Mine

<div class="outernest">

	<h3>Mod Edit #1</h3>
	<p class="innernest"><labe>File to Edit:
		<select name="mod[1][file][dir]" id="fileedit[1]">
			<option value="none" selected="selected">--Select One</option>
			<option value="sourcedir">Sources</option>
			<option value="themedir">Default Theme</option>
			<option value="languagedir">Language File</option>

			<option value="boarddir">Other</option>
		</select></label>
		<label><input name="mod[1][file][name]" id="filename[1] type="text" value="index" size="50" maxlength="225" />.php</label>
	<br />
		<span style="font-size: 10px;">Note: If Other Specified Please enter Directory from boarddir (Forum Root). </span>
	</p><p class="innernest"><label>Action to take:
		<select name="mod[1][type]" size="1" id="inputtype[1]">
			<option value="replace">Replace</option>

			<option value="before">Add Code Before</option>
			<option value="after">Add Code Afer</option>
			<option value="end">End of File</option>
		</select>
		</label>
	</p><p class="innernest">
		<label>Mod Options:<br />

		<input type="checkbox" name="mod[1][ignore]"/> Skip edit on error</label>
	</p><p class="innernest">Code to Search For (leave blank if using end)<br />
		<textarea name="mod[1][search]" cols="75" rows="7">// Find String</textarea>
	</p><p class="innernest">
		<label>Code To Replace/Add<br />
		<textarea name="mod[1][edit]" cols="75" rows="7">index</textarea></label>

	</p><p class="innernest">
		<label><input name="mod[1][remove]" id="removal[1]" type="checkbox" />Remove Edit. This will remove This edit from your mod.</lable>
		<label><input name="mod[1][hide]" id="hide[1]" type="checkbox" />Hide Edit, So you can See your Others.</lable>
	</p>
	</div><hr />