www.bd.com Open in urlscan Pro
23.36.163.229  Public Scan

Submitted URL: http://www.bd.com/BD-simplified%22]
Effective URL: https://www.bd.com/page-error.html?aspxerrorpath=/BD-simplified%22]
Submission: On November 02 via api from US — Scanned from DE

Form analysis 6 forms found in the DOM

/en-us/searchresults

<form class="search" action="/en-us/searchresults">
  <div class="pad">
    <label>
      <span class="visually-hidden">Search</span>
      <input type="text" placeholder="Search " name="term">
    </label>
    <button type="submit" title="Submit"><i class="fa fa-search" aria-hidden="true"></i></button>
  </div>
</form>

GET /en-us/searchresults

<form id="search-header" action="/en-us/searchresults" method="get">
  <label for="search-tab" class="visuallyhidden">Select an area of the site to search</label>
  <div class="select-wrap hidden-xs">
    <label>
      <span class="visually-hidden">Select here</span>
      <div class="SumoSelect sumo_tab" tabindex="0" role="button" aria-expanded="false"><select id="search-tab" name="tab" class="SumoUnder" tabindex="-1">
          <option value="1" selected="">Site content</option>
          <option value="2">Catalog</option>
          <option value="3">Resources</option>
        </select>
        <p class="CaptionCont SelectBox" title=" Site content"><span> Site content</span><label><i></i></label></p>
        <div class="optWrapper">
          <ul class="options">
            <li class="opt selected"><label>Site content</label></li>
            <li class="opt"><label>Catalog</label></li>
            <li class="opt"><label>Resources</label></li>
          </ul>
        </div>
      </div>
    </label>
  </div>
  <label for="search-term" class="visuallyhidden">Search bd.com</label>
  <input type="text" placeholder="Search bd.com" name="term" id="search-term" autocomplete="off" tabindex="100">
  <button aria-label="Submit search" type="submit"><i class="fa fa-search" aria-hidden="true"></i></button>
  <div class="results">
    <ul id="algolia-query-suggestions"></ul>
  </div>
</form>

#

<form class="default v2" action="#">
  <div style="display:none;" id="hiddenfield1"></div>
  <div style="display:none;" id="hiddenfield2"></div>
  <div class="row">
    <div class="col-sm-6">
      <p>
        <label>
          <span class="label-text"> Capability </span>
        </label>
      </p>
      <div class="SumoSelect" tabindex="0" role="button" aria-expanded="false"><select id="capabilitydropdown" class="SumoUnder" tabindex="-1">
          <option value="">Please Select</option>
          <option data-cap="993" value="Anesthesia delivery">Anesthesia delivery</option>
          <option data-cap="6241" value="Biopsy">Biopsy</option>
          <option data-cap="3943" value="Biosciences">Biosciences</option>
          <option data-cap="6603" value="Biosurgery">Biosurgery</option>
          <option data-cap="3944" value="Cervical cancer screening">Cervical cancer screening</option>
          <option data-cap="3945" value="Diabetes care">Diabetes care</option>
          <option data-cap="4044" value="Drug delivery systems">Drug delivery systems</option>
          <option data-cap="3947" value="Hazardous drug safety">Hazardous drug safety</option>
          <option data-cap="6605" value="Hernia repair and fixation">Hernia repair and fixation</option>
          <option data-cap="994" value="Infection prevention">Infection prevention</option>
          <option data-cap="995" value="Infusion therapy">Infusion therapy</option>
          <option data-cap="997" value="Interventional specialities">Interventional specialities</option>
          <option data-cap="3948" value="Lab automation">Lab automation</option>
          <option data-cap="998" value="Medication and supply management">Medication and supply management</option>
          <option data-cap="3949" value="Microbiology solutions">Microbiology solutions</option>
          <option data-cap="3950" value="Molecular diagnostics">Molecular diagnostics</option>
          <option data-cap="999" value="Patient monitoring and temperature management">Patient monitoring and temperature management</option>
          <option data-cap="3951" value="Sharps disposal solutions">Sharps disposal solutions</option>
          <option data-cap="3946" value="Single cell multiomics">Single cell multiomics</option>
          <option data-cap="3952" value="Software solutions">Software solutions</option>
          <option data-cap="3953" value="Specimen collection">Specimen collection</option>
          <option data-cap="1001" value="Surgical instruments">Surgical instruments</option>
          <option data-cap="3954" value="Syringes and needles">Syringes and needles</option>
          <option data-cap="6600" value="Vascular access">Vascular access</option>
          <option data-cap="6601" value="Vascular surgery">Vascular surgery</option>
        </select>
        <p class="CaptionCont SelectBox" title=" Please Select"><span> Please Select</span><label><i></i></label></p>
        <div class="optWrapper">
          <ul class="options">
            <li class="opt selected"><label>Please Select</label></li>
            <li class="opt"><label>Anesthesia delivery</label></li>
            <li class="opt"><label>Biopsy</label></li>
            <li class="opt"><label>Biosciences</label></li>
            <li class="opt"><label>Biosurgery</label></li>
            <li class="opt"><label>Cervical cancer screening</label></li>
            <li class="opt"><label>Diabetes care</label></li>
            <li class="opt"><label>Drug delivery systems</label></li>
            <li class="opt"><label>Hazardous drug safety</label></li>
            <li class="opt"><label>Hernia repair and fixation</label></li>
            <li class="opt"><label>Infection prevention</label></li>
            <li class="opt"><label>Infusion therapy</label></li>
            <li class="opt"><label>Interventional specialities</label></li>
            <li class="opt"><label>Lab automation</label></li>
            <li class="opt"><label>Medication and supply management</label></li>
            <li class="opt"><label>Microbiology solutions</label></li>
            <li class="opt"><label>Molecular diagnostics</label></li>
            <li class="opt"><label>Patient monitoring and temperature management</label></li>
            <li class="opt"><label>Sharps disposal solutions</label></li>
            <li class="opt"><label>Single cell multiomics</label></li>
            <li class="opt"><label>Software solutions</label></li>
            <li class="opt"><label>Specimen collection</label></li>
            <li class="opt"><label>Surgical instruments</label></li>
            <li class="opt"><label>Syringes and needles</label></li>
            <li class="opt"><label>Vascular access</label></li>
            <li class="opt"><label>Vascular surgery</label></li>
          </ul>
        </div>
      </div>
      <p></p>
    </div>
    <div class="col-sm-6">
      <p>
        <label>
          <span class="label-text">Product Line</span>
        </label>
      </p>
      <div class="SumoSelect" tabindex="0" role="button" aria-expanded="false"><select id="productline" class="SumoUnder" tabindex="-1">
          <option value="" class="all">Please Select</option>
        </select>
        <p class="CaptionCont SelectBox" title=" Please Select"><span> Please Select</span><label><i></i></label></p>
        <div class="optWrapper">
          <ul class="options">
            <li class="opt selected all"><label>Please Select</label></li>
          </ul>
        </div>
      </div>
      <p></p>
    </div>
  </div>
</form>

<form id="mktoForm_3061" novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); width: 1601px;">
  <style type="text/css">
    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton {
      color: #fff;
      border: 1px solid #75ae4c;
      padding: 0.4em 1em;
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      background-image: -webkit-linear-gradient(top, #99c47c, #75ae4c);
      background-image: -moz-linear-gradient(top, #99c47c, #75ae4c);
      background-image: linear-gradient(to bottom, #99c47c, #75ae4c);
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    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton:hover {
      border: 1px solid #447f19;
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    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton:focus {
      outline: none;
      border: 1px solid #447f19;
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      background-color: #75ae4c;
      background-image: -webkit-gradient(linear, left top, left bottom, from(#75ae4c), to(#99c47c));
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      background-image: -moz-linear-gradient(top, #75ae4c, #99c47c);
      background-image: linear-gradient(to bottom, #75ae4c, #99c47c);
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    .mktoForm .mktoButtonWrap.mktoSimple button.mktoButton {
      background: #ef7c0b;
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  </style>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>First Name:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="FirstName" name="FirstName" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Last Name:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="LastName" name="LastName" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructLastName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Email Address:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email" class="mktoField mktoEmailField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Title2__c" id="LblTitle2__c" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Title:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Title2__c" name="Title2__c" aria-labelledby="LblTitle2__c InstructTitle2__c" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;">
          <option value="">Select...</option>
          <option value="Biomed (General)">Biomed (General)</option>
          <option value="Chief Executive Officer">Chief Executive Officer</option>
          <option value="Chief Financial Officer">Chief Financial Officer</option>
          <option value="Chief Information Officer">Chief Information Officer</option>
          <option value="Chief Information Security Officer">Chief Information Security Officer</option>
          <option value="Chief Operating Officer">Chief Operating Officer</option>
          <option value="Chief Technology Officer">Chief Technology Officer</option>
          <option value="Consultant (Information Technology)">Consultant (Information Technology)</option>
          <option value="Director (Human Resources)">Director (Human Resources)</option>
          <option value="Director (Information Systems)">Director (Information Systems)</option>
          <option value="Director (Information Technology)">Director (Information Technology)</option>
          <option value="Director (Lab)">Director (Lab)</option>
          <option value="Director (Nursing)">Director (Nursing)</option>
          <option value="Director (Pharmacy)">Director (Pharmacy)</option>
          <option value="Environmental Services">Environmental Services</option>
          <option value="Informatics">Informatics</option>
          <option value="Lab (Manager)">Lab (Manager)</option>
          <option value="Lab (Assistant)">Lab (Assistant)</option>
          <option value="Manager (Lab)">Manager (Lab)</option>
          <option value="Manager (Materials Management)">Manager (Materials Management)</option>
          <option value="Manager (Nursing)">Manager (Nursing)</option>
          <option value="Materials Management Technician">Materials Management Technician</option>
          <option value="Nurse (OR)">Nurse (OR)</option>
          <option value="Nurse (Staff)">Nurse (Staff)</option>
          <option value="Other">Other</option>
          <option value="Pharmacist">Pharmacist</option>
          <option value="Pharmacy Technician">Pharmacy Technician</option>
          <option value="Physician">Physician</option>
          <option value="Professor (Assistant)">Professor (Assistant)</option>
          <option value="Processor (Associate)">Processor (Associate)</option>
          <option value="Scientist (Chief)">Scientist (Chief)</option>
          <option value="Scientist (Staff)">Scientist (Staff)</option>
          <option value="Student (Graduate)">Student (Graduate)</option>
          <option value="Systems Administrator (Information Technology)">Systems Administrator (Information Technology)</option>
          <option value="Systems Analyst (Information Systems)">Systems Analyst (Information Systems)</option>
          <option value="Systems Engineer (Information Technology)">Systems Engineer (Information Technology)</option>
          <option value="Systems Manager (Information Systems)">Systems Manager (Information Systems)</option>
          <option value="Technician (Lab)">Technician (Lab)</option>
          <option value="Technician (Research)">Technician (Research)</option>
        </select><span id="InstructTitle2__c" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Address" id="LblAddress" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Address:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Address" name="Address" maxlength="2000" aria-labelledby="LblAddress InstructAddress" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructAddress" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
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    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="City" id="LblCity" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>City:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="City" name="City" maxlength="255" aria-labelledby="LblCity InstructCity" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true"
          style="width: 150px;"><span id="InstructCity" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="State" id="LblState" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>State:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="State" name="State" aria-labelledby="LblState InstructState" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;">
          <option value="">Select...</option>
          <option value="AK">AK</option>
          <option value="AL">AL</option>
          <option value="AR">AR</option>
          <option value="AZ">AZ</option>
          <option value="CA">CA</option>
          <option value="CO">CO</option>
          <option value="CT">CT</option>
          <option value="DE">DE</option>
          <option value="FL">FL</option>
          <option value="GA">GA</option>
          <option value="HI">HI</option>
          <option value="IA">IA</option>
          <option value="ID">ID</option>
          <option value="IL">IL</option>
          <option value="IN">IN</option>
          <option value="KS">KS</option>
          <option value="KY">KY</option>
          <option value="LA">LA</option>
          <option value="MA">MA</option>
          <option value="MD">MD</option>
          <option value="ME">ME</option>
          <option value="MI">MI</option>
          <option value="MN">MN</option>
          <option value="MO">MO</option>
          <option value="MS">MS</option>
          <option value="MT">MT</option>
          <option value="NC">NC</option>
          <option value="ND">ND</option>
          <option value="NE">NE</option>
          <option value="NH">NH</option>
          <option value="NJ">NJ</option>
          <option value="NM">NM</option>
          <option value="NV">NV</option>
          <option value="NY">NY</option>
          <option value="OH">OH</option>
          <option value="OK">OK</option>
          <option value="OR">OR</option>
          <option value="PA">PA</option>
          <option value="RI">RI</option>
          <option value="SC">SC</option>
          <option value="SD">SD</option>
          <option value="TN">TN</option>
          <option value="TX">TX</option>
          <option value="UT">UT</option>
          <option value="VA">VA</option>
          <option value="VT">VT</option>
          <option value="WA">WA</option>
          <option value="WI">WI</option>
          <option value="WV">WV</option>
          <option value="WY">WY</option>
          <option value="other">OTHER</option>
        </select><span id="InstructState" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="PostalCode" id="LblPostalCode" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Postal Code:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="PostalCode" name="PostalCode" maxlength="255" aria-labelledby="LblPostalCode InstructPostalCode" type="text" class="mktoField mktoTextField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructPostalCode" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
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  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Country" id="LblCountry" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Country:
        </label>
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          <option value="Afghanistan">Afghanistan</option>
          <option value="Albania">Albania</option>
          <option value="Algeria">Algeria</option>
          <option value="Andorra">Andorra</option>
          <option value="Angola">Angola</option>
          <option value="Antigua &amp; Deps">Antigua &amp; Deps</option>
          <option value="Argentina">Argentina</option>
          <option value="Armenia">Armenia</option>
          <option value="Australia">Australia</option>
          <option value="Austria">Austria</option>
          <option value="Azerbaijan">Azerbaijan</option>
          <option value="Bahamas">Bahamas</option>
          <option value="Bahrain">Bahrain</option>
          <option value="Bangladesh">Bangladesh</option>
          <option value="Barbados">Barbados</option>
          <option value="Belarus">Belarus</option>
          <option value="Belgium">Belgium</option>
          <option value="Belize">Belize</option>
          <option value="Benin">Benin</option>
          <option value="Bhutan">Bhutan</option>
          <option value="Bolivia">Bolivia</option>
          <option value="Bosnia Herzegovina">Bosnia Herzegovina</option>
          <option value="Botswana">Botswana</option>
          <option value="Brazil">Brazil</option>
          <option value="Brunei">Brunei</option>
          <option value="Bulgaria">Bulgaria</option>
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          <option value="Burundi">Burundi</option>
          <option value="Cambodia">Cambodia</option>
          <option value="Cameroon">Cameroon</option>
          <option value="Canada">Canada</option>
          <option value="Cape Verde">Cape Verde</option>
          <option value="Central African Rep">Central African Rep</option>
          <option value="Chad">Chad</option>
          <option value="Chile">Chile</option>
          <option value="China">China</option>
          <option value="Colombia">Colombia</option>
          <option value="Comoros">Comoros</option>
          <option value="Congo">Congo</option>
          <option value="Congo (Democratic Rep)">Congo (Democratic Rep)</option>
          <option value="Costa Rica">Costa Rica</option>
          <option value="Croatia">Croatia</option>
          <option value="Cuba">Cuba</option>
          <option value="Cyprus">Cyprus</option>
          <option value="Czech Republic">Czech Republic</option>
          <option value="Denmark">Denmark</option>
          <option value="Djibouti">Djibouti</option>
          <option value="Dominica">Dominica</option>
          <option value="Dominican Republic">Dominican Republic</option>
          <option value="East Timor">East Timor</option>
          <option value="Ecuador">Ecuador</option>
          <option value="Egypt">Egypt</option>
          <option value="El Salvador">El Salvador</option>
          <option value="Equatorial Guinea">Equatorial Guinea</option>
          <option value="Eritrea">Eritrea</option>
          <option value="Estonia">Estonia</option>
          <option value="Ethiopia">Ethiopia</option>
          <option value="Fiji">Fiji</option>
          <option value="Finland">Finland</option>
          <option value="France">France</option>
          <option value="Gabon">Gabon</option>
          <option value="Gambia">Gambia</option>
          <option value="Georgia">Georgia</option>
          <option value="Germany">Germany</option>
          <option value="Ghana">Ghana</option>
          <option value="Greece">Greece</option>
          <option value="Grenada">Grenada</option>
          <option value="Guatemala">Guatemala</option>
          <option value="Guinea">Guinea</option>
          <option value="Guinea-Bissau">Guinea-Bissau</option>
          <option value="Guyana">Guyana</option>
          <option value="Haiti">Haiti</option>
          <option value="Honduras">Honduras</option>
          <option value="Hong Kong">Hong Kong</option>
          <option value="Hungary">Hungary</option>
          <option value="Iceland">Iceland</option>
          <option value="India">India</option>
          <option value="Indonesia">Indonesia</option>
          <option value="Iran">Iran</option>
          <option value="Iraq">Iraq</option>
          <option value="Ireland (Republic)">Ireland (Republic)</option>
          <option value="Israel">Israel</option>
          <option value="Italy">Italy</option>
          <option value="Ivory Coast">Ivory Coast</option>
          <option value="Jamaica">Jamaica</option>
          <option value="Japan">Japan</option>
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          <option value="Kosovo">Kosovo</option>
          <option value="Kuwait">Kuwait</option>
          <option value="Kyrgyzstan">Kyrgyzstan</option>
          <option value="Laos">Laos</option>
          <option value="Latvia">Latvia</option>
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          <option value="Liberia">Liberia</option>
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          <option value="Luxembourg">Luxembourg</option>
          <option value="Macedonia">Macedonia</option>
          <option value="Madagascar">Madagascar</option>
          <option value="Malawi">Malawi</option>
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          <option value="Mauritius">Mauritius</option>
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          <option value="Moldova">Moldova</option>
          <option value="Monaco">Monaco</option>
          <option value="Mongolia">Mongolia</option>
          <option value="Montenegro">Montenegro</option>
          <option value="Morocco">Morocco</option>
          <option value="Mozambique">Mozambique</option>
          <option value="Myanmar (Burma)">Myanmar (Burma)</option>
          <option value="Namibia">Namibia</option>
          <option value="Nauru">Nauru</option>
          <option value="Nepal">Nepal</option>
          <option value="Netherlands">Netherlands</option>
          <option value="New Zealand">New Zealand</option>
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          <option value="Niger">Niger</option>
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          <option value="Pakistan">Pakistan</option>
          <option value="Palau">Palau</option>
          <option value="Panama">Panama</option>
          <option value="Papua New Guinea">Papua New Guinea</option>
          <option value="Paraguay">Paraguay</option>
          <option value="Peru">Peru</option>
          <option value="Philippines">Philippines</option>
          <option value="Poland">Poland</option>
          <option value="Portugal">Portugal</option>
          <option value="Qatar">Qatar</option>
          <option value="Romania">Romania</option>
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          <option value="St Kitts &amp; Nevis">St Kitts &amp; Nevis</option>
          <option value="St Lucia">St Lucia</option>
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          <option value="Samoa">Samoa</option>
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