servnest/inc/form/form.ns.inc.php

<label for="action">Action</label>
<select name="action" id="action">
  <option value="add">Ajouter</option>
  <option value="delete">Retirer</option>
</select>
<br>

<fieldset>
  <legend>Domaine</legend>
  <div class="elForm">
    <label for="subdomain">Sous-domaine</label>
    <br>
    <input id="subdomain" size="16" placeholder="www" pattern="^(([a-z0-9_-]{1,63}\.?){1,127})|(@){1}$" name="subdomain" type="text">
  </div>
  <div class="elForm">
    <label for="zone">Zone</label>
    <br>
    <select required="" name="zone" id="zone">
      <option value="" disabled="" selected="">-</option>

      <?php
      $zones = nsListUserZones($_SESSION['username']);

      if (!empty($zones)) {
        foreach ($zones as $zone)
          echo "<option value='" . $zone . "'>" . $zone . "</option>";
      }
      ?>
    </select>
  </div>
</fieldset>

<fieldset>
  <legend><abbr title="Time To Live">TTL</abbr></legend>
  <div class="elForm">
    <label for="ttl-value">Valeur</label>
    <br>
    <input required="" id="ttl-value" list="ttls" name="ttl-value" size="6" type="number" min="1" max="432000" value="3600" placeholder="3600">
    <datalist id="ttls">
      <option value="900">
      <option value="1800">
      <option value="3600">
      <option value="10800">
      <option value="21600">
      <option value="86400">
      <option value="432000">
    </datalist>
  </div>
  <div class="elForm">
    <label for="ttl-multiplier">Unité</label>
    <br>
    <select required="" name="ttl-multiplier" id="ttl-multiplier">
      <option value="1">seconde</option>
      <option value="60">minute</option>
      <option value="3600">heure</option>
      <option value="86400">jour</option>
    </select>
  </div>
</fieldset>