@ -403,8 +403,8 @@ select.gender_pick {border: 1px solid #d1d1d1;
<div class="selectionBlock">
<select name="gender[]" class="gender_pick">
<option value="Mr.">Mr.</option>
<option value="Ms.">Ms.</option>
<option value="100001">Mr.</option>
<option value="100003">Ms.</option>
</select>
<div class="inputTerm">
<input type="text" name="sur_name[]" required="">