732</option>
<option value='1733'>1733</option>
<option value='1734'>1734</option>
<option value='1735'>1735</option>
<option value='1736'>1736</option>
<option value='1737'>1737</option>
<option value='1738'>1738</option>
<option value='1739'>1739</option>
<option value='1748'>1748</option>
<option value='1749'>1749</option>
<option value='1750'>1750</option>
<option value='1751'>1751</option>
<option value='1752'>1752</option>
<option value='1753'>1753</option>
<option value='1754'>1754</option>
<option value='1755'>1755</option>
<option value='1756'>1756</option>
<option value='1757'>1757</option>
<option value='1758'>1758</option>
<option value='1759'>1759</option>
<option value='1760'>1760</option>
<option value='1761'>1761</option>
<option value='1762'>1762</option>
<option value='1763'>1763</option>
<option value='1764'>1764</option>
<option value='1765'>1765</option>
<option value='1766'>1766</option>
<option value='1770'>1770</option>
<option value='1771'>1771</option>
<option value='1772'>1772</option>
<option value='1773'>1773</option>
<option value='1774'>1774</option>
<option value='1775'>1775</option>
<option value='1776'>1776</option>
<option value='1777'>1777</option>
<option value='1778'>1778</option>
<option value='1800'>1800</option>
<option value='1801'>1801</option>
<option value='1802'>1802</option>
<option value='1803'>1803</option>
<option value='1804'>1804</option>
<option value='1805'>1805</option>
<option value='1806'>1806</option>
<option value='1807'>1807</option>
<option value='1808'>1808</option>
<option value='1809'>1809</option>
<option value='1810'>1810</option>
<option value='1811'>1811</option>
<option value='1812'>1812</option>
<option value='1813'>1813</option>
<option value='1814'>1814</option>
<option value='1815'>1815</option>
<option value='1816'>1816</option>
<option value='1817'>1817</option>
<option value='1818'>1818</option>
<option value='1819'>1819</option>
<option value='1820'>1820</option>
<option value='1822'>1822</option>
<option value='1823'>1823</option>
<option value='1824'>1824</option>
<option value='1825'>1825</option>
<option value='1826'>1826</option>
<option value='1827'>1827</option>
<option value='1828'>1828</option>
<option value='1829'>1829</option>
<option value='1850'>1850</option>
<option value='1851'>1851</option>
<option value='1852'>1852</option>
<option value='1853'>1853</option>
<option value='1854'>1854</option>
<option value='1855'>1855</option>
<option value='1856'>1856</option>
<option value='1857'>1857</option>
<option value='1860'>1860</option>
<option value='1861'>1861</option>
<option value='1862'>1862</option>
<option value='1863'>1863</option>
<option value='1864'>1864</option>
<option value='1865'>1865</option>
<option value='1866'>1866</option>
<option value='1867'>1867</option>
<option value='1868'>1868</option>
<option value='1870'>1870</option>
<option value='1871'>1871</option>
<option value='1872'>1872</option>
<option value='1873'>1873</option>
<option value='1874'>1874</option>
<option value='1875'>1875</option>
<option value='1876'>1876</option>
<option value='1877'>1877</option>
<option value='1878'>1878</option>
<option value='1879'>1879</option>
<option value='1900'>1900</option>
<option value='1901'>1901</option>
<option value='1902'>1902</option>
<option value='1903'>1903</option>
<option value='1904'>1904</option>
<option value='1905'>1905</option>
<option value='1906'>1906</option>
<option value='1908'>1908</option>
<option value='1909'>1909</option>
<option value='1910'>1910</option>
<option value='1911'>1911</option>
<option value='1912'>1912</option>
<option value='1913'>1913</option>
<option value='1914'>1914</option>
<option value='1915'>1915</option>
<option value='1916'>1916</option>
<option value='1917'>1917</option>
<option value='1918'>1918</option>
<option value='1920'>1920</option>
<option value='1921'>1921</option>
<option value='1922'>1922</option>
<option value='1923'>1923</option>
<option value='1924'>1924</option>
<option value='1925'>1925</option>
<option value='1926'>1926</option>
<option value='1927'>1927</option>
<option value='1928'>1928</option>
<option value='1950'>1950</option>
<option value='1951'>1951</option>
<option value='1952'>1952</option>
<option value='1953'>1953</option>
<option value='1954'>1954</option>
<option value='1955'>1955</option>
<option value='1956'>1956</option>
<option value='1957'>1957</option>
<option value='1958'>1958</option>
<option value='1959'>1959</option>
<option value='1960'>1960</option>
<option value='1961'>1961</option>
<option value='1962'>1962</option>
<option value='1963'>1963</option>
<option value='1964'>1964</option>
<option value='1965'>1965</option>
<option value='1966'>1966</option>
<option value='1967'>1967</option>
<option value='1970'>1970</option>
<option value='1971'>1971</option>
<option value='1972'>1972</option>
<option value='1973'>1973</option>
<option value='1974'>1974</option>
<option value='2000'>2000</option>
<option value='2100'>2100</option>
<option value='2200'>2200</option>
<option value='2300'>2300</option>
<option value='2400'>2400</option>
<option value='2450'>2450</option>
<option value='2500'>2500</option>
<option value='2600'>2600</option>
<option value='2605'>2605</option>
<option value='2610'>2610</option>
<option value='2620'>2620</option>
<option value='2625'>2625</option>
<option value='2630'>2630</option>
<option value='2635'>2635</option>
<option value='2640'>2640</option>
<option value='2650'>2650</option>
<option value='2660'>2660</option>
<option value='2665'>2665</option>
<option value='2670'>2670</option>
<option value='2680'>2680</option>
<option value='2690'>2690</option>
<option value='2700'>2700</option>
<option value='2720'>2720</option>
<option value='2730'>2730</option>
<option value='2740'>2740</option>
<option value='2750'>2750</option>
<option value='2760'>2760</option>
<option value='2765'>2765</option>
<option value='2770'>2770</option>
<option value='2791'>2791</option>
<option value='2800'>2800</option>
<option value='2820'>2820</option>
<option value='2830'>2830</option>
<option value='2840'>2840</option>
<option value='2850'>2850</option>
<option value='2860'>2860</option>
<option value='2870'>2870</option>
<option value='2880'>2880</option>
<option value='2900'>2900</option>
<option value='2920'>2920</option>
<option value='2930'>2930</option>
<option value='2942'>2942</option>
<option value='2950'>2950</option>
<option value='2960'>2960</option>
<option value='2970'>2970</option>
<option value='2980'>2980</option>
<option value='2990'>2990</option>
<option value='3000'>3000</option>
<option value='3050'>3050</option>
<option value='3060'>3060</option>
<option value='3070'>3070</option>
<option value='3080'>3080</option>
<option value='3100'>3100</option>
<option value='3120'>3120</option>
<option value='3140'>3140</option>
<option value='3150'>3150</option>
<option value='3200'>3200</option>
<option value='3210'>3210</option>
<option value='3220'>3220</option>
<option value='3230'>3230</option>
<option value='3250'>3250</option>
<option value='3300'>3300</option>
<option value='3310'>3310</option>
<option value='3320'>3320</option>
<option value='3330'>3330</option>
<option value='3360'>3360</option>
<option value='3370'>3370</option>
<option value='3390'>3390</option>
<option value='3400'>3400</option>
<option value='3450'>3450</option>
<option value='3460'>3460</option>
<option value='3480'>3480</option>
<option value='3490'>3490</option>
<option value='3500'>3500</option>
<option value='3520'>3520</option>
<option value='3540'>3540</option>
<option value='3550'>3550</option>
<option value='3600'>3600</option>
<option value='3630'>3630</option>
<option value='3650'>3650</option>
<option value='3660'>3660</option>
<option value='3670'>3670</option>
<option value='3700'>3700</option>
<option value='3720'>3720</option>
<option value='3730'>3730</option>
<option value='3740'>3740</option>
<option value='3751'>3751</option>
<option value='3760'>3760</option>
<option value='3770'>3770</option>
<option value='3782'>3782</option>
<option value='3790'>3790</option>
<option value='3900'>3900</option>
<option value='3905'>3905</option>
<option value='3910'>3910</option>
<option value='3911'>3911</option>
<option value='3912'>3912</option>
<option value='3913'>3913</option>
<option value='3915'>3915</option>
<option value='3919'>3919</option>
<option value='3920'>3920</option>
<option value='3921'>3921</option>
<option value='3922'>3922</option>
<option value='3923'>3923</option>
<option value='3924'>3924</option>
<option value='3930'>3930</option>
<option value='3932'>3932</option>
<option value='3940'>3940</option>
<option value='3950'>3950</option>
<option value='3951'>3951</option>
<option value='3952'>3952</option>
<option value='3953'>3953</option>
<option value='3955'>3955</option>
<option value='3961'>3961</option>
<option value='3962'>3962</option>
<option value='3970'>3970</option>
<option value='3971'>3971</option>
<option value='3980'>3980</option>
<option value='3984'>3984</option>
<option value='3985'>3985</option>
<option value='4000'>4000</option>
<option value='4040'>4040</option>
<option value='4050'>4050</option>
<option value='4060'>4060</option>
<option value='4070'>4070</option>
<option value='4100'>4100</option>
<option value='4130'>4130</option>
<option value='4140'>4140</option>
<option value='4160'>4160</option>
<option value='4171'>4171</option>
<option value='4173'>4173</option>
<option value='4174'>4174</option>
<option value='4180'>4180</option>
<option value='4190'>4190</option>
<option value='4200'>4200</option>
<option value='4220'>4220</option>
<option value='4230'>4230</option>
<option value='4241'>4241</option>
<option value='4242'>4242</option>
<option value='4243'>4243</option>
<option value='4250'>4250</option>
<option value='4261'>4261</option>
<option value='4262'>4262</option>
<option value='4270'>4270</option>
<option value='4281'>4281</option>
<option value='4291'>4291</option>
<option value='4293'>4293</option>
<option value='4295'>4295</option>
<option value='4296'>4296</option>
<option value='4300'>4300</option>
<option value='4320'>4320</option>
<option value='4330'>4330</option>
<option value='4340'>4340</option>
<option value='4350'>4350</option>
<option value='4360'>4360</option>
<option value='4370'>4370</option>
<option value='4390'>4390</option>
<option value='4400'>4400</option>
<option value='4420'>4420</option>
<option value='4440'>4440</option>
<option value='4450'>4450</option>
<option value='4460'>4460</option>
<option value='4470'>4470</option>
<option value='4480'>4480</option>
<option value='4490'>4490</option>
<option value='4500'>4500</option>
<option value='4520'>4520</option>
<option value='4532'>4532</option>
<option value='4534'>4534</option>
<option value='4540'>4540</option>
<option value='4550'>4550</option>
<option value='4560'>4560</option>
<option value='4571'>4571</option>
<option value='4572'>4572</option>
<option value='4573'>4573</option>
<option value='4581'>4581</option>
<option value='4583'>4583</option>
<option value='4591'>4591</option>
<option value='4592'>4592</option>
<option value='4593'>4593</option>
<option value='4600'>4600</option>
<option value='4621'>4621</option>
<option value='4622'>4622</option>
<option value='4623'>4623</option>
<option value='4632'>4632</option>
<option value='4640'>4640</option>
<option value='4652'>4652</option>
<option value='4653'>4653</option>
<option value='4654'>4654</option>
<option value='4660'>4660</option>
<option value='4671'>4671</option>
<option value='4672'>4672</option>
<option value='4673'>4673</option>
<option value='4681'>4681</option>
<option value='4682'>4682</option>
<option value='4683'>4683</option>
<option value='4684'>4684</option>
<option value='4690'>4690</option>
<option value='4700'>4700</option>
<option value='4720'>4720</option>
<option value='4733'>4733</option>
<option value='4735'>4735</option>
<option value='4736'>4736</option>
<option value='4750'>4750</option>
<option value='4760'>4760</option>
<option value='4771'>4771</option>
<option value='4772'>4772</option>
<option value='4773'>4773</option>
<option value='4780'>4780</option>
<option value='4791'>4791</option>
<option value='4792'>4792</option>
<option value='4793'>4793</option>
<option value='4800'>4800</option>
<option value='4840'>4840</option>
<option value='4850'>4850</option>
<option value='4862'>4862</option>
<option value='4863'>4863</option>
<option value='4871'>4871</option>
<option value='4872'>4872</option>
<option value='4873'>4873</option>
<option value='4874'>4874</option>
<option value='4880'>4880</option>
<option value='4891'>4891</option>
<option value='4892'>4892</option>
<option value='4894'>4894</option>
<option value='4895'>4895</option>
<option value='4900'>4900</option>
<option value='4912'>4912</option>
<option value='4913'>4913</option>
<option value='4920'>4920</option>
<option value='4930'>4930</option>
<option value='4941'>4941</option>
<option value='4943'>4943</option>
<option value='4944'>4944</option>
<option value='4951'>4951</option>
<option value='4952'>4952</option>
<option value='4953'>4953</option>
<option value='4960'>4960</option>
<option value='4970'>4970</option>
<option value='4983'>4983</option>
<option value='4990'>4990</option>
<option value='5000'>5000</option>
<option value='5100'>5100</option>
<option value='5200'>5200</option>
<option value='5210'>5210</option>
<option value='5220'>5220</option>
<option value='5230'>5230</option>
<option value='5240'>5240</option>
<option value='5250'>5250</option>
<option value='5260'>5260</option>
<option value='5270'>5270</option>
<option value='5290'>5290</option>
<option value='5300'>5300</option>
<option value='5320'>5320</option>
<option value='5330'>5330</option>
<option value='5350'>5350</option>
<option value='5370'>5370</option>
<option value='5380'>5380</option>
<option value='5390'>5390</option>
<option value='5400'>5400</option>
<option value='5450'>5450</option>
<option value='5462'>5462</option>
<option value='5463'>5463</option>
<option value='5464'>5464</option>
<option value='5466'>5466</option>
<option value='5471'>5471</option>
<option value='5474'>5474</option>
<option value='5485'>5485</option>
<option value='5491'>5491</option>
<option value='5492'>5492</option>
<option value='5500'>5500</option>
<option value='5540'>5540</option>
<option value='5550'>5550</option>
<option value='5560'>5560</option>
<option value='5580'>5580</option>
<option value='5591'>5591</option>
<option value='5592'>5592</option>
<option value='5600'>5600</option>
<option value='5610'>5610</option>
<option value='5620'>5620</option>
<option value='5631'>5631</option>
<option value='5642'>5642</option>
<option value='5672'>5672</option>
<option value='5683'>5683</option>
<option value='5690'>5690</option>
<option value='5700'>5700</option>
<option value='5750'>5750</option>
<option value='5762'>5762</option>
<option value='5771'>5771</option>
<option value='5772'>5772</option>
<option value='5792'>5792</option>
<option value='5800'>5800</option>
<option value='5853'>5853</option>
<option value='5854'>5854</option>
<option value='5856'>5856</option>
<option value='5863'>5863</option>
<option value='5871'>5871</option>
<option value='5874'>5874</option>
<option value='5881'>5881</option>
<option value='5882'>5882</option>
<option value='5883'>5883</option>
<option value='5884'>5884</option>
<option value='5892'>5892</option>
<option value='5900'>5900</option>
<option value='5932'>5932</option>
<option value='5935'>5935</option>
<option value='5953'>5953</option>
<option value='5960'>5960</option>
<option value='5970'>5970</option>
<option value='5985'>5985</option>
<option value='6000'>6000</option>
<option value='6040'>6040</option>
<option value='6051'>6051</option>
<option value='6052'>6052</option>
<option value='6064'>6064</option>
<option value='6070'>6070</option>
<option value='6091'>6091</option>
<option value='6092'>6092</option>
<option value='6093'>6093</option>
<option value='6094'>6094</option>
<option value='6100'>6100</option>
<option value='6200'>6200</option>
<option value='6230'>6230</option>
<option value='6240'>6240</option>
<option value='6261'>6261</option>
<option value='6270'>6270</option>
<option value='6280'>6280</option>
<option value='6300'>6300</option>
<option value='6310'>6310</option>
<option value='6320'>6320</option>
<option value='6330'>6330</option>
<option value='6340'>6340</option>
<option value='6360'>6360</option>
<option value='6372'>6372</option>
<option value='6392'>6392</option>
<option value='6400'>6400</option>
<option value='6430'>6430</option>
<option value='6440'>6440</option>
<option value='6470'>6470</option>
<option value='6500'>6500</option>
<option value='6510'>6510</option>
<option value='6520'>6520</option>
<option value='6534'>6534</option>
<option value='6535'>6535</option>
<option value='6541'>6541</option>
<option value='6560'>6560</option>
<option value='6580'>6580</option>
<option value='6600'>6600</option>
<option value='6621'>6621</option>
<option value='6622'>6622</option>
<option value='6623'>6623</option>
<option value='6630'>6630</option>
<option value='6640'>6640</option>
<option value='6650'>6650</option>
<option value='6660'>6660</option>
<option value='6670'>6670</option>
<option value='6682'>6682</option>
<option value='6683'>6683</option>
<option value='6690'>6690</option>
<option value='6700'>6700</option>
<option value='6701'>6701</option>
<option value='6705'>6705</option>
<option value='6710'>6710</option>
<option value='6715'>6715</option>
<option value='6720'>6720</option>
<option value='6731'>6731</option>
<option value='6740'>6740</option>
<option value='6752'>6752</option>
<option value='6753'>6753</option>
<option value='6760'>6760</option>
<option value='6771'>6771</option>
<option value='6780'>6780</option>
<option value='6792'>6792</option>
<option value='6800'>6800</option>
<option value='6818'>6818</option>
<option value='6823'>6823</option>
<option value='6830'>6830</option>
<option value='6840'>6840</option>
<option value='6851'>6851</option>
<option value='6852'>6852</option>
<option value='6853'>6853</option>
<option value='6854'>6854</option>
<option value='6855'>6855</option>
<option value='6857'>6857</option>
<option value='6862'>6862</option>
<option value='6870'>6870</option>
<option value='6880'>6880</option>
<option value='6893'>6893</option>
<option value='6900'>6900</option>
<option value='6920'>6920</option>
<option value='6933'>6933</option>
<option value='6940'>6940</option>
<option value='6950'>6950</option>
<option value='6960'>6960</option>
<option value='6971'>6971</option>
<option value='6973'>6973</option>
<option value='6980'>6980</option>
<option value='6990'>6990</option>
<option value='7000'>7000</option>
<option value='7080'>7080</option>
<option value='7100'>7100</option>
<option value='7120'>7120</option>
<option value='7130'>7130</option>
<option value='7140'>7140</option>
<option value='7150'>7150</option>
<option value='7160'>7160</option>
<option value='7171'>7171</option>
<option value='7173'>7173</option>
<option value='7182'>7182</option>
<option value='7183'>7183</option>
<option value='7184'>7184</option>
<option value='7190'>7190</option>
<option value='7200'>7200</option>
<option value='7250'>7250</option>
<option value='7260'>7260</option>
<option value='7270'>7270</option>
<option value='7280'>7280</option>
<option value='7300'>7300</option>
<option value='7321'>7321</option>
<option value='7323'>7323</option>
<option value='7330'>7330</option>
<option value='7361'>7361</option>
<option value='7362'>7362</option>
<option value='7400'>7400</option>
<option value='7430'>7430</option>
<option value='7441'>7441</option>
<option value='7442'>7442</option>
<option value='7451'>7451</option>
<option value='7470'>7470</option>
<option value='7480'>7480</option>
<option value='7490'>7490</option>
<option value='7500'>7500</option>
<option value='7540'>7540</option>
<option value='7550'>7550</option>
<option value='7560'>7560</option>
<option value='7570'>7570</option>
<option value='7600'>7600</option>
<option value='7620'>7620</option>
<option value='7650'>7650</option>
<option value='7660'>7660</option>
<option value='7673'>7673</option>
<option value='7680'>7680</option>
<option value='7700'>7700</option>
<option value='7730'>7730</option>
<option value='7741'>7741</option>
<option value='7742'>7742</option>
<option value='7752'>7752</option>
<option value='7755'>7755</option>
<option value='7760'>7760</option>
<option value='7770'>7770</option>
<option value='7790'>7790</option>
<option value='7800'>7800</option>
<option value='7830'>7830</option>
<option value='7840'>7840</option>
<option value='7850'>7850</option>
<option value='7860'>7860</option>
<option value='7870'>7870</option>
<option value='7884'>7884</option>
<option value='7900'>7900</option>
<option value='7950'>7950</option>
<option value='7960'>7960</option>
<option value='7970'>7970</option>
<option value='7980'>7980</option>
<option value='7990'>7990</option>
<option value='8000'>8000</option>
<option value='8100'>8100</option>
<option value='8200'>8200</option>
<option value='8210'>8210</option>
<option value='8220'>8220</option>
<option value='8230'>8230</option>
<option value='8240'>8240</option>
<option value='8250'>8250</option>
<option value='8260'>8260</option>
<option value='8270'>8270</option>
<option value='8300'>8300</option>
<option value='8305'>8305</option>
<option value='8310'>8310</option>
<option value='8320'>8320</option>
<option value='8330'>8330</option>
<option value='8340'>8340</option>
<option value='8350'>8350</option>
<option value='8355'>8355</option>
<option value='8361'>8361</option>
<option value='8362'>8362</option>
<option value='8370'>8370</option>
<option value='8380'>8380</option>
<option value='8381'>8381</option>
<option value='8382'>8382</option>
<option value='8400'>8400</option>
<option value='8410'>8410</option>
<option value='8420'>8420</option>
<option value='8444'>8444</option>
<option value='8450'>8450</option>
<option value='8462'>8462</option>
<option value='8464'>8464</option>
<option value='8471'>8471</option>
<option value='8472'>8472</option>
<option value='8500'>8500</option>
<option value='8520'>8520</option>
<option value='8530'>8530</option>
<option value='8541'>8541</option>
<option value='8543'>8543</option>
<option value='8544'>8544</option>
<option value='8550'>8550</option>
<option value='8560'>8560</option>
<option value='8570'>8570</option>
<option value='8581'>8581</option>
<option value='8585'>8585</option>
<option value='8586'>8586</option>
<option value='8592'>8592</option>
<option value='8600'>8600</option>
<option value='8620'>8620</option>
<option value='8632'>8632</option>
<option value='8641'>8641</option>
<option value='8643'>8643</option>
<option value='8653'>8653</option>
<option value='8654'>8654</option>
<option value='8660'>8660</option>
<option value='8670'>8670</option>
<option value='8680'>8680</option>
<option value='8700'>8700</option>
<option value='8721'>8721</option>
<option value='8722'>8722</option>
<option value='8723'>8723</option>
<option value='8732'>8732</option>
<option value='8740'>8740</option>
<option value='8751'>8751</option>
<option value='8752'>8752</option>
<option value='8762'>8762</option>
<option value='8763'>8763</option>
<option value='8765'>8765</option>
<option value='8766'>8766</option>
<option value='8781'>8781</option>
<option value='8783'>8783</option>
<option value='8800'>8800</option>
<option value='8830'>8830</option>
<option value='8831'>8831</option>
<option value='8832'>8832</option>
<option value='8840'>8840</option>
<option value='8850'>8850</option>
<option value='8860'>8860</option>
<option value='8870'>8870</option>
<option value='8881'>8881</option>
<option value='8882'>8882</option>
<option value='8883'>8883</option>
<option value='8900'>8900</option>
<option value='8950'>8950</option>
<option value='8961'>8961</option>
<option value='8963'>8963</option>
<option value='8970'>8970</option>
<option value='8981'>8981</option>
<option value='8983'>8983</option>
<option value='8990'>8990</option>
<option value='9000'>9000</option>
<option value='9100'>9100</option>
<option value='9200'>9200</option>
<option value='9210'>9210</option>
<option value='9220'>9220</option>
<option value='9230'>9230</option>
<option value='9240'>9240</option>
<option value='9260'>9260</option>
<option value='9270'>9270</option>
<option value='9280'>9280</option>
<option value='9293'>9293</option>
<option value='9300'>9300</option>
<option value='9310'>9310</option>
<option value='9320'>9320</option>
<option value='9330'>9330</option>
<option value='9340'>9340</option>
<option value='9352'>9352</option>
<option value='9362'>9362</option>
<option value='9370'>9370</option>
<option value='9380'>9380</option>
<option value='9381'>9381</option>
<option value='9382'>9382</option>
<option value='9400'>9400</option>
<option value='9430'>9430</option>
<option value='9440'>9440</option>
<option value='9460'>9460</option>
<option value='9480'>9480</option>
<option value='9490'>9490</option>
<option value='9492'>9492</option>
<option value='9493'>9493</option>
<option value='9500'>9500</option>
<option value='9510'>9510</option>
<option value='9520'>9520</option>
<option value='9530'>9530</option>
<option value='9541'>9541</option>
<option value='9550'>9550</option>
<option value='9560'>9560</option>
<option value='9574'>9574</option>
<option value='9575'>9575</option>
<option value='9600'>9600</option>
<option value='9610'>9610</option>
<option value='9620'>9620</option>
<option value='9631'>9631</option>
<option value='9632'>9632</option>
<option value='9640'>9640</option>
<option value='9670'>9670</option>
<option value='9681'>9681</option>
<option value='9690'>9690</option>
<option value='9700'>9700</option>
<option value='9740'>9740</option>
<option value='9750'>9750</option>
<option value='9760'>9760</option>
<option value='9800'>9800</option>
<option value='9830'>9830</option>
<option value='9850'>9850</option>
<option value='9870'>9870</option>
<option value='9881'>9881</option>
<option value='9900'>9900</option>
<option value='9940'>9940</option>
<option value='9970'>9970</option>
<option value='9981'>9981</option>
<option value='9982'>9982</option>
<option value='9990'>9990</option>
</select>
<br><br>
<input type="submit" value="check">
</FORM>