<html>
<head><title></title></head>
<body>
<form action="get.php" method="POST">
<input type="text" name="address">
<select name="numbers">
<option value="one">one</option>
<option value="two">two</option>
<option value="three">three</option>
</select>
<input type="submit" value="submit">
</form>
</body>
</html>