<form action="email.php" id="package_form">
             <div class="rowElem">
                                                <label>Nome:</label>
                                                        <input name="nome" value="" type="text" onBlur="if(this.value=='') this.value=''" onFocus="if(this.value =='' ) this.value=''" />
                                                </div> 
                                                <div class="rowElem">
                                                <label>E-Mail:</label>
                                                        <input name="email" value="" type="text" onBlur="if(this.value=='') this.value=''" onFocus="if(this.value =='' ) this.value=''" />
                                                </div>
                                                <div class="rowElem">
                                                <label>Telefono:</label>
                                                        <input name="telefono" value="" type="text" onBlur="if(this.value=='') this.value=''" onFocus="if(this.value =='' ) this.value=''" />
                                                </div>
                                                <div class="rowElem">
                                               <label>Data di Arrivo:</label>
                                                <div class="select2 fright">
                                                <div class="col-1">
                                                  <select name="al_giorno">
												  <option>Giorno</option>
												  <?php 
														for($i=1;$i<32; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                        
														    														
                                                    </select>
                                                </div>
                                                <div class="col-2">
                                                  <select>
                                                        <option>Mese</option>
														<?php
														for($i=1;$i<13; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                    </select>
                                                </div>
                                                <div class="col-3">
                                                  <select>
                                                        <option>Anno</option>
														<?php
														for($i=2012;$i<2015; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                    </select>
                                                </div>
                                                </div>    
                                                </div>
                                                
                                                <div class="rowElem">
                                                <label>Data di Partenza:</label>
                                                <div class="select2 fright">
                                                <div class="col-1">
                                                  <select>
                                                        <option>Giorno</option>
														<?php
														for($i=1;$i<32; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                    </select>
                                                </div>
                                                <div class="col-2">
                                                  <select>
                                                        <option>Mese</option>
														<?php
														for($i=1;$i<13; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                    </select>
                                                </div>
                                                <div class="col-3">
                                                  <select>
                                                        <option>Anno</option>
														<?php
														for($i=2012;$i<2015; $i++)
														  	echo "<option value=\"$i\">$i</option>"; 											
														   ?> 
                                                    </select>
                                                </div>
                                                </div>    
                                                </div>
                                                <div class="rowElem">
                                                <label>Commenti:</label>                                               
                                                    
                                                </div>
                                                <textarea name="commenti" onBlur="if(this.value=='') this.value=''" onFocus="if(this.value =='' ) this.value=''"></textarea><br>
                                        		<div class="clear"></div>
                                               
                                                <div class="buttons1">
                                                    <a onClick="document.getElementById('package_form').reset()">Cancella</a>
                                               		<a onClick="document.getElementById('package_form').submit()">Invia</a>
                                                </div>
                                             </form>