ssi filter mock html

gistfile1.html

<form name="filter">
    <div class="filter_term">
        <label>Term:<input type='text' /></label>
    </div>
    <div class="filter_groups">
        <label>Groups:<select name="groups">
            <option value=""> - N/A - </option>
            <option value="01">This is some group name</option>   
            <option value="2">FOO BAR</option>
            <option value="3">Hello World</option>
        </select></label>
    </div>
    <div class="filter_suppliers">
        <label>Suppliers:<select name="suppliers">
            <option value=""> - N/A - </option>
            <option value="1">This is some supplier name</option>   
            <option value="2">FIZ FAZ PIC PAC</option>
            <option value="3">Goodbye Moon</option>
        </select></label>
    </div>
</form>