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+<!DOCTYPE html>
+<html lang="en">
+<head>
+    <meta charset="UTF-8">
+    <meta name="viewport" content="width=device-width, initial-scale=1.0">
+    <title>Select Input</title>
+</head>
+
+<body>
+    <form action="https://handlers.education.launchcode.org/request-parrot" method="post">
+        <label> Operation Code:
+            <!-- includes empty value "Select One" option -->
+            <select name="operation">
+                <option value="">* Select One *</option>
+                <option value="1">Simulation</option>
+                <option value="2">Rocket Test</option>
+                <option value="3">Crew Related</option>
+            </select>
+        </label>
+
+        <label>Facility:
+            <select name="facility">
+                <option value="johnson">Johnson Space Center, TX</option>
+                <option value="kennedy">Kennedy Space Center, FL</option>
+                <option value="white-sands">White Sands Test Facility, NM</option>
+            </select>
+        </label>
+
+        <button>Send Report</button>
+    </form>
+</body>
+</html>