secure.paytabs.com Open in urlscan Pro
2606:4700:10::ac43:613  Public Scan

URL: https://secure.paytabs.com/payment/page/5E3609D682E46FE10784E2C8D00931B9E5477E2117DC540EA2689204/start
Submission: On July 30 via manual from SG — Scanned from SG

Form analysis 1 forms found in the DOM

POST /payment/page/5E3609D682E46FE10784E2C8D00931B9E5477E2117DC540EA2689204/process

<form id="cardForm" class="multiple" action="/payment/page/5E3609D682E46FE10784E2C8D00931B9E5477E2117DC540EA2689204/process" method="post">
  <input type="hidden" name="csrf" value="8C6B1F03FC331F498A1A">
  <input type="hidden" name="selectedPaymentMethod" id="selected-payment-method" value="CC">
  <input type="hidden" name="selectedPaymentMethodID" id="selected-payment-method-id" value="undefined">
  <div class="tab-content" id="pt_payment_method_tabsContent">
    <div class="tab-pane fade active show" id="nav-card" role="tabpanel" aria-labelledby="nav-card-tab" style="display: block;">
      <div id="payment_card" class="card">
        <div class="card-body"><input type="hidden" data-paylib="csrf" value="8C6B1F03FC331F498A1A">
          <div class="form-group mb-1">
            <label class="label" for="holderName">Card holders name</label>
            <input type="text" class="form-control" id="holderName" name="holderName" autocomplete="name" placeholder="Your full name" value="SIN TAT GOH">
            <div id="holderName-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-group">
            <label class="label" id="pt-card-number-label" for="number">Payment details</label>
            <div class="input-group">
              <input type="text" id="number" class="form-control input-card" data-paylib="number" name="cardnumber" autocomplete="cc-number" placeholder="1234 1234 1234 1234" aria-invalid="true" autocorrect="off" spellcheck="false"
                aria-label="Card number" pattern="[0-9|#| ]*" inputmode="numeric">
              <div class="input-group-append">
                <span class="input-group-text card-type"><i class="pt-credit-card-brand"></i></span>
              </div>
              <div id="number-feedback" class="invalid-feedback"></div>
            </div>
          </div>
          <div id="payment_card_expiry_cvv" class="form-row">
            <div class="col">
              <input type="text" id="expmonth" class="form-control" data-paylib="expmonth" name="ccmonth" autocomplete="cc-exp-month" placeholder="MM" autocorrect="off" spellcheck="false" aria-label="expmonth" aria-invalid="false" maxlength="2"
                pattern="[0-9]*" inputmode="numeric">
              <div id="expmonth-feedback" class="invalid-feedback"></div>
            </div>
            <div class="col">
              <input type="text" id="expyear" class="form-control" data-paylib="expyear" name="ccyear" autocomplete="cc-exp-year" placeholder="YY" autocorrect="off" spellcheck="false" aria-label="expyear" aria-invalid="false" maxlength="2"
                pattern="[0-9]*" inputmode="numeric">
              <div id="expyear-feedback" class="invalid-feedback"></div>
            </div>
            <div class="col input-group">
              <input type="text" class="form-control input-cvc" id="cvv" data-paylib="cvv" name="cvv" placeholder="CVV" autocomplete="off" autocorrect="off" spellcheck="false" aria-label="cvv" aria-invalid="false" pattern="[0-9|#]*"
                inputmode="numeric">
              <div class="input-group-append">
                <span class="input-group-text"
                  style="padding-top: 4px;"><i data-toggle="popover" style="height:24px;" data-content="The 3 digit code on back of the card." data-trigger="hover" data-original-title="" title=""><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" width="20" height="20" fill="currentColor"><path d="M256 0C114.6 0 0 114.6 0 256s114.6 256 256 256s256-114.6 256-256S397.4 0 256 0zM256 400c-18 0-32-14-32-32s13.1-32 32-32c17.1 0 32 14 32 32S273.1 400 256 400zM325.1 258L280 286V288c0 13-11 24-24 24S232 301 232 288V272c0-8 4-16 12-21l57-34C308 213 312 206 312 198C312 186 301.1 176 289.1 176h-51.1C225.1 176 216 186 216 198c0 13-11 24-24 24s-24-11-24-24C168 159 199 128 237.1 128h51.1C329 128 360 159 360 198C360 222 347 245 325.1 258z"></path></svg></i></span>
              </div>
              <div id="cvv-feedback" class="invalid-feedback"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div data-method="MBUP" class="tab-pane fade" id="nav-external-0" role="tabpanel" aria-labelledby="nav-external-tab-0">
      <div class="alert alert-primary pt_pay_alert text-center" role="alert">You will be redirected to UnionPay website.</div>
    </div>
    <div id="pt_customer_details" style="display: block;">
      <ul class="nav nav-tabs nav-justified" role="tablist">
        <li class="nav-item">
          <a class="nav-link pt_personal-tab" data-toggle="tab" href="#customer-info" role="tab" aria-controls="personal" aria-selected="true">Edit billing info<span class="arrow-right"></span></a>
        </li>
        <li class="nav-item">
          <a class="nav-link pt_billing-tab" data-toggle="tab" href="#billing-info" role="tab" aria-controls="billing" aria-selected="true">Edit shipping info<span class="arrow-right"></span></a>
        </li>
      </ul>
      <div class="tab-content pt_customer_details_content">
        <div class="tab-pane" id="customer-info" role="tabpanel" aria-labelledby="personal-tab">
          <div class="form-group">
            <label for="customer-name">Name</label>
            <input type="text" class="form-control" name="name" id="customer-name" placeholder="Your full name" value="SIN TAT GOH">
            <div id="customer-name-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-group">
            <label for="customer-email">Email</label>
            <input type="email" class="form-control" name="email" id="customer-email" placeholder="Your email address" value="STGOH@MAYBANK.COM" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$">
            <div id="customer-email-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-group">
            <label for="customer-address">Address</label>
            <input type="text" class="form-control" name="address" id="customer-address" placeholder="Address" value="UNIT 3, LAMAN VILA, JALAN PRIMA PELANGI 6">
            <div id="customer-address-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-row">
            <div class="form-group col-md-6">
              <input type="text" class="form-control" name="city" id="customer-city" placeholder="City" value="KUALA LUMPUR">
              <div id="customer-city-feedback" class="invalid-feedback"></div>
            </div>
            <div class="form-group col-md-6">
              <select class="form-control" name="country" id="customer-country">
                <option value="">-- Country --</option>
                <option value="AF" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="93">Afghanistan</option>
                <option value="AX" data-zp="NNNNN,	CC-NNNNN" data-zp-regex="((^\d{5}$)|(^[a-zA-Z][a-zA-Z][-]\d{5}$))" data-idd="358">Aland Islands</option>
                <option value="AL" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="355" data-iban="1">Albania</option>
                <option value="DZ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="213">Algeria</option>
                <option value="AS" data-zp="96799, 96799-NNNN" data-zp-regex="((^[9][6][7][9][9]$)|(^[9][6][7][9][9][-]\d{4}$))" data-idd="1-684">American Samoa</option>
                <option value="AD" data-zp="CCNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{3}$))" data-idd="376" data-iban="1">Andorra</option>
                <option value="AO" data-idd="244">Angola</option>
                <option value="AI" data-zf="AI-2640" data-idd="1-264">Anguilla</option>
                <option value="AQ" data-idd="672">Antarctica</option>
                <option value="AG" data-idd="1-268">Antigua and Barbuda</option>
                <option value="AR" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="54">Argentina</option>
                <option value="AM" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="374">Armenia</option>
                <option value="AW" data-idd="297">Aruba</option>
                <option value="AU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Australia</option>
                <option value="AT" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="43" data-iban="1">Austria</option>
                <option value="AZ" data-zp="az NNNN, NNNN" data-zp-regex="((^[A][Z][ ]\d{4}$)|(^\d{4}$))" data-idd="994" data-iban="1">Azerbaijan</option>
                <option value="BS" data-idd="1-242">Bahamas</option>
                <option value="BH" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="973" data-iban="1">Bahrain</option>
                <option value="BD" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="880">Bangladesh</option>
                <option value="BB" data-zp="CCNNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{5}$))" data-idd="1-246">Barbados</option>
                <option value="BY" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="375">Belarus</option>
                <option value="BE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="32" data-iban="1">Belgium</option>
                <option value="BZ" data-idd="501">Belize</option>
                <option value="BJ" data-idd="229">Benin</option>
                <option value="BM" data-zp="AA NN, AA AA" data-zp-regex="((^[a-zA-Z][a-zA-Z][ ]\d{2}$)|(^[a-zA-Z][a-zA-Z][ ][a-zA-Z][a-zA-Z]$))" data-idd="1-441">Bermuda</option>
                <option value="BT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="975">Bhutan</option>
                <option value="BO" data-idd="591">Bolivia</option>
                <option value="BQ" data-idd="599">Bonaire, Sint Eustatius and Saba</option>
                <option value="BA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="387" data-iban="1">Bosnia and Herzegovina</option>
                <option value="BW" data-idd="267">Botswana</option>
                <option value="BV" data-idd="48">Bouvet Island</option>
                <option value="BR" data-zp="NNNNN, NNNNN-NNN" data-zp-regex="((^\d{5}$)|(^\d{5}[-]\d{3}$))" data-idd="55" data-iban="1">Brazil</option>
                <option value="IO" data-zf="BBND 1ZZ" data-idd="246">British Indian Ocean Territory</option>
                <option value="BN" data-zp="AANNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="673">Brunei Darussalam</option>
                <option value="BG" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="359" data-iban="1">Bulgaria</option>
                <option value="BF" data-idd="226">Burkina Faso</option>
                <option value="BI" data-idd="257">Burundi</option>
                <option value="CV" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="238">Cabo Verde</option>
                <option value="KH" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="855">Cambodia</option>
                <option value="CM" data-idd="237">Cameroon</option>
                <option value="CA" data-zp="ANA NAN" data-zp-regex="((^[a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z]\d{1}$))" data-idd="1">Canada</option>
                <option value="KY" data-zp="CCN-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{1}[-]\d{4}$))" data-idd="1-345">Cayman Islands</option>
                <option value="CF" data-idd="236">Central African Republic</option>
                <option value="TD" data-idd="235">Chad</option>
                <option value="CL" data-zp="NNNNNNN, NNN-NNNN" data-zp-regex="((^\d{7}$)|(^\d{3}[-]\d{4}$))" data-idd="56">Chile</option>
                <option value="CN" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="86">China</option>
                <option value="CX" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Christmas Island</option>
                <option value="CC" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Cocos (Keeling) Islands</option>
                <option value="CO" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="57">Colombia</option>
                <option value="KM" data-idd="269">Comoros</option>
                <option value="CG" data-idd="242">Congo</option>
                <option value="CD" data-idd="243">Congo (Democratic Republic of the)</option>
                <option value="CK" data-idd="682">Cook Islands</option>
                <option value="CR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="506" data-iban="1">Costa Rica</option>
                <option value="CI" data-idd="225">Cote d'Ivoire</option>
                <option value="HR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="385" data-iban="1">Croatia</option>
                <option value="CU" data-zp="cpNNNNN, NNNNN" data-zp-regex="((^[C][P]\d{5}$)|(^\d{5}$))" data-idd="53">Cuba</option>
                <option value="CW" data-idd="599">Curacao</option>
                <option value="CY" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="357" data-iban="1">Cyprus</option>
                <option value="CZ" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="420" data-iban="1">Czech Republic</option>
                <option value="DK" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="45" data-iban="1">Denmark</option>
                <option value="DJ" data-idd="253">Djibouti</option>
                <option value="DM" data-idd="1-767">Dominica</option>
                <option value="DO" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="1" data-iban="1">Dominican Republic</option>
                <option value="EC" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="593">Ecuador</option>
                <option value="EG" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="20" data-iban="1">Egypt</option>
                <option value="SV" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="503">El Salvador</option>
                <option value="GQ" data-idd="240">Equatorial Guinea</option>
                <option value="ER" data-idd="291">Eritrea</option>
                <option value="EE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="372" data-iban="1">Estonia</option>
                <option value="SZ" data-zp="ANNN" data-zp-regex="((^[a-zA-Z]\d{3}$))" data-idd="268">Eswatini</option>
                <option value="ET" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="251">Ethiopia</option>
                <option value="FK" data-zf="FIQQ 1ZZ" data-idd="500">Falkland Islands</option>
                <option value="FO" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="298" data-iban="1">Faroe Islands</option>
                <option value="FJ" data-idd="679">Fiji</option>
                <option value="FI" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="358" data-iban="1">Finland</option>
                <option value="FR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="33" data-iban="1">France</option>
                <option value="GF" data-zp="973NN" data-zp-regex="((^[9][7][3]\d{2}$))" data-idd="594">French Guiana</option>
                <option value="PF" data-zp="987NN" data-zp-regex="((^[9][8][7]\d{2}$))" data-idd="689">French Polynesia</option>
                <option value="TF" data-idd="262">French Southern Territories</option>
                <option value="GA" data-idd="241">Gabon</option>
                <option value="GM" data-idd="220">Gambia</option>
                <option value="GE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="995" data-iban="1">Georgia</option>
                <option value="DE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="49" data-iban="1">Germany</option>
                <option value="GH" data-idd="233">Ghana</option>
                <option value="GI" data-zf="GX11 1AA" data-idd="350" data-iban="1">Gibraltar</option>
                <option value="GR" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="30" data-iban="1">Greece</option>
                <option value="GL" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="299" data-iban="1">Greenland</option>
                <option value="GD" data-idd="1-473">Grenada</option>
                <option value="GP" data-zp="971NN" data-zp-regex="((^[9][7][1]\d{2}$))" data-idd="590">Guadeloupe</option>
                <option value="GU" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="1-671">Guam</option>
                <option value="GT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="502" data-iban="1">Guatemala</option>
                <option value="GG" data-zp="gyN NAA, gyNN NAA" data-zp-regex="((^[G][Y]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[G][Y]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1481">Guernsey</option>
                <option value="GN" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="224">Guinea</option>
                <option value="GW" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="245">Guinea-Bissau</option>
                <option value="GY" data-idd="592">Guyana</option>
                <option value="HT" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="509">Haiti</option>
                <option value="HM">Heard Island and McDonald Islands</option>
                <option value="HN" data-zp="AANNNN, NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$)|(^\d{5}$))" data-idd="504">Honduras</option>
                <option value="HK" data-idd="852">Hong Kong</option>
                <option value="HU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="36" data-iban="1">Hungary</option>
                <option value="IS" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="354" data-iban="1">Iceland</option>
                <option value="IN" data-zp="NNNNNN, NNN NNN" data-zp-regex="((^\d{6}$)|(^\d{3}[ ]\d{3}$))" data-idd="91">India</option>
                <option value="ID" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="62">Indonesia</option>
                <option value="IR" data-zp="NNNNNNNNNN" data-zp-regex="((^\d{10}$))" data-idd="98">Iran</option>
                <option value="IQ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="964">Iraq</option>
                <option value="IE" data-zp="ANN XXXX, d6w XXXX" data-zp-regex="((^[a-zA-Z]\d{2}[ ][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9]$)|(^[D][6][W][ ][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9]$))" data-idd="353" data-iban="1">Ireland
                </option>
                <option value="IM" data-zp="imN NAA, imNN NAA" data-zp-regex="((^[I][M]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[I][M]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1624">Isle of Man</option>
                <option value="IL" data-zp="NNNNN, NNNNNNN" data-zp-regex="((^\d{5}$)|(^\d{7}$))" data-idd="972" data-iban="1">Israel</option>
                <option value="IT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="39" data-iban="1">Italy</option>
                <option value="JM" data-idd="1-876">Jamaica</option>
                <option value="JP" data-zp="NNN-NNNN" data-zp-regex="((^\d{3}[-]\d{4}$))" data-idd="81">Japan</option>
                <option value="JE" data-zp="jeN NAA, jeNN NAA" data-zp-regex="((^[J][E]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[J][E]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1534">Jersey</option>
                <option value="JO" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="962" data-iban="1">Jordan</option>
                <option value="KZ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="7" data-iban="1">Kazakhstan</option>
                <option value="KE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="254">Kenya</option>
                <option value="KI" data-idd="686">Kiribati</option>
                <option value="KP" data-idd="850">Korea (Democratic People's Republic of)</option>
                <option value="KR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="82">Korea (Republic of)</option>
                <option value="KS" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="383">Kosovo, Republic of</option>
                <option value="KW" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="965" data-iban="1">Kuwait</option>
                <option value="KG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="996">Kyrgyzstan</option>
                <option value="LA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="856">Lao People's Democratic Republic</option>
                <option value="LV" data-zp="CC-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="371" data-iban="1">Latvia</option>
                <option value="LB" data-zp="NNNNN, NNNN NNNN" data-zp-regex="((^\d{5}$)|(^\d{4}[ ]\d{4}$))" data-idd="961" data-iban="1">Lebanon</option>
                <option value="LS" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="266">Lesotho</option>
                <option value="LR" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="231">Liberia</option>
                <option value="LY" data-idd="218">Libya</option>
                <option value="LI" data-zp="94NN" data-zp-regex="((^[9][4]\d{2}$))" data-idd="423" data-iban="1">Liechtenstein</option>
                <option value="LT" data-zp="CC-NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][-]\d{5}$))" data-idd="370" data-iban="1">Lithuania</option>
                <option value="LU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="352" data-iban="1">Luxembourg</option>
                <option value="MO" data-idd="853">Macao</option>
                <option value="MK" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="389" data-iban="1">Macedonia</option>
                <option value="MG" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="261">Madagascar</option>
                <option value="MW" data-idd="265">Malawi</option>
                <option value="MY" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="60">Malaysia</option>
                <option value="MV" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="960">Maldives</option>
                <option value="ML" data-idd="223">Mali</option>
                <option value="MT" data-zp="AAA NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][a-zA-Z][ ]\d{4}$))" data-idd="356" data-iban="1">Malta</option>
                <option value="MH" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="692">Marshall Islands</option>
                <option value="MQ" data-zp="972NN" data-zp-regex="((^[9][7][2]\d{2}$))" data-idd="596">Martinique</option>
                <option value="MR" data-idd="222" data-iban="1">Mauritania</option>
                <option value="MU" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="230" data-iban="1">Mauritius</option>
                <option value="YT" data-zp="976NN" data-zp-regex="((^[9][7][6]\d{2}$))" data-idd="262">Mayotte</option>
                <option value="MX" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="52">Mexico</option>
                <option value="FM" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="691">Micronesia (Federated States of)</option>
                <option value="MD" data-zp="CCNNNN, CC-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$)|(^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="373" data-iban="1">Moldova (Republic of)</option>
                <option value="MC" data-zp="980NN" data-zp-regex="((^[9][8][0]\d{2}$))" data-idd="377" data-iban="1">Monaco</option>
                <option value="MN" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="976">Mongolia</option>
                <option value="ME" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="382" data-iban="1">Montenegro</option>
                <option value="MS" data-zp="msr 1NNN, 1NNN" data-zp-regex="((^[M][S][R][ ][1]\d{3}$)|(^[1]\d{3}$))" data-idd="1-664">Montserrat</option>
                <option value="MA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="212">Morocco</option>
                <option value="MZ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="258">Mozambique</option>
                <option value="MM" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="95">Myanmar</option>
                <option value="NA" data-idd="264">Namibia</option>
                <option value="NR" data-idd="674">Nauru</option>
                <option value="NP" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="977">Nepal</option>
                <option value="NL" data-zp="NNNN AA" data-zp-regex="((^\d{4}[ ][a-zA-Z][a-zA-Z]$))" data-idd="31" data-iban="1">Netherlands</option>
                <option value="NC" data-zp="988NN" data-zp-regex="((^[9][8][8]\d{2}$))" data-idd="687">New Caledonia</option>
                <option value="NZ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="64">New Zealand</option>
                <option value="NI" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="505">Nicaragua</option>
                <option value="NE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="227">Niger</option>
                <option value="NG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="234">Nigeria</option>
                <option value="NU" data-idd="683">Niue</option>
                <option value="NF" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="672">Norfolk Island</option>
                <option value="MP" data-zp="9695N, 9695N-NNNN" data-zp-regex="((^[9][6][9][5]\d{1}$)|(^[9][6][9][5]\d{1}[-]\d{4}$))" data-idd="1-670">Northern Mariana Islands</option>
                <option value="NO" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="47" data-iban="1">Norway</option>
                <option value="OM" data-idd="968">Oman</option>
                <option value="PK" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="92" data-iban="1">Pakistan</option>
                <option value="PW" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="680">Palau</option>
                <option value="PS" data-idd="970" data-iban="1">Palestine, State of</option>
                <option value="PA" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="507">Panama</option>
                <option value="PG" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="675">Papua New Guinea</option>
                <option value="PY" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="595">Paraguay</option>
                <option value="PE" data-zp="NNNNN, CC NNNN" data-zp-regex="((^\d{5}$)|(^[a-zA-Z][a-zA-Z][ ]\d{4}$))" data-idd="51">Peru</option>
                <option value="PH" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="63">Philippines</option>
                <option value="PN" data-zf="PCRN 1ZZ" data-idd="64">Pitcairn</option>
                <option value="PL" data-zp="NN-NNN" data-zp-regex="((^\d{2}[-]\d{3}$))" data-idd="48" data-iban="1">Poland</option>
                <option value="PT" data-zp="NNNN-NNN" data-zp-regex="((^\d{4}[-]\d{3}$))" data-idd="351" data-iban="1">Portugal</option>
                <option value="PR" data-zp="00NNN, 00NNN-NNNN" data-zp-regex="((^[0][0]\d{3}$)|(^[0][0]\d{3}[-]\d{4}$))" data-idd="1">Puerto Rico</option>
                <option value="QA" data-idd="974" data-iban="1">Qatar</option>
                <option value="RE" data-zp="974NN" data-zp-regex="((^[9][7][4]\d{2}$))" data-idd="262">Reunion</option>
                <option value="RO" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="40" data-iban="1">Romania</option>
                <option value="RU" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="7">Russian Federation</option>
                <option value="RW" data-idd="250">Rwanda</option>
                <option value="BL" data-zf="97133" data-idd="590">Saint Barthelemy</option>
                <option value="SH" data-zp="AAAA 1zz" data-zp-regex="((^[a-zA-Z][a-zA-Z][a-zA-Z][a-zA-Z][ ][1][Z][Z]$))" data-idd="290">Saint Helena, Ascension and Tristan da Cunha</option>
                <option value="KN" data-idd="1-869">Saint Kitts and Nevis</option>
                <option value="LC" data-zp="lcNN NNN" data-zp-regex="((^[L][C]\d{2}[ ]\d{3}$))" data-idd="1-758" data-iban="1">Saint Lucia</option>
                <option value="MF" data-zf="97150" data-idd="590">Saint Martin (French part)</option>
                <option value="PM" data-zf="97500" data-idd="508">Saint Pierre and Miquelon</option>
                <option value="VC" data-zp="CCNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="1-784">Saint Vincent and the Grenadines</option>
                <option value="WS" data-zp="CCNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="685">Samoa</option>
                <option value="SM" data-zp="4789N" data-zp-regex="((^[4][7][8][9]\d{1}$))" data-idd="378" data-iban="1">San Marino</option>
                <option value="ST" data-idd="239" data-iban="1">Sao Tome and Principe</option>
                <option value="SA" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="966" data-iban="1">Saudi Arabia</option>
                <option value="SN" data-zp="NNNNN, cpNNNNN" data-zp-regex="((^\d{5}$)|(^[C][P]\d{5}$))" data-idd="221">Senegal</option>
                <option value="RS" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="381" data-iban="1">Serbia</option>
                <option value="SC" data-idd="248" data-iban="1">Seychelles</option>
                <option value="SL" data-idd="232">Sierra Leone</option>
                <option value="SG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="65">Singapore</option>
                <option value="SX" data-idd="1-721">Sint Maarten (Dutch part)</option>
                <option value="SK" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="421" data-iban="1">Slovakia</option>
                <option value="SI" data-zp="NNNN, CC-NNNN" data-zp-regex="((^\d{4}$)|(^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="386" data-iban="1">Slovenia</option>
                <option value="SB" data-idd="677">Solomon Islands</option>
                <option value="SO" data-zp="AA NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][ ]\d{5}$))" data-idd="252">Somalia</option>
                <option value="ZA" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="27">South Africa</option>
                <option value="GS" data-zf="SIQQ 1ZZ" data-idd="500">South Georgia and the South Sandwich Islands</option>
                <option value="SS" data-idd="211">South Sudan</option>
                <option value="ES" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="34" data-iban="1">Spain</option>
                <option value="LK" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="94">Sri Lanka</option>
                <option value="SD" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="249">Sudan</option>
                <option value="SR" data-idd="597">Suriname</option>
                <option value="SJ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="47">Svalbard and Jan Mayen</option>
                <option value="SE" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="46" data-iban="1">Sweden</option>
                <option value="CH" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="41" data-iban="1">Switzerland</option>
                <option value="SY" data-idd="963">Syrian Arab Republic</option>
                <option value="TW" data-zp="NNN, NNN-NN" data-zp-regex="((^\d{3}$)|(^\d{3}[-]\d{2}$))" data-idd="886">Taiwan, Province of China</option>
                <option value="TJ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="992">Tajikistan</option>
                <option value="TZ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="255">Tanzania, United Republic of</option>
                <option value="TH" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="66">Thailand</option>
                <option value="TL" data-idd="670" data-iban="1">Timor-Leste</option>
                <option value="TG" data-idd="228">Togo</option>
                <option value="TK" data-idd="690">Tokelau</option>
                <option value="TO" data-idd="676">Tonga</option>
                <option value="TT" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="1-868">Trinidad and Tobago</option>
                <option value="TN" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="216" data-iban="1">Tunisia</option>
                <option value="TR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="90" data-iban="1">Turkey</option>
                <option value="TM" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="993">Turkmenistan</option>
                <option value="TC" data-zf="TKCA 1ZZ" data-idd="1-649">Turks and Caicos Islands</option>
                <option value="TV" data-idd="688">Tuvalu</option>
                <option value="UG" data-idd="256">Uganda</option>
                <option value="UA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="380" data-iban="1">Ukraine</option>
                <option value="AE" data-idd="971" data-iban="1">United Arab Emirates</option>
                <option value="GB" data-zp="AN, ANN, AAN, AANN, ANA, AANA, AAA, AN NAA, ANN NAA, AAN NAA, AANN NAA, ANA NAA, AANA NAA, AAA NAA"
                  data-zp-regex="((^[a-zA-Z]\d{1}$)|(^[a-zA-Z]\d{2}$)|(^[a-zA-Z][a-zA-Z]\d{1}$)|(^[a-zA-Z][a-zA-Z]\d{2}$)|(^[a-zA-Z]\d{1}[a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[a-zA-Z]$)|(^[a-zA-Z][a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z][a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$))"
                  data-idd="44" data-iban="1">United Kingdom</option>
                <option value="UM" data-idd="246">United States Minor Outlying Islands</option>
                <option value="US" data-zp="NNNNN, NNNNN-NNNN" data-zp-regex="((^\d{5}$)|(^\d{5}[-]\d{4}$))" data-idd="1">United States of America</option>
                <option value="UY" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="598">Uruguay</option>
                <option value="UZ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="998">Uzbekistan</option>
                <option value="VU" data-idd="678">Vanuatu</option>
                <option value="VA" data-zf="00120" data-idd="379" data-iban="1">Vatican City</option>
                <option value="VE" data-zp="NNNN, NNNN-A" data-zp-regex="((^\d{4}$)|(^\d{4}[-][a-zA-Z]$))" data-idd="58">Venezuela</option>
                <option value="VN" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="84">Viet Nam</option>
                <option value="VG" data-zp="vgNNNN, NNNN" data-zp-regex="((^[V][G]\d{4}$)|(^\d{4}$))" data-idd="1-284" data-iban="1">Virgin Islands (British)</option>
                <option value="VI" data-zp="008NN, 008NN-NNNN" data-zp-regex="((^[0][0][8]\d{2}$)|(^[0][0][8]\d{2}[-]\d{4}$))" data-idd="1-340">Virgin Islands (U.S.)</option>
                <option value="WF" data-zp="986NN" data-zp-regex="((^[9][8][6]\d{2}$))" data-idd="681">Wallis and Futuna</option>
                <option value="EH" data-idd="212">Western Sahara</option>
                <option value="YE" data-idd="967">Yemen</option>
                <option value="ZM" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="260">Zambia</option>
                <option value="ZW" data-idd="263">Zimbabwe </option>
              </select>
              <div id="customer-country-feedback" class="invalid-feedback"></div>
            </div>
          </div>
          <div class="form-row">
            <div class="form-group col-md-6">
              <select class="form-control" name="state" id="customer-state" data-selected="">
                <option value="">-- State/Region --</option>
              </select>
              <div id="customer-state-feedback" class="invalid-feedback"></div>
            </div>
            <div class="form-group col-md-6">
              <input type="text" class="form-control" name="zip" id="customer-zip" placeholder="Area code" data-selected="" value="">
              <div id="customer-zip-feedback" class="invalid-feedback"></div>
            </div>
          </div>
        </div>
        <div class="tab-pane" id="billing-info" role="tabpanel" aria-labelledby="billing-tab">
          <div class="form-group">
            <div class="form-check">
              <input type="checkbox" class="form-check-input" id="chkShippingSync">
              <label class="form-check-label" for="chkShippingSync"> Same as Billing details </label>
            </div>
          </div>
          <div class="form-group">
            <label for="shipping-name">Shipping Name</label>
            <input type="text" class="form-control" name="shipName" id="shipping-name" placeholder="Your full name" value="SIN TAT GOH">
            <div id="shipping-name-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-group">
            <label for="shipping-email">Email</label>
            <input type="email" class="form-control" name="shipEmail" id="shipping-email" placeholder="Your email address" value="STGOH@MAYBANK.COM">
            <div id="shipping-email-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-group">
            <label for="shipping-address">Shipping Address</label>
            <input type="text" class="form-control" name="shipAddress" id="shipping-address" placeholder="Shipping Address" value="UNIT 3, LAMAN VILA, JALAN PRIMA PELANGI 6">
            <div id="shipping-address-feedback" class="invalid-feedback"></div>
          </div>
          <div class="form-row">
            <div class="form-group col-md-6">
              <input type="text" class="form-control" name="shipCity" id="shipping-city" placeholder="Shipping City" value="KUALA LUMPUR">
              <div id="shipping-city-feedback" class="invalid-feedback"></div>
            </div>
            <div class="form-group col-md-6">
              <select class="form-control" name="shipCountry" id="shipping-country">
                <option value="">-- Shipping Country --</option>
                <option value="AF" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="93">Afghanistan</option>
                <option value="AX" data-zp="NNNNN,	CC-NNNNN" data-zp-regex="((^\d{5}$)|(^[a-zA-Z][a-zA-Z][-]\d{5}$))" data-idd="358">Aland Islands</option>
                <option value="AL" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="355" data-iban="1">Albania</option>
                <option value="DZ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="213">Algeria</option>
                <option value="AS" data-zp="96799, 96799-NNNN" data-zp-regex="((^[9][6][7][9][9]$)|(^[9][6][7][9][9][-]\d{4}$))" data-idd="1-684">American Samoa</option>
                <option value="AD" data-zp="CCNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{3}$))" data-idd="376" data-iban="1">Andorra</option>
                <option value="AO" data-idd="244">Angola</option>
                <option value="AI" data-zf="AI-2640" data-idd="1-264">Anguilla</option>
                <option value="AQ" data-idd="672">Antarctica</option>
                <option value="AG" data-idd="1-268">Antigua and Barbuda</option>
                <option value="AR" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="54">Argentina</option>
                <option value="AM" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="374">Armenia</option>
                <option value="AW" data-idd="297">Aruba</option>
                <option value="AU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Australia</option>
                <option value="AT" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="43" data-iban="1">Austria</option>
                <option value="AZ" data-zp="az NNNN, NNNN" data-zp-regex="((^[A][Z][ ]\d{4}$)|(^\d{4}$))" data-idd="994" data-iban="1">Azerbaijan</option>
                <option value="BS" data-idd="1-242">Bahamas</option>
                <option value="BH" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="973" data-iban="1">Bahrain</option>
                <option value="BD" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="880">Bangladesh</option>
                <option value="BB" data-zp="CCNNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{5}$))" data-idd="1-246">Barbados</option>
                <option value="BY" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="375">Belarus</option>
                <option value="BE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="32" data-iban="1">Belgium</option>
                <option value="BZ" data-idd="501">Belize</option>
                <option value="BJ" data-idd="229">Benin</option>
                <option value="BM" data-zp="AA NN, AA AA" data-zp-regex="((^[a-zA-Z][a-zA-Z][ ]\d{2}$)|(^[a-zA-Z][a-zA-Z][ ][a-zA-Z][a-zA-Z]$))" data-idd="1-441">Bermuda</option>
                <option value="BT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="975">Bhutan</option>
                <option value="BO" data-idd="591">Bolivia</option>
                <option value="BQ" data-idd="599">Bonaire, Sint Eustatius and Saba</option>
                <option value="BA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="387" data-iban="1">Bosnia and Herzegovina</option>
                <option value="BW" data-idd="267">Botswana</option>
                <option value="BV" data-idd="48">Bouvet Island</option>
                <option value="BR" data-zp="NNNNN, NNNNN-NNN" data-zp-regex="((^\d{5}$)|(^\d{5}[-]\d{3}$))" data-idd="55" data-iban="1">Brazil</option>
                <option value="IO" data-zf="BBND 1ZZ" data-idd="246">British Indian Ocean Territory</option>
                <option value="BN" data-zp="AANNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="673">Brunei Darussalam</option>
                <option value="BG" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="359" data-iban="1">Bulgaria</option>
                <option value="BF" data-idd="226">Burkina Faso</option>
                <option value="BI" data-idd="257">Burundi</option>
                <option value="CV" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="238">Cabo Verde</option>
                <option value="KH" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="855">Cambodia</option>
                <option value="CM" data-idd="237">Cameroon</option>
                <option value="CA" data-zp="ANA NAN" data-zp-regex="((^[a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z]\d{1}$))" data-idd="1">Canada</option>
                <option value="KY" data-zp="CCN-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{1}[-]\d{4}$))" data-idd="1-345">Cayman Islands</option>
                <option value="CF" data-idd="236">Central African Republic</option>
                <option value="TD" data-idd="235">Chad</option>
                <option value="CL" data-zp="NNNNNNN, NNN-NNNN" data-zp-regex="((^\d{7}$)|(^\d{3}[-]\d{4}$))" data-idd="56">Chile</option>
                <option value="CN" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="86">China</option>
                <option value="CX" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Christmas Island</option>
                <option value="CC" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="61">Cocos (Keeling) Islands</option>
                <option value="CO" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="57">Colombia</option>
                <option value="KM" data-idd="269">Comoros</option>
                <option value="CG" data-idd="242">Congo</option>
                <option value="CD" data-idd="243">Congo (Democratic Republic of the)</option>
                <option value="CK" data-idd="682">Cook Islands</option>
                <option value="CR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="506" data-iban="1">Costa Rica</option>
                <option value="CI" data-idd="225">Cote d'Ivoire</option>
                <option value="HR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="385" data-iban="1">Croatia</option>
                <option value="CU" data-zp="cpNNNNN, NNNNN" data-zp-regex="((^[C][P]\d{5}$)|(^\d{5}$))" data-idd="53">Cuba</option>
                <option value="CW" data-idd="599">Curacao</option>
                <option value="CY" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="357" data-iban="1">Cyprus</option>
                <option value="CZ" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="420" data-iban="1">Czech Republic</option>
                <option value="DK" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="45" data-iban="1">Denmark</option>
                <option value="DJ" data-idd="253">Djibouti</option>
                <option value="DM" data-idd="1-767">Dominica</option>
                <option value="DO" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="1" data-iban="1">Dominican Republic</option>
                <option value="EC" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="593">Ecuador</option>
                <option value="EG" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="20" data-iban="1">Egypt</option>
                <option value="SV" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="503">El Salvador</option>
                <option value="GQ" data-idd="240">Equatorial Guinea</option>
                <option value="ER" data-idd="291">Eritrea</option>
                <option value="EE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="372" data-iban="1">Estonia</option>
                <option value="SZ" data-zp="ANNN" data-zp-regex="((^[a-zA-Z]\d{3}$))" data-idd="268">Eswatini</option>
                <option value="ET" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="251">Ethiopia</option>
                <option value="FK" data-zf="FIQQ 1ZZ" data-idd="500">Falkland Islands</option>
                <option value="FO" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="298" data-iban="1">Faroe Islands</option>
                <option value="FJ" data-idd="679">Fiji</option>
                <option value="FI" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="358" data-iban="1">Finland</option>
                <option value="FR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="33" data-iban="1">France</option>
                <option value="GF" data-zp="973NN" data-zp-regex="((^[9][7][3]\d{2}$))" data-idd="594">French Guiana</option>
                <option value="PF" data-zp="987NN" data-zp-regex="((^[9][8][7]\d{2}$))" data-idd="689">French Polynesia</option>
                <option value="TF" data-idd="262">French Southern Territories</option>
                <option value="GA" data-idd="241">Gabon</option>
                <option value="GM" data-idd="220">Gambia</option>
                <option value="GE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="995" data-iban="1">Georgia</option>
                <option value="DE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="49" data-iban="1">Germany</option>
                <option value="GH" data-idd="233">Ghana</option>
                <option value="GI" data-zf="GX11 1AA" data-idd="350" data-iban="1">Gibraltar</option>
                <option value="GR" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="30" data-iban="1">Greece</option>
                <option value="GL" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="299" data-iban="1">Greenland</option>
                <option value="GD" data-idd="1-473">Grenada</option>
                <option value="GP" data-zp="971NN" data-zp-regex="((^[9][7][1]\d{2}$))" data-idd="590">Guadeloupe</option>
                <option value="GU" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="1-671">Guam</option>
                <option value="GT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="502" data-iban="1">Guatemala</option>
                <option value="GG" data-zp="gyN NAA, gyNN NAA" data-zp-regex="((^[G][Y]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[G][Y]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1481">Guernsey</option>
                <option value="GN" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="224">Guinea</option>
                <option value="GW" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="245">Guinea-Bissau</option>
                <option value="GY" data-idd="592">Guyana</option>
                <option value="HT" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="509">Haiti</option>
                <option value="HM">Heard Island and McDonald Islands</option>
                <option value="HN" data-zp="AANNNN, NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$)|(^\d{5}$))" data-idd="504">Honduras</option>
                <option value="HK" data-idd="852">Hong Kong</option>
                <option value="HU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="36" data-iban="1">Hungary</option>
                <option value="IS" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="354" data-iban="1">Iceland</option>
                <option value="IN" data-zp="NNNNNN, NNN NNN" data-zp-regex="((^\d{6}$)|(^\d{3}[ ]\d{3}$))" data-idd="91">India</option>
                <option value="ID" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="62">Indonesia</option>
                <option value="IR" data-zp="NNNNNNNNNN" data-zp-regex="((^\d{10}$))" data-idd="98">Iran</option>
                <option value="IQ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="964">Iraq</option>
                <option value="IE" data-zp="ANN XXXX, d6w XXXX" data-zp-regex="((^[a-zA-Z]\d{2}[ ][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9]$)|(^[D][6][W][ ][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9][a-zA-Z0-9]$))" data-idd="353" data-iban="1">Ireland
                </option>
                <option value="IM" data-zp="imN NAA, imNN NAA" data-zp-regex="((^[I][M]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[I][M]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1624">Isle of Man</option>
                <option value="IL" data-zp="NNNNN, NNNNNNN" data-zp-regex="((^\d{5}$)|(^\d{7}$))" data-idd="972" data-iban="1">Israel</option>
                <option value="IT" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="39" data-iban="1">Italy</option>
                <option value="JM" data-idd="1-876">Jamaica</option>
                <option value="JP" data-zp="NNN-NNNN" data-zp-regex="((^\d{3}[-]\d{4}$))" data-idd="81">Japan</option>
                <option value="JE" data-zp="jeN NAA, jeNN NAA" data-zp-regex="((^[J][E]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[J][E]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$))" data-idd="44-1534">Jersey</option>
                <option value="JO" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="962" data-iban="1">Jordan</option>
                <option value="KZ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="7" data-iban="1">Kazakhstan</option>
                <option value="KE" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="254">Kenya</option>
                <option value="KI" data-idd="686">Kiribati</option>
                <option value="KP" data-idd="850">Korea (Democratic People's Republic of)</option>
                <option value="KR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="82">Korea (Republic of)</option>
                <option value="KS" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="383">Kosovo, Republic of</option>
                <option value="KW" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="965" data-iban="1">Kuwait</option>
                <option value="KG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="996">Kyrgyzstan</option>
                <option value="LA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="856">Lao People's Democratic Republic</option>
                <option value="LV" data-zp="CC-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="371" data-iban="1">Latvia</option>
                <option value="LB" data-zp="NNNNN, NNNN NNNN" data-zp-regex="((^\d{5}$)|(^\d{4}[ ]\d{4}$))" data-idd="961" data-iban="1">Lebanon</option>
                <option value="LS" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="266">Lesotho</option>
                <option value="LR" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="231">Liberia</option>
                <option value="LY" data-idd="218">Libya</option>
                <option value="LI" data-zp="94NN" data-zp-regex="((^[9][4]\d{2}$))" data-idd="423" data-iban="1">Liechtenstein</option>
                <option value="LT" data-zp="CC-NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][-]\d{5}$))" data-idd="370" data-iban="1">Lithuania</option>
                <option value="LU" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="352" data-iban="1">Luxembourg</option>
                <option value="MO" data-idd="853">Macao</option>
                <option value="MK" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="389" data-iban="1">Macedonia</option>
                <option value="MG" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="261">Madagascar</option>
                <option value="MW" data-idd="265">Malawi</option>
                <option value="MY" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="60">Malaysia</option>
                <option value="MV" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="960">Maldives</option>
                <option value="ML" data-idd="223">Mali</option>
                <option value="MT" data-zp="AAA NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][a-zA-Z][ ]\d{4}$))" data-idd="356" data-iban="1">Malta</option>
                <option value="MH" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="692">Marshall Islands</option>
                <option value="MQ" data-zp="972NN" data-zp-regex="((^[9][7][2]\d{2}$))" data-idd="596">Martinique</option>
                <option value="MR" data-idd="222" data-iban="1">Mauritania</option>
                <option value="MU" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="230" data-iban="1">Mauritius</option>
                <option value="YT" data-zp="976NN" data-zp-regex="((^[9][7][6]\d{2}$))" data-idd="262">Mayotte</option>
                <option value="MX" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="52">Mexico</option>
                <option value="FM" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="691">Micronesia (Federated States of)</option>
                <option value="MD" data-zp="CCNNNN, CC-NNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$)|(^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="373" data-iban="1">Moldova (Republic of)</option>
                <option value="MC" data-zp="980NN" data-zp-regex="((^[9][8][0]\d{2}$))" data-idd="377" data-iban="1">Monaco</option>
                <option value="MN" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="976">Mongolia</option>
                <option value="ME" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="382" data-iban="1">Montenegro</option>
                <option value="MS" data-zp="msr 1NNN, 1NNN" data-zp-regex="((^[M][S][R][ ][1]\d{3}$)|(^[1]\d{3}$))" data-idd="1-664">Montserrat</option>
                <option value="MA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="212">Morocco</option>
                <option value="MZ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="258">Mozambique</option>
                <option value="MM" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="95">Myanmar</option>
                <option value="NA" data-idd="264">Namibia</option>
                <option value="NR" data-idd="674">Nauru</option>
                <option value="NP" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="977">Nepal</option>
                <option value="NL" data-zp="NNNN AA" data-zp-regex="((^\d{4}[ ][a-zA-Z][a-zA-Z]$))" data-idd="31" data-iban="1">Netherlands</option>
                <option value="NC" data-zp="988NN" data-zp-regex="((^[9][8][8]\d{2}$))" data-idd="687">New Caledonia</option>
                <option value="NZ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="64">New Zealand</option>
                <option value="NI" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="505">Nicaragua</option>
                <option value="NE" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="227">Niger</option>
                <option value="NG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="234">Nigeria</option>
                <option value="NU" data-idd="683">Niue</option>
                <option value="NF" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="672">Norfolk Island</option>
                <option value="MP" data-zp="9695N, 9695N-NNNN" data-zp-regex="((^[9][6][9][5]\d{1}$)|(^[9][6][9][5]\d{1}[-]\d{4}$))" data-idd="1-670">Northern Mariana Islands</option>
                <option value="NO" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="47" data-iban="1">Norway</option>
                <option value="OM" data-idd="968">Oman</option>
                <option value="PK" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="92" data-iban="1">Pakistan</option>
                <option value="PW" data-zp="969NN, 969NN-NNNN" data-zp-regex="((^[9][6][9]\d{2}$)|(^[9][6][9]\d{2}[-]\d{4}$))" data-idd="680">Palau</option>
                <option value="PS" data-idd="970" data-iban="1">Palestine, State of</option>
                <option value="PA" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="507">Panama</option>
                <option value="PG" data-zp="NNN" data-zp-regex="((^\d{3}$))" data-idd="675">Papua New Guinea</option>
                <option value="PY" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="595">Paraguay</option>
                <option value="PE" data-zp="NNNNN, CC NNNN" data-zp-regex="((^\d{5}$)|(^[a-zA-Z][a-zA-Z][ ]\d{4}$))" data-idd="51">Peru</option>
                <option value="PH" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="63">Philippines</option>
                <option value="PN" data-zf="PCRN 1ZZ" data-idd="64">Pitcairn</option>
                <option value="PL" data-zp="NN-NNN" data-zp-regex="((^\d{2}[-]\d{3}$))" data-idd="48" data-iban="1">Poland</option>
                <option value="PT" data-zp="NNNN-NNN" data-zp-regex="((^\d{4}[-]\d{3}$))" data-idd="351" data-iban="1">Portugal</option>
                <option value="PR" data-zp="00NNN, 00NNN-NNNN" data-zp-regex="((^[0][0]\d{3}$)|(^[0][0]\d{3}[-]\d{4}$))" data-idd="1">Puerto Rico</option>
                <option value="QA" data-idd="974" data-iban="1">Qatar</option>
                <option value="RE" data-zp="974NN" data-zp-regex="((^[9][7][4]\d{2}$))" data-idd="262">Reunion</option>
                <option value="RO" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="40" data-iban="1">Romania</option>
                <option value="RU" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="7">Russian Federation</option>
                <option value="RW" data-idd="250">Rwanda</option>
                <option value="BL" data-zf="97133" data-idd="590">Saint Barthelemy</option>
                <option value="SH" data-zp="AAAA 1zz" data-zp-regex="((^[a-zA-Z][a-zA-Z][a-zA-Z][a-zA-Z][ ][1][Z][Z]$))" data-idd="290">Saint Helena, Ascension and Tristan da Cunha</option>
                <option value="KN" data-idd="1-869">Saint Kitts and Nevis</option>
                <option value="LC" data-zp="lcNN NNN" data-zp-regex="((^[L][C]\d{2}[ ]\d{3}$))" data-idd="1-758" data-iban="1">Saint Lucia</option>
                <option value="MF" data-zf="97150" data-idd="590">Saint Martin (French part)</option>
                <option value="PM" data-zf="97500" data-idd="508">Saint Pierre and Miquelon</option>
                <option value="VC" data-zp="CCNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="1-784">Saint Vincent and the Grenadines</option>
                <option value="WS" data-zp="CCNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z]\d{4}$))" data-idd="685">Samoa</option>
                <option value="SM" data-zp="4789N" data-zp-regex="((^[4][7][8][9]\d{1}$))" data-idd="378" data-iban="1">San Marino</option>
                <option value="ST" data-idd="239" data-iban="1">Sao Tome and Principe</option>
                <option value="SA" data-zp="*" data-zp-regex="^[A-Za-z0-9 ]*" data-idd="966" data-iban="1">Saudi Arabia</option>
                <option value="SN" data-zp="NNNNN, cpNNNNN" data-zp-regex="((^\d{5}$)|(^[C][P]\d{5}$))" data-idd="221">Senegal</option>
                <option value="RS" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="381" data-iban="1">Serbia</option>
                <option value="SC" data-idd="248" data-iban="1">Seychelles</option>
                <option value="SL" data-idd="232">Sierra Leone</option>
                <option value="SG" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="65">Singapore</option>
                <option value="SX" data-idd="1-721">Sint Maarten (Dutch part)</option>
                <option value="SK" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="421" data-iban="1">Slovakia</option>
                <option value="SI" data-zp="NNNN, CC-NNNN" data-zp-regex="((^\d{4}$)|(^[a-zA-Z][a-zA-Z][-]\d{4}$))" data-idd="386" data-iban="1">Slovenia</option>
                <option value="SB" data-idd="677">Solomon Islands</option>
                <option value="SO" data-zp="AA NNNNN" data-zp-regex="((^[a-zA-Z][a-zA-Z][ ]\d{5}$))" data-idd="252">Somalia</option>
                <option value="ZA" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="27">South Africa</option>
                <option value="GS" data-zf="SIQQ 1ZZ" data-idd="500">South Georgia and the South Sandwich Islands</option>
                <option value="SS" data-idd="211">South Sudan</option>
                <option value="ES" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="34" data-iban="1">Spain</option>
                <option value="LK" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="94">Sri Lanka</option>
                <option value="SD" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="249">Sudan</option>
                <option value="SR" data-idd="597">Suriname</option>
                <option value="SJ" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="47">Svalbard and Jan Mayen</option>
                <option value="SE" data-zp="NNN NN" data-zp-regex="((^\d{3}[ ]\d{2}$))" data-idd="46" data-iban="1">Sweden</option>
                <option value="CH" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="41" data-iban="1">Switzerland</option>
                <option value="SY" data-idd="963">Syrian Arab Republic</option>
                <option value="TW" data-zp="NNN, NNN-NN" data-zp-regex="((^\d{3}$)|(^\d{3}[-]\d{2}$))" data-idd="886">Taiwan, Province of China</option>
                <option value="TJ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="992">Tajikistan</option>
                <option value="TZ" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="255">Tanzania, United Republic of</option>
                <option value="TH" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="66">Thailand</option>
                <option value="TL" data-idd="670" data-iban="1">Timor-Leste</option>
                <option value="TG" data-idd="228">Togo</option>
                <option value="TK" data-idd="690">Tokelau</option>
                <option value="TO" data-idd="676">Tonga</option>
                <option value="TT" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="1-868">Trinidad and Tobago</option>
                <option value="TN" data-zp="NNNN" data-zp-regex="((^\d{4}$))" data-idd="216" data-iban="1">Tunisia</option>
                <option value="TR" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="90" data-iban="1">Turkey</option>
                <option value="TM" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="993">Turkmenistan</option>
                <option value="TC" data-zf="TKCA 1ZZ" data-idd="1-649">Turks and Caicos Islands</option>
                <option value="TV" data-idd="688">Tuvalu</option>
                <option value="UG" data-idd="256">Uganda</option>
                <option value="UA" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="380" data-iban="1">Ukraine</option>
                <option value="AE" data-idd="971" data-iban="1">United Arab Emirates</option>
                <option value="GB" data-zp="AN, ANN, AAN, AANN, ANA, AANA, AAA, AN NAA, ANN NAA, AAN NAA, AANN NAA, ANA NAA, AANA NAA, AAA NAA"
                  data-zp-regex="((^[a-zA-Z]\d{1}$)|(^[a-zA-Z]\d{2}$)|(^[a-zA-Z][a-zA-Z]\d{1}$)|(^[a-zA-Z][a-zA-Z]\d{2}$)|(^[a-zA-Z]\d{1}[a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[a-zA-Z]$)|(^[a-zA-Z][a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{2}[ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z]\d{1}[a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$)|(^[a-zA-Z][a-zA-Z][a-zA-Z][ ]\d{1}[a-zA-Z][a-zA-Z]$))"
                  data-idd="44" data-iban="1">United Kingdom</option>
                <option value="UM" data-idd="246">United States Minor Outlying Islands</option>
                <option value="US" data-zp="NNNNN, NNNNN-NNNN" data-zp-regex="((^\d{5}$)|(^\d{5}[-]\d{4}$))" data-idd="1">United States of America</option>
                <option value="UY" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="598">Uruguay</option>
                <option value="UZ" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="998">Uzbekistan</option>
                <option value="VU" data-idd="678">Vanuatu</option>
                <option value="VA" data-zf="00120" data-idd="379" data-iban="1">Vatican City</option>
                <option value="VE" data-zp="NNNN, NNNN-A" data-zp-regex="((^\d{4}$)|(^\d{4}[-][a-zA-Z]$))" data-idd="58">Venezuela</option>
                <option value="VN" data-zp="NNNNNN" data-zp-regex="((^\d{6}$))" data-idd="84">Viet Nam</option>
                <option value="VG" data-zp="vgNNNN, NNNN" data-zp-regex="((^[V][G]\d{4}$)|(^\d{4}$))" data-idd="1-284" data-iban="1">Virgin Islands (British)</option>
                <option value="VI" data-zp="008NN, 008NN-NNNN" data-zp-regex="((^[0][0][8]\d{2}$)|(^[0][0][8]\d{2}[-]\d{4}$))" data-idd="1-340">Virgin Islands (U.S.)</option>
                <option value="WF" data-zp="986NN" data-zp-regex="((^[9][8][6]\d{2}$))" data-idd="681">Wallis and Futuna</option>
                <option value="EH" data-idd="212">Western Sahara</option>
                <option value="YE" data-idd="967">Yemen</option>
                <option value="ZM" data-zp="NNNNN" data-zp-regex="((^\d{5}$))" data-idd="260">Zambia</option>
                <option value="ZW" data-idd="263">Zimbabwe </option>
              </select>
              <div id="shipping-country-feedback" class="invalid-feedback"></div>
            </div>
          </div>
          <div class="form-row">
            <div class="form-group col-md-6">
              <select class="form-control" name="shipState" id="shipping-state" data-selected="">
                <option value="">-- Shipping State/Region --</option>
              </select>
              <div id="shipping-state-feedback" class="invalid-feedback"></div>
            </div>
            <div class="form-group col-md-6">
              <input type="text" class="form-control" name="shipZip" id="shipping-zip" placeholder="Area code" data-selected="" value="">
              <div id="shipping-zip-feedback" class="invalid-feedback"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="pt_label_amount text-center">
      <div id="pt_label_amount" style="text-decoration: none;"><span class="pt_amount_symbol">USD</span> 93.00</div>
      <small id="pt_label_discount" style="display: none; text-decoration: none;"><span class="pt_amount_symbol">USD</span><span id="pt_label_discount_amount"></span></small>
    </div>
    <div class="text-center">
      <div id="pay-form-alert-message" class="alert alert-danger mt-1" style="display:none;">
      </div>
      <button data-txt-proceed="Proceed to Pay" data-txt-paynow="Pay Now" data-txt-checkbalance="Check TouchPoints Balance" type="button" id="payBtn" class="btn btn-primary btn-lg btn-block text-uppercase pt_pay_btn" style="display: block;">Pay
        Now</button>
      <div id="apple-pay-btn" class="btn btn-block" style="display:none;border-radius:0pt;-webkit-appearance:-apple-pay-button;-apple-pay-button-type: plain;-apple-pay-button-style: white-outline;width:100%;height:50px;margin-top:30px;" lang="en">
      </div>
      <div id="apple-pay-support-warning" style="display:none;margin-top:30px;" class="alert alert-warning">
        <small>Your browser or device does not support Apple Pay on the web.</small>
      </div>
      <div class="text-center pt-2">
        <a href="/payment/page/5E3609D682E46FE10784E2C8D00931B9E5477E2117DC540EA2689204/cancel" onclick="return confirm_cancel();" class="text-secondary">Cancel</a>
      </div>
    </div>
  </div>
</form>

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JSD INNOVATIONS LLC

JSD INNOVATIONS LLC
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-- Country -- AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta
RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic
People's Republic of)Korea (Republic of)Kosovo, Republic ofKuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States
of)Moldova (Republic
of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
(French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan
MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra
LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian
Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUnited States of
AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands
(British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

-- State/Region --


Same as Billing details
Shipping Name

Email

Shipping Address

-- Shipping Country -- AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta
RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic
People's Republic of)Korea (Republic of)Kosovo, Republic ofKuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States
of)Moldova (Republic
of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
(French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan
MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra
LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian
Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUnited States of
AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands
(British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabwe

-- Shipping State/Region --


USD 93.00
USD

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