Yo lo haría de esta manera:
   Código PHP:
    <html>
 <head>
  <script language="JavaScript">
   var aBackground = new Array("uno.gif",
                               "dos.gif",
                               "tres.gif",
                               "cuatro.gif",
                               "cinco.gif",
                               "seis.gif",
                               "siete.gif",
                               "ocho.gif",
                               "nueve.gif",
                               "diez.gif",
                               "once.gif",
                               "doce.gif",
                               "trece.gif",
                               "catorce.gif",
                               "quince.gif",
                               "dieciseis.gif",
                               "diecisiete.gif",
                               "dieciocho.gif",
                               "diecinueve.gif",
                               "veinte.gif",
                               "veintiuno.gif",
                               "veintidos.gif",
                               "veintitres.gif" );
   var aBackColor = new Array("blue",
                               "aquamarine",
                               "chocolate",
                               "darkred",
                               "gold",
                               "red",
                               "yellow",
                               "hotpink",
                               "lime",
                               "darkkhaki",
                               "cadetblue",
                               "darkgoldenrod",
                               "darkslateblue",
                               "blue",
                               "deeppink",
                               "darksalmon",
                               "salmon",
                               "tan",
                               "wheat",
                               "tomato",
                               "springgreen",
                               "turquoise",
                               "white");
 
   function cambia(){
    document.bgColor = aBackColor[document.frm.clr.selectedIndex];
    document.body.background = aBackground[document.frm.clr.selectedIndex];
   }
  </script>
 </head>
 <body>
  <form name="frm">
   <p>
   <select Size="5" name="clr" onChange="cambia()">
   <option VALUE="blue">Azul </option>
   <option VALUE="aquamarine">Azul Agua </option>
    <option VALUE="chocolate">chocolate </option>
    <option VALUE="darkred">Marron </option>
    <option VALUE="gold">Oro </option>
    <option VALUE="red">Rojo </option>
    <option VALUE="yellow">Amarillo </option>
    <option VALUE="hotpink">Rosa Fuerte </option>
    <option VALUE="lime">Lima </option>
    <option VALUE="darkkhaki">Verdoso </option>
    <option VALUE="cadetblue ">Lila </option>
    <option VALUE="darkgoldenrod">Oro Viejo </option>
    <option VALUE="darkslateblue">Azul Oscuro </option>
    <option VALUE="blue">Azul </option>
    <option VALUE="deeppink">Rosa Chillon </option>
    <option VALUE="darksalmon">Salmon FLojo </option>
    <option VALUE="salmon">Salmon </option>
    <option VALUE="tan">Café Claro </option>
    <option VALUE="wheat">Trigo </option>
    <option VALUE="tomato">Tomate </option>
    <option VALUE="springgreen">Verde Fluorescente </option>
    <option VALUE="turquoise">Turquesa </option>
    <option VALUE="white" SELECTED>Blanco </option>
   </select>
   </p>
  </form>
 </body>
</html> 
   
  Saludos.