<form action="vision_ref.php" method="post">
With selected:
<select name='multi'>
<option value='now'>Set next action time to now</option>
<option value='clear'>Remove the ticket</option>
<option value='unassign'>Unassign Specialist</option>
<option value='priority'>Toggle Priority</option>
</select>
<input type="submit" value="Go!">
</form>