html form

<form method="post" action="quote-email.php">
                <label>Name:</label>
                <input type="text" value="name" name="name" />

                <label>From:</label>
                <select name="from">
                    <option selected="selected">Malaga</option>
                    <option>Gibraltar</option>
                </select>
                <div class="clr"></div>

                <label>To:</label>
                <select name="to">
                    <option>Algeciras</option>
                    <option>Almuñecar</option>
                    <option>Alora </option>
                    <option>Antequera</option>
                    <option>Benahavis</option>
                    <option>Benalmadena costa</option>
                    <option>Benalmadena pueblo</option>
                    <option>Calahonda</option>
                    <option>Cartama</option>
                    <option>Coin</option>
                    <option>Estepona</option>
                    <option>El Faro </option>
                    <option>Frigiliana</option>
                    <option>Fuengirola</option>
                    <option>Gibraltar frontier - La Linea</option>
                    <option>Granada</option>
                    <option>La Cala de Mijas</option>
                    <option>La Cala Golf Resort</option>
                    <option>Malaga</option>
                    <option>Manilva</option>
                    <option>Marbella</option>
                    <option>Mijas Costa</option>
                    <option>Mijas Pueblo</option>
                    <option>Nerja</option>
                    <option>Puerto Banus</option>
                    <option>Puerto de la Duquesa</option>
                    <option>Rincon de la victoria</option>
                    <option>Ronda</option>
                    <option>San Pedro de Alcantara</option>
                    <option>San Roque</option>
                    <option>Sierra Nevada</option>
                    <option>Sotogrande</option>
                    <option>Tarifa</option>
                    <option>Torre del Mar</option>
                    <option>Torremolinos</option>
                    <option>Torremuelle</option>
                    <option>Torrenueva</option>
                    <option>Torrox Costa</option>
                    <option>Torrox</option>
                </select>
                <div class="clr"></div>

                <label>Date:</label>
                <input type="text" value="dd/mm/yyyy" id="date" name="date" />

                <label>Number of people:</label>
                <select id="people" name="people">
                    <option>1</option>
                    <option>2</option>
                    <option>3</option>
                    <option>4</option>
                    <option>5+</option>
                </select>
                <div class="clr"></div>

                <div id="return">
                    <label>Is this a return<br />journey?</label><div class="clr"></div>
                    <div id="radio-buttons"><input type="radio" name="return" value="Yes" class="radio" />Yes<br />
                    <input type="radio" name="return" value="No" class="radio" />No</div>
                </div>
                <div class="clr"></div>

                <input type="submit" name="submit" class="fauxButton" />
            </form>