www.optum.com Open in urlscan Pro
149.111.128.88  Public Scan

URL: https://www.optum.com/preferences.html?elq_mid=27081&elq_cid=6275339&elq_ck=7012L0000017FjbQAE&s=email&s3=footer&elqTr...
Submission: On May 06 via api from US — Scanned from DE

Form analysis 5 forms found in the DOM

<form class="dpl-search__form">
  <label for="dplsearch" class="assistText">Search site</label>
  <input id="dplsearch" class="dpl-search__input searchfield ui-autocomplete-input" maxlength="300" placeholder="Search" type="text" autocomplete="off">
  <button class="dpl-search__submit" type="button" disabled="">
    <span class="assistText">Search</span>
    <i class="oi-search" aria-hidden="true"></i>
  </button>
</form>

<form class="yxt-SearchBar-form">
  <input class="js-yext-query yxt-SearchBar-input" type="text" name="query" value="" placeholder="Search" aria-label="Conduct a search" autocomplete="off" autocorrect="off" spellcheck="false">
  <button type="button" class="js-yxt-SearchBar-clear yxt-SearchBar-clear yxt-SearchBar--hidden component" data-eventtype="SEARCH_CLEAR_BUTTON" data-eventoptions="{}" data-component="IconComponent"
    data-opts="{ &quot;iconName&quot;: &quot;close&quot; }" data-prop="icon" data-is-component-mounted="true" data-is-analytics-attached="true">
    <div class="Icon Icon--close " aria-hidden="true">
      <svg viewBox="0 1 24 24" xmlns="http://www.w3.org/2000/svg">
        <path d="M7 8l9.716 9.716m0-9.716L7 17.716" stroke="currentColor" stroke-width="2"></path>
      </svg>
    </div>
    <span class="yxt-SearchBar-clearButtonText sr-only"> Clear </span>
  </button>
  <button type="submit" class="js-yext-submit yxt-SearchBar-button">
    <div class="yxt-SearchBar-buttonImage component" data-component="IconComponent" data-opts="{ &quot;iconName&quot;: &quot;magnifying_glass&quot; }" data-is-component-mounted="true">
      <div class="Icon Icon--magnifying_glass " aria-hidden="true">
        <svg viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg">
          <path d="M16.124 13.051a5.154 5.154 0 110-10.308 5.154 5.154 0 010 10.308M16.114 0a7.886 7.886 0 00-6.46 12.407L0 22.06 1.94 24l9.653-9.653A7.886 7.886 0 1016.113 0"></path>
        </svg>
      </div>
    </div>
    <span class="yxt-SearchBar-buttonText sr-only"> Submit </span>
  </button>
</form>

<form class="dpl-search__form">
  <label for="dplsearch" class="assistText">Search site</label>
  <input id="dplsearch" class="dpl-search__input searchfield ui-autocomplete-input" maxlength="300" placeholder="Search" type="text" autocomplete="off">
  <button class="dpl-search__submit" type="button" disabled="">
    <span class="assistText">Search</span>
    <i class="oi-search" aria-hidden="true"></i>
  </button>
</form>

<form class="yxt-SearchBar-form">
  <input class="js-yext-query yxt-SearchBar-input" type="text" name="query" value="" placeholder="Search" aria-label="Conduct a search" autocomplete="off" autocorrect="off" spellcheck="false">
  <button type="button" class="js-yxt-SearchBar-clear yxt-SearchBar-clear yxt-SearchBar--hidden component" data-eventtype="SEARCH_CLEAR_BUTTON" data-eventoptions="{}" data-component="IconComponent"
    data-opts="{ &quot;iconName&quot;: &quot;close&quot; }" data-prop="icon" data-is-component-mounted="true" data-is-analytics-attached="true">
    <div class="Icon Icon--close " aria-hidden="true">
      <svg viewBox="0 1 24 24" xmlns="http://www.w3.org/2000/svg">
        <path d="M7 8l9.716 9.716m0-9.716L7 17.716" stroke="currentColor" stroke-width="2"></path>
      </svg>
    </div>
    <span class="yxt-SearchBar-clearButtonText sr-only"> Clear </span>
  </button>
  <button type="submit" class="js-yext-submit yxt-SearchBar-button">
    <div class="yxt-SearchBar-buttonImage component" data-component="IconComponent" data-opts="{ &quot;iconName&quot;: &quot;magnifying_glass&quot; }" data-is-component-mounted="true">
      <div class="Icon Icon--magnifying_glass " aria-hidden="true">
        <svg viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg">
          <path d="M16.124 13.051a5.154 5.154 0 110-10.308 5.154 5.154 0 010 10.308M16.114 0a7.886 7.886 0 00-6.46 12.407L0 22.06 1.94 24l9.653-9.653A7.886 7.886 0 1016.113 0"></path>
        </svg>
      </div>
    </div>
    <span class="yxt-SearchBar-buttonText sr-only"> Submit </span>
  </button>
</form>

Name: OptumPreferenceCenter_2020POST https://s2650.t.eloqua.com/e/f2

<form site-id="2650" name="OptumPreferenceCenter_2020" company-name="Optum" id="embeddedeloquaform" action="https://s2650.t.eloqua.com/e/f2" method="post" enctype="multipart/form-data" novalidate="true" form-model="formModel"
  class="ng-pristine ng-valid ng-isolate-scope"><input value="OptumPreferenceCenter_2020" type="hidden" name="elqFormName"><input value="2650" type="hidden" name="elqSiteId">
  <form-header>
    <div ng-hide="formModel.mode==2&amp;&amp;showFormBody()&amp;&amp;formModel.currentStage<formModel.stages+1">
      <ng-transclude>
        <h1 class="ng-scope">Update your email&nbsp;preferences</h1>
        <!-- ngIf: !elqUser.didContinue -->
        <div ng-if="!elqUser.didContinue" class="ng-scope">Please verify or supply us with your contact information so we can better serve&nbsp;you.</div><!-- end ngIf: !elqUser.didContinue -->
        <required-label class="ng-scope">
          <div ng-show="showLabel()" ng-bind="getLabel()" class="required__text ng-binding ng-hide">Fields marked with an asterisk <span class="required__asterisk">*</span> are required.</div>
        </required-label>
        <label for="emailAddress" class="ng-scope">Email Address:<!-- ngIf: formModel.isFieldRequired('C_emailAddress') --><span class="required__asterisk ng-scope"
            ng-if="formModel.isFieldRequired('C_emailAddress')">*</span><!-- end ngIf: formModel.isFieldRequired('C_emailAddress') --></label>
        <div class="email-field-wrapper ng-scope">
          <div class="email-field icon input" ng-class="{loading:isLoading}"><input id="emailAddress" type="text" name="C_emailAddress" mandatory="" validate-as="email" elq-prepop="C_EmailAddress" onvalid="lookupUser()"
              ng-model="elqUser.data.C_emailAddress" email-field="" spellcheck="false" oninvalid="dissociateUser()" ng-readonly="elqUser.isReal" ng-class="{readonly: elqUser.isReal}" class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty"
              aria-required="true" required="required"><i class="fa fa-lock ng-hide" ng-show="!isLoading&amp;&amp;elqUser.isReal" aria-hidden="true"></i></div>
        </div>
        <div class="error message hidden" id="error-elqUser_data_C_emailAddress"></div><user-reset-prompt class="ng-scope">
          <div ng-show="elqUser.isReal" class="form__user-reset-prompt ng-binding ng-hide"> Not , <a href="javascript:angular.noop()" title="Click here to use a different email address" ng-click="notMe()" lpos="main content: section 1 : update your email preferences">
  click here
  </a>
          </div>
        </user-reset-prompt>
      </ng-transclude>
      <div ng-hide="showFormBody()" class="form__cta-block_container">
        <div class="form__privacy-statement__text paragraph"><span class="privacy-statement ng-binding"> By clicking the "Continue" button, you are agreeing to the
            <a href="https://www.optum.com/terms-of-use.html" lpos="main content: section 1 : update your email preferences">Optum Terms of Use</a> and
            <a href="https://www.optum.com/privacy-policy.html" lpos="main content: section 1 : update your email preferences">Privacy Policy</a>. <span ng-show="elqUser.isReal" class="ng-hide">You can manage your
              <a href="http://info.optum.com/mypreferences" target="_self" lpos="main content: section 1 : update your email preferences">email preferences</a> at any time.</span></span></div>
        <div class="form__cta-button__container">
          <button type="button" ng-click="headerProceed()" class="button button--primary ng-binding">Continue</button>
        </div>
      </div>
    </div>
  </form-header>
  <form-body reveal-method="CLICK" style="" ng-class="{unsubscribeAll: elqUser.data&amp;&amp;elqUser.data.unsubscribeAll}" id="elq_form_body">
    <div class="form-body ng-hide" ng-show="showFormBody()"><ng-transclude>
        <form-stage class="ng-scope ng-isolate-scope">
          <div ng-show="formModel.currentStage==formStageId" ng-class="{prepopulated: elqUser.isReal}">
            <!-- ngIf: stageTitle.length>0 -->
            <ng-transclude>
              <div class="areasofinterest ng-scope">
                <div ng-hide="elqUser.data.unsubscribeAll">
                  <h2 class="delta" style="margin-top:0">Topics of interest</h2>
                  <p>Please select your topic(s) of interest below to receive relevant communications.</p>
                  <div class="form__control checkbox">
                    <input name="PC_advisory" type="checkbox" value="Yes" id="PC_advisory_checkbox" elq-prepop="GMS_96427b00-506b-4efc-917f-aa169f3fe950" ng-model="elqUser.data.PC_advisory" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_advisory_checkbox">Advisory Services<!-- ngIf: formModel.isFieldRequired('PC_advisory') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_dataAnalytics" type="checkbox" value="Yes" id="PC_dataAnalytics_checkbox" elq-prepop="GMS_cc61a6c8-3bc0-49c2-80e8-d890809eed5d" ng-model="elqUser.data.PC_dataAnalytics"
                      class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_dataAnalytics_checkbox">Data and Analytics<!-- ngIf: formModel.isFieldRequired('PC_dataAnalytics') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_executive" type="checkbox" value="Yes" id="PC_executive_checkbox" elq-prepop="GMS_15810041-15ee-4ec5-bd99-a09dbbf11d84" ng-model="elqUser.data.PC_executive" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_executive_checkbox">Executive Insights<!-- ngIf: formModel.isFieldRequired('PC_executive') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_hco" type="checkbox" value="Yes" id="PC_hco_checkbox" elq-prepop="GMS_69b35d3d-e002-44a2-9812-35bd5ec5a3f8" ng-model="elqUser.data.PC_hco" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_hco_checkbox">Health Care Operations<!-- ngIf: formModel.isFieldRequired('PC_hco') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_hcd" type="checkbox" value="Yes" id="PC_hcd_checkbox" elq-prepop="GMS_fe6c9a78-e8fa-4b05-b53e-9eb5b1d383a6" ng-model="elqUser.data.PC_hcd" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_hcd_checkbox">Health Care Delivery<!-- ngIf: formModel.isFieldRequired('PC_hcd') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_pcs" type="checkbox" value="Yes" id="PC_pcs_checkbox" elq-prepop="GMS_203254f9-fc30-41ee-8069-1431076bddc2" ng-model="elqUser.data.PC_pcs" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_pcs_checkbox">Pharmacy Care Services<!-- ngIf: formModel.isFieldRequired('PC_pcs') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_phm" type="checkbox" value="Yes" id="PC_phm_checkbox" elq-prepop="GMS_c46c8499-04cf-4e7a-9c40-5718852eeea1" ng-model="elqUser.data.PC_phm" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_phm_checkbox">Population Health Management<!-- ngIf: formModel.isFieldRequired('PC_phm') --></label>
                  </div>
                  <div class="form__control checkbox">
                    <input name="PC_rcm" type="checkbox" value="Yes" id="PC_rcm_checkbox" elq-prepop="GMS_38eee65c-6842-4bab-8646-fe0bcde26df3" ng-model="elqUser.data.PC_rcm" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="PC_rcm_checkbox">Revenue Cycle Management<!-- ngIf: formModel.isFieldRequired('PC_rcm') --></label>
                  </div>
                </div><!-- hide preferences -->
                <div ng-class="{optoutborder: !elqUser.data.unsubscribeAll,optoutnoborder:elqUser.data.unsubscribeAll}" class="optoutborder">
                  <div class="form__control checkbox" ng-click="scrollToTopOfForm()">
                    <input name="unsubscribeAll" type="checkbox" value="Yes" id="unsubscribeAll_checkbox" ng-model="elqUser.data.unsubscribeAll" class="ng-pristine ng-untouched ng-valid ng-empty">
                    <label for="unsubscribeAll_checkbox">Unsubscribe me from all electronic marketing communications.<!-- ngIf: formModel.isFieldRequired('unsubscribeAll') --></label>
                  </div>
                  <div ng-show="elqUser.data.unsubscribeAll" class="ng-hide">
                    <label for="fieldId__optOutReason">Opt-out reason<!-- ngIf: formModel.isFieldRequired('optOutReason') --></label>
                    <select name="optOutReason" ng-model="elqUser.data.optOutReason" id="fieldId__optOutReason" class="ng-pristine ng-untouched ng-valid ng-empty">
                      <option value="" selected="selected">Please select opt-out reason</option>
                      <option value="I'm receiving too many emails">I'm receiving too many emails</option>
                      <option value="I never signed up to receive emails">I never signed up to receive emails</option>
                      <option value="The topics don't interest me">The topics don't interest me</option>
                      <option value="The content does not pertain to me">The content does not pertain to me</option>
                    </select>
                  </div>
                </div>
              </div><!-- gray wrap -->
              <div style="padding-bottom: 1em;" ng-hide="!showOverview()||editMode" class="ng-scope ng-hide">
                <display-user-information source-data="ogData" class="ng-isolate-scope">
                  <div style="padding-top:1em">
                    <h2 class="delta">Your information:</h2>
                  </div>
                  <div class="ng-binding"> </div>
                  <!-- ngIf: sourceData.C_title.length>0&&sourceData.C_company.length>0 --><!-- ngIf: (!sourceData.C_title||sourceData.C_title.length==0) && sourceData.C_company.length>0 --><!-- ngIf: (!sourceData.C_company||sourceData.C_company.length==0) && sourceData.C_title.length>0 --><!-- ngIf: sourceData.C_zipCode.length>0 && getCountry(sourceData.C_country) --><!-- ngIf: sourceData.C_Subscribed___COI_Opt_In_Date1.length>0 --><!-- ngIf: sourceData.C_Consent_DP_Opt_In_Date1.length>0 -->
                  <div></div>
                </display-user-information>
                <a href="javascript:angular.noop()" ng-click="editDetails()" ng-hide="!showOverview()||editMode" class="ng-binding ng-hide" lpos="main content: section 1 : your information:">Edit my information</a>
              </div><!-- Users info -->
              <div update-conditionally="" ng-show="canShowField('C_firstName')" class="ng-scope">
                <label for="fieldId__C_firstName">First name<!-- ngIf: formModel.isFieldRequired('C_firstName') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_firstName')">*</span><!-- end ngIf: formModel.isFieldRequired('C_firstName') --></label>
                <input name="C_firstName" elq-prepop="C_FirstName" message="First name is required" type="text" mandatory="" ng-model="elqUser.data.C_firstName" id="fieldId__C_firstName"
                  class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty" aria-required="true" required="required">
                <div class="error message hidden" id="error-elqUser_data_C_firstName"></div>
              </div>
              <div update-conditionally="" ng-show="canShowField('C_lastName')" class="ng-scope">
                <label for="fieldId__C_lastName">Last name<!-- ngIf: formModel.isFieldRequired('C_lastName') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_lastName')">*</span><!-- end ngIf: formModel.isFieldRequired('C_lastName') --></label>
                <input name="C_lastName" elq-prepop="C_LastName" type="text" message="Last name is required" mandatory="" ng-model="elqUser.data.C_lastName" id="fieldId__C_lastName" class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty"
                  aria-required="true" required="required">
                <div class="error message hidden" id="error-elqUser_data_C_lastName"></div>
              </div>
              <div update-conditionally="" ng-show="canShowField('C_company')" class="ng-scope">
                <label for="fieldId__C_company" class="ng-binding">Organization name<!-- ngIf: formModel.isFieldRequired('C_company') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_company')">*</span><!-- end ngIf: formModel.isFieldRequired('C_company') --></label>
                <input name="C_company" elq-prepop="C_Company" type="text" message="Organization Name is required" mandatory="" enforce-when="!elqUser.data.unsubscribeAll" ng-model="elqUser.data.C_company" id="fieldId__C_company"
                  class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty" aria-required="true" required="required">
                <div class="error message hidden" id="error-elqUser_data_C_company"></div>
              </div>
              <div update-conditionally="" ng-show="canShowField('C_title')" class="ng-scope">
                <label for="fieldId__C_title">Job title<!-- ngIf: formModel.isFieldRequired('C_title') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_title')">*</span><!-- end ngIf: formModel.isFieldRequired('C_title') --></label>
                <input name="C_title" elq-prepop="C_Title" type="text" message="Job Title is required" mandatory="" enforce-when="!elqUser.data.unsubscribeAll" ng-model="elqUser.data.C_title" id="fieldId__C_title"
                  class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty" aria-required="true" required="required">
                <div class="error message hidden" id="error-elqUser_data_C_title"></div>
              </div>
              <div update-conditionally="" ng-show="canShowField('C_zipCode')" class="ng-scope">
                <label for="fieldId__C_zipCode">Zip/Postal Code<!-- ngIf: formModel.isFieldRequired('C_zipCode') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_zipCode')">*</span><!-- end ngIf: formModel.isFieldRequired('C_zipCode') --></label>
                <input name="C_zipCode" elq-prepop="C_Zip_Postal" type="text" message="Postal Code is required" mandatory="" enforce-when="!elqUser.data.unsubscribeAll" ng-model="elqUser.data.C_zipCode" id="fieldId__C_zipCode"
                  class="ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty" aria-required="true" required="required">
                <div class="error message hidden" id="error-elqUser_data_C_zipCode"></div>
              </div>
              <div update-conditionally="" ng-show="canShowField('C_country')" class="ng-scope">
                <label for="fieldId__C_country">Country<!-- ngIf: formModel.isFieldRequired('C_country') --><span class="required__asterisk ng-scope"
                    ng-if="formModel.isFieldRequired('C_country')">*</span><!-- end ngIf: formModel.isFieldRequired('C_country') --></label>
                <select name="C_country" elq-prepop="C_Country" class="country ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty" mandatory="" enforce-when="!elqUser.data.unsubscribeAll" ng-model="elqUser.data.C_country"
                  id="fieldId__C_country" country-field="" aria-required="true" required="required">
                  <option value="">Please Select Country</option>
                  <option value="US">United States of America</option>
                  <option value="AU">Australia</option>
                  <option value="BR">Brazil</option>
                  <option value="CA">Canada</option>
                  <option value="IN">India</option>
                  <option value="SG">Singapore</option>
                  <option value="UK">United Kingdom</option>
                  <option value="" selected="selected">------------------------------</option>
                  <option value="AF">Afghanistan</option>
                  <option value="AL">Albania</option>
                  <option value="DZ">Algeria</option>
                  <option value="AS">American Samoa</option>
                  <option value="AD">Andorra</option>
                  <option value="AO">Angola</option>
                  <option value="AI">Anguilla</option>
                  <option value="AQ">Antarctica</option>
                  <option value="AG">Antigua and Barbuda</option>
                  <option value="AR">Argentina</option>
                  <option value="AM">Armenia</option>
                  <option value="AW">Aruba</option>
                  <option value="AT">Austria</option>
                  <option value="AZ">Azerbaijan</option>
                  <option value="BS">Bahamas</option>
                  <option value="BH">Bahrain</option>
                  <option value="BD">Bangladesh</option>
                  <option value="BB">Barbados</option>
                  <option value="BY">Belarus</option>
                  <option value="BE">Belgium</option>
                  <option value="BZ">Belize</option>
                  <option value="BJ">Benin</option>
                  <option value="BM">Bermuda</option>
                  <option value="BT">Bhutan</option>
                  <option value="BO">Bolivia</option>
                  <option value="BA">Bosnia and Herzegowina</option>
                  <option value="BW">Botswana</option>
                  <option value="BV">Bouvet Island</option>
                  <option value="IO">British Indian Ocean Territory</option>
                  <option value="BN">Brunei Darussalam</option>
                  <option value="BG">Bulgaria</option>
                  <option value="BF">Burkina Faso</option>
                  <option value="BI">Burundi</option>
                  <option value="KH">Cambodia</option>
                  <option value="CM">Cameroon</option>
                  <option value="CV">Cape Verde</option>
                  <option value="KY">Cayman Islands</option>
                  <option value="CF">Central African Republic</option>
                  <option value="TD">Chad</option>
                  <option value="CL">Chile</option>
                  <option value="CN">China</option>
                  <option value="CX">Christmas Island</option>
                  <option value="CC">Cocos Islands</option>
                  <option value="CO">Colombia</option>
                  <option value="KM">Comoros</option>
                  <option value="CG">Congo</option>
                  <option value="CD">Congo, Democratic Republic of</option>
                  <option value="CK">Cook Islands</option>
                  <option value="CR">Costa Rica</option>
                  <option value="CI">Cote D'Ivoire</option>
                  <option value="HR">Croatia</option>
                  <option value="CU">Cuba</option>
                  <option value="CY">Cyprus</option>
                  <option value="CZ">Czech Republic</option>
                  <option value="DK">Denmark</option>
                  <option value="DJ">Djibouti</option>
                  <option value="DM">Dominica</option>
                  <option value="DO">Dominican Republic</option>
                  <option value="TP">East Timor</option>
                  <option value="EC">Ecuador</option>
                  <option value="EG">Egypt</option>
                  <option value="SV">El Salvador</option>
                  <option value="GQ">Equatorial Guinea</option>
                  <option value="ER">Eritrea</option>
                  <option value="EE">Estonia</option>
                  <option value="ET">Ethiopia</option>
                  <option value="FK">Falkland Islands (Islas Malvinas)</option>
                  <option value="FO">Faroe Islands</option>
                  <option value="FJ">Fiji</option>
                  <option value="FI">Finland</option>
                  <option value="FR">France</option>
                  <option value="FX">France, Metropolitan</option>
                  <option value="GF">French Guiana</option>
                  <option value="PF">French Polynesia</option>
                  <option value="TF">French Southern Territories</option>
                  <option value="GA">Gabon</option>
                  <option value="GM">Gambia</option>
                  <option value="GE">Georgia</option>
                  <option value="DE">Germany</option>
                  <option value="GH">Ghana</option>
                  <option value="GI">Gibraltar</option>
                  <option value="GB">Great Britain</option>
                  <option value="GR">Greece</option>
                  <option value="GL">Greenland</option>
                  <option value="GD">Grenada</option>
                  <option value="GP">Guadeloupe</option>
                  <option value="GU">Guam</option>
                  <option value="GT">Guatemala</option>
                  <option value="GN">Guinea</option>
                  <option value="GW">Guinea-Bissau</option>
                  <option value="GY">Guyana</option>
                  <option value="HT">Haiti</option>
                  <option value="HM">Heard and McDonald Islands</option>
                  <option value="VA">Holy See (Vatican City State)</option>
                  <option value="HN">Honduras</option>
                  <option value="HK">Hong Kong</option>
                  <option value="HU">Hungary</option>
                  <option value="IS">Iceland</option>
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