In that case just replace the select

 <select name="server">
   <option value="">select</option>
   <option value="server1">server1</option>
   <option value="server2">server2</option>
   <option value="server3">server3</option>
   <option value="server4">server4</option>
 </select>
[download]

with a text box

<textarea name="server" rows="1" cols="30" wrap="virtual"></textarea>
[download]

poj