<form method="post" action="http://checkthisup.com/123pizzadelivery.com/database1/fiverr1/results.php" target="_blank">
<div align="center">

<tr>
<td bordercolor="#000000">
<p align="center">
<select name="metode" size="1">
<option value="Zip">Zip Code</option>
</select> <input type="text" name="search" size="25" value="73118">  <br>
<input type="submit" value="Go!!" name="Go"></p>

</td></tr></div>

</form>