	
  <td colspan='2'>
   <img src='/images/spacer.gif' width='1' height='2' alt='' border='0'></td>
  <td rowspan='6'>
   <img src='/images/spacer.gif' width='9' height='1' alt='' border='0'></td>			
 </tr>	
 <tr>
  <td>
<select name="country" size="1" style="width: 165px">
<option value="0" selected>Select Country -</option>
<option value="1">Afghanistan</option>
<option value="2">Azerbaijan</option>
<option value="3">Bosnia and Herzegovina</option>
<option value="4">China</option>
<option value="36">Colomb