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Name: subscribe-form — POST _assets/sign-up.php

<form action="_assets/sign-up.php" method="POST" id="subscribe-form" name="subscribe-form" class="validate" target="_blank">
  <div class="block_title padbot20 padleft20 padright20 text-center" style=" margin:0px auto; max-width:1170px;">
    <h2 class="text-center padbot30">SIGN UP</h2>
  </div>
  <div id="form">
    <div class="signup-email signup-field-EMAIL signup_field_width_full"><input type="text" placeholder="EMAIL ADDRESS" name="EMAIL" class="required" id="EMAIL"></div>
    <div class="countryContainer"><select id="MMERGE1" name="MMERGE1" "=""><option value="">Choose your Country</option><option value=" Aaland Islands">Aaland Islands</option>
        <option value="Afghanistan">Afghanistan</option>
        <option value="Albania">Albania</option>
        <option value="Algeria">Algeria</option>
        <option value="American Samoa">American Samoa</option>
        <option value="Andorra">Andorra</option>
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        <option value="Anguilla">Anguilla</option>
        <option value="Antarctica">Antarctica</option>
        <option value="Antigua And Barbuda">Antigua And Barbuda</option>
        <option value="Argentina">Argentina</option>
        <option value="Armenia">Armenia</option>
        <option value="Aruba">Aruba</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="Bermuda">Bermuda</option>
        <option value="Bhutan">Bhutan</option>
        <option value="Bolivia">Bolivia</option>
        <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
        <option value="Botswana">Botswana</option>
        <option value="Bouvet Island">Bouvet Island</option>
        <option value="Brazil">Brazil</option>
        <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
        <option value="Brunei Darussalam">Brunei Darussalam</option>
        <option value="Bulgaria">Bulgaria</option>
        <option value="Burkina Faso">Burkina Faso</option>
        <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="Cayman Islands">Cayman Islands</option>
        <option value="Central African Republic">Central African Republic</option>
        <option value="Chad">Chad</option>
        <option value="Chile">Chile</option>
        <option value="China">China</option>
        <option value="Christmas Island">Christmas Island</option>
        <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
        <option value="Colombia">Colombia</option>
        <option value="Comoros">Comoros</option>
        <option value="Congo">Congo</option>
        <option value="Cook Islands">Cook Islands</option>
        <option value="Costa Rica">Costa Rica</option>
        <option value="Cote D Ivoire">Cote D Ivoire</option>
        <option value="Croatia">Croatia</option>
        <option value="Cuba">Cuba</option>
        <option value="Curacao">Curacao</option>
        <option value="Cyprus">Cyprus</option>
        <option value="Czech Republic">Czech Republic</option>
        <option value="Democratic Republic of the Congo">Democratic Republic of the Congo</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="Falkland Islands">Falkland Islands</option>
        <option value="Faroe Islands">Faroe Islands</option>
        <option value="Fiji">Fiji</option>
        <option value="Finland">Finland</option>
        <option value="France">France</option>
        <option value="French Guiana">French Guiana</option>
        <option value="French Polynesia">French Polynesia</option>
        <option value="French Southern Territories">French Southern Territories</option>
        <option value="Gabon">Gabon</option>
        <option value="Gambia">Gambia</option>
        <option value="Germany">Germany</option>
        <option value="Georgia">Georgia</option>
        <option value="Ghana">Ghana</option>
        <option value="Gibraltar">Gibraltar</option>
        <option value="Greece">Greece</option>
        <option value="Greenland">Greenland</option>
        <option value="Grenada">Grenada</option>
        <option value="Guadeloupe">Guadeloupe</option>
        <option value="Guam">Guam</option>
        <option value="Guatemala">Guatemala</option>
        <option value="Guernsey">Guernsey</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="Heard and Mc Donald Islands">Heard and Mc Donald Islands</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>
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        <option value="Iraq">Iraq</option>
        <option value="Ireland">Ireland</option>
        <option value="Isle of Man">Isle of Man</option>
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        <option value="Italy">Italy</option>
        <option value="Jamaica">Jamaica</option>
        <option value="Japan">Japan</option>
        <option value="Jersey (Channel Islands)">Jersey (Channel Islands)</option>
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        <option value="Kiribati">Kiribati</option>
        <option value="Kuwait">Kuwait</option>
        <option value="Kyrgyzstan">Kyrgyzstan</option>
        <option value="Lao Peoples Democratic Republic">Lao Peoples Democratic Republic</option>
        <option value="Latvia">Latvia</option>
        <option value="Lebanon">Lebanon</option>
        <option value="Lesotho">Lesotho</option>
        <option value="Liberia">Liberia</option>
        <option value="Libya">Libya</option>
        <option value="Liechtenstein">Liechtenstein</option>
        <option value="Lithuania">Lithuania</option>
        <option value="Luxembourg">Luxembourg</option>
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        <option value="Macedonia">Macedonia</option>
        <option value="Madagascar">Madagascar</option>
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        <option value="Malaysia">Malaysia</option>
        <option value="Maldives">Maldives</option>
        <option value="Mali">Mali</option>
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        <option value="Marshall Islands">Marshall Islands</option>
        <option value="Martinique">Martinique</option>
        <option value="Mauritania">Mauritania</option>
        <option value="Mauritius">Mauritius</option>
        <option value="Mayotte">Mayotte</option>
        <option value="Mexico">Mexico</option>
        <option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
        <option value="Moldova, Republic of">Moldova, Republic of</option>
        <option value="Monaco">Monaco</option>
        <option value="Mongolia">Mongolia</option>
        <option value="Montenegro">Montenegro</option>
        <option value="Montserrat">Montserrat</option>
        <option value="Morocco">Morocco</option>
        <option value="Mozambique">Mozambique</option>
        <option value="Myanmar">Myanmar</option>
        <option value="Namibia">Namibia</option>
        <option value="Nauru">Nauru</option>
        <option value="Nepal">Nepal</option>
        <option value="Netherlands">Netherlands</option>
        <option value="Netherlands Antilles">Netherlands Antilles</option>
        <option value="New Caledonia">New Caledonia</option>
        <option value="New Zealand">New Zealand</option>
        <option value="Nicaragua">Nicaragua</option>
        <option value="Niger">Niger</option>
        <option value="Nigeria">Nigeria</option>
        <option value="Niue">Niue</option>
        <option value="Norfolk Island">Norfolk Island</option>
        <option value="North Korea">North Korea</option>
        <option value="Northern Mariana Islands">Northern Mariana Islands</option>
        <option value="Norway">Norway</option>
        <option value="Oman">Oman</option>
        <option value="Pakistan">Pakistan</option>
        <option value="Palau">Palau</option>
        <option value="Palestine">Palestine</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="Pitcairn">Pitcairn</option>
        <option value="Poland">Poland</option>
        <option value="Portugal">Portugal</option>
        <option value="Puerto Rico">Puerto Rico</option>
        <option value="Qatar">Qatar</option>
        <option value="Republic of Kosovo">Republic of Kosovo</option>
        <option value="Reunion">Reunion</option>
        <option value="Romania">Romania</option>
        <option value="Russia">Russia</option>
        <option value="Rwanda">Rwanda</option>
        <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
        <option value="Saint Lucia">Saint Lucia</option>
        <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
        <option value="Samoa (Independent)">Samoa (Independent)</option>
        <option value="San Marino">San Marino</option>
        <option value="Sao Tome and Principe">Sao Tome and Principe</option>
        <option value="Saudi Arabia">Saudi Arabia</option>
        <option value="Senegal">Senegal</option>
        <option value="Serbia">Serbia</option>
        <option value="Seychelles">Seychelles</option>
        <option value="Sierra Leone">Sierra Leone</option>
        <option value="Singapore">Singapore</option>
        <option value="Sint Maarten">Sint Maarten</option>
        <option value="Slovakia">Slovakia</option>
        <option value="Slovenia">Slovenia</option>
        <option value="Solomon Islands">Solomon Islands</option>
        <option value="Somalia">Somalia</option>
        <option value="South Africa">South Africa</option>
        <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
        <option value="South Korea">South Korea</option>
        <option value="Sudan">Sudan</option>
        <option value="Spain">Spain</option>
        <option value="Sri Lanka">Sri Lanka</option>
        <option value="St. Helena">St. Helena</option>
        <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
        <option value="Suriname">Suriname</option>
        <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
        <option value="Swaziland">Swaziland</option>
        <option value="Sweden">Sweden</option>
        <option value="Switzerland">Switzerland</option>
        <option value="Syria">Syria</option>
        <option value="Taiwan">Taiwan</option>
        <option value="Tajikistan">Tajikistan</option>
        <option value="Tanzania">Tanzania</option>
        <option value="Thailand">Thailand</option>
        <option value="Togo">Togo</option>
        <option value="Tokelau">Tokelau</option>
        <option value="Tonga">Tonga</option>
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        <option value="Tunisia">Tunisia</option>
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        <option value="Turkmenistan">Turkmenistan</option>
        <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
        <option value="Tuvalu">Tuvalu</option>
        <option value="Uganda">Uganda</option>
        <option value="Ukraine">Ukraine</option>
        <option value="United Arab Emirates">United Arab Emirates</option>
        <option value="United Kingdom">United Kingdom</option>
        <option value="United States of America">United States of America</option>
        <option value="Uruguay">Uruguay</option>
        <option value="USA Minor Outlying Islands">USA Minor Outlying Islands</option>
        <option value="Uzbekistan">Uzbekistan</option>
        <option value="Vanuatu">Vanuatu</option>
        <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
        <option value="Venezuela">Venezuela</option>
        <option value="Vietnam">Vietnam</option>
        <option value="Virgin Islands (British)">Virgin Islands (British)</option>
        <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
        <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
        <option value="Western Sahara">Western Sahara</option>
        <option value="Yemen">Yemen</option>
        <option value="Zambia">Zambia</option>
        <option value="Zimbabwe">Zimbabwe</option>
      </select></div>
    <div class="submitButton">
      <input type="hidden" value="EMAIL=Email Address" name="required" id="required">
      <input type="submit" value="SUBMIT" name="subscribe" id="mc-embedded-subscribe" class="btn_black">
    </div>
  </div><!-- /#form -->
  <div class="errorText" style="color:#000000;"></div>
</form>

Text Content

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and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
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and Mc Donald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJersey (Channel
Islands)JordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao Peoples Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
ofMoldova, Republic
ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of
KosovoReunionRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent
and the GrenadinesSamoa (Independent)San MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth KoreaSudanSpainSri LankaSt. HelenaSt. Pierre and
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IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
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