<select1 ref="method"> <label>Select Payment Method:</label> <item> <label>Cash</label> <value>cash</value> </item> <item> <label>Credit</label> <value>cc</value> </item> </select1> <input ref="number"> <label>Credit Card Number:</label> </input> <input ref="expiry"> <label>Expiration Date:</label> </input> <submit submission="submit"> <label>Submit</label> </submit>