<form method="post" name="jakis"  ENCTYPE="multipart/form-data" action="odbieranieformularza.php">
    <select name="MojaLista" size="1" class="textinput">
        <option value="1">Baza numer1</option>
        <option value="1">Baza numer2</option>
        <option value="bezumeru">Niewiadoma</option>
    </select>
</form>