function buildAgeCheck() {
	document.write('<div id="Age"><div class="container" style="background: #6c6d74;">');
	document.write('	<div class="ageverif">');
	document.write('		<p><img src="img/logo-age.jpg" width="471" height="145" /></p>');
			
	document.write('		<p class="agetitle">Age Verification</p>');
			
	document.write('		<p class="agetxt" style="margin-left:30px; margin-right:30px;">');
	document.write('			Welcome to the "Esp&iacute;ritu de Progreso Latino" site.<br />');
	document.write('			Enter and help us choose the Chivas Regal&reg; 18 Golden Keys to Success by voting for the key that you understand helped you the most in achieving your dreams and goals. "Esp&iacute;ritu de Progreso Latino" offers you the opportunity to be an inspiration to millions of Latinos in the United States that strive each day to attain their dreams.<br />');
	document.write('			This community program is supported by Chivas Regal&reg; 18 and requires you be of legal drinking age to access.<br />');
	document.write('			<span class="agedestacado">Chivas is committed to responsible drinking.</span>');
	document.write('		</p>');
			
	document.write('		<p class="agetxt"><strong>Date of Birth</strong></p>');
			
	document.write('		<form action="index.php" method="post" class="age_form">');
	document.write('			<ul class="ul-age">');
	document.write('				<li class="agetxt">Day:<br />');
	document.write('					<select id="day" name="day" class="formage day">');
								document.write('							<option value="1">01</option>');
								document.write('							<option value="2">02</option>');
								document.write('							<option value="3">03</option>');
								document.write('							<option value="4">04</option>');
								document.write('							<option value="5">05</option>');
								document.write('							<option value="6">06</option>');
								document.write('							<option value="7">07</option>');
								document.write('							<option value="8">08</option>');
								document.write('							<option value="9">09</option>');
								document.write('							<option value="10">10</option>');
								document.write('							<option value="11">11</option>');
								document.write('							<option value="12">12</option>');
								document.write('							<option value="13">13</option>');
								document.write('							<option value="14">14</option>');
								document.write('							<option value="15">15</option>');
								document.write('							<option value="16">16</option>');
								document.write('							<option value="17">17</option>');
								document.write('							<option value="18">18</option>');
								document.write('							<option value="19">19</option>');
								document.write('							<option value="20">20</option>');
								document.write('							<option value="21">21</option>');
								document.write('							<option value="22">22</option>');
								document.write('							<option value="23">23</option>');
								document.write('							<option value="24">24</option>');
								document.write('							<option value="25">25</option>');
								document.write('							<option value="26">26</option>');
								document.write('							<option value="27">27</option>');
								document.write('							<option value="28">28</option>');
								document.write('							<option value="29">29</option>');
								document.write('							<option value="30">30</option>');
								document.write('							<option value="31">31</option>');
								document.write('					</select>');
	document.write('				</li>');
	document.write('				<li class="agetxt">Month:<br />');
	document.write('					<select id="month" name="month" class="formage month">');
								document.write('							<option value="1">01</option>');
								document.write('							<option value="2">02</option>');
								document.write('							<option value="3">03</option>');
								document.write('							<option value="4">04</option>');
								document.write('							<option value="5">05</option>');
								document.write('							<option value="6">06</option>');
								document.write('							<option value="7">07</option>');
								document.write('							<option value="8">08</option>');
								document.write('							<option value="9">09</option>');
								document.write('							<option value="10">10</option>');
								document.write('							<option value="11">11</option>');
								document.write('							<option value="12">12</option>');
								document.write('					</select>');
	document.write('				</li>');
	document.write('				<li class="agetxt">Year:<br />');
	document.write('					<select id="year" name="year" class="formage year">');
								document.write('							<option value="2010">2010</option>');
								document.write('							<option value="2009">2009</option>');
								document.write('							<option value="2008">2008</option>');
								document.write('							<option value="2007">2007</option>');
								document.write('							<option value="2006">2006</option>');
								document.write('							<option value="2005">2005</option>');
								document.write('							<option value="2004">2004</option>');
								document.write('							<option value="2003">2003</option>');
								document.write('							<option value="2002">2002</option>');
								document.write('							<option value="2001">2001</option>');
								document.write('							<option value="2000">2000</option>');
								document.write('							<option value="1999">1999</option>');
								document.write('							<option value="1998">1998</option>');
								document.write('							<option value="1997">1997</option>');
								document.write('							<option value="1996">1996</option>');
								document.write('							<option value="1995">1995</option>');
								document.write('							<option value="1994">1994</option>');
								document.write('							<option value="1993">1993</option>');
								document.write('							<option value="1992">1992</option>');
								document.write('							<option value="1991">1991</option>');
								document.write('							<option value="1990">1990</option>');
								document.write('							<option value="1989">1989</option>');
								document.write('							<option value="1988">1988</option>');
								document.write('							<option value="1987">1987</option>');
								document.write('							<option value="1986">1986</option>');
								document.write('							<option value="1985">1985</option>');
								document.write('							<option value="1984">1984</option>');
								document.write('							<option value="1983">1983</option>');
								document.write('							<option value="1982">1982</option>');
								document.write('							<option value="1981">1981</option>');
								document.write('							<option value="1980">1980</option>');
								document.write('							<option value="1979">1979</option>');
								document.write('							<option value="1978">1978</option>');
								document.write('							<option value="1977">1977</option>');
								document.write('							<option value="1976">1976</option>');
								document.write('							<option value="1975">1975</option>');
								document.write('							<option value="1974">1974</option>');
								document.write('							<option value="1973">1973</option>');
								document.write('							<option value="1972">1972</option>');
								document.write('							<option value="1971">1971</option>');
								document.write('							<option value="1970">1970</option>');
								document.write('							<option value="1969">1969</option>');
								document.write('							<option value="1968">1968</option>');
								document.write('							<option value="1967">1967</option>');
								document.write('							<option value="1966">1966</option>');
								document.write('							<option value="1965">1965</option>');
								document.write('							<option value="1964">1964</option>');
								document.write('							<option value="1963">1963</option>');
								document.write('							<option value="1962">1962</option>');
								document.write('							<option value="1961">1961</option>');
								document.write('							<option value="1960">1960</option>');
								document.write('							<option value="1959">1959</option>');
								document.write('							<option value="1958">1958</option>');
								document.write('							<option value="1957">1957</option>');
								document.write('							<option value="1956">1956</option>');
								document.write('							<option value="1955">1955</option>');
								document.write('							<option value="1954">1954</option>');
								document.write('							<option value="1953">1953</option>');
								document.write('							<option value="1952">1952</option>');
								document.write('							<option value="1951">1951</option>');
								document.write('							<option value="1950">1950</option>');
								document.write('							<option value="1949">1949</option>');
								document.write('							<option value="1948">1948</option>');
								document.write('							<option value="1947">1947</option>');
								document.write('							<option value="1946">1946</option>');
								document.write('							<option value="1945">1945</option>');
								document.write('							<option value="1944">1944</option>');
								document.write('							<option value="1943">1943</option>');
								document.write('							<option value="1942">1942</option>');
								document.write('							<option value="1941">1941</option>');
								document.write('							<option value="1940">1940</option>');
								document.write('							<option value="1939">1939</option>');
								document.write('							<option value="1938">1938</option>');
								document.write('							<option value="1937">1937</option>');
								document.write('							<option value="1936">1936</option>');
								document.write('							<option value="1935">1935</option>');
								document.write('							<option value="1934">1934</option>');
								document.write('							<option value="1933">1933</option>');
								document.write('							<option value="1932">1932</option>');
								document.write('							<option value="1931">1931</option>');
								document.write('							<option value="1930">1930</option>');
								document.write('							<option value="1929">1929</option>');
								document.write('							<option value="1928">1928</option>');
								document.write('							<option value="1927">1927</option>');
								document.write('							<option value="1926">1926</option>');
								document.write('							<option value="1925">1925</option>');
								document.write('							<option value="1924">1924</option>');
								document.write('							<option value="1923">1923</option>');
								document.write('							<option value="1922">1922</option>');
								document.write('							<option value="1921">1921</option>');
								document.write('							<option value="1920">1920</option>');
								document.write('							<option value="1919">1919</option>');
								document.write('							<option value="1918">1918</option>');
								document.write('							<option value="1917">1917</option>');
								document.write('							<option value="1916">1916</option>');
								document.write('							<option value="1915">1915</option>');
								document.write('							<option value="1914">1914</option>');
								document.write('							<option value="1913">1913</option>');
								document.write('							<option value="1912">1912</option>');
								document.write('							<option value="1911">1911</option>');
								document.write('							<option value="1910">1910</option>');
								document.write('							<option value="1909">1909</option>');
								document.write('							<option value="1908">1908</option>');
								document.write('							<option value="1907">1907</option>');
								document.write('							<option value="1906">1906</option>');
								document.write('							<option value="1905">1905</option>');
								document.write('							<option value="1904">1904</option>');
								document.write('							<option value="1903">1903</option>');
								document.write('					</select>');
	document.write('				</li>');
					
	document.write('				<li class="agetxt">Country: <br />');
	document.write('					<select id="country" name="Country" class="formage country">');
	document.write('						<option value="" selected="selected">Select Country</option>');
								document.write('						<option value="United States">United States</option>');
								document.write('						<option value="United Kingdom">United Kingdom</option>');
								document.write('						<option value="Afghanistan">Afghanistan</option>');
								document.write('						<option value="Albania">Albania</option>');
								document.write('						<option value="Algeria">Algeria</option>');
								document.write('						<option value="American Samoa">American Samoa</option>');
								document.write('						<option value="Andorra">Andorra</option>');
								document.write('						<option value="Angola">Angola</option>');
								document.write('						<option value="Anguilla">Anguilla</option>');
								document.write('						<option value="Antarctica">Antarctica</option>');
								document.write('						<option value="Antigua and Barbuda">Antigua and Barbuda</option>');
								document.write('						<option value="Argentina">Argentina</option>');
								document.write('						<option value="Armenia">Armenia</option>');
								document.write('						<option value="Aruba">Aruba</option>');
								document.write('						<option value="Australia">Australia</option>');
								document.write('						<option value="Austria">Austria</option>');
								document.write('						<option value="Azerbaijan">Azerbaijan</option>');
								document.write('						<option value="Bahamas">Bahamas</option>');
								document.write('						<option value="Bahrain">Bahrain</option>');
								document.write('						<option value="Bangladesh">Bangladesh</option>');
								document.write('						<option value="Barbados">Barbados</option>');
								document.write('						<option value="Belarus">Belarus</option>');
								document.write('						<option value="Belgium">Belgium</option>');
								document.write('						<option value="Belize">Belize</option>');
								document.write('						<option value="Benin">Benin</option>');
								document.write('						<option value="Bermuda">Bermuda</option>');
								document.write('						<option value="Bhutan">Bhutan</option>');
								document.write('						<option value="Bolivia">Bolivia</option>');
								document.write('						<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>');
								document.write('						<option value="Botswana">Botswana</option>');
								document.write('						<option value="Bouvet Island">Bouvet Island</option>');
								document.write('						<option value="Brazil">Brazil</option>');
								document.write('						<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>');
								document.write('						<option value="Brunei Darussalam">Brunei Darussalam</option>');
								document.write('						<option value="Bulgaria">Bulgaria</option>');
								document.write('						<option value="Burkina Faso">Burkina Faso</option>');
								document.write('						<option value="Burundi">Burundi</option>');
								document.write('						<option value="Cambodia">Cambodia</option>');
								document.write('						<option value="Cameroon">Cameroon</option>');
								document.write('						<option value="Canada">Canada</option>');
								document.write('						<option value="Cape Verde">Cape Verde</option>');
								document.write('						<option value="Cayman Islands">Cayman Islands</option>');
								document.write('						<option value="Central African Republic">Central African Republic</option>');
								document.write('						<option value="Chad">Chad</option>');
								document.write('						<option value="Chile">Chile</option>');
								document.write('						<option value="China">China</option>');
								document.write('						<option value="Christmas Island">Christmas Island</option>');
								document.write('						<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>');
								document.write('						<option value="Colombia">Colombia</option>');
								document.write('						<option value="Comoros">Comoros</option>');
								document.write('						<option value="Congo">Congo</option>');
								document.write('						<option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option>');
								document.write('						<option value="Cook Islands">Cook Islands</option>');
								document.write('						<option value="Costa Rica">Costa Rica</option>');
								document.write('						<option value="Cote D\'ivoire">Cote D\'ivoire</option>');
								document.write('						<option value="Croatia">Croatia</option>');
								document.write('						<option value="Cuba">Cuba</option>');
								document.write('						<option value="Cyprus">Cyprus</option>');
								document.write('						<option value="Czech Republic">Czech Republic</option>');
								document.write('						<option value="Denmark">Denmark</option>');
								document.write('						<option value="Djibouti">Djibouti</option>');
								document.write('						<option value="Dominica">Dominica</option>');
								document.write('						<option value="Dominican Republic">Dominican Republic</option>');
								document.write('						<option value="Ecuador">Ecuador</option>');
								document.write('						<option value="Egypt">Egypt</option>');
								document.write('						<option value="El Salvador">El Salvador</option>');
								document.write('						<option value="Equatorial Guinea">Equatorial Guinea</option>');
								document.write('						<option value="Eritrea">Eritrea</option>');
								document.write('						<option value="Estonia">Estonia</option>');
								document.write('						<option value="Ethiopia">Ethiopia</option>');
								document.write('						<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>');
								document.write('						<option value="Faroe Islands">Faroe Islands</option>');
								document.write('						<option value="Fiji">Fiji</option>');
								document.write('						<option value="Finland">Finland</option>');
								document.write('						<option value="France">France</option>');
								document.write('						<option value="French Guiana">French Guiana</option>');
								document.write('						<option value="French Polynesia">French Polynesia</option>');
								document.write('						<option value="French Southern Territories">French Southern Territories</option>');
								document.write('						<option value="Gabon">Gabon</option>');
								document.write('						<option value="Gambia">Gambia</option>');
								document.write('						<option value="Georgia">Georgia</option>');
								document.write('						<option value="Germany">Germany</option>');
								document.write('						<option value="Ghana">Ghana</option>');
								document.write('						<option value="Gibraltar">Gibraltar</option>');
								document.write('						<option value="Greece">Greece</option>');
								document.write('						<option value="Greenland">Greenland</option>');
								document.write('						<option value="Grenada">Grenada</option>');
								document.write('						<option value="Guadeloupe">Guadeloupe</option>');
								document.write('						<option value="Guam">Guam</option>');
								document.write('						<option value="Guatemala">Guatemala</option>');
								document.write('						<option value="Guinea">Guinea</option>');
								document.write('						<option value="Guinea-bissau">Guinea-bissau</option>');
								document.write('						<option value="Guyana">Guyana</option>');
								document.write('						<option value="Haiti">Haiti</option>');
								document.write('						<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>');
								document.write('						<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>');
								document.write('						<option value="Honduras">Honduras</option>');
								document.write('						<option value="Hong Kong">Hong Kong</option>');
								document.write('						<option value="Hungary">Hungary</option>');
								document.write('						<option value="Iceland">Iceland</option>');
								document.write('						<option value="India">India</option>');
								document.write('						<option value="Indonesia">Indonesia</option>');
								document.write('						<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>');
								document.write('						<option value="Iraq">Iraq</option>');
								document.write('						<option value="Ireland">Ireland</option>');
								document.write('						<option value="Israel">Israel</option>');
								document.write('						<option value="Italy">Italy</option>');
								document.write('						<option value="Jamaica">Jamaica</option>');
								document.write('						<option value="Japan">Japan</option>');
								document.write('						<option value="Jordan">Jordan</option>');
								document.write('						<option value="Kazakhstan">Kazakhstan</option>');
								document.write('						<option value="Kenya">Kenya</option>');
								document.write('						<option value="Kiribati">Kiribati</option>');
								document.write('						<option value="Korea, Democratic People\'s Republic of">Korea, Democratic People\'s Republic of</option>');
								document.write('						<option value="Korea, Republic of">Korea, Republic of</option>');
								document.write('						<option value="Kuwait">Kuwait</option>');
								document.write('						<option value="Kyrgyzstan">Kyrgyzstan</option>');
								document.write('						<option value="Lao People\'s Democratic Republic">Lao People\'s Democratic Republic</option>');
								document.write('						<option value="Latvia">Latvia</option>');
								document.write('						<option value="Lebanon">Lebanon</option>');
								document.write('						<option value="Lesotho">Lesotho</option>');
								document.write('						<option value="Liberia">Liberia</option>');
								document.write('						<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>');
								document.write('						<option value="Liechtenstein">Liechtenstein</option>');
								document.write('						<option value="Lithuania">Lithuania</option>');
								document.write('						<option value="Luxembourg">Luxembourg</option>');
								document.write('						<option value="Macao">Macao</option>');
								document.write('						<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>');
								document.write('						<option value="Madagascar">Madagascar</option>');
								document.write('						<option value="Malawi">Malawi</option>');
								document.write('						<option value="Malaysia">Malaysia</option>');
								document.write('						<option value="Maldives">Maldives</option>');
								document.write('						<option value="Mali">Mali</option>');
								document.write('						<option value="Malta">Malta</option>');
								document.write('						<option value="Marshall Islands">Marshall Islands</option>');
								document.write('						<option value="Martinique">Martinique</option>');
								document.write('						<option value="Mauritania">Mauritania</option>');
								document.write('						<option value="Mauritius">Mauritius</option>');
								document.write('						<option value="Mayotte">Mayotte</option>');
								document.write('						<option value="Mexico">Mexico</option>');
								document.write('						<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>');
								document.write('						<option value="Moldova, Republic of">Moldova, Republic of</option>');
								document.write('						<option value="Monaco">Monaco</option>');
								document.write('						<option value="Mongolia">Mongolia</option>');
								document.write('						<option value="Montserrat">Montserrat</option>');
								document.write('						<option value="Morocco">Morocco</option>');
								document.write('						<option value="Mozambique">Mozambique</option>');
								document.write('						<option value="Myanmar">Myanmar</option>');
								document.write('						<option value="Namibia">Namibia</option>');
								document.write('						<option value="Nauru">Nauru</option>');
								document.write('						<option value="Nepal">Nepal</option>');
								document.write('						<option value="Netherlands">Netherlands</option>');
								document.write('						<option value="Netherlands Antilles">Netherlands Antilles</option>');
								document.write('						<option value="New Caledonia">New Caledonia</option>');
								document.write('						<option value="New Zealand">New Zealand</option>');
								document.write('						<option value="Nicaragua">Nicaragua</option>');
								document.write('						<option value="Niger">Niger</option>');
								document.write('						<option value="Nigeria">Nigeria</option>');
								document.write('						<option value="Niue">Niue</option>');
								document.write('						<option value="Norfolk Island">Norfolk Island</option>');
								document.write('						<option value="Northern Mariana Islands">Northern Mariana Islands</option>');
								document.write('						<option value="Norway">Norway</option>');
								document.write('						<option value="Oman">Oman</option>');
								document.write('						<option value="Pakistan">Pakistan</option>');
								document.write('						<option value="Palau">Palau</option>');
								document.write('						<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>');
								document.write('						<option value="Panama">Panama</option>');
								document.write('						<option value="Papua New Guinea">Papua New Guinea</option>');
								document.write('						<option value="Paraguay">Paraguay</option>');
								document.write('						<option value="Peru">Peru</option>');
								document.write('						<option value="Philippines">Philippines</option>');
								document.write('						<option value="Pitcairn">Pitcairn</option>');
								document.write('						<option value="Poland">Poland</option>');
								document.write('						<option value="Portugal">Portugal</option>');
								document.write('						<option value="Puerto Rico">Puerto Rico</option>');
								document.write('						<option value="Qatar">Qatar</option>');
								document.write('						<option value="Reunion">Reunion</option>');
								document.write('						<option value="Romania">Romania</option>');
								document.write('						<option value="Russian Federation">Russian Federation</option>');
								document.write('						<option value="Rwanda">Rwanda</option>');
								document.write('						<option value="Saint Helena">Saint Helena</option>');
								document.write('						<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>');
								document.write('						<option value="Saint Lucia">Saint Lucia</option>');
								document.write('						<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>');
								document.write('						<option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option>');
								document.write('						<option value="Samoa">Samoa</option>');
								document.write('						<option value="San Marino">San Marino</option>');
								document.write('						<option value="Sao Tome and Principe">Sao Tome and Principe</option>');
								document.write('						<option value="Saudi Arabia">Saudi Arabia</option>');
								document.write('						<option value="Senegal">Senegal</option>');
								document.write('						<option value="Serbia and Montenegro">Serbia and Montenegro</option>');
								document.write('						<option value="Seychelles">Seychelles</option>');
								document.write('						<option value="Sierra Leone">Sierra Leone</option>');
								document.write('						<option value="Singapore">Singapore</option>');
								document.write('						<option value="Slovakia">Slovakia</option>');
								document.write('						<option value="Slovenia">Slovenia</option>');
								document.write('						<option value="Solomon Islands">Solomon Islands</option>');
								document.write('						<option value="Somalia">Somalia</option>');
								document.write('						<option value="South Africa">South Africa</option>');
								document.write('						<option value="South Georgia and The South Sandwich Islands">South Georgia and The South Sandwich Islands</option>');
								document.write('						<option value="Spain">Spain</option>');
								document.write('						<option value="Sri Lanka">Sri Lanka</option>');
								document.write('						<option value="Sudan">Sudan</option>');
								document.write('						<option value="Suriname">Suriname</option>');
								document.write('						<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>');
								document.write('						<option value="Swaziland">Swaziland</option>');
								document.write('						<option value="Sweden">Sweden</option>');
								document.write('						<option value="Switzerland">Switzerland</option>');
								document.write('						<option value="Syrian Arab Republic">Syrian Arab Republic</option>');
								document.write('						<option value="Taiwan, Province of China">Taiwan, Province of China</option>');
								document.write('						<option value="Tajikistan">Tajikistan</option>');
								document.write('						<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>');
								document.write('						<option value="Thailand">Thailand</option>');
								document.write('						<option value="Timor-leste">Timor-leste</option>');
								document.write('						<option value="Togo">Togo</option>');
								document.write('						<option value="Tokelau">Tokelau</option>');
								document.write('						<option value="Tonga">Tonga</option>');
								document.write('						<option value="Trinidad and Tobago">Trinidad and Tobago</option>');
								document.write('						<option value="Tunisia">Tunisia</option>');
								document.write('						<option value="Turkey">Turkey</option>');
								document.write('						<option value="Turkmenistan">Turkmenistan</option>');
								document.write('						<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>');
								document.write('						<option value="Tuvalu">Tuvalu</option>');
								document.write('						<option value="Uganda">Uganda</option>');
								document.write('						<option value="Ukraine">Ukraine</option>');
								document.write('						<option value="United Arab Emirates">United Arab Emirates</option>');
								document.write('						<option value="United Kingdom">United Kingdom</option>');
								document.write('						<option value="United States">United States</option>');
								document.write('						<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>');
								document.write('						<option value="Uruguay">Uruguay</option>');
								document.write('						<option value="Uzbekistan">Uzbekistan</option>');
								document.write('						<option value="Vanuatu">Vanuatu</option>');
								document.write('						<option value="Venezuela">Venezuela</option>');
								document.write('						<option value="Viet Nam">Viet Nam</option>');
								document.write('						<option value="Virgin Islands, British">Virgin Islands, British</option>');
								document.write('						<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>');
								document.write('						<option value="Wallis and Futuna">Wallis and Futuna</option>');
								document.write('						<option value="Western Sahara">Western Sahara</option>');
								document.write('						<option value="Yemen">Yemen</option>');
								document.write('						<option value="Zambia">Zambia</option>');
								document.write('						<option value="Zimbabwe">Zimbabwe</option>');
								document.write('					</select>');
	document.write('				</li>');
	document.write('			</ul>');
	document.write('			<br />');
	document.write('			<input type="submit" class="formage enter" onclick="return checkAge()" value="ENTER" />');
	document.write('		</form>');
	document.write('	</div>');
	document.write('</div></div>');
}