document.write('<select name="in_date" class="input">');
document.write('<option value="2009-11-19" >2009-11-19</option>'); 
document.write('<option value="2009-11-20" >2009-11-20</option>'); 
document.write('<option value="2009-11-21" selected>2009-11-21</option>'); 
document.write('<option value="2009-11-22" >2009-11-22</option>'); 
document.write('<option value="2009-11-23" >2009-11-23</option>'); 
document.write('</select>');