www.glaaacc.org
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Submitted URL: https://ls44h45ab.cc.rs6.net/tn.jsp?f=001Xk18-b2WVeh1w52Cs73sBx-CEYVGXcnvUBSSbF16UlSLn7De2g-WOi0qpIDJv2smbjdO6oyI-cyN0YjhDJrz...
Effective URL: https://www.glaaacc.org/donate/
Submission: On May 20 via manual from US — Scanned from DE
Effective URL: https://www.glaaacc.org/donate/
Submission: On May 20 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /donate/#gf_3
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_3" id="gform_3" action="/donate/#gf_3" data-formid="3" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_3" class="gform_fields top_label form_sublabel_below description_above validation_below">
<fieldset id="field_3_1" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_1">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_3_1">
<span id="input_3_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_3_1_3" value="" tabindex="50" aria-required="true">
<label for="input_3_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_3_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_3_1_6" value="" tabindex="52" aria-required="true">
<label for="input_3_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</fieldset>
<div id="field_3_15" class="gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_3_15">
<label class="gfield_label gform-field-label" for="input_3_15">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_15" id="input_3_15" type="tel" value="" class="large" tabindex="54" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_3_2" class="gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_3_2">
<label class="gfield_label gform-field-label" for="input_3_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_2" id="input_3_2" type="email" value="" class="large" tabindex="55" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_3_11" class="gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_11"><label class="gfield_label gform-field-label" for="input_3_11">Donation Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_11" id="input_3_11" class="large gfield_select" tabindex="56" aria-required="true" aria-invalid="false">
<option value="Operating Fund">Operating Fund</option>
<option value="Education Fund">Education Fund</option>
<option value="Michelle Avan Scholarship Fund">Michelle Avan Scholarship Fund</option>
</select></div>
</div>
<div id="field_3_17"
class="gfield gfield--type-post_custom_field gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_17"><label class="gfield_label gform-field-label" for="input_3_17">Donation Message<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_17" id="input_3_17" type="text" value="" class="large" tabindex="57" aria-required="true" aria-invalid="false"> </div>
</div>
<fieldset id="field_3_4"
class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-half gfield_price gfield_price_3_4 gfield_product_3_4 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_4">
<legend class="gfield_label gform-field-label">Donation Amount<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="gfield_description" id="gfield_description_3_4">Choose how much you would like to donate.</div>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_3_4">
<div class="gchoice gchoice_3_4_0">
<input class="gfield-choice-input" name="input_4" type="radio" value="25|25" id="choice_3_4_0" onchange="gformToggleRadioOther( this )" aria-describedby="gfield_description_3_4" tabindex="58">
<label for="choice_3_4_0" id="label_3_4_0" class="gform-field-label gform-field-label--type-inline">$25</label>
</div>
<div class="gchoice gchoice_3_4_1">
<input class="gfield-choice-input" name="input_4" type="radio" value="50|50" id="choice_3_4_1" onchange="gformToggleRadioOther( this )" tabindex="59">
<label for="choice_3_4_1" id="label_3_4_1" class="gform-field-label gform-field-label--type-inline">$50</label>
</div>
<div class="gchoice gchoice_3_4_2">
<input class="gfield-choice-input" name="input_4" type="radio" value="100|100" id="choice_3_4_2" onchange="gformToggleRadioOther( this )" tabindex="60">
<label for="choice_3_4_2" id="label_3_4_2" class="gform-field-label gform-field-label--type-inline">$100</label>
</div>
<div class="gchoice gchoice_3_4_3">
<input class="gfield-choice-input" name="input_4" type="radio" value="other|0" id="choice_3_4_3" onchange="gformToggleRadioOther( this )" tabindex="61">
<label for="choice_3_4_3" id="label_3_4_3" class="gform-field-label gform-field-label--type-inline">Other amount</label>
</div>
</div>
</div>
</fieldset>
<div id="field_3_5"
class="gfield gfield--type-product gfield--input-type-price gfield--width-half gfield_price gfield_price_3_5 gfield_product_3_5 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_5" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_3_5">Other Amount<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_3_5">Choose a custom donation amount.</div>
<div class="ginput_container ginput_container_product_price">
<input name="input_5" id="input_3_5" type="text" value="" class="large ginput_amount" tabindex="62" aria-required="true" aria-invalid="false" aria-describedby="gfield_description_3_5" disabled="disabled">
</div>
</div>
<fieldset id="field_3_9" class="gfield gfield--type-creditcard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_9">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_creditcard gform-grid-row" id="input_3_9"><span class="ginput_full gform-grid-col" id="input_3_9_1_container">
<div class="gform_card_icon_container">
<div class="gform_card_icon gform_card_icon_amex">American Express</div>
<div class="gform_card_icon gform_card_icon_discover">Discover</div>
<div class="gform_card_icon gform_card_icon_mastercard">MasterCard</div>
<div class="gform_card_icon gform_card_icon_visa">Visa</div><span class="screen-reader-text" id="field_3_9_supported_creditcards">Supported Credit Cards: American Express, Discover, MasterCard, Visa</span>
</div>
<input type="text" name="input_9.1" id="input_3_9_1" value="" tabindex="63" onchange="gformMatchCard("input_3_9_1");" onkeyup="gformMatchCard("input_3_9_1");" autocomplete="off" pattern="[0-9]*"
title="Only digits are allowed" aria-required="true">
<label for="input_3_9_1" id="input_3_9_1_label" class="gform-field-label gform-field-label--type-sub ">Card Number</label>
</span><span class="ginput_full ginput_cardextras gform-grid-col gform-grid-row" id="input_3_9_2_container">
<fieldset class="ginput_cardinfo_left gform-grid-col" id="input_3_9_2_cardinfo_left">
<legend class="gform-field-label gform-field-label--type-sub ">Expiration Date</legend>
<span class="ginput_card_expiration_container ginput_card_field gform-grid-row">
<span class="ginput_card_expiration_month_container gform-grid-col">
<label for="input_3_9_2_month" class="gform-field-label gform-field-label--type-sub screen-reader-text">Month</label>
<select name="input_9.2[]" id="input_3_9_2_month" tabindex="64" class="ginput_card_expiration ginput_card_expiration_month" aria-required="true">
<option value="">Month</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
</span>
<span class="ginput_card_expiration_year_container gform-grid-col">
<label for="input_3_9_2_year" class="gform-field-label gform-field-label--type-sub screen-reader-text">Year</label>
<select name="input_9.2[]" id="input_3_9_2_year" tabindex="65" class="ginput_card_expiration ginput_card_expiration_year" aria-required="true">
<option value="">Year</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
<option value="2043">2043</option>
</select>
</span>
</span>
</fieldset><span class="ginput_cardinfo_right gform-grid-col" id="input_3_9_2_cardinfo_right">
<input type="text" name="input_9.3" id="input_3_9_3" tabindex="66" class="ginput_card_security_code" value="" autocomplete="off" pattern="[0-9]*" title="Only digits are allowed" aria-required="true">
<span class="ginput_card_security_code_icon"> </span>
<label for="input_3_9_3" class="gform-field-label gform-field-label--type-sub ">Security Code</label>
</span>
</span><span class="ginput_full gform-grid-col" id="input_3_9_5_container">
<input type="text" name="input_9.5" id="input_3_9_5" value="" tabindex="67" aria-required="false">
<label for="input_3_9_5" id="input_3_9_5_label" class="gform-field-label gform-field-label--type-sub ">Cardholder Name</label>
</span> </div>
</fieldset>
<fieldset id="field_3_6" class="gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible"
data-js-reload="field_3_6">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Billing Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row" id="input_3_6">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_3_6_1_container">
<input type="text" name="input_6.1" id="input_3_6_1" value="" tabindex="68" aria-required="true">
<label for="input_3_6_1" id="input_3_6_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_3_6_3_container">
<input type="text" name="input_6.3" id="input_3_6_3" value="" tabindex="69" aria-required="true">
<label for="input_3_6_3" id="input_3_6_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_3_6_4_container">
<input type="text" name="input_6.4" id="input_3_6_4" value="" tabindex="71" aria-required="true">
<label for="input_3_6_4" id="input_3_6_4_label" class="gform-field-label gform-field-label--type-sub ">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_3_6_5_container">
<input type="text" name="input_6.5" id="input_3_6_5" value="" tabindex="72" aria-required="true">
<label for="input_3_6_5" id="input_3_6_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country gform-grid-col" id="input_3_6_6_container">
<select name="input_6.6" id="input_3_6_6" tabindex="73" aria-required="true">
<option value=""></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>
<option value="Angola">Angola</option>
<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="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</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="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</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 Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</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="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="Eswatini">Eswatini</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="Georgia">Georgia</option>
<option value="Germany">Germany</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 Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</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">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's 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>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<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">Micronesia</option>
<option value="Moldova">Moldova</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="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 Macedonia">North Macedonia</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, State of">Palestine, State of</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="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</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>
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<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 Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
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<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
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<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
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<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
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<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</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>
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<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</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">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
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</form>Text Content
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