publicis.gbtconnect.com
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urlscan Pro
208.94.220.182
Public Scan
Submitted URL: https://publicis.gbtconnect.com/rc/login/mainSubmit.do?loginKey=UZuCJ_N8Tq4enfqPGcoDJVTkF*o-_
Effective URL: https://publicis.gbtconnect.com/rc/registration/updateAccount.do
Submission: On June 12 via manual from IN — Scanned from DE
Effective URL: https://publicis.gbtconnect.com/rc/registration/updateAccount.do
Submission: On June 12 via manual from IN — Scanned from DE
Form analysis 1 forms found in the DOM
Name: uiForm — POST /rc/registration/updateAccountSubmit.do
<form name="uiForm" action="/rc/registration/updateAccountSubmit.do" method="post">
<input type="hidden" name="_action" value="updateAccount">
<h1><span class="title">Activate your account</span></h1>
<div class="clearFloats"></div>
<div id="errors" style="display: none;"></div>
<script language="Javascript1.2" type="text/javascript">
var _errorsMessages = new Array();
_errors = new RC.widget.MessageBox("errors", "Error", false);
_errors.setTitle("Correct the following errors:");
RC.util.Event.addListener(window, "load", function() {
_errors.setMessages(_errorsMessages);
_errors.highlightFields();
});
</script>
<div style="display: none">
</div>
<div class="sideMargin15">Please tell us a little about yourself so that we can serve you better.</div><br>
<div class="boxFrame">
<div class="header">
<div class="mainRight">
<div class="mainLeft"></div>
</div>
</div>
<div class="boxContent noheader formTwoColumn">
<div class="reqLegend"><em>*</em> Required</div>
<h4><span class="title">Personal Information</span></h4>
<div class="formPair">
<label id="personalInfo.title.label"> Title</label>
<select name="personalInfo.title" class="select">
<option value="">--</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss">Miss</option>
<option value="Dr.">Dr.</option>
<option value="Master">Master</option>
<option value="Prof.">Prof.</option>
<option value="Mx.">Mx.</option>
<option value="Sir">Sir</option>
</select>
<!-- MIS profile fields -->
</div>
<div class="formPair">
<label id="personalInfo.firstName.label"> First Name<em>*</em></label>
<input type="text" class="formField OneLinkNoTx" name="personalInfo.firstName" value="Nathan" maxlength="17">
</div>
<div class="formPair">
<label id="personalInfo.middleInitials.label"> Middle Name (full middle name is sent to airline per TSA rules. Only middle initial shows on ticket)</label>
<input type="text" class="formField OneLinkNoTx" name="personalInfo.middleInitials" value="" maxlength="17">
</div>
<div class="formPair">
<label id="personalInfo.lastName.label"> Last Name<em>*</em></label>
<input type="text" class="formField OneLinkNoTx" name="personalInfo.lastName" value="Elli" maxlength="35">
</div>
<div class="controlSet">
<label> Date of Birth<em>*</em>
<a href="javascript:void(0);" id="dobTooltip" class="imgTip toolTip" _title="This information is required when you book a Flight as part of the Transportation Security Administration (TSA) Secure Flight program. For more information, please visit our Help section." onclick="return false;"><img src="https://ca.rcobjs.com/static/rc/common/resources/img/default/icons/info_small.gif" border="0"></a>
</label>
<div id="DateOfBirthDiv">
<script type="text/javascript" src="https://ca.rcobjs.com/static/rc/scripts/dhtml-oojs.js"></script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/rc/scripts/dateUtility.js"></script>
<script language="JavaScript1.2" type="text/javascript">
var weekDayName = new Array("Sun", "Mon", "Tue", "Wed", "Thu", "Fri", "Sat");
</script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/rc/scripts/browserSniffer.js"></script>
<select id="personalInfo__start_month" name="personalInfo._start_month" class="select m-dateMonth" onchange="resolveValidDayFromPicker( 'uiForm', 'personalInfo._start_day', 'personalInfo._start_month', 'personalInfo._start_year',1);">
<option value="-" selected="">-</option>
<option value="0"> January</option>
<option value="1"> February</option>
<option value="2"> March</option>
<option value="3"> April</option>
<option value="4"> May</option>
<option value="5"> June</option>
<option value="6"> July</option>
<option value="7"> August</option>
<option value="8"> September</option>
<option value="9"> October</option>
<option value="10"> November</option>
<option value="11"> December</option>
</select>
<script language="javascript1.2" type="text/javascript">
var elemMonth = $('personalInfo__start_month');
if (elemMonth.options[0] && elemMonth.options[0].text == "**") {
elemMonth.selectedIndex = 0;
}
if (elemMonth.options[1] && elemMonth.options[1].text == "**") {
elemMonth.selectedIndex = 1;
}
</script>
<select id="personalInfo__start_day" name="personalInfo._start_day" class="select m-dateDate">
<option value="-" selected="">-</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<script language="javascript1.2" type="text/javascript">
var elemDay = $('personalInfo__start_day');
if (elemDay.options[0] && elemDay.options[0].text == "**") {
elemDay.selectedIndex = 0;
}
if (elemDay.options[1] && elemDay.options[1].text == "**") {
elemDay.selectedIndex = 1;
}
</script>
<select id="personalInfo__start_year" name="personalInfo._start_year" class="select m-dateYear" onchange="resolveValidDayFromPicker( 'uiForm', 'personalInfo._start_day', 'personalInfo._start_month', 'personalInfo._start_year',1);">
<option value="-" selected="">-</option>
<option value="2023"> 2023</option>
<option value="2022"> 2022</option>
<option value="2021"> 2021</option>
<option value="2020"> 2020</option>
<option value="2019"> 2019</option>
<option value="2018"> 2018</option>
<option value="2017"> 2017</option>
<option value="2016"> 2016</option>
<option value="2015"> 2015</option>
<option value="2014"> 2014</option>
<option value="2013"> 2013</option>
<option value="2012"> 2012</option>
<option value="2011"> 2011</option>
<option value="2010"> 2010</option>
<option value="2009"> 2009</option>
<option value="2008"> 2008</option>
<option value="2007"> 2007</option>
<option value="2006"> 2006</option>
<option value="2005"> 2005</option>
<option value="2004"> 2004</option>
<option value="2003"> 2003</option>
<option value="2002"> 2002</option>
<option value="2001"> 2001</option>
<option value="2000"> 2000</option>
<option value="1999"> 1999</option>
<option value="1998"> 1998</option>
<option value="1997"> 1997</option>
<option value="1996"> 1996</option>
<option value="1995"> 1995</option>
<option value="1994"> 1994</option>
<option value="1993"> 1993</option>
<option value="1992"> 1992</option>
<option value="1991"> 1991</option>
<option value="1990"> 1990</option>
<option value="1989"> 1989</option>
<option value="1988"> 1988</option>
<option value="1987"> 1987</option>
<option value="1986"> 1986</option>
<option value="1985"> 1985</option>
<option value="1984"> 1984</option>
<option value="1983"> 1983</option>
<option value="1982"> 1982</option>
<option value="1981"> 1981</option>
<option value="1980"> 1980</option>
<option value="1979"> 1979</option>
<option value="1978"> 1978</option>
<option value="1977"> 1977</option>
<option value="1976"> 1976</option>
<option value="1975"> 1975</option>
<option value="1974"> 1974</option>
<option value="1973"> 1973</option>
<option value="1972"> 1972</option>
<option value="1971"> 1971</option>
<option value="1970"> 1970</option>
<option value="1969"> 1969</option>
<option value="1968"> 1968</option>
<option value="1967"> 1967</option>
<option value="1966"> 1966</option>
<option value="1965"> 1965</option>
<option value="1964"> 1964</option>
<option value="1963"> 1963</option>
<option value="1962"> 1962</option>
<option value="1961"> 1961</option>
<option value="1960"> 1960</option>
<option value="1959"> 1959</option>
<option value="1958"> 1958</option>
<option value="1957"> 1957</option>
<option value="1956"> 1956</option>
<option value="1955"> 1955</option>
<option value="1954"> 1954</option>
<option value="1953"> 1953</option>
<option value="1952"> 1952</option>
<option value="1951"> 1951</option>
<option value="1950"> 1950</option>
<option value="1949"> 1949</option>
<option value="1948"> 1948</option>
<option value="1947"> 1947</option>
<option value="1946"> 1946</option>
<option value="1945"> 1945</option>
<option value="1944"> 1944</option>
<option value="1943"> 1943</option>
<option value="1942"> 1942</option>
<option value="1941"> 1941</option>
<option value="1940"> 1940</option>
<option value="1939"> 1939</option>
<option value="1938"> 1938</option>
<option value="1937"> 1937</option>
<option value="1936"> 1936</option>
<option value="1935"> 1935</option>
<option value="1934"> 1934</option>
<option value="1933"> 1933</option>
<option value="1932"> 1932</option>
<option value="1931"> 1931</option>
<option value="1930"> 1930</option>
<option value="1929"> 1929</option>
<option value="1928"> 1928</option>
<option value="1927"> 1927</option>
<option value="1926"> 1926</option>
<option value="1925"> 1925</option>
<option value="1924"> 1924</option>
<option value="1923"> 1923</option>
<option value="1922"> 1922</option>
<option value="1921"> 1921</option>
<option value="1920"> 1920</option>
<option value="1919"> 1919</option>
<option value="1918"> 1918</option>
<option value="1917"> 1917</option>
<option value="1916"> 1916</option>
<option value="1915"> 1915</option>
<option value="1914"> 1914</option>
<option value="1913"> 1913</option>
<option value="1912"> 1912</option>
<option value="1911"> 1911</option>
<option value="1910"> 1910</option>
<option value="1909"> 1909</option>
<option value="1908"> 1908</option>
<option value="1907"> 1907</option>
<option value="1906"> 1906</option>
<option value="1905"> 1905</option>
<option value="1904"> 1904</option>
<option value="1903"> 1903</option>
<option value="1902"> 1902</option>
<option value="1901"> 1901</option>
</select>
<script language="javascript1.2" type="text/javascript">
var elemYear = $('personalInfo__start_year');
if (elemYear.options[0] && elemYear.options[0].text == "**") {
elemYear.selectedIndex = 0;
}
if (elemYear.options[1] && elemYear.options[1].text == "**") {
elemYear.selectedIndex = 1;
}
</script>
<script language="javascript1.2" type="text/javascript">
var subjectpersonalInfo__start = new Subject('uiForm', 'personalInfo._start');
var observerpersonalInfo__start = new Observer('uiForm', 'personalInfo._start');
subjectpersonalInfo__start.observer = observerpersonalInfo__start;
observerpersonalInfo__start.subject = subjectpersonalInfo__start;
resolveValidDay('uiForm', 'personalInfo._start');
</script>
</div>
<script type="text/javascript">
function showDOBnote(travIdx) {
var divElem = YAHOO.util.Dom.get('DateOfBirthDiv' + ((travIdx) ? travIdx : ""));
var brElem = document.createElement('br');
var newdiv = document.createElement('span');
newdiv.setAttribute('class', 'note');
newdiv.innerHTML = 'Date of birth displayed as ** for security reasons';
divElem.appendChild(brElem);
divElem.appendChild(newdiv);
}
if ((elemYear && elemYear.options[0] && elemYear.options[0].text == "**") || (elemDay && elemDay.options[0] && elemDay.options[0].text == "**") || (elemMonth && elemMonth.options[0] && elemMonth.options[0].text == "**")) {
showDOBnote();
}
if ((elemYear && elemYear.options[1] && elemYear.options[1].text == "**") || (elemDay && elemDay.options[1] && elemDay.options[1].text == "**") || (elemMonth && elemMonth.options[1] && elemMonth.options[1].text == "**")) {
showDOBnote()
}
</script>
</div>
<div class="formPair">
<label id="personalInfo.gender.label"> Gender<em>*</em>
<a href="javascript:void(0);" id="genderTooltip" onclick="return false;"><img src="https://ca.rcobjs.com/static/rc/common/resources/img/default/icons/info_small.gif" alt="Gender Tooltip" border="0" class="alignTop"></a>
<div class="yui-panel-container" id="genderTooltipPopup_c">
<div class="boxFloater withHeader medium yui-module yui-overlay yui-panel" id="genderTooltipPopup" style="display: none; visibility: inherit;">
<div class="hd"><label class="headerText layer" for="genderTooltip"></label></div>
<div class="bd boxContent clearAfter"> This information is required when you book a Flight as part of the Transportation Security Administration (TSA) Secure Flight program. For more information, please visit our Help section. <div
class="clearFloats"></div>
</div>
<div class="ft btm"></div>
</div>
</div>
</label>
<select name="personalInfo.gender" class="select">
<option value="">--</option>
<option value="M">Male</option>
<option value="F">Female</option>
<option value="X">Non-binary/Unspecified ( X )</option>
</select>
</div>
<div class="formPair">
<label id="personalInfo.profilePin.label"> Profile Pin - Use 10-digit cell or home phone <br>(ex: 2815551234) Please do not enter all zeros<em>*</em></label>
<input type="text" class="formField OneLinkNoTx" name="personalInfo.profilePin" value="" maxlength="10">
</div>
<div class="formPair">
<label for="timeZone">Time zone<em>*</em>
</label>
<select class="select" name="accountInfo.serviceTimezone">
<option value="">- select -</option>
<option value="Pacific/Honolulu">Hawaii Standard Time</option>
<option value="America/Adak">Hawaii Daylight Time</option>
<option value="America/Anchorage">Alaska Daylight Time</option>
<option value="America/Los_Angeles">Pacific Daylight Time</option>
<option value="America/Phoenix">Mountain Time Zone-Arizona (AZ)</option>
<option value="America/Denver">Mountain Daylight Time</option>
<option value="America/Chicago">Central Daylight Time</option>
<option value="America/New_York">Eastern Daylight Time</option>
<option value="America/Guayaquil">Ecuador Time</option>
<option value="America/Bogota">Colombia Time</option>
<option value="America/Rio_Branco">Acre Time</option>
<option value="America/Halifax">Atlantic Daylight Time</option>
<option value="America/Caracas">Venezuela Time</option>
<option value="America/La_Paz">Bolivia Time</option>
<option value="America/Cuiaba">Amazon Time</option>
<option value="America/St_Johns">Newfoundland Daylight Time</option>
<option value="America/Montevideo">Uruguay Time</option>
<option value="America/Sao_Paulo">Brasilia Time</option>
<option value="America/Noronha">Fernando de Noronha Time</option>
<option value="Europe/London">British Summer Time</option>
<option value="Europe/Lisbon">Western European Summer Time</option>
<option value="Europe/Berlin">Central European Summer Time</option>
<option value="Africa/Lagos">Western African Time</option>
<option value="Europe/Athens">Eastern European Summer Time</option>
<option value="Africa/Lusaka">Central African Time</option>
<option value="Asia/Jerusalem">Israel Daylight Time</option>
<option value="Africa/Nairobi">Eastern African Time</option>
<option value="Asia/Kuwait">Arabia Standard Time</option>
<option value="Europe/Moscow">Moscow Standard Time</option>
<option value="Asia/Dubai">Gulf Standard Time</option>
<option value="Asia/Karachi">Pakistan Time</option>
<option value="Asia/Calcutta">India Standard Time</option>
<option value="Asia/Bangkok">Indochina Time</option>
<option value="Asia/Jakarta">West Indonesia Time</option>
<option value="Australia/Perth">Australian Western Standard Time</option>
<option value="Asia/Shanghai">China Standard Time</option>
<option value="Asia/Manila">Philippines Time</option>
<option value="Asia/Singapore">Singapore Time</option>
<option value="Asia/Hong_Kong">Hong Kong Time</option>
<option value="Asia/Kuala_Lumpur">Malaysia Time</option>
<option value="Asia/Brunei">Brunei Time</option>
<option value="Asia/Tokyo">Japan Standard Time</option>
<option value="Asia/Seoul">Korea Standard Time</option>
<option value="Asia/Jayapura">East Indonesia Time</option>
<option value="Australia/Brisbane">Australian Eastern Standard Time (Queensland)</option>
<option value="Australia/Darwin">Australian Central Standard Time (Northern Territory)</option>
<option value="Australia/Sydney">Australian Eastern Standard Time (New South Wales)</option>
<option value="Australia/Lord_Howe">Lord Howe Standard Time</option>
<option value="Pacific/Auckland">New Zealand Standard Time</option>
</select>
<br>
</div>
<h4><span class="title">Create Password</span></h4>
<div class="controlSet clearAfter">
<span class="label"></span>
<div class="multiLine">
<strong>Password requirements</strong><br> • Must be at least 7 characters in length.<br> • Must not contain your name or Username - NO SPACES.<br> • Must contain at least one letter and one number.
</div>
</div>
<div class="formPair">
<label> Username - NO SPACES</label> natelli@publicisgroupe.net
</div>
<div class="formPair">
<label> Password<em>*</em>
</label>
<input type="password" autocomplete="off" class="formField" name="passwordInfo.newPassword" value="" maxlength="60" size="35">
</div>
<div class="formPair">
<label> Confirm password<em>*</em>
</label>
<input type="password" autocomplete="off" class="formField" name="passwordInfo.confirmPassword" onkeypress="return submitUsingEnter(this,event,'updateAccount')" value="" maxlength="60" size="35">
</div>
<div class="formPair">
<label> </label>
<input type="hidden" name="_username" value="natelli@publicisgroupe.net">
<input type="checkbox" name="rememberMe" value="true" checked="checked"> Remember my Username - NO SPACES
</div>
<h4><span class="title">Update your security question</span></h4>
<div class="formPair">
<label> Security question</label>
<select class="select" name="passwordInfo.pwdSecurityQuestionValue">
<option value="0"> Your favorite sport or hobby?</option>
<option value="1"> Your childhood pet's name?</option>
<option value="2"> Where was your mother born?</option>
<option value="3"> Who was your favorite teacher?</option>
<option value="4"> What was your first school?</option>
<option value="5"> Where were you born?</option>
<option value="6"> What is your date of birth (e.g. ddmmyyyy)?</option>
<option value="7"> Your favorite city or place?</option>
</select>
</div>
<div class="formPair">
<label> Your answer<em>*</em>
</label>
<input type="text" name="passwordInfo.pwdSecurityAnswer" value="" size="35" maxlength="35">
</div>
<h4><span class="title">Business Address</span></h4>
<div id="addressBsn_editsContainer" class="OneLinkNoTx ">
<div class="formPair" id="addressBsn_country.wrapper">
<div class=""><label for="addressBsn_country" id="addressBsn_country.label" class="">Country<em class="required">*</em></label></div>
<div class="addrFieldInput"> <input type="hidden" id="addressBsn_country.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_country.enabled" value="true"> <select id="addressBsn_country"
name="_pages.updateAccount.children.addressBsn.children.addressBsn_country.value" value="US">
<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="AC">Ascension Island/St. Helena</option>
<option value="AU">Australia</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 Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</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="CA">Canada</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 - Brazzaville</option>
<option value="CD">Congo, The Republic of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</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="TL">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</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</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="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="SH">Helena</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="CI">Ivory Coast</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KN">Kitts and Nevis</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="AN">Netherlands Antilles</option>
<option value="NL">Netherlands, The</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PM">Pierre and Miquelon</option>
<option value="PN">Pitcairn Island</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks And Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VC">Vincent and the Grenadines</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
<div class="formPair" id="addressBsn_street1.wrapper">
<div class=""><label for="addressBsn_street1" id="addressBsn_street1.label" class="">Street address<em class="required">*</em></label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressBsn_street1.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_street1.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressBsn_street1" name="_pages.updateAccount.children.addressBsn.children.addressBsn_street1.value" value="" size="35" maxlength="40" placeholder="">
</div>
</div>
<div class="formPair" id="addressBsn_street2.wrapper">
<div class=""><label for="addressBsn_street2" id="addressBsn_street2.label" class="">Apartment / Suite</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressBsn_street2.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_street2.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressBsn_street2" name="_pages.updateAccount.children.addressBsn.children.addressBsn_street2.value" value="" size="35" maxlength="40" placeholder="">
</div>
</div>
<div class="formPair" id="addressBsn_city.wrapper">
<div class=""><label for="addressBsn_city" id="addressBsn_city.label" class="">City<em class="required">*</em></label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressBsn_city.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_city.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressBsn_city" name="_pages.updateAccount.children.addressBsn.children.addressBsn_city.value" value="" size="35" maxlength="35" placeholder="">
</div>
</div>
<div class="formPair" id="addressBsn_state.wrapper">
<div class=""><label for="addressBsn_state" id="addressBsn_state.label" class="">State<em class="required">*</em></label></div>
<div class="addrFieldInput" id="addressBsn_state.field.wrapper">
<input type="hidden" id="addressBsn_state.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_state.enabled" value="true">
<select id="addressBsn_state" name="_pages.updateAccount.children.addressBsn.children.addressBsn_state.value">
<option value="">- select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">*Armed Forces Americas (except Canada)</option>
<option value="AE">*Armed Forces International</option>
<option value="AP">*Armed Forces Pacific</option>
</select>
</div>
</div>
<div class="formPair" id="addressBsn_postalCode.wrapper">
<div class=""><label for="addressBsn_postalCode" id="addressBsn_postalCode.label" class="">ZIP code<em class="required">*</em></label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressBsn_postalCode.enabled" name="_pages.updateAccount.children.addressBsn.children.addressBsn_postalCode.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressBsn_postalCode" name="_pages.updateAccount.children.addressBsn.children.addressBsn_postalCode.value" value="" size="19" maxlength="30" placeholder="">
</div>
</div>
</div>
<script language="javascript" type="text/javascript">
RC.util.require("i18n.en_US.AddressMetadataBundle");
</script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/rc/common/resources/js/i18n/en_US/AddressMetadataBundle.js"></script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressMetadata_3899740006-128.js')
</script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressMetadata_3899740006-128.js"></script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressUtil_3129203977-502.js')
</script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressUtil_3129203977-502.js"></script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/addressWidget_2823400224-410.js')
</script>
<script type="text/javascript" src="https://ca.rcobjs.com/static/core/js/widget/addressWidget_2823400224-410.js"></script>
<script type="text/javascript">
var addrWidgetAttrsaddressBsn = {
id: 'addressBsn',
defaultCountry: 'US',
countryRequired: true,
addressRequired: true,
mailStopRequired: false,
showCountry: true,
showAddress: true,
showMailStop: false,
addressEditable: true,
layout: 'sidebyside',
fieldSize: '35',
mailStopLabel: 'Mailstop- Do Not Add Special Characters',
useAltLabel: false,
showLabelSeparator: false,
inputAddress: {
"country": "US"
}
};
var addrWidgetaddressBsn = new RC.widget.AddressWidget(addrWidgetAttrsaddressBsn);
</script>
<h4><span class="title">Business contact info</span></h4>
<script type="text/javascript">
function eventSubscriberbusinessPhoneCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlerbusinessPhoneCountryCode, dropDownID);
}
}
}
function eventHandlerbusinessPhoneCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('businessInfo.phoneNumber');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscriberbusinessPhoneCountryCode("addressBsnID", true, 'businessInfo.businessPhoneCountryCode');
</script>
<div class="controlSet">
<div class="clearAfter">
<span class="label"> Business Phone (ex: 281-555-1234)<em>*</em>
</span>
<div class="floatLeft paddedRight5">
<label for="country" class="inlineLabel">Country code</label><br>
<script type="text/javascript">
if (typeof(dc) == "undefined" && typeof(cd) == "undefined") {
var dc = new Array();
var cd = new Array();
dc["1"] = "US/CA/PR/UM";
cd["US"] = "1";
cd["CA"] = "1";
cd["PR"] = "1";
cd["UM"] = "1";
dc["7"] = "KZ/RU";
cd["KZ"] = "7";
cd["RU"] = "7";
dc["20"] = "EG";
cd["EG"] = "20";
dc["27"] = "ZA";
cd["ZA"] = "27";
dc["30"] = "GR";
cd["GR"] = "30";
dc["31"] = "NL";
cd["NL"] = "31";
dc["32"] = "BE";
cd["BE"] = "32";
dc["33"] = "FR";
cd["FR"] = "33";
dc["34"] = "ES";
cd["ES"] = "34";
dc["36"] = "HU";
cd["HU"] = "36";
dc["39"] = "IT";
cd["IT"] = "39";
dc["40"] = "RO";
cd["RO"] = "40";
dc["41"] = "CH";
cd["CH"] = "41";
dc["43"] = "AT";
cd["AT"] = "43";
dc["44"] = "GB/GG/IM/JE";
cd["GB"] = "44";
cd["GG"] = "44";
cd["IM"] = "44";
cd["JE"] = "44";
dc["45"] = "DK";
cd["DK"] = "45";
dc["46"] = "SE";
cd["SE"] = "46";
dc["47"] = "NO/SJ";
cd["NO"] = "47";
cd["SJ"] = "47";
dc["48"] = "PL";
cd["PL"] = "48";
dc["49"] = "DE";
cd["DE"] = "49";
dc["51"] = "PE";
cd["PE"] = "51";
dc["52"] = "MX";
cd["MX"] = "52";
dc["53"] = "CU";
cd["CU"] = "53";
dc["54"] = "AR";
cd["AR"] = "54";
dc["55"] = "BR";
cd["BR"] = "55";
dc["56"] = "CL";
cd["CL"] = "56";
dc["57"] = "CO";
cd["CO"] = "57";
dc["58"] = "VE";
cd["VE"] = "58";
dc["60"] = "MY";
cd["MY"] = "60";
dc["61"] = "AU/CC/CX";
cd["AU"] = "61";
cd["CC"] = "61";
cd["CX"] = "61";
dc["62"] = "ID";
cd["ID"] = "62";
dc["63"] = "PH";
cd["PH"] = "63";
dc["64"] = "NZ";
cd["NZ"] = "64";
dc["65"] = "SG";
cd["SG"] = "65";
dc["66"] = "TH";
cd["TH"] = "66";
dc["81"] = "JP";
cd["JP"] = "81";
dc["82"] = "KR";
cd["KR"] = "82";
dc["84"] = "VN";
cd["VN"] = "84";
dc["86"] = "CN";
cd["CN"] = "86";
dc["90"] = "TR";
cd["TR"] = "90";
dc["91"] = "IN";
cd["IN"] = "91";
dc["92"] = "PK";
cd["PK"] = "92";
dc["93"] = "AF";
cd["AF"] = "93";
dc["94"] = "LK";
cd["LK"] = "94";
dc["95"] = "MM";
cd["MM"] = "95";
dc["98"] = "IR";
cd["IR"] = "98";
dc["211"] = "SS";
cd["SS"] = "211";
dc["212"] = "MA";
cd["MA"] = "212";
dc["213"] = "DZ";
cd["DZ"] = "213";
dc["216"] = "TN";
cd["TN"] = "216";
dc["218"] = "LY";
cd["LY"] = "218";
dc["220"] = "GM";
cd["GM"] = "220";
dc["221"] = "SN";
cd["SN"] = "221";
dc["222"] = "MR";
cd["MR"] = "222";
dc["223"] = "ML";
cd["ML"] = "223";
dc["224"] = "GN";
cd["GN"] = "224";
dc["225"] = "CI";
cd["CI"] = "225";
dc["226"] = "BF";
cd["BF"] = "226";
dc["227"] = "NE";
cd["NE"] = "227";
dc["228"] = "TG";
cd["TG"] = "228";
dc["229"] = "BJ";
cd["BJ"] = "229";
dc["230"] = "MU";
cd["MU"] = "230";
dc["231"] = "LR";
cd["LR"] = "231";
dc["232"] = "SL";
cd["SL"] = "232";
dc["233"] = "GH";
cd["GH"] = "233";
dc["234"] = "NG";
cd["NG"] = "234";
dc["235"] = "TD";
cd["TD"] = "235";
dc["236"] = "CF";
cd["CF"] = "236";
dc["237"] = "CM";
cd["CM"] = "237";
dc["238"] = "CV";
cd["CV"] = "238";
dc["239"] = "ST";
cd["ST"] = "239";
dc["240"] = "GQ";
cd["GQ"] = "240";
dc["241"] = "GA";
cd["GA"] = "241";
dc["242"] = "BS/CG";
cd["BS"] = "242";
cd["CG"] = "242";
dc["243"] = "CD";
cd["CD"] = "243";
dc["244"] = "AO";
cd["AO"] = "244";
dc["245"] = "GW";
cd["GW"] = "245";
dc["246"] = "BB/IO";
cd["BB"] = "246";
cd["IO"] = "246";
dc["247"] = "AC";
cd["AC"] = "247";
dc["248"] = "SC";
cd["SC"] = "248";
dc["249"] = "SD";
cd["SD"] = "249";
dc["250"] = "RW";
cd["RW"] = "250";
dc["251"] = "ET";
cd["ET"] = "251";
dc["252"] = "SO";
cd["SO"] = "252";
dc["253"] = "DJ";
cd["DJ"] = "253";
dc["254"] = "KE";
cd["KE"] = "254";
dc["255"] = "TZ";
cd["TZ"] = "255";
dc["256"] = "UG";
cd["UG"] = "256";
dc["257"] = "BI";
cd["BI"] = "257";
dc["258"] = "MZ";
cd["MZ"] = "258";
dc["260"] = "ZM";
cd["ZM"] = "260";
dc["261"] = "MG";
cd["MG"] = "261";
dc["262"] = "RE";
cd["RE"] = "262";
dc["263"] = "ZW";
cd["ZW"] = "263";
dc["264"] = "AI/NA";
cd["AI"] = "264";
cd["NA"] = "264";
dc["265"] = "MW";
cd["MW"] = "265";
dc["266"] = "LS";
cd["LS"] = "266";
dc["267"] = "BW";
cd["BW"] = "267";
dc["268"] = "AG/SZ";
cd["AG"] = "268";
cd["SZ"] = "268";
dc["269"] = "KM/YT";
cd["KM"] = "269";
cd["YT"] = "269";
dc["284"] = "VG";
cd["VG"] = "284";
dc["290"] = "SH";
cd["SH"] = "290";
dc["291"] = "ER";
cd["ER"] = "291";
dc["297"] = "AW";
cd["AW"] = "297";
dc["298"] = "FO";
cd["FO"] = "298";
dc["299"] = "GL";
cd["GL"] = "299";
dc["340"] = "VI";
cd["VI"] = "340";
dc["345"] = "KY";
cd["KY"] = "345";
dc["350"] = "GI";
cd["GI"] = "350";
dc["351"] = "PT";
cd["PT"] = "351";
dc["352"] = "LU";
cd["LU"] = "352";
dc["353"] = "IE";
cd["IE"] = "353";
dc["354"] = "IS";
cd["IS"] = "354";
dc["355"] = "AL";
cd["AL"] = "355";
dc["356"] = "MT";
cd["MT"] = "356";
dc["357"] = "CY";
cd["CY"] = "357";
dc["358"] = "AX/FI";
cd["AX"] = "358";
cd["FI"] = "358";
dc["359"] = "BG";
cd["BG"] = "359";
dc["370"] = "LT";
cd["LT"] = "370";
dc["371"] = "LV";
cd["LV"] = "371";
dc["372"] = "EE";
cd["EE"] = "372";
dc["373"] = "MD";
cd["MD"] = "373";
dc["374"] = "AM";
cd["AM"] = "374";
dc["375"] = "BY";
cd["BY"] = "375";
dc["376"] = "AD";
cd["AD"] = "376";
dc["377"] = "MC/XK";
cd["MC"] = "377";
cd["XK"] = "377";
dc["378"] = "SM";
cd["SM"] = "378";
dc["379"] = "VA";
cd["VA"] = "379";
dc["380"] = "UA";
cd["UA"] = "380";
dc["381"] = "CS/RS";
cd["CS"] = "381";
cd["RS"] = "381";
dc["382"] = "ME";
cd["ME"] = "382";
dc["385"] = "HR";
cd["HR"] = "385";
dc["386"] = "SI";
cd["SI"] = "386";
dc["387"] = "BA";
cd["BA"] = "387";
dc["389"] = "MK";
cd["MK"] = "389";
dc["420"] = "CZ";
cd["CZ"] = "420";
dc["421"] = "SK";
cd["SK"] = "421";
dc["423"] = "LI";
cd["LI"] = "423";
dc["441"] = "BM";
cd["BM"] = "441";
dc["473"] = "GD";
cd["GD"] = "473";
dc["500"] = "FK";
cd["FK"] = "500";
dc["501"] = "BZ";
cd["BZ"] = "501";
dc["502"] = "GT";
cd["GT"] = "502";
dc["503"] = "SV";
cd["SV"] = "503";
dc["504"] = "HN";
cd["HN"] = "504";
dc["505"] = "NI";
cd["NI"] = "505";
dc["506"] = "CR";
cd["CR"] = "506";
dc["507"] = "PA";
cd["PA"] = "507";
dc["508"] = "PM";
cd["PM"] = "508";
dc["509"] = "HT";
cd["HT"] = "509";
dc["590"] = "BL/GP/MF";
cd["BL"] = "590";
cd["GP"] = "590";
cd["MF"] = "590";
dc["591"] = "BO";
cd["BO"] = "591";
dc["592"] = "GY";
cd["GY"] = "592";
dc["593"] = "EC";
cd["EC"] = "593";
dc["594"] = "GF";
cd["GF"] = "594";
dc["595"] = "PY";
cd["PY"] = "595";
dc["596"] = "MQ";
cd["MQ"] = "596";
dc["597"] = "SR";
cd["SR"] = "597";
dc["598"] = "UY";
cd["UY"] = "598";
dc["599"] = "AN/BQ/CW/SX";
cd["AN"] = "599";
cd["BQ"] = "599";
cd["CW"] = "599";
cd["SX"] = "599";
dc["649"] = "TC";
cd["TC"] = "649";
dc["664"] = "MS";
cd["MS"] = "664";
dc["670"] = "MP/TL";
cd["MP"] = "670";
cd["TL"] = "670";
dc["671"] = "GU";
cd["GU"] = "671";
dc["672"] = "AQ/NF";
cd["AQ"] = "672";
cd["NF"] = "672";
dc["673"] = "BN";
cd["BN"] = "673";
dc["674"] = "NR";
cd["NR"] = "674";
dc["675"] = "PG";
cd["PG"] = "675";
dc["676"] = "TO";
cd["TO"] = "676";
dc["677"] = "SB";
cd["SB"] = "677";
dc["678"] = "VU";
cd["VU"] = "678";
dc["679"] = "FJ";
cd["FJ"] = "679";
dc["680"] = "PW";
cd["PW"] = "680";
dc["681"] = "WF";
cd["WF"] = "681";
dc["682"] = "CK";
cd["CK"] = "682";
dc["683"] = "NU";
cd["NU"] = "683";
dc["684"] = "AS";
cd["AS"] = "684";
dc["685"] = "WS";
cd["WS"] = "685";
dc["686"] = "KI";
cd["KI"] = "686";
dc["687"] = "NC";
cd["NC"] = "687";
dc["688"] = "TV";
cd["TV"] = "688";
dc["689"] = "PF";
cd["PF"] = "689";
dc["690"] = "TK";
cd["TK"] = "690";
dc["691"] = "FM";
cd["FM"] = "691";
dc["692"] = "MH";
cd["MH"] = "692";
dc["758"] = "LC";
cd["LC"] = "758";
dc["767"] = "DM";
cd["DM"] = "767";
dc["784"] = "VC";
cd["VC"] = "784";
dc["809"] = "DO";
cd["DO"] = "809";
dc["850"] = "KP";
cd["KP"] = "850";
dc["852"] = "HK";
cd["HK"] = "852";
dc["853"] = "MO";
cd["MO"] = "853";
dc["855"] = "KH";
cd["KH"] = "855";
dc["856"] = "LA";
cd["LA"] = "856";
dc["868"] = "TT";
cd["TT"] = "868";
dc["869"] = "KN";
cd["KN"] = "869";
dc["876"] = "JM";
cd["JM"] = "876";
dc["880"] = "BD";
cd["BD"] = "880";
dc["886"] = "TW";
cd["TW"] = "886";
dc["960"] = "MV";
cd["MV"] = "960";
dc["961"] = "LB";
cd["LB"] = "961";
dc["962"] = "JO";
cd["JO"] = "962";
dc["963"] = "SY";
cd["SY"] = "963";
dc["964"] = "IQ";
cd["IQ"] = "964";
dc["965"] = "KW";
cd["KW"] = "965";
dc["966"] = "SA";
cd["SA"] = "966";
dc["967"] = "YE";
cd["YE"] = "967";
dc["968"] = "OM";
cd["OM"] = "968";
dc["971"] = "AE";
cd["AE"] = "971";
dc["972"] = "IL";
cd["IL"] = "972";
dc["973"] = "BH";
cd["BH"] = "973";
dc["974"] = "QA";
cd["QA"] = "974";
dc["975"] = "BT";
cd["BT"] = "975";
dc["976"] = "MN";
cd["MN"] = "976";
dc["977"] = "NP";
cd["NP"] = "977";
dc["992"] = "TJ";
cd["TJ"] = "992";
dc["993"] = "TM";
cd["TM"] = "993";
dc["994"] = "AZ";
cd["AZ"] = "994";
dc["995"] = "GE";
cd["GE"] = "995";
dc["996"] = "KG";
cd["KG"] = "996";
dc["998"] = "UZ";
cd["UZ"] = "998";
}
</script>
<script type="text/javascript">
function changebusinessPhoneCountryCode(field) {
var sp = document.getElementById("businessPhoneCountryCodeSpan");
var value = dc[field.options[field.selectedIndex].value];
if (typeof(value) != "undefined") {
sp.innerHTML = "<b>" + value + "</b>";
} else {
sp.innerHTML = " ";
}
}
</script> + <select class="OneLinkNoTx" name="businessInfo.businessPhoneCountryCode" id="businessInfo.businessPhoneCountryCode" onchange="return changebusinessPhoneCountryCode(this)" style="width: 60px">
<option value="1" selected="">1</option>
<option value="7">7</option>
<option value="20">20</option>
<option value="27">27</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="36">36</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="84">84</option>
<option value="86">86</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="98">98</option>
<option value="211">211</option>
<option value="212">212</option>
<option value="213">213</option>
<option value="216">216</option>
<option value="218">218</option>
<option value="220">220</option>
<option value="221">221</option>
<option value="222">222</option>
<option value="223">223</option>
<option value="224">224</option>
<option value="225">225</option>
<option value="226">226</option>
<option value="227">227</option>
<option value="228">228</option>
<option value="229">229</option>
<option value="230">230</option>
<option value="231">231</option>
<option value="232">232</option>
<option value="233">233</option>
<option value="234">234</option>
<option value="235">235</option>
<option value="236">236</option>
<option value="237">237</option>
<option value="238">238</option>
<option value="239">239</option>
<option value="240">240</option>
<option value="241">241</option>
<option value="242">242</option>
<option value="243">243</option>
<option value="244">244</option>
<option value="245">245</option>
<option value="246">246</option>
<option value="247">247</option>
<option value="248">248</option>
<option value="249">249</option>
<option value="250">250</option>
<option value="251">251</option>
<option value="252">252</option>
<option value="253">253</option>
<option value="254">254</option>
<option value="255">255</option>
<option value="256">256</option>
<option value="257">257</option>
<option value="258">258</option>
<option value="260">260</option>
<option value="261">261</option>
<option value="262">262</option>
<option value="263">263</option>
<option value="264">264</option>
<option value="265">265</option>
<option value="266">266</option>
<option value="267">267</option>
<option value="268">268</option>
<option value="269">269</option>
<option value="284">284</option>
<option value="290">290</option>
<option value="291">291</option>
<option value="297">297</option>
<option value="298">298</option>
<option value="299">299</option>
<option value="340">340</option>
<option value="345">345</option>
<option value="350">350</option>
<option value="351">351</option>
<option value="352">352</option>
<option value="353">353</option>
<option value="354">354</option>
<option value="355">355</option>
<option value="356">356</option>
<option value="357">357</option>
<option value="358">358</option>
<option value="359">359</option>
<option value="370">370</option>
<option value="371">371</option>
<option value="372">372</option>
<option value="373">373</option>
<option value="374">374</option>
<option value="375">375</option>
<option value="376">376</option>
<option value="377">377</option>
<option value="378">378</option>
<option value="379">379</option>
<option value="380">380</option>
<option value="381">381</option>
<option value="382">382</option>
<option value="385">385</option>
<option value="386">386</option>
<option value="387">387</option>
<option value="389">389</option>
<option value="420">420</option>
<option value="421">421</option>
<option value="423">423</option>
<option value="441">441</option>
<option value="473">473</option>
<option value="500">500</option>
<option value="501">501</option>
<option value="502">502</option>
<option value="503">503</option>
<option value="504">504</option>
<option value="505">505</option>
<option value="506">506</option>
<option value="507">507</option>
<option value="508">508</option>
<option value="509">509</option>
<option value="590">590</option>
<option value="591">591</option>
<option value="592">592</option>
<option value="593">593</option>
<option value="594">594</option>
<option value="595">595</option>
<option value="596">596</option>
<option value="597">597</option>
<option value="598">598</option>
<option value="599">599</option>
<option value="649">649</option>
<option value="664">664</option>
<option value="670">670</option>
<option value="671">671</option>
<option value="672">672</option>
<option value="673">673</option>
<option value="674">674</option>
<option value="675">675</option>
<option value="676">676</option>
<option value="677">677</option>
<option value="678">678</option>
<option value="679">679</option>
<option value="680">680</option>
<option value="681">681</option>
<option value="682">682</option>
<option value="683">683</option>
<option value="684">684</option>
<option value="685">685</option>
<option value="686">686</option>
<option value="687">687</option>
<option value="688">688</option>
<option value="689">689</option>
<option value="690">690</option>
<option value="691">691</option>
<option value="692">692</option>
<option value="758">758</option>
<option value="767">767</option>
<option value="784">784</option>
<option value="809">809</option>
<option value="850">850</option>
<option value="852">852</option>
<option value="853">853</option>
<option value="855">855</option>
<option value="856">856</option>
<option value="868">868</option>
<option value="869">869</option>
<option value="876">876</option>
<option value="880">880</option>
<option value="886">886</option>
<option value="960">960</option>
<option value="961">961</option>
<option value="962">962</option>
<option value="963">963</option>
<option value="964">964</option>
<option value="965">965</option>
<option value="966">966</option>
<option value="967">967</option>
<option value="968">968</option>
<option value="971">971</option>
<option value="972">972</option>
<option value="973">973</option>
<option value="974">974</option>
<option value="975">975</option>
<option value="976">976</option>
<option value="977">977</option>
<option value="992">992</option>
<option value="993">993</option>
<option value="994">994</option>
<option value="995">995</option>
<option value="996">996</option>
<option value="998">998</option>
</select>
<br>
<span class="note" id="businessPhoneCountryCodeSpan"><b>US/CA/PR/UM</b></span>
<script type="text/javascript">
changebusinessPhoneCountryCode(document.getElementById("businessInfo.businessPhoneCountryCode"));
</script>
</div>
<div class="floatLeft paddedRight5">
<label for="number" class="inlineLabel">Number</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="businessInfo.phoneNumber" name="businessInfo.phoneNumber" value="" maxlength="30">
</div>
<div class="floatLeft paddedRight5">
<label for="extension" class="inlineLabel">Ext.</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="businessInfo.businessPhoneExt" name="businessInfo.businessPhoneExt" value="" maxlength="10' />" size="6">
</div>
</div>
</div>
<script type="text/javascript">
function eventSubscriberfaxCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlerfaxCountryCode, dropDownID);
}
}
}
function eventHandlerfaxCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('businessInfo.fax');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscriberfaxCountryCode("addressBsnID", true, 'businessInfo.faxCountryCode');
</script>
<script type="text/javascript">
function eventSubscribermobilePhoneCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlermobilePhoneCountryCode, dropDownID);
}
}
}
function eventHandlermobilePhoneCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('businessInfo.mobile');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscribermobilePhoneCountryCode("addressBsnID", true, 'businessInfo.mobilePhoneCountryCode');
</script>
<div class="controlSet">
<div class="clearAfter">
<span class="label"> Business Mobile (ex: 281-555-1234)</span>
<div class="floatLeft paddedRight5">
<label for="country" class="inlineLabel">Country code</label><br>
<script type="text/javascript">
function changemobilePhoneCountryCode(field) {
var sp = document.getElementById("mobilePhoneCountryCodeSpan");
var value = dc[field.options[field.selectedIndex].value];
if (typeof(value) != "undefined") {
sp.innerHTML = "<b>" + value + "</b>";
} else {
sp.innerHTML = " ";
}
}
</script> + <select class="OneLinkNoTx" name="businessInfo.mobilePhoneCountryCode" id="businessInfo.mobilePhoneCountryCode" onchange="return changemobilePhoneCountryCode(this)" style="width: 60px">
<option value="1" selected="">1</option>
<option value="7">7</option>
<option value="20">20</option>
<option value="27">27</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="36">36</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="84">84</option>
<option value="86">86</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="98">98</option>
<option value="211">211</option>
<option value="212">212</option>
<option value="213">213</option>
<option value="216">216</option>
<option value="218">218</option>
<option value="220">220</option>
<option value="221">221</option>
<option value="222">222</option>
<option value="223">223</option>
<option value="224">224</option>
<option value="225">225</option>
<option value="226">226</option>
<option value="227">227</option>
<option value="228">228</option>
<option value="229">229</option>
<option value="230">230</option>
<option value="231">231</option>
<option value="232">232</option>
<option value="233">233</option>
<option value="234">234</option>
<option value="235">235</option>
<option value="236">236</option>
<option value="237">237</option>
<option value="238">238</option>
<option value="239">239</option>
<option value="240">240</option>
<option value="241">241</option>
<option value="242">242</option>
<option value="243">243</option>
<option value="244">244</option>
<option value="245">245</option>
<option value="246">246</option>
<option value="247">247</option>
<option value="248">248</option>
<option value="249">249</option>
<option value="250">250</option>
<option value="251">251</option>
<option value="252">252</option>
<option value="253">253</option>
<option value="254">254</option>
<option value="255">255</option>
<option value="256">256</option>
<option value="257">257</option>
<option value="258">258</option>
<option value="260">260</option>
<option value="261">261</option>
<option value="262">262</option>
<option value="263">263</option>
<option value="264">264</option>
<option value="265">265</option>
<option value="266">266</option>
<option value="267">267</option>
<option value="268">268</option>
<option value="269">269</option>
<option value="284">284</option>
<option value="290">290</option>
<option value="291">291</option>
<option value="297">297</option>
<option value="298">298</option>
<option value="299">299</option>
<option value="340">340</option>
<option value="345">345</option>
<option value="350">350</option>
<option value="351">351</option>
<option value="352">352</option>
<option value="353">353</option>
<option value="354">354</option>
<option value="355">355</option>
<option value="356">356</option>
<option value="357">357</option>
<option value="358">358</option>
<option value="359">359</option>
<option value="370">370</option>
<option value="371">371</option>
<option value="372">372</option>
<option value="373">373</option>
<option value="374">374</option>
<option value="375">375</option>
<option value="376">376</option>
<option value="377">377</option>
<option value="378">378</option>
<option value="379">379</option>
<option value="380">380</option>
<option value="381">381</option>
<option value="382">382</option>
<option value="385">385</option>
<option value="386">386</option>
<option value="387">387</option>
<option value="389">389</option>
<option value="420">420</option>
<option value="421">421</option>
<option value="423">423</option>
<option value="441">441</option>
<option value="473">473</option>
<option value="500">500</option>
<option value="501">501</option>
<option value="502">502</option>
<option value="503">503</option>
<option value="504">504</option>
<option value="505">505</option>
<option value="506">506</option>
<option value="507">507</option>
<option value="508">508</option>
<option value="509">509</option>
<option value="590">590</option>
<option value="591">591</option>
<option value="592">592</option>
<option value="593">593</option>
<option value="594">594</option>
<option value="595">595</option>
<option value="596">596</option>
<option value="597">597</option>
<option value="598">598</option>
<option value="599">599</option>
<option value="649">649</option>
<option value="664">664</option>
<option value="670">670</option>
<option value="671">671</option>
<option value="672">672</option>
<option value="673">673</option>
<option value="674">674</option>
<option value="675">675</option>
<option value="676">676</option>
<option value="677">677</option>
<option value="678">678</option>
<option value="679">679</option>
<option value="680">680</option>
<option value="681">681</option>
<option value="682">682</option>
<option value="683">683</option>
<option value="684">684</option>
<option value="685">685</option>
<option value="686">686</option>
<option value="687">687</option>
<option value="688">688</option>
<option value="689">689</option>
<option value="690">690</option>
<option value="691">691</option>
<option value="692">692</option>
<option value="758">758</option>
<option value="767">767</option>
<option value="784">784</option>
<option value="809">809</option>
<option value="850">850</option>
<option value="852">852</option>
<option value="853">853</option>
<option value="855">855</option>
<option value="856">856</option>
<option value="868">868</option>
<option value="869">869</option>
<option value="876">876</option>
<option value="880">880</option>
<option value="886">886</option>
<option value="960">960</option>
<option value="961">961</option>
<option value="962">962</option>
<option value="963">963</option>
<option value="964">964</option>
<option value="965">965</option>
<option value="966">966</option>
<option value="967">967</option>
<option value="968">968</option>
<option value="971">971</option>
<option value="972">972</option>
<option value="973">973</option>
<option value="974">974</option>
<option value="975">975</option>
<option value="976">976</option>
<option value="977">977</option>
<option value="992">992</option>
<option value="993">993</option>
<option value="994">994</option>
<option value="995">995</option>
<option value="996">996</option>
<option value="998">998</option>
</select>
<br>
<span class="note" id="mobilePhoneCountryCodeSpan"><b>US/CA/PR/UM</b></span>
<script type="text/javascript">
changemobilePhoneCountryCode(document.getElementById("businessInfo.mobilePhoneCountryCode"));
</script>
</div>
<div class="floatLeft paddedRight5">
<label for="number" class="inlineLabel">Number</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="businessInfo.mobile" name="businessInfo.mobile" value="8476682312" maxlength="30">
</div>
</div>
</div>
<div class="formPair"><label> Business Email</label>
<span class="OneLinkNoTx"> nate.elli@publicissapient.com</span>
</div>
<h4><span class="title">Confirmation Emails</span></h4>
<div class="clearAfter">
<label>Send to</label>
<div class="multiLine">
<input type="radio" id="confRadio1" name="businessInfo.hasAlternateConfirmationEmail" value="false" checked="checked" class="paddedLeft5" onclick="clearAlternateConfirmationEmail()"> Profile email: <span
class="OneLinkNoTx">nate.elli@publicissapient.com</span>
<div class="p_tp5">
<input type="radio" id="confRadio2" name="businessInfo.hasAlternateConfirmationEmail" value="true"> A different email address: <div class="m_tp5">
<input class="OneLinkNoTx" type="text" name="businessInfo.alternateConfirmationEmail" id="businessInfo.alternateConfirmationEmail" size="30" value="" onchange="setHasAlternateConfirmationEmail();"
onblur="setHasAlternateConfirmationEmail();">
</div>
</div>
</div>
</div>
<!-- TODO: Should this javascript go into an include? -->
<script type="text/javascript">
function setHasAlternateConfirmationEmail() {
var altText = document.getElementById("businessInfo.alternateConfirmationEmail").value;
if (altText && altText.length > 0) {
document.getElementById("confRadio2").checked = true;
} else {
document.getElementById("confRadio1").checked = true;
}
}
function clearAlternateConfirmationEmail() {
document.getElementById('businessInfo.alternateConfirmationEmail').value = '';
}
</script>
<h4><span class="title">Home Address</span></h4>
<div id="addressHome_editsContainer" class="OneLinkNoTx ">
<div class="formPair" id="addressHome_country.wrapper">
<div class=""><label for="addressHome_country" id="addressHome_country.label" class="">Country</label></div>
<div class="addrFieldInput"> <input type="hidden" id="addressHome_country.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_country.enabled" value="true"> <select id="addressHome_country"
name="_pages.updateAccount.children.addressHome.children.addressHome_country.value" value="US">
<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="AC">Ascension Island/St. Helena</option>
<option value="AU">Australia</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 Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</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="CA">Canada</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 - Brazzaville</option>
<option value="CD">Congo, The Republic of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</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="TL">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</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</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="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="SH">Helena</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="CI">Ivory Coast</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KN">Kitts and Nevis</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="AN">Netherlands Antilles</option>
<option value="NL">Netherlands, The</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PM">Pierre and Miquelon</option>
<option value="PN">Pitcairn Island</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks And Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VC">Vincent and the Grenadines</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
<div class="formPair" id="addressHome_street1.wrapper">
<div class=""><label for="addressHome_street1" id="addressHome_street1.label" class="">Street address</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressHome_street1.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_street1.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressHome_street1" name="_pages.updateAccount.children.addressHome.children.addressHome_street1.value" value="" size="35" maxlength="40" placeholder="">
</div>
</div>
<div class="formPair" id="addressHome_street2.wrapper">
<div class=""><label for="addressHome_street2" id="addressHome_street2.label" class="">Apartment / Suite</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressHome_street2.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_street2.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressHome_street2" name="_pages.updateAccount.children.addressHome.children.addressHome_street2.value" value="" size="35" maxlength="40" placeholder="">
</div>
</div>
<div class="formPair" id="addressHome_city.wrapper">
<div class=""><label for="addressHome_city" id="addressHome_city.label" class="">City</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressHome_city.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_city.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressHome_city" name="_pages.updateAccount.children.addressHome.children.addressHome_city.value" value="" size="35" maxlength="35" placeholder="">
</div>
</div>
<div class="formPair" id="addressHome_state.wrapper">
<div class=""><label for="addressHome_state" id="addressHome_state.label" class="">State</label></div>
<div class="addrFieldInput" id="addressHome_state.field.wrapper">
<input type="hidden" id="addressHome_state.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_state.enabled" value="true">
<select id="addressHome_state" name="_pages.updateAccount.children.addressHome.children.addressHome_state.value">
<option value="">- select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">*Armed Forces Americas (except Canada)</option>
<option value="AE">*Armed Forces International</option>
<option value="AP">*Armed Forces Pacific</option>
</select>
</div>
</div>
<div class="formPair" id="addressHome_postalCode.wrapper">
<div class=""><label for="addressHome_postalCode" id="addressHome_postalCode.label" class="">ZIP code</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressHome_postalCode.enabled" name="_pages.updateAccount.children.addressHome.children.addressHome_postalCode.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressHome_postalCode" name="_pages.updateAccount.children.addressHome.children.addressHome_postalCode.value" value="" size="19" maxlength="30" placeholder="">
</div>
</div>
</div>
<script language="javascript" type="text/javascript">
RC.util.require("i18n.en_US.AddressMetadataBundle");
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressMetadata_3899740006-128.js')
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressUtil_3129203977-502.js')
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/addressWidget_2823400224-410.js')
</script>
<script type="text/javascript">
var addrWidgetAttrsaddressHome = {
id: 'addressHome',
defaultCountry: 'US',
countryRequired: false,
addressRequired: false,
mailStopRequired: false,
showCountry: true,
showAddress: true,
showMailStop: false,
addressEditable: true,
layout: 'sidebyside',
fieldSize: '35',
mailStopLabel: 'Mailstop - Do Not Add Special Characters',
useAltLabel: true,
showLabelSeparator: false,
inputAddress: {
"country": "US"
}
};
var addrWidgetaddressHome = new RC.widget.AddressWidget(addrWidgetAttrsaddressHome);
</script>
<h4><span class="title">Personal info</span></h4>
<script type="text/javascript">
function eventSubscriberhomePhoneCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlerhomePhoneCountryCode, dropDownID);
}
}
}
function eventHandlerhomePhoneCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('personalInfo.homePhone');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscriberhomePhoneCountryCode("addressHomeID", true, 'personalInfo.homePhoneCountryCode');
</script>
<div class="controlSet">
<div class="clearAfter">
<span class="label"> Home Phone (ex: 281-555-1234)<em>*</em>
</span>
<div class="floatLeft paddedRight5">
<label for="country" class="inlineLabel">Country code</label><br>
<script type="text/javascript">
function changehomePhoneCountryCode(field) {
var sp = document.getElementById("homePhoneCountryCodeSpan");
var value = dc[field.options[field.selectedIndex].value];
if (typeof(value) != "undefined") {
sp.innerHTML = "<b>" + value + "</b>";
} else {
sp.innerHTML = " ";
}
}
</script> + <select class="OneLinkNoTx" name="personalInfo.homePhoneCountryCode" id="personalInfo.homePhoneCountryCode" onchange="return changehomePhoneCountryCode(this)" style="width: 60px">
<option value="1" selected="">1</option>
<option value="7">7</option>
<option value="20">20</option>
<option value="27">27</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="36">36</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="84">84</option>
<option value="86">86</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="98">98</option>
<option value="211">211</option>
<option value="212">212</option>
<option value="213">213</option>
<option value="216">216</option>
<option value="218">218</option>
<option value="220">220</option>
<option value="221">221</option>
<option value="222">222</option>
<option value="223">223</option>
<option value="224">224</option>
<option value="225">225</option>
<option value="226">226</option>
<option value="227">227</option>
<option value="228">228</option>
<option value="229">229</option>
<option value="230">230</option>
<option value="231">231</option>
<option value="232">232</option>
<option value="233">233</option>
<option value="234">234</option>
<option value="235">235</option>
<option value="236">236</option>
<option value="237">237</option>
<option value="238">238</option>
<option value="239">239</option>
<option value="240">240</option>
<option value="241">241</option>
<option value="242">242</option>
<option value="243">243</option>
<option value="244">244</option>
<option value="245">245</option>
<option value="246">246</option>
<option value="247">247</option>
<option value="248">248</option>
<option value="249">249</option>
<option value="250">250</option>
<option value="251">251</option>
<option value="252">252</option>
<option value="253">253</option>
<option value="254">254</option>
<option value="255">255</option>
<option value="256">256</option>
<option value="257">257</option>
<option value="258">258</option>
<option value="260">260</option>
<option value="261">261</option>
<option value="262">262</option>
<option value="263">263</option>
<option value="264">264</option>
<option value="265">265</option>
<option value="266">266</option>
<option value="267">267</option>
<option value="268">268</option>
<option value="269">269</option>
<option value="284">284</option>
<option value="290">290</option>
<option value="291">291</option>
<option value="297">297</option>
<option value="298">298</option>
<option value="299">299</option>
<option value="340">340</option>
<option value="345">345</option>
<option value="350">350</option>
<option value="351">351</option>
<option value="352">352</option>
<option value="353">353</option>
<option value="354">354</option>
<option value="355">355</option>
<option value="356">356</option>
<option value="357">357</option>
<option value="358">358</option>
<option value="359">359</option>
<option value="370">370</option>
<option value="371">371</option>
<option value="372">372</option>
<option value="373">373</option>
<option value="374">374</option>
<option value="375">375</option>
<option value="376">376</option>
<option value="377">377</option>
<option value="378">378</option>
<option value="379">379</option>
<option value="380">380</option>
<option value="381">381</option>
<option value="382">382</option>
<option value="385">385</option>
<option value="386">386</option>
<option value="387">387</option>
<option value="389">389</option>
<option value="420">420</option>
<option value="421">421</option>
<option value="423">423</option>
<option value="441">441</option>
<option value="473">473</option>
<option value="500">500</option>
<option value="501">501</option>
<option value="502">502</option>
<option value="503">503</option>
<option value="504">504</option>
<option value="505">505</option>
<option value="506">506</option>
<option value="507">507</option>
<option value="508">508</option>
<option value="509">509</option>
<option value="590">590</option>
<option value="591">591</option>
<option value="592">592</option>
<option value="593">593</option>
<option value="594">594</option>
<option value="595">595</option>
<option value="596">596</option>
<option value="597">597</option>
<option value="598">598</option>
<option value="599">599</option>
<option value="649">649</option>
<option value="664">664</option>
<option value="670">670</option>
<option value="671">671</option>
<option value="672">672</option>
<option value="673">673</option>
<option value="674">674</option>
<option value="675">675</option>
<option value="676">676</option>
<option value="677">677</option>
<option value="678">678</option>
<option value="679">679</option>
<option value="680">680</option>
<option value="681">681</option>
<option value="682">682</option>
<option value="683">683</option>
<option value="684">684</option>
<option value="685">685</option>
<option value="686">686</option>
<option value="687">687</option>
<option value="688">688</option>
<option value="689">689</option>
<option value="690">690</option>
<option value="691">691</option>
<option value="692">692</option>
<option value="758">758</option>
<option value="767">767</option>
<option value="784">784</option>
<option value="809">809</option>
<option value="850">850</option>
<option value="852">852</option>
<option value="853">853</option>
<option value="855">855</option>
<option value="856">856</option>
<option value="868">868</option>
<option value="869">869</option>
<option value="876">876</option>
<option value="880">880</option>
<option value="886">886</option>
<option value="960">960</option>
<option value="961">961</option>
<option value="962">962</option>
<option value="963">963</option>
<option value="964">964</option>
<option value="965">965</option>
<option value="966">966</option>
<option value="967">967</option>
<option value="968">968</option>
<option value="971">971</option>
<option value="972">972</option>
<option value="973">973</option>
<option value="974">974</option>
<option value="975">975</option>
<option value="976">976</option>
<option value="977">977</option>
<option value="992">992</option>
<option value="993">993</option>
<option value="994">994</option>
<option value="995">995</option>
<option value="996">996</option>
<option value="998">998</option>
</select>
<br>
<span class="note" id="homePhoneCountryCodeSpan"><b>US/CA/PR/UM</b></span>
<script type="text/javascript">
changehomePhoneCountryCode(document.getElementById("personalInfo.homePhoneCountryCode"));
</script>
</div>
<div class="floatLeft paddedRight5">
<label for="number" class="inlineLabel">Number</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="personalInfo.homePhone" name="personalInfo.homePhone" value="" maxlength="30">
</div>
</div>
</div>
<div class="formPair">
<label id="personalInfo.homeEmail.label"> Home Email</label>
<input type="text" class="formField OneLinkNoTx" name="personalInfo.homeEmail" value="" maxlength="" size="30">
</div>
<!-- TODO: Should this javascript go into an include? -->
<script type="text/javascript">
function setHasAlternateConfirmationEmail() {
var altText = document.getElementById("businessInfo.alternateConfirmationEmail").value;
if (altText && altText.length > 0) {
document.getElementById("confRadio2").checked = true;
} else {
document.getElementById("confRadio1").checked = true;
}
}
function clearAlternateConfirmationEmail() {
document.getElementById('businessInfo.alternateConfirmationEmail').value = '';
}
</script>
<h4><span class="title">Emergency Contact</span></h4>
<div class="formPair">
<label id="emergency_contact.contactName.label"> Full Name</label>
<input type="text" class="formField OneLinkNoTx" name="emergency_contact.contactName" value="" maxlength="80" size="35">
</div>
<div class="formPair">
<label id="emergency_contact.relationship.label"> Relationship</label>
<select name="emergency_contact.relationship" class="select relationship">
<option value="">--</option>
<option value="Spouse/Domestic Partner">Spouse/Domestic Partner</option>
<option value="Parent">Parent</option>
<option value="Child">Child</option>
<option value="Relative">Relative</option>
<option value="Business">Business</option>
<option value="Neighbor">Neighbor</option>
<option value="Friend">Friend</option>
<option value="Other">Other</option>
</select>
<!-- MIS profile fields -->
</div>
<div class="formPair">
<label id="emergency_contact.email.label"> Email</label>
<input type="text" class="formField OneLinkNoTx" name="emergency_contact.email" value="" maxlength="" size="35">
</div>
<div id="addressEmergencyContact_editsContainer" class="OneLinkNoTx ">
<div class="formPair" id="addressEmergencyContact_country.wrapper">
<div class=""><label for="addressEmergencyContact_country" id="addressEmergencyContact_country.label" class="">Country</label></div>
<div class="addrFieldInput"> <input type="hidden" id="addressEmergencyContact_country.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_country.enabled" value="true"> <select
id="addressEmergencyContact_country" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_country.value" value="US">
<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="AC">Ascension Island/St. Helena</option>
<option value="AU">Australia</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 Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</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="CA">Canada</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 - Brazzaville</option>
<option value="CD">Congo, The Republic of</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</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="TL">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</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</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="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="SH">Helena</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="CI">Ivory Coast</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KN">Kitts and Nevis</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="AN">Netherlands Antilles</option>
<option value="NL">Netherlands, The</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="KP">North Korea</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestine</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PM">Pierre and Miquelon</option>
<option value="PN">Pitcairn Island</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="LC">Saint Lucia</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen Islands</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks And Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VC">Vincent and the Grenadines</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</div>
<div class="formPair" id="addressEmergencyContact_street1.wrapper">
<div class=""><label for="addressEmergencyContact_street1" id="addressEmergencyContact_street1.label" class="">Street address</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressEmergencyContact_street1.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_street1.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressEmergencyContact_street1" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_street1.value" value="" size="35" maxlength="40"
placeholder="">
</div>
</div>
<div class="formPair" id="addressEmergencyContact_street2.wrapper">
<div class=""><label for="addressEmergencyContact_street2" id="addressEmergencyContact_street2.label" class="">Apartment / Suite</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressEmergencyContact_street2.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_street2.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressEmergencyContact_street2" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_street2.value" value="" size="35" maxlength="40"
placeholder="">
</div>
</div>
<div class="formPair" id="addressEmergencyContact_city.wrapper">
<div class=""><label for="addressEmergencyContact_city" id="addressEmergencyContact_city.label" class="">City</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressEmergencyContact_city.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_city.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressEmergencyContact_city" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_city.value" value="" size="35" maxlength="35"
placeholder="">
</div>
</div>
<div class="formPair" id="addressEmergencyContact_state.wrapper">
<div class=""><label for="addressEmergencyContact_state" id="addressEmergencyContact_state.label" class="">State</label></div>
<div class="addrFieldInput" id="addressEmergencyContact_state.field.wrapper">
<input type="hidden" id="addressEmergencyContact_state.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_state.enabled" value="true">
<select id="addressEmergencyContact_state" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_state.value">
<option value="">- select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">*Armed Forces Americas (except Canada)</option>
<option value="AE">*Armed Forces International</option>
<option value="AP">*Armed Forces Pacific</option>
</select>
</div>
</div>
<div class="formPair" id="addressEmergencyContact_postalCode.wrapper">
<div class=""><label for="addressEmergencyContact_postalCode" id="addressEmergencyContact_postalCode.label" class="">ZIP code</label></div>
<div class="addrFieldInput">
<input type="hidden" id="addressEmergencyContact_postalCode.enabled" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_postalCode.enabled" value="true">
<input type="text" class=" OneLinkNoTx datePlaceHolder" id="addressEmergencyContact_postalCode" name="_pages.updateAccount.children.addressEmergencyContact.children.addressEmergencyContact_postalCode.value" value="" size="19"
maxlength="30" placeholder="">
</div>
</div>
</div>
<script language="javascript" type="text/javascript">
RC.util.require("i18n.en_US.AddressMetadataBundle");
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressMetadata_3899740006-128.js')
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/modules/address/AddressUtil_3129203977-502.js')
</script>
<script>
RC.util.require('https://ca.rcobjs.com/static/core/js/widget/addressWidget_2823400224-410.js')
</script>
<script type="text/javascript">
var addrWidgetAttrsaddressEmergencyContact = {
id: 'addressEmergencyContact',
defaultCountry: 'US',
countryRequired: false,
addressRequired: false,
mailStopRequired: false,
showCountry: true,
showAddress: true,
showMailStop: false,
addressEditable: true,
layout: 'sidebyside',
fieldSize: '35',
mailStopLabel: 'Mailstop - Do Not Add Special Characters',
useAltLabel: false,
showLabelSeparator: false,
inputAddress: {
"country": "US"
}
};
var addrWidgetaddressEmergencyContact = new RC.widget.AddressWidget(addrWidgetAttrsaddressEmergencyContact);
</script>
<script type="text/javascript">
function eventSubscriberprimaryPhoneCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlerprimaryPhoneCountryCode, dropDownID);
}
}
}
function eventHandlerprimaryPhoneCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('emergency_contact.primaryPhone');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscriberprimaryPhoneCountryCode("addressEmergencyContact", true, 'emergency_contact.primaryPhoneCountryCode');
</script>
<div class="controlSet">
<div class="clearAfter">
<span class="label"> Primary Phone Number</span>
<div class="floatLeft paddedRight5">
<label for="country" class="inlineLabel">Country code</label><br>
<script type="text/javascript">
function changeprimaryPhoneCountryCode(field) {
var sp = document.getElementById("primaryPhoneCountryCodeSpan");
var value = dc[field.options[field.selectedIndex].value];
if (typeof(value) != "undefined") {
sp.innerHTML = "<b>" + value + "</b>";
} else {
sp.innerHTML = " ";
}
}
</script> + <select class="OneLinkNoTx" name="emergency_contact.primaryPhoneCountryCode" id="emergency_contact.primaryPhoneCountryCode" onchange="return changeprimaryPhoneCountryCode(this)" style="width: 60px">
<option value="1" selected="">1</option>
<option value="7">7</option>
<option value="20">20</option>
<option value="27">27</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="36">36</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="84">84</option>
<option value="86">86</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="98">98</option>
<option value="211">211</option>
<option value="212">212</option>
<option value="213">213</option>
<option value="216">216</option>
<option value="218">218</option>
<option value="220">220</option>
<option value="221">221</option>
<option value="222">222</option>
<option value="223">223</option>
<option value="224">224</option>
<option value="225">225</option>
<option value="226">226</option>
<option value="227">227</option>
<option value="228">228</option>
<option value="229">229</option>
<option value="230">230</option>
<option value="231">231</option>
<option value="232">232</option>
<option value="233">233</option>
<option value="234">234</option>
<option value="235">235</option>
<option value="236">236</option>
<option value="237">237</option>
<option value="238">238</option>
<option value="239">239</option>
<option value="240">240</option>
<option value="241">241</option>
<option value="242">242</option>
<option value="243">243</option>
<option value="244">244</option>
<option value="245">245</option>
<option value="246">246</option>
<option value="247">247</option>
<option value="248">248</option>
<option value="249">249</option>
<option value="250">250</option>
<option value="251">251</option>
<option value="252">252</option>
<option value="253">253</option>
<option value="254">254</option>
<option value="255">255</option>
<option value="256">256</option>
<option value="257">257</option>
<option value="258">258</option>
<option value="260">260</option>
<option value="261">261</option>
<option value="262">262</option>
<option value="263">263</option>
<option value="264">264</option>
<option value="265">265</option>
<option value="266">266</option>
<option value="267">267</option>
<option value="268">268</option>
<option value="269">269</option>
<option value="284">284</option>
<option value="290">290</option>
<option value="291">291</option>
<option value="297">297</option>
<option value="298">298</option>
<option value="299">299</option>
<option value="340">340</option>
<option value="345">345</option>
<option value="350">350</option>
<option value="351">351</option>
<option value="352">352</option>
<option value="353">353</option>
<option value="354">354</option>
<option value="355">355</option>
<option value="356">356</option>
<option value="357">357</option>
<option value="358">358</option>
<option value="359">359</option>
<option value="370">370</option>
<option value="371">371</option>
<option value="372">372</option>
<option value="373">373</option>
<option value="374">374</option>
<option value="375">375</option>
<option value="376">376</option>
<option value="377">377</option>
<option value="378">378</option>
<option value="379">379</option>
<option value="380">380</option>
<option value="381">381</option>
<option value="382">382</option>
<option value="385">385</option>
<option value="386">386</option>
<option value="387">387</option>
<option value="389">389</option>
<option value="420">420</option>
<option value="421">421</option>
<option value="423">423</option>
<option value="441">441</option>
<option value="473">473</option>
<option value="500">500</option>
<option value="501">501</option>
<option value="502">502</option>
<option value="503">503</option>
<option value="504">504</option>
<option value="505">505</option>
<option value="506">506</option>
<option value="507">507</option>
<option value="508">508</option>
<option value="509">509</option>
<option value="590">590</option>
<option value="591">591</option>
<option value="592">592</option>
<option value="593">593</option>
<option value="594">594</option>
<option value="595">595</option>
<option value="596">596</option>
<option value="597">597</option>
<option value="598">598</option>
<option value="599">599</option>
<option value="649">649</option>
<option value="664">664</option>
<option value="670">670</option>
<option value="671">671</option>
<option value="672">672</option>
<option value="673">673</option>
<option value="674">674</option>
<option value="675">675</option>
<option value="676">676</option>
<option value="677">677</option>
<option value="678">678</option>
<option value="679">679</option>
<option value="680">680</option>
<option value="681">681</option>
<option value="682">682</option>
<option value="683">683</option>
<option value="684">684</option>
<option value="685">685</option>
<option value="686">686</option>
<option value="687">687</option>
<option value="688">688</option>
<option value="689">689</option>
<option value="690">690</option>
<option value="691">691</option>
<option value="692">692</option>
<option value="758">758</option>
<option value="767">767</option>
<option value="784">784</option>
<option value="809">809</option>
<option value="850">850</option>
<option value="852">852</option>
<option value="853">853</option>
<option value="855">855</option>
<option value="856">856</option>
<option value="868">868</option>
<option value="869">869</option>
<option value="876">876</option>
<option value="880">880</option>
<option value="886">886</option>
<option value="960">960</option>
<option value="961">961</option>
<option value="962">962</option>
<option value="963">963</option>
<option value="964">964</option>
<option value="965">965</option>
<option value="966">966</option>
<option value="967">967</option>
<option value="968">968</option>
<option value="971">971</option>
<option value="972">972</option>
<option value="973">973</option>
<option value="974">974</option>
<option value="975">975</option>
<option value="976">976</option>
<option value="977">977</option>
<option value="992">992</option>
<option value="993">993</option>
<option value="994">994</option>
<option value="995">995</option>
<option value="996">996</option>
<option value="998">998</option>
</select>
<br>
<span class="note" id="primaryPhoneCountryCodeSpan"><b>US/CA/PR/UM</b></span>
<script type="text/javascript">
changeprimaryPhoneCountryCode(document.getElementById("emergency_contact.primaryPhoneCountryCode"));
</script>
</div>
<div class="floatLeft paddedRight5">
<label for="number" class="inlineLabel">Number</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="emergency_contact.primaryPhone" name="emergency_contact.primaryPhone" value="" maxlength="30" size="25">
</div>
<div class="floatLeft paddedRight5">
<label for="extension" class="inlineLabel">Ext.</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="emergency_contact.primaryPhoneExt" name="emergency_contact.primaryPhoneExt" value="" maxlength="10' />" size="6">
</div>
</div>
</div>
<script type="text/javascript">
function eventSubscribersecondaryPhoneCountryCode(eventWidgetId, editable, dropDownID) {
if (eventWidgetId != "") {
var addrWidgetId = "addrWidget" + eventWidgetId;
if (typeof(window[addrWidgetId]) != "undefined" && editable) {
window[addrWidgetId].onCountryChangeEvent.subscribe(eventHandlersecondaryPhoneCountryCode, dropDownID);
}
}
}
function eventHandlersecondaryPhoneCountryCode(type, args, dropDownID) {
var dialDropDown = document.getElementById(dropDownID);
var phoneFieldElem = document.getElementById('emergency_contact.secondaryPhone');
if (typeof(dialDropDown) != "undefined" && typeof(phoneFieldElem) != "undefined" && phoneFieldElem.value == "") {
var indexValue = false;
for (index = 0; index < dialDropDown.length; index++) {
if (dialDropDown[index].value == cd[args[0].countryCode]) {
dialDropDown.selectedIndex = index;
dialDropDown.onchange();
}
}
}
}
eventSubscribersecondaryPhoneCountryCode("addressEmergencyContact", true, 'emergency_contact.secondaryPhoneCountryCode');
</script>
<div class="controlSet">
<div class="clearAfter">
<span class="label"> Secondary Phone Number</span>
<div class="floatLeft paddedRight5">
<label for="country" class="inlineLabel">Country code</label><br>
<script type="text/javascript">
function changesecondaryPhoneCountryCode(field) {
var sp = document.getElementById("secondaryPhoneCountryCodeSpan");
var value = dc[field.options[field.selectedIndex].value];
if (typeof(value) != "undefined") {
sp.innerHTML = "<b>" + value + "</b>";
} else {
sp.innerHTML = " ";
}
}
</script> + <select class="OneLinkNoTx" name="emergency_contact.secondaryPhoneCountryCode" id="emergency_contact.secondaryPhoneCountryCode" onchange="return changesecondaryPhoneCountryCode(this)" style="width: 60px">
<option value="1" selected="">1</option>
<option value="7">7</option>
<option value="20">20</option>
<option value="27">27</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="36">36</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="84">84</option>
<option value="86">86</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="98">98</option>
<option value="211">211</option>
<option value="212">212</option>
<option value="213">213</option>
<option value="216">216</option>
<option value="218">218</option>
<option value="220">220</option>
<option value="221">221</option>
<option value="222">222</option>
<option value="223">223</option>
<option value="224">224</option>
<option value="225">225</option>
<option value="226">226</option>
<option value="227">227</option>
<option value="228">228</option>
<option value="229">229</option>
<option value="230">230</option>
<option value="231">231</option>
<option value="232">232</option>
<option value="233">233</option>
<option value="234">234</option>
<option value="235">235</option>
<option value="236">236</option>
<option value="237">237</option>
<option value="238">238</option>
<option value="239">239</option>
<option value="240">240</option>
<option value="241">241</option>
<option value="242">242</option>
<option value="243">243</option>
<option value="244">244</option>
<option value="245">245</option>
<option value="246">246</option>
<option value="247">247</option>
<option value="248">248</option>
<option value="249">249</option>
<option value="250">250</option>
<option value="251">251</option>
<option value="252">252</option>
<option value="253">253</option>
<option value="254">254</option>
<option value="255">255</option>
<option value="256">256</option>
<option value="257">257</option>
<option value="258">258</option>
<option value="260">260</option>
<option value="261">261</option>
<option value="262">262</option>
<option value="263">263</option>
<option value="264">264</option>
<option value="265">265</option>
<option value="266">266</option>
<option value="267">267</option>
<option value="268">268</option>
<option value="269">269</option>
<option value="284">284</option>
<option value="290">290</option>
<option value="291">291</option>
<option value="297">297</option>
<option value="298">298</option>
<option value="299">299</option>
<option value="340">340</option>
<option value="345">345</option>
<option value="350">350</option>
<option value="351">351</option>
<option value="352">352</option>
<option value="353">353</option>
<option value="354">354</option>
<option value="355">355</option>
<option value="356">356</option>
<option value="357">357</option>
<option value="358">358</option>
<option value="359">359</option>
<option value="370">370</option>
<option value="371">371</option>
<option value="372">372</option>
<option value="373">373</option>
<option value="374">374</option>
<option value="375">375</option>
<option value="376">376</option>
<option value="377">377</option>
<option value="378">378</option>
<option value="379">379</option>
<option value="380">380</option>
<option value="381">381</option>
<option value="382">382</option>
<option value="385">385</option>
<option value="386">386</option>
<option value="387">387</option>
<option value="389">389</option>
<option value="420">420</option>
<option value="421">421</option>
<option value="423">423</option>
<option value="441">441</option>
<option value="473">473</option>
<option value="500">500</option>
<option value="501">501</option>
<option value="502">502</option>
<option value="503">503</option>
<option value="504">504</option>
<option value="505">505</option>
<option value="506">506</option>
<option value="507">507</option>
<option value="508">508</option>
<option value="509">509</option>
<option value="590">590</option>
<option value="591">591</option>
<option value="592">592</option>
<option value="593">593</option>
<option value="594">594</option>
<option value="595">595</option>
<option value="596">596</option>
<option value="597">597</option>
<option value="598">598</option>
<option value="599">599</option>
<option value="649">649</option>
<option value="664">664</option>
<option value="670">670</option>
<option value="671">671</option>
<option value="672">672</option>
<option value="673">673</option>
<option value="674">674</option>
<option value="675">675</option>
<option value="676">676</option>
<option value="677">677</option>
<option value="678">678</option>
<option value="679">679</option>
<option value="680">680</option>
<option value="681">681</option>
<option value="682">682</option>
<option value="683">683</option>
<option value="684">684</option>
<option value="685">685</option>
<option value="686">686</option>
<option value="687">687</option>
<option value="688">688</option>
<option value="689">689</option>
<option value="690">690</option>
<option value="691">691</option>
<option value="692">692</option>
<option value="758">758</option>
<option value="767">767</option>
<option value="784">784</option>
<option value="809">809</option>
<option value="850">850</option>
<option value="852">852</option>
<option value="853">853</option>
<option value="855">855</option>
<option value="856">856</option>
<option value="868">868</option>
<option value="869">869</option>
<option value="876">876</option>
<option value="880">880</option>
<option value="886">886</option>
<option value="960">960</option>
<option value="961">961</option>
<option value="962">962</option>
<option value="963">963</option>
<option value="964">964</option>
<option value="965">965</option>
<option value="966">966</option>
<option value="967">967</option>
<option value="968">968</option>
<option value="971">971</option>
<option value="972">972</option>
<option value="973">973</option>
<option value="974">974</option>
<option value="975">975</option>
<option value="976">976</option>
<option value="977">977</option>
<option value="992">992</option>
<option value="993">993</option>
<option value="994">994</option>
<option value="995">995</option>
<option value="996">996</option>
<option value="998">998</option>
</select>
<br>
<span class="note" id="secondaryPhoneCountryCodeSpan"><b>US/CA/PR/UM</b></span>
<script type="text/javascript">
changesecondaryPhoneCountryCode(document.getElementById("emergency_contact.secondaryPhoneCountryCode"));
</script>
</div>
<div class="floatLeft paddedRight5">
<label for="number" class="inlineLabel">Number</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="emergency_contact.secondaryPhone" name="emergency_contact.secondaryPhone" value="" maxlength="30" size="25">
</div>
<div class="floatLeft paddedRight5">
<label for="extension" class="inlineLabel">Ext.</label><br>
<input type="text" autocomplete="off" class="formField OneLinkNoTx" id="emergency_contact.secondaryPhoneExt" name="emergency_contact.secondaryPhoneExt" value="" maxlength="10' />" size="6">
</div>
</div>
</div>
<h4><span class="title">User Acceptance</span></h4>
<input type="hidden" name="accountInfo.policyEnabled" value="true">
<div class="controlSet">
<input type="hidden" name="accountInfo.policyAccepted" value="false">
<input type="checkbox" onclick="changeCheckboxState(this,'accountInfo.policyAccepted')" name="cb_accountInfo.policyAccepted"> I accept the<a href="javascript:void(0)" onclick="openScrollingPopup('http://privacy.amexgbt.com/','termsPopup',638,485); return false;">
Privacy Statement</a>.
</div>
</div>
</div>
<div class="actionBar clearAfter">
<div class="buttonPositionRight padded15">
<a id="signInButton1" href="#" class="btn " target="" style="" onclick="return submitAction(document.uiForm, 'updateAccount'); return false; return false;"><span class="wrap"><span id="buttonSave" class="buttonText ">Continue</span></span></a>
</div>
</div>
</form>Text Content
-------------------------------------------------------------------------------- ACTIVATE YOUR ACCOUNT Please tell us a little about yourself so that we can serve you better. * Required PERSONAL INFORMATION Title -- Mr. Mrs. Ms. Miss Dr. Master Prof. Mx. Sir First Name* Middle Name (full middle name is sent to airline per TSA rules. Only middle initial shows on ticket) Last Name* Date of Birth* - January February March April May June July August September October November December - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 Gender* This information is required when you book a Flight as part of the Transportation Security Administration (TSA) Secure Flight program. For more information, please visit our Help section. -- Male Female Non-binary/Unspecified ( X ) Profile Pin - Use 10-digit cell or home phone (ex: 2815551234) Please do not enter all zeros* Time zone* - select - Hawaii Standard Time Hawaii Daylight Time Alaska Daylight Time Pacific Daylight Time Mountain Time Zone-Arizona (AZ) Mountain Daylight Time Central Daylight Time Eastern Daylight Time Ecuador Time Colombia Time Acre Time Atlantic Daylight Time Venezuela Time Bolivia Time Amazon Time Newfoundland Daylight Time Uruguay Time Brasilia Time Fernando de Noronha Time British Summer Time Western European Summer Time Central European Summer Time Western African Time Eastern European Summer Time Central African Time Israel Daylight Time Eastern African Time Arabia Standard Time Moscow Standard Time Gulf Standard Time Pakistan Time India Standard Time Indochina Time West Indonesia Time Australian Western Standard Time China Standard Time Philippines Time Singapore Time Hong Kong Time Malaysia Time Brunei Time Japan Standard Time Korea Standard Time East Indonesia Time Australian Eastern Standard Time (Queensland) Australian Central Standard Time (Northern Territory) Australian Eastern Standard Time (New South Wales) Lord Howe Standard Time New Zealand Standard Time CREATE PASSWORD Password requirements • Must be at least 7 characters in length. • Must not contain your name or Username - NO SPACES. • Must contain at least one letter and one number. Username - NO SPACES natelli@publicisgroupe.net Password* Confirm password* Remember my Username - NO SPACES UPDATE YOUR SECURITY QUESTION Security question Your favorite sport or hobby? Your childhood pet's name? Where was your mother born? Who was your favorite teacher? What was your first school? Where were you born? What is your date of birth (e.g. ddmmyyyy)? Your favorite city or place? Your answer* BUSINESS ADDRESS Country* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension Island/St. HelenaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo - BrazzavilleCongo, The Republic ofCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHelenaHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKitts and NevisKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNetherlands, TheNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPierre and MiquelonPitcairn IslandPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVincent and the GrenadinesWallis and FutunaWestern SaharaYemenZambiaZimbabwe Street address* Apartment / Suite City* State* - select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming*Armed Forces Americas (except Canada)*Armed Forces International*Armed Forces Pacific ZIP code* BUSINESS CONTACT INFO Business Phone (ex: 281-555-1234)* Country code + 1 7 20 27 30 31 32 33 34 36 39 40 41 43 44 45 46 47 48 49 51 52 53 54 55 56 57 58 60 61 62 63 64 65 66 81 82 84 86 90 91 92 93 94 95 98 211 212 213 216 218 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 260 261 262 263 264 265 266 267 268 269 284 290 291 297 298 299 340 345 350 351 352 353 354 355 356 357 358 359 370 371 372 373 374 375 376 377 378 379 380 381 382 385 386 387 389 420 421 423 441 473 500 501 502 503 504 505 506 507 508 509 590 591 592 593 594 595 596 597 598 599 649 664 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 758 767 784 809 850 852 853 855 856 868 869 876 880 886 960 961 962 963 964 965 966 967 968 971 972 973 974 975 976 977 992 993 994 995 996 998 US/CA/PR/UM Number Ext. 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BrazzavilleCongo, The Republic ofCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHelenaHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKitts and NevisKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlands AntillesNetherlands, TheNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPierre and MiquelonPitcairn IslandPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVincent and the GrenadinesWallis and FutunaWestern SaharaYemenZambiaZimbabwe Street address Apartment / Suite City State - select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming*Armed Forces Americas (except Canada)*Armed Forces International*Armed Forces Pacific ZIP code Primary Phone Number Country code + 1 7 20 27 30 31 32 33 34 36 39 40 41 43 44 45 46 47 48 49 51 52 53 54 55 56 57 58 60 61 62 63 64 65 66 81 82 84 86 90 91 92 93 94 95 98 211 212 213 216 218 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 260 261 262 263 264 265 266 267 268 269 284 290 291 297 298 299 340 345 350 351 352 353 354 355 356 357 358 359 370 371 372 373 374 375 376 377 378 379 380 381 382 385 386 387 389 420 421 423 441 473 500 501 502 503 504 505 506 507 508 509 590 591 592 593 594 595 596 597 598 599 649 664 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 758 767 784 809 850 852 853 855 856 868 869 876 880 886 960 961 962 963 964 965 966 967 968 971 972 973 974 975 976 977 992 993 994 995 996 998 US/CA/PR/UM Number Ext. 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