affiliates.kwiff.com Open in urlscan Pro
20.67.211.142 Public Scan

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URL:
https://affiliates.kwiff.com/registration.asp?btag=a_2169b_87c_&affid=560&source=IncomeAccess
Submission: On July 31 via api (July 31st 2023, 3:06:38 pm UTC) from DE — Scanned from DE

Form analysis
1 forms found in the DOM

Name: registrationform — POST

<form method="POST" name="registrationform" id="registrationform" autocomplete="off" class="secure form-horizontal" novalidate="novalidate" accept-charset="iso-8859-1">
  <div class="widget">
    <div class="widget-container  col-md-6 col-md-push-2">
      <div class="main-header">
        <h2>Registration Form</h2>
        <em></em>
      </div>
      <div class="wizard-wrapper" style="width: 802px;">
        <!-- wizard progress bar -->
        <div id="demo-wizard" class="wizard">
          <ul class="steps">
            <li id="progress-block1" class="active"><span class="badge badge-info">1</span>PERSONAL<span class="chevron"></span></li>
            <li id="progress-block2"><span class="badge">2</span>PAYMENTS<span class="chevron"></span></li>
            <li id="progress-block3" class="last"><span class="badge">3</span>ADDITIONAL<span class="chevron"></span></li>
          </ul>
        </div>
        <!-- panel 1 -->
        <div class="wizardpanel block1 show" id="block1">
          <div class="row">
            <h3>Personal Details</h3>
            <div class="form-group has-feedback"><label for="username" class="control-label col-xs-2">Username </label>
              <div class="input-group col-xs-10"><input name="username" id="username" type="text" value="" required="true" class="{required:true,messages:{required:'Please check the username entered.'}}" allowedstring="true" 4"="" maxlength="140"
                  size="40"><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="password" class="control-label col-xs-2">Password </label>
              <div class="input-group col-xs-10"><input name="password" id="password" type="password" value="" required="true" class="{required:true,messages:{required:'Please check the password entered.'}}" ispassword="true" checkspecialchar="true"
                  checkmaxchars="20" autocomplete="off" maxlength="21" size="20" onkeyup="testPassword(this.value);" minlength="6"><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="passwordretype" class="control-label col-xs-2">Re-Type Password </label>
              <div class="input-group col-xs-10"><input name="passwordretype" id="passwordretype" type="password" value="" required="true" class="{required:true,messages:{required:'Please check the password entered.'}}" maxlength="20"
                  autocomplete="off" size="20" minlength="6"><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group">
              <div class="col-xs-2"></div>
              <div id="passtestindicator" class="col-xs-10"></div>
            </div>
            <div class="form-group">
              <div class="col-xs-2"></div>
              <div id="passtestindicator" class="col-xs-10"><img src="includes/dynamimg.asp" alt="This Is verification Image"></div>
            </div>
            <div class="form-group has-feedback"><label for="verificationimg" class="control-label col-xs-2">Please enter the text as it appears in the image above. </label>
              <div class="input-group col-xs-10"><input name="verificationimg" id="verificationimg" type="text" value="" required="true" class="{required:true,messages:{required:'jscheckverificationimg'}}" maxlength="8" size="10" minlength=""><span
                  class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <h3>Contact Details</h3>
            <div class="form-group has-feedback"><label for="emailaddress" class="control-label col-xs-2">Email Address </label>
              <div class="input-group col-xs-10"><input name="emailaddress" id="emailaddress" type="text" value="" required="true" class="{required:true,messages:{required:'Please check your Email Address'}}" email="true" maxlength="140" size="40"
                  minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="confirmemail" class="control-label col-xs-2">Re-enter Email </label>
              <div class="input-group col-xs-10"><input name="confirmemail" id="confirmemail" type="text" value="" required="true" class="{required:true,messages:{required:'Please check your Email Address'}}" email="true" equalto="#emailaddress"
                  maxlength="140" size="40" minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="firstname" class="control-label col-xs-2">First Name </label>
              <div class="input-group col-xs-10"><input name="firstname" id="firstname" type="text" value="" required="true" class="{required:true,messages:{required:'Please check your first name'}}" alphanumeric="true" maxlength="140" size="40"
                  minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="lastname" class="control-label col-xs-2">Last Name </label>
              <div class="input-group col-xs-10"><input name="lastname" id="lastname" type="text" value="" required="true" class="{required:true,messages:{required:'Please check your last name'}}" alphanumeric="true" maxlength="140" size="40"
                  minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="companyname" class="control-label col-xs-2">Company Name </label>
              <div class="input-group col-xs-10"><input name="companyname" id="companyname" type="text" value="" alphanumeric="true" maxlength="140" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="phone" class="control-label col-xs-2">Contact Phone </label>
              <div class="input-group col-xs-10"><input name="phone" id="phone" type="text" value="" isphone="true" maxlength="20" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="cellphone" class="control-label col-xs-2">Cell Phone </label>
              <div class="input-group col-xs-10"><input name="cellphone" id="cellphone" type="text" value="" isphone="true" maxlength="20" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="imname" class="control-label col-xs-2">Company Registration Number </label>
              <div class="input-group col-xs-10"><input name="imname" id="imname" type="text" value="" allowedstring="true" maxlength="100" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="skypename" class="control-label col-xs-2">Skype Name </label>
              <div class="input-group col-xs-10"><input name="skypename" id="skypename" type="text" value=""="true"="" maxlength="100" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="address1" class="control-label col-xs-2">Address 1 </label>
              <div class="input-group col-xs-10"><input name="address1" id="address1" type="text" value="" required="true" class="{required:true,messages:{required:'Please check the Street Address'}}" allowedstring="true" maxlength="250" size="40"
                  minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="address2" class="control-label col-xs-2">City </label>
              <div class="input-group col-xs-10"><input name="address2" id="address2" type="text" value="" maxlength="250" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="state" class="control-label col-xs-2">State </label>
              <div class="input-group col-xs-10"><input name="state" id="state" type="text" value="" allowedstring="true" maxlength="250" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="zip" class="control-label col-xs-2">Zip </label>
              <div class="input-group col-xs-10"><input name="zip" id="zip" type="text" value="" required="true" class="{required:true,messages:{required:'Please check the Zip/ Postal code'}}" allowedstring="true" maxlength="250" size="40"
                  minlength=""><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="country" class="control-label col-xs-2">Country </label>
              <div class="input-group col-xs-10"><select size="1" id="country" name="country" required="true" class="{required:true,messages:{required:'Please enter the country.'}}">
                  <option value=""></option>
                  <option value="ÅLAND ISLANDS" isocountrycode="ALA">ÅLAND ISLANDS</option>
                  <option value="AFGHANISTAN" isocountrycode="AFG">AFGHANISTAN</option>
                  <option value="ALBANIA" isocountrycode="ALB">ALBANIA</option>
                  <option value="ALGERIA" isocountrycode="DZA">ALGERIA</option>
                  <option value="AMERICAN SAMOA" isocountrycode="ASM">AMERICAN SAMOA</option>
                  <option value="ANDORRA" isocountrycode="AND">ANDORRA</option>
                  <option value="ANGOLA" isocountrycode="AGO">ANGOLA</option>
                  <option value="ANGUILLA" isocountrycode="AIA">ANGUILLA</option>
                  <option value="ANTARCTICA" isocountrycode="ATA">ANTARCTICA</option>
                  <option value="ANTIGUA AND BARBUDA" isocountrycode="ATG">ANTIGUA AND BARBUDA</option>
                  <option value="ARGENTINA" isocountrycode="ARG">ARGENTINA</option>
                  <option value="ARMENIA" isocountrycode="ARM">ARMENIA</option>
                  <option value="ARUBA" isocountrycode="ABW">ARUBA</option>
                  <option value="AUSTRALIA" isocountrycode="AUS">AUSTRALIA</option>
                  <option value="AUSTRIA" isocountrycode="AUT">AUSTRIA</option>
                  <option value="AZERBAIJAN" isocountrycode="AZE">AZERBAIJAN</option>
                  <option value="BAHAMAS" isocountrycode="BHS">BAHAMAS</option>
                  <option value="BAHRAIN" isocountrycode="BHR">BAHRAIN</option>
                  <option value="BANGLADESH" isocountrycode="BGD">BANGLADESH</option>
                  <option value="BARBADOS" isocountrycode="BRB">BARBADOS</option>
                  <option value="BELARUS" isocountrycode="BLR">BELARUS</option>
                  <option value="BELGIUM" isocountrycode="BEL">BELGIUM</option>
                  <option value="BELIZE" isocountrycode="BLZ">BELIZE</option>
                  <option value="BENIN" isocountrycode="BEN">BENIN</option>
                  <option value="BERMUDA" isocountrycode="BMU">BERMUDA</option>
                  <option value="BHUTAN" isocountrycode="BTN">BHUTAN</option>
                  <option value="BOLIVIA (PLURINATIONAL STATE OF)" isocountrycode="BOL">BOLIVIA (PLURINATIONAL STATE OF)</option>
                  <option value="BONAIRE. SINT EUSTATIUS AND SABA" isocountrycode="BES">BONAIRE. SINT EUSTATIUS AND SABA</option>
                  <option value="BOSNIA AND HERZEGOVINA" isocountrycode="BIH">BOSNIA AND HERZEGOVINA</option>
                  <option value="BOTSWANA" isocountrycode="BWA">BOTSWANA</option>
                  <option value="BOUVET ISLAND" isocountrycode="BVT">BOUVET ISLAND</option>
                  <option value="BRAZIL" isocountrycode="BRA">BRAZIL</option>
                  <option value="BRITISH INDIAN OCEAN TERRITORY" isocountrycode="IOT">BRITISH INDIAN OCEAN TERRITORY</option>
                  <option value="BRUNEI DARUSSALAM" isocountrycode="BRN">BRUNEI DARUSSALAM</option>
                  <option value="BULGARIA" isocountrycode="BGR">BULGARIA</option>
                  <option value="BURKINA FASO" isocountrycode="BFA">BURKINA FASO</option>
                  <option value="BURUNDI" isocountrycode="BDI">BURUNDI</option>
                  <option value="CôTE D'IVOIRE" isocountrycode="CIV">CôTE D'IVOIRE</option>
                  <option value="CABO VERDE" isocountrycode="CPV">CABO VERDE</option>
                  <option value="CAMBODIA" isocountrycode="KHM">CAMBODIA</option>
                  <option value="CAMEROON" isocountrycode="CMR">CAMEROON</option>
                  <option value="CANADA" isocountrycode="CAN">CANADA</option>
                  <option value="CAYMAN ISLANDS" isocountrycode="CYM">CAYMAN ISLANDS</option>
                  <option value="CENTRAL AFRICAN REPUBLIC" isocountrycode="CAF">CENTRAL AFRICAN REPUBLIC</option>
                  <option value="CHAD" isocountrycode="TCD">CHAD</option>
                  <option value="CHILE" isocountrycode="CHL">CHILE</option>
                  <option value="CHINA" isocountrycode="CHN">CHINA</option>
                  <option value="CHRISTMAS ISLAND" isocountrycode="CXR">CHRISTMAS ISLAND</option>
                  <option value="COCOS (KEELING) ISLANDS" isocountrycode="CCK">COCOS (KEELING) ISLANDS</option>
                  <option value="COLOMBIA" isocountrycode="COL">COLOMBIA</option>
                  <option value="COMOROS" isocountrycode="COM">COMOROS</option>
                  <option value="CONGO" isocountrycode="COG">CONGO</option>
                  <option value="CONGO (DEMOCRATIC REPUBLIC OF THE)" isocountrycode="COD">CONGO (DEMOCRATIC REPUBLIC OF THE)</option>
                  <option value="COOK ISLANDS" isocountrycode="COK">COOK ISLANDS</option>
                  <option value="COSTA RICA" isocountrycode="CRI">COSTA RICA</option>
                  <option value="CROATIA" isocountrycode="HRV">CROATIA</option>
                  <option value="CUBA" isocountrycode="CUB">CUBA</option>
                  <option value="CURAÇAO" isocountrycode="CUW">CURAÇAO</option>
                  <option value="CYPRUS" isocountrycode="CYP">CYPRUS</option>
                  <option value="CZECHIA" isocountrycode="CZE">CZECHIA</option>
                  <option value="DENMARK" isocountrycode="DNK">DENMARK</option>
                  <option value="DJIBOUTI" isocountrycode="DJI">DJIBOUTI</option>
                  <option value="DOMINICA" isocountrycode="DMA">DOMINICA</option>
                  <option value="DOMINICAN REPUBLIC" isocountrycode="DOM">DOMINICAN REPUBLIC</option>
                  <option value="ECUADOR" isocountrycode="ECU">ECUADOR</option>
                  <option value="EGYPT" isocountrycode="EGY">EGYPT</option>
                  <option value="EL SALVADOR" isocountrycode="SLV">EL SALVADOR</option>
                  <option value="EQUATORIAL GUINEA" isocountrycode="GNQ">EQUATORIAL GUINEA</option>
                  <option value="ERITREA" isocountrycode="ERI">ERITREA</option>
                  <option value="ESTONIA" isocountrycode="EST">ESTONIA</option>
                  <option value="ETHIOPIA" isocountrycode="ETH">ETHIOPIA</option>
                  <option value="FALKLAND ISLANDS (MALVINAS)" isocountrycode="FLK">FALKLAND ISLANDS (MALVINAS)</option>
                  <option value="FAROE ISLANDS" isocountrycode="FRO">FAROE ISLANDS</option>
                  <option value="FIJI" isocountrycode="FJI">FIJI</option>
                  <option value="FINLAND" isocountrycode="FIN">FINLAND</option>
                  <option value="FRANCE" isocountrycode="FRA">FRANCE</option>
                  <option value="FRENCH GUIANA" isocountrycode="GUF">FRENCH GUIANA</option>
                  <option value="FRENCH POLYNESIA" isocountrycode="PYF">FRENCH POLYNESIA</option>
                  <option value="FRENCH SOUTHERN TERRITORIES" isocountrycode="ATF">FRENCH SOUTHERN TERRITORIES</option>
                  <option value="GABON" isocountrycode="GAB">GABON</option>
                  <option value="GAMBIA" isocountrycode="GMB">GAMBIA</option>
                  <option value="GEORGIA" isocountrycode="GEO">GEORGIA</option>
                  <option value="GERMANY" isocountrycode="DEU">GERMANY</option>
                  <option value="GHANA" isocountrycode="GHA">GHANA</option>
                  <option value="GIBRALTAR" isocountrycode="GIB">GIBRALTAR</option>
                  <option value="GREECE" isocountrycode="GRC">GREECE</option>
                  <option value="GREENLAND" isocountrycode="GRL">GREENLAND</option>
                  <option value="GRENADA" isocountrycode="GRD">GRENADA</option>
                  <option value="GUADELOUPE" isocountrycode="GLP">GUADELOUPE</option>
                  <option value="GUAM" isocountrycode="GUM">GUAM</option>
                  <option value="GUATEMALA" isocountrycode="GTM">GUATEMALA</option>
                  <option value="GUERNSEY" isocountrycode="GGY">GUERNSEY</option>
                  <option value="GUINEA" isocountrycode="GIN">GUINEA</option>
                  <option value="GUINEA-BISSAU" isocountrycode="GNB">GUINEA-BISSAU</option>
                  <option value="GUYANA" isocountrycode="GUY">GUYANA</option>
                  <option value="HAITI" isocountrycode="HTI">HAITI</option>
                  <option value="HEARD ISLAND AND MCDONALD ISLA" isocountrycode="HMD">HEARD ISLAND AND MCDONALD ISLA</option>
                  <option value="HOLY SEE" isocountrycode="VAT">HOLY SEE</option>
                  <option value="HONDURAS" isocountrycode="HND">HONDURAS</option>
                  <option value="HONG KONG" isocountrycode="HKG">HONG KONG</option>
                  <option value="HUNGARY" isocountrycode="HUN">HUNGARY</option>
                  <option value="ICELAND" isocountrycode="ISL">ICELAND</option>
                  <option value="INDIA" isocountrycode="IND">INDIA</option>
                  <option value="INDONESIA" isocountrycode="IDN">INDONESIA</option>
                  <option value="IRAN (ISLAMIC REPUBLIC OF)" isocountrycode="IRN">IRAN (ISLAMIC REPUBLIC OF)</option>
                  <option value="IRAQ" isocountrycode="IRQ">IRAQ</option>
                  <option value="IRELAND" isocountrycode="IRL">IRELAND</option>
                  <option value="ISLE OF MAN" isocountrycode="IMN">ISLE OF MAN</option>
                  <option value="ISRAEL" isocountrycode="ISR">ISRAEL</option>
                  <option value="ITALY" isocountrycode="ITA">ITALY</option>
                  <option value="JAMAICA" isocountrycode="JAM">JAMAICA</option>
                  <option value="JAPAN" isocountrycode="JPN">JAPAN</option>
                  <option value="JERSEY" isocountrycode="JEY">JERSEY</option>
                  <option value="JORDAN" isocountrycode="JOR">JORDAN</option>
                  <option value="KAZAKHSTAN" isocountrycode="KAZ">KAZAKHSTAN</option>
                  <option value="KENYA" isocountrycode="KEN">KENYA</option>
                  <option value="KIRIBATI" isocountrycode="KIR">KIRIBATI</option>
                  <option value="KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)" isocountrycode="PRK">KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)</option>
                  <option value="KOREA (REPUBLIC OF)" isocountrycode="KOR">KOREA (REPUBLIC OF)</option>
                  <option value="KUWAIT" isocountrycode="KWT">KUWAIT</option>
                  <option value="KYRGYZSTAN" isocountrycode="KGZ">KYRGYZSTAN</option>
                  <option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC" isocountrycode="LAO">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
                  <option value="LATVIA" isocountrycode="LVA">LATVIA</option>
                  <option value="LEBANON" isocountrycode="LBN">LEBANON</option>
                  <option value="LESOTHO" isocountrycode="LSO">LESOTHO</option>
                  <option value="LIBERIA" isocountrycode="LBR">LIBERIA</option>
                  <option value="LIBYA" isocountrycode="LBY">LIBYA</option>
                  <option value="LIECHTENSTEIN" isocountrycode="LIE">LIECHTENSTEIN</option>
                  <option value="LITHUANIA" isocountrycode="LTU">LITHUANIA</option>
                  <option value="LUXEMBOURG" isocountrycode="LUX">LUXEMBOURG</option>
                  <option value="MACAO" isocountrycode="MAC">MACAO</option>
                  <option value="MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)" isocountrycode="MKD">MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)</option>
                  <option value="MADAGASCAR" isocountrycode="MDG">MADAGASCAR</option>
                  <option value="MALAWI" isocountrycode="MWI">MALAWI</option>
                  <option value="MALAYSIA" isocountrycode="MYS">MALAYSIA</option>
                  <option value="MALDIVES" isocountrycode="MDV">MALDIVES</option>
                  <option value="MALI" isocountrycode="MLI">MALI</option>
                  <option value="MALTA" isocountrycode="MLT">MALTA</option>
                  <option value="MARSHALL ISLANDS" isocountrycode="MHL">MARSHALL ISLANDS</option>
                  <option value="MARTINIQUE" isocountrycode="MTQ">MARTINIQUE</option>
                  <option value="MAURITANIA" isocountrycode="MRT">MAURITANIA</option>
                  <option value="MAURITIUS" isocountrycode="MUS">MAURITIUS</option>
                  <option value="MAYOTTE" isocountrycode="MYT">MAYOTTE</option>
                  <option value="MEXICO" isocountrycode="MEX">MEXICO</option>
                  <option value="MICRONESIA (FEDERATED STATES OF)" isocountrycode="FSM">MICRONESIA (FEDERATED STATES OF)</option>
                  <option value="MOLDOVA (REPUBLIC OF)" isocountrycode="MDA">MOLDOVA (REPUBLIC OF)</option>
                  <option value="MONACO" isocountrycode="MCO">MONACO</option>
                  <option value="MONGOLIA" isocountrycode="MNG">MONGOLIA</option>
                  <option value="MONTENEGRO" isocountrycode="MNE">MONTENEGRO</option>
                  <option value="MONTSERRAT" isocountrycode="MSR">MONTSERRAT</option>
                  <option value="MOROCCO" isocountrycode="MAR">MOROCCO</option>
                  <option value="MOZAMBIQUE" isocountrycode="MOZ">MOZAMBIQUE</option>
                  <option value="MYANMAR" isocountrycode="MMR">MYANMAR</option>
                  <option value="NAMIBIA" isocountrycode="NAM">NAMIBIA</option>
                  <option value="NAURU" isocountrycode="NRU">NAURU</option>
                  <option value="NEPAL" isocountrycode="NPL">NEPAL</option>
                  <option value="NETHERLANDS" isocountrycode="NLD">NETHERLANDS</option>
                  <option value="NETHERLANDS ANTILLES" isocountrycode="ANT">NETHERLANDS ANTILLES</option>
                  <option value="NEW CALEDONIA" isocountrycode="NCL">NEW CALEDONIA</option>
                  <option value="NEW ZEALAND" isocountrycode="NZL">NEW ZEALAND</option>
                  <option value="NICARAGUA" isocountrycode="NIC">NICARAGUA</option>
                  <option value="NIGER" isocountrycode="NER">NIGER</option>
                  <option value="NIGERIA" isocountrycode="NGA">NIGERIA</option>
                  <option value="NIUE" isocountrycode="NIU">NIUE</option>
                  <option value="NORFOLK ISLAND" isocountrycode="NFK">NORFOLK ISLAND</option>
                  <option value="NORTHERN MARIANA ISLANDS" isocountrycode="MNP">NORTHERN MARIANA ISLANDS</option>
                  <option value="NORWAY" isocountrycode="NOR">NORWAY</option>
                  <option value="OMAN" isocountrycode="OMN">OMAN</option>
                  <option value="PAKISTAN" isocountrycode="PAK">PAKISTAN</option>
                  <option value="PALAU" isocountrycode="PLW">PALAU</option>
                  <option value="PALESTINE. STATE OF" isocountrycode="PSE">PALESTINE. STATE OF</option>
                  <option value="PANAMA" isocountrycode="PAN">PANAMA</option>
                  <option value="PAPUA NEW GUINEA" isocountrycode="PNG">PAPUA NEW GUINEA</option>
                  <option value="PARAGUAY" isocountrycode="PRY">PARAGUAY</option>
                  <option value="PERU" isocountrycode="PER">PERU</option>
                  <option value="PHILIPPINES" isocountrycode="PHL">PHILIPPINES</option>
                  <option value="PITCAIRN" isocountrycode="PCN">PITCAIRN</option>
                  <option value="POLAND" isocountrycode="POL">POLAND</option>
                  <option value="PORTUGAL" isocountrycode="PRT">PORTUGAL</option>
                  <option value="PUERTO RICO" isocountrycode="PRI">PUERTO RICO</option>
                  <option value="QATAR" isocountrycode="QAT">QATAR</option>
                  <option value="RÉUNION" isocountrycode="REU">RÉUNION</option>
                  <option value="ROMANIA" isocountrycode="ROU">ROMANIA</option>
                  <option value="RUSSIAN FEDERATION" isocountrycode="RUS">RUSSIAN FEDERATION</option>
                  <option value="RWANDA" isocountrycode="RWA">RWANDA</option>
                  <option value="SAINT BARTHÉLEMY" isocountrycode="BLM">SAINT BARTHÉLEMY</option>
                  <option value="SAINT HELENA. ASCENSION AND TRISTAN DA CUNHA" isocountrycode="SHN">SAINT HELENA. ASCENSION AND TRISTAN DA CUNHA</option>
                  <option value="SAINT KITTS AND NEVIS" isocountrycode="KNA">SAINT KITTS AND NEVIS</option>
                  <option value="SAINT LUCIA" isocountrycode="LCA">SAINT LUCIA</option>
                  <option value="SAINT MARTIN (FRENCH PART)" isocountrycode="MAF">SAINT MARTIN (FRENCH PART)</option>
                  <option value="SAINT PIERRE AND MIQUELON" isocountrycode="SPM">SAINT PIERRE AND MIQUELON</option>
                  <option value="SAINT VINCENT AND THE GRENADIN" isocountrycode="VCT">SAINT VINCENT AND THE GRENADIN</option>
                  <option value="SAMOA" isocountrycode="WSM">SAMOA</option>
                  <option value="SAN MARINO" isocountrycode="SMR">SAN MARINO</option>
                  <option value="SAO TOME AND PRINCIPE" isocountrycode="STP">SAO TOME AND PRINCIPE</option>
                  <option value="SAUDI ARABIA" isocountrycode="SAU">SAUDI ARABIA</option>
                  <option value="SENEGAL" isocountrycode="SEN">SENEGAL</option>
                  <option value="SERBIA" isocountrycode="SRB">SERBIA</option>
                  <option value="SEYCHELLES" isocountrycode="SYC">SEYCHELLES</option>
                  <option value="SIERRA LEONE" isocountrycode="SLE">SIERRA LEONE</option>
                  <option value="SINGAPORE" isocountrycode="SGP">SINGAPORE</option>
                  <option value="SINT MAARTEN (DUTCH PART)" isocountrycode="SXM">SINT MAARTEN (DUTCH PART)</option>
                  <option value="SLOVAKIA" isocountrycode="SVK">SLOVAKIA</option>
                  <option value="SLOVENIA" isocountrycode="SVN">SLOVENIA</option>
                  <option value="SOLOMON ISLANDS" isocountrycode="SLB">SOLOMON ISLANDS</option>
                  <option value="SOMALIA" isocountrycode="SOM">SOMALIA</option>
                  <option value="SOUTH AFRICA" isocountrycode="ZAF">SOUTH AFRICA</option>
                  <option value="SOUTH GEORGIA AND THE SOUTH SA" isocountrycode="SGS">SOUTH GEORGIA AND THE SOUTH SA</option>
                  <option value="SOUTH SUDAN" isocountrycode="SSD">SOUTH SUDAN</option>
                  <option value="SPAIN" isocountrycode="ESP">SPAIN</option>
                  <option value="SRI LANKA" isocountrycode="LKA">SRI LANKA</option>
                  <option value="SUDAN" isocountrycode="SDN">SUDAN</option>
                  <option value="SURINAME" isocountrycode="SUR">SURINAME</option>
                  <option value="SVALBARD AND JAN MAYEN" isocountrycode="SJM">SVALBARD AND JAN MAYEN</option>
                  <option value="SWAZILAND" isocountrycode="SWZ">SWAZILAND</option>
                  <option value="SWEDEN" isocountrycode="SWE">SWEDEN</option>
                  <option value="SWITZERLAND" isocountrycode="CHE">SWITZERLAND</option>
                  <option value="SYRIAN ARAB REPUBLIC" isocountrycode="SYR">SYRIAN ARAB REPUBLIC</option>
                  <option value="TAIWAN" isocountrycode="TWN">TAIWAN</option>
                  <option value="TAJIKISTAN" isocountrycode="TJK">TAJIKISTAN</option>
                  <option value="TANZANIA, UNITED REPUBLIC OF" isocountrycode="TZA">TANZANIA, UNITED REPUBLIC OF</option>
                  <option value="THAILAND" isocountrycode="THA">THAILAND</option>
                  <option value="TIMOR-LESTE" isocountrycode="TLS">TIMOR-LESTE</option>
                  <option value="TOGO" isocountrycode="TGO">TOGO</option>
                  <option value="TOKELAU" isocountrycode="TKL">TOKELAU</option>
                  <option value="TONGA" isocountrycode="TON">TONGA</option>
                  <option value="TRINIDAD AND TOBAGO" isocountrycode="TTO">TRINIDAD AND TOBAGO</option>
                  <option value="TUNISIA" isocountrycode="TUN">TUNISIA</option>
                  <option value="TURKEY" isocountrycode="TUR">TURKEY</option>
                  <option value="TURKMENISTAN" isocountrycode="TKM">TURKMENISTAN</option>
                  <option value="TURKS AND CAICOS ISLANDS" isocountrycode="TCA">TURKS AND CAICOS ISLANDS</option>
                  <option value="TUVALU" isocountrycode="TUV">TUVALU</option>
                  <option value="UGANDA" isocountrycode="UGA">UGANDA</option>
                  <option value="UKRAINE" isocountrycode="UKR">UKRAINE</option>
                  <option value="UNITED ARAB EMIRATES" isocountrycode="ARE">UNITED ARAB EMIRATES</option>
                  <option value="UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND" isocountrycode="GBR">UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND</option>
                  <option value="UNITED STATES MINOR OUTLYING I" isocountrycode="UMI">UNITED STATES MINOR OUTLYING I</option>
                  <option value="UNITED STATES OF AMERICA" isocountrycode="USA">UNITED STATES OF AMERICA</option>
                  <option value="URUGUAY" isocountrycode="URY">URUGUAY</option>
                  <option value="UZBEKISTAN" isocountrycode="UZB">UZBEKISTAN</option>
                  <option value="VANUATU" isocountrycode="VUT">VANUATU</option>
                  <option value="VENEZUELA (BOLIVARIAN REPUBLIC OF)" isocountrycode="VEN">VENEZUELA (BOLIVARIAN REPUBLIC OF)</option>
                  <option value="VIET NAM" isocountrycode="VNM">VIET NAM</option>
                  <option value="VIRGIN ISLANDS (BRITISH)" isocountrycode="VGB">VIRGIN ISLANDS (BRITISH)</option>
                  <option value="VIRGIN ISLANDS (U.S.)" isocountrycode="VIR">VIRGIN ISLANDS (U.S.)</option>
                  <option value="WALLIS AND FUTUNA" isocountrycode="WLF">WALLIS AND FUTUNA</option>
                  <option value="WESTERN SAHARA" isocountrycode="ESH">WESTERN SAHARA</option>
                  <option value="YEMEN" isocountrycode="YEM">YEMEN</option>
                  <option value="YUGOSLAVIA" isocountrycode="">YUGOSLAVIA</option>
                  <option value="ZAMBIA" isocountrycode="ZMB">ZAMBIA</option>
                  <option value="ZIMBABWE" isocountrycode="ZWE">ZIMBABWE</option>
                </select><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
          </div>
          <div class="row">
            <span class="next btn btn-info pull-right" data-current-block="1" data-next-block="2"><i class="fa fa-angle-double-right fa-2x"></i></span>
          </div>
        </div>
        <!-- panel 2-->
        <div class="wizardpanel block2 hidden" id="block2">
          <div class="row">
            <div class="form-group">
              <label for="paymentoptionid" class="control-label col-xs-2">Payment Method</label>
              <div class="input-group col-xs-8"><select name="paymentoptionid" id="paymentoptionid">
                  <option value="2|EUR">Electronic Transfer [EUR]</option>
                  <option value="2|GBP">Electronic Transfer [GBP]</option>
                </select></div>
            </div>
            <div id="paymentmenu_title" class="row">Electronic Transfer</div>
            <div id="paymentmenu_details" class="row">
              <h3><b> NOTE: </b>If any of the mandatory fields in the "Bank account information" section are not applicable in your country, please enter "NA"</h3>
            </div>
            <div id="paymentmethodcontainer" class="row">
              <div class="form-group">
                <div class="col-xs-10">Bank Account Beneficiary</div>
              </div>
              <div class="form-group  has-feedback"><label for="bankfirstname" class="control-label col-xs-2">First Name</label>
                <div class="input-group col-xs-8"><input type="text" name="bankfirstname" id="bankfirstname" class="{ required: true,messages:{required:'Please enter your firstname'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group  has-feedback"><label for="banklastname" class="control-label col-xs-2">Last Name</label>
                <div class="input-group col-xs-8"><input type="text" name="banklastname" id="banklastname" class="{ required: true,messages:{required:'Please enter your lastsname'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group">
                <div class="col-xs-10">Bank account information</div>
              </div>
              <div class="form-group  has-feedback"><label for="bankcountry" class="control-label col-xs-2">Country</label>
                <div class="input-group col-xs-8"><select name="bankcountry" id="bankcountry" onchange="ApplyCountryRestriction()">
                    <option value="ÅLAND ISLANDS" isocountrycode="ALA">ÅLAND ISLANDS</option>
                    <option value="AFGHANISTAN" isocountrycode="AFG">AFGHANISTAN</option>
                    <option value="ALBANIA" isocountrycode="ALB">ALBANIA</option>
                    <option value="ALGERIA" isocountrycode="DZA">ALGERIA</option>
                    <option value="AMERICAN SAMOA" isocountrycode="ASM">AMERICAN SAMOA</option>
                    <option value="ANDORRA" isocountrycode="AND">ANDORRA</option>
                    <option value="ANGOLA" isocountrycode="AGO">ANGOLA</option>
                    <option value="ANGUILLA" isocountrycode="AIA">ANGUILLA</option>
                    <option value="ANTARCTICA" isocountrycode="ATA">ANTARCTICA</option>
                    <option value="ANTIGUA AND BARBUDA" isocountrycode="ATG">ANTIGUA AND BARBUDA</option>
                    <option value="ARGENTINA" isocountrycode="ARG">ARGENTINA</option>
                    <option value="ARMENIA" isocountrycode="ARM">ARMENIA</option>
                    <option value="ARUBA" isocountrycode="ABW">ARUBA</option>
                    <option value="AUSTRALIA" isocountrycode="AUS">AUSTRALIA</option>
                    <option value="AUSTRIA" isocountrycode="AUT">AUSTRIA</option>
                    <option value="AZERBAIJAN" isocountrycode="AZE">AZERBAIJAN</option>
                    <option value="BAHAMAS" isocountrycode="BHS">BAHAMAS</option>
                    <option value="BAHRAIN" isocountrycode="BHR">BAHRAIN</option>
                    <option value="BANGLADESH" isocountrycode="BGD">BANGLADESH</option>
                    <option value="BARBADOS" isocountrycode="BRB">BARBADOS</option>
                    <option value="BELARUS" isocountrycode="BLR">BELARUS</option>
                    <option value="BELGIUM" isocountrycode="BEL">BELGIUM</option>
                    <option value="BELIZE" isocountrycode="BLZ">BELIZE</option>
                    <option value="BENIN" isocountrycode="BEN">BENIN</option>
                    <option value="BERMUDA" isocountrycode="BMU">BERMUDA</option>
                    <option value="BHUTAN" isocountrycode="BTN">BHUTAN</option>
                    <option value="BOLIVIA (PLURINATIONAL STATE OF)" isocountrycode="BOL">BOLIVIA (PLURINATIONAL STATE OF)</option>
                    <option value="BONAIRE. SINT EUSTATIUS AND SABA" isocountrycode="BES">BONAIRE. SINT EUSTATIUS AND SABA</option>
                    <option value="BOSNIA AND HERZEGOVINA" isocountrycode="BIH">BOSNIA AND HERZEGOVINA</option>
                    <option value="BOTSWANA" isocountrycode="BWA">BOTSWANA</option>
                    <option value="BOUVET ISLAND" isocountrycode="BVT">BOUVET ISLAND</option>
                    <option value="BRAZIL" isocountrycode="BRA">BRAZIL</option>
                    <option value="BRITISH INDIAN OCEAN TERRITORY" isocountrycode="IOT">BRITISH INDIAN OCEAN TERRITORY</option>
                    <option value="BRUNEI DARUSSALAM" isocountrycode="BRN">BRUNEI DARUSSALAM</option>
                    <option value="BULGARIA" isocountrycode="BGR">BULGARIA</option>
                    <option value="BURKINA FASO" isocountrycode="BFA">BURKINA FASO</option>
                    <option value="BURUNDI" isocountrycode="BDI">BURUNDI</option>
                    <option value="CôTE D'IVOIRE" isocountrycode="CIV">CôTE D'IVOIRE</option>
                    <option value="CABO VERDE" isocountrycode="CPV">CABO VERDE</option>
                    <option value="CAMBODIA" isocountrycode="KHM">CAMBODIA</option>
                    <option value="CAMEROON" isocountrycode="CMR">CAMEROON</option>
                    <option value="CANADA" isocountrycode="CAN">CANADA</option>
                    <option value="CAYMAN ISLANDS" isocountrycode="CYM">CAYMAN ISLANDS</option>
                    <option value="CENTRAL AFRICAN REPUBLIC" isocountrycode="CAF">CENTRAL AFRICAN REPUBLIC</option>
                    <option value="CHAD" isocountrycode="TCD">CHAD</option>
                    <option value="CHILE" isocountrycode="CHL">CHILE</option>
                    <option value="CHINA" isocountrycode="CHN">CHINA</option>
                    <option value="CHRISTMAS ISLAND" isocountrycode="CXR">CHRISTMAS ISLAND</option>
                    <option value="COCOS (KEELING) ISLANDS" isocountrycode="CCK">COCOS (KEELING) ISLANDS</option>
                    <option value="COLOMBIA" isocountrycode="COL">COLOMBIA</option>
                    <option value="COMOROS" isocountrycode="COM">COMOROS</option>
                    <option value="CONGO" isocountrycode="COG">CONGO</option>
                    <option value="CONGO (DEMOCRATIC REPUBLIC OF THE)" isocountrycode="COD">CONGO (DEMOCRATIC REPUBLIC OF THE)</option>
                    <option value="COOK ISLANDS" isocountrycode="COK">COOK ISLANDS</option>
                    <option value="COSTA RICA" isocountrycode="CRI">COSTA RICA</option>
                    <option value="CROATIA" isocountrycode="HRV">CROATIA</option>
                    <option value="CUBA" isocountrycode="CUB">CUBA</option>
                    <option value="CURAÇAO" isocountrycode="CUW">CURAÇAO</option>
                    <option value="CYPRUS" isocountrycode="CYP">CYPRUS</option>
                    <option value="CZECHIA" isocountrycode="CZE">CZECHIA</option>
                    <option value="DENMARK" isocountrycode="DNK">DENMARK</option>
                    <option value="DJIBOUTI" isocountrycode="DJI">DJIBOUTI</option>
                    <option value="DOMINICA" isocountrycode="DMA">DOMINICA</option>
                    <option value="DOMINICAN REPUBLIC" isocountrycode="DOM">DOMINICAN REPUBLIC</option>
                    <option value="ECUADOR" isocountrycode="ECU">ECUADOR</option>
                    <option value="EGYPT" isocountrycode="EGY">EGYPT</option>
                    <option value="EL SALVADOR" isocountrycode="SLV">EL SALVADOR</option>
                    <option value="EQUATORIAL GUINEA" isocountrycode="GNQ">EQUATORIAL GUINEA</option>
                    <option value="ERITREA" isocountrycode="ERI">ERITREA</option>
                    <option value="ESTONIA" isocountrycode="EST">ESTONIA</option>
                    <option value="ETHIOPIA" isocountrycode="ETH">ETHIOPIA</option>
                    <option value="FALKLAND ISLANDS (MALVINAS)" isocountrycode="FLK">FALKLAND ISLANDS (MALVINAS)</option>
                    <option value="FAROE ISLANDS" isocountrycode="FRO">FAROE ISLANDS</option>
                    <option value="FIJI" isocountrycode="FJI">FIJI</option>
                    <option value="FINLAND" isocountrycode="FIN">FINLAND</option>
                    <option value="FRANCE" isocountrycode="FRA">FRANCE</option>
                    <option value="FRENCH GUIANA" isocountrycode="GUF">FRENCH GUIANA</option>
                    <option value="FRENCH POLYNESIA" isocountrycode="PYF">FRENCH POLYNESIA</option>
                    <option value="FRENCH SOUTHERN TERRITORIES" isocountrycode="ATF">FRENCH SOUTHERN TERRITORIES</option>
                    <option value="GABON" isocountrycode="GAB">GABON</option>
                    <option value="GAMBIA" isocountrycode="GMB">GAMBIA</option>
                    <option value="GEORGIA" isocountrycode="GEO">GEORGIA</option>
                    <option value="GERMANY" isocountrycode="DEU">GERMANY</option>
                    <option value="GHANA" isocountrycode="GHA">GHANA</option>
                    <option value="GIBRALTAR" isocountrycode="GIB">GIBRALTAR</option>
                    <option value="GREECE" isocountrycode="GRC">GREECE</option>
                    <option value="GREENLAND" isocountrycode="GRL">GREENLAND</option>
                    <option value="GRENADA" isocountrycode="GRD">GRENADA</option>
                    <option value="GUADELOUPE" isocountrycode="GLP">GUADELOUPE</option>
                    <option value="GUAM" isocountrycode="GUM">GUAM</option>
                    <option value="GUATEMALA" isocountrycode="GTM">GUATEMALA</option>
                    <option value="GUERNSEY" isocountrycode="GGY">GUERNSEY</option>
                    <option value="GUINEA" isocountrycode="GIN">GUINEA</option>
                    <option value="GUINEA-BISSAU" isocountrycode="GNB">GUINEA-BISSAU</option>
                    <option value="GUYANA" isocountrycode="GUY">GUYANA</option>
                    <option value="HAITI" isocountrycode="HTI">HAITI</option>
                    <option value="HEARD ISLAND AND MCDONALD ISLA" isocountrycode="HMD">HEARD ISLAND AND MCDONALD ISLA</option>
                    <option value="HOLY SEE" isocountrycode="VAT">HOLY SEE</option>
                    <option value="HONDURAS" isocountrycode="HND">HONDURAS</option>
                    <option value="HONG KONG" isocountrycode="HKG">HONG KONG</option>
                    <option value="HUNGARY" isocountrycode="HUN">HUNGARY</option>
                    <option value="ICELAND" isocountrycode="ISL">ICELAND</option>
                    <option value="INDIA" isocountrycode="IND">INDIA</option>
                    <option value="INDONESIA" isocountrycode="IDN">INDONESIA</option>
                    <option value="IRAN (ISLAMIC REPUBLIC OF)" isocountrycode="IRN">IRAN (ISLAMIC REPUBLIC OF)</option>
                    <option value="IRAQ" isocountrycode="IRQ">IRAQ</option>
                    <option value="IRELAND" isocountrycode="IRL">IRELAND</option>
                    <option value="ISLE OF MAN" isocountrycode="IMN">ISLE OF MAN</option>
                    <option value="ISRAEL" isocountrycode="ISR">ISRAEL</option>
                    <option value="ITALY" isocountrycode="ITA">ITALY</option>
                    <option value="JAMAICA" isocountrycode="JAM">JAMAICA</option>
                    <option value="JAPAN" isocountrycode="JPN">JAPAN</option>
                    <option value="JERSEY" isocountrycode="JEY">JERSEY</option>
                    <option value="JORDAN" isocountrycode="JOR">JORDAN</option>
                    <option value="KAZAKHSTAN" isocountrycode="KAZ">KAZAKHSTAN</option>
                    <option value="KENYA" isocountrycode="KEN">KENYA</option>
                    <option value="KIRIBATI" isocountrycode="KIR">KIRIBATI</option>
                    <option value="KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)" isocountrycode="PRK">KOREA (DEMOCRATIC PEOPLE'S REPUBLIC OF)</option>
                    <option value="KOREA (REPUBLIC OF)" isocountrycode="KOR">KOREA (REPUBLIC OF)</option>
                    <option value="KUWAIT" isocountrycode="KWT">KUWAIT</option>
                    <option value="KYRGYZSTAN" isocountrycode="KGZ">KYRGYZSTAN</option>
                    <option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC" isocountrycode="LAO">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
                    <option value="LATVIA" isocountrycode="LVA">LATVIA</option>
                    <option value="LEBANON" isocountrycode="LBN">LEBANON</option>
                    <option value="LESOTHO" isocountrycode="LSO">LESOTHO</option>
                    <option value="LIBERIA" isocountrycode="LBR">LIBERIA</option>
                    <option value="LIBYA" isocountrycode="LBY">LIBYA</option>
                    <option value="LIECHTENSTEIN" isocountrycode="LIE">LIECHTENSTEIN</option>
                    <option value="LITHUANIA" isocountrycode="LTU">LITHUANIA</option>
                    <option value="LUXEMBOURG" isocountrycode="LUX">LUXEMBOURG</option>
                    <option value="MACAO" isocountrycode="MAC">MACAO</option>
                    <option value="MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)" isocountrycode="MKD">MACEDONIA (THE FORMER YUGOSLAV REPUBLIC OF)</option>
                    <option value="MADAGASCAR" isocountrycode="MDG">MADAGASCAR</option>
                    <option value="MALAWI" isocountrycode="MWI">MALAWI</option>
                    <option value="MALAYSIA" isocountrycode="MYS">MALAYSIA</option>
                    <option value="MALDIVES" isocountrycode="MDV">MALDIVES</option>
                    <option value="MALI" isocountrycode="MLI">MALI</option>
                    <option value="MALTA" isocountrycode="MLT">MALTA</option>
                    <option value="MARSHALL ISLANDS" isocountrycode="MHL">MARSHALL ISLANDS</option>
                    <option value="MARTINIQUE" isocountrycode="MTQ">MARTINIQUE</option>
                    <option value="MAURITANIA" isocountrycode="MRT">MAURITANIA</option>
                    <option value="MAURITIUS" isocountrycode="MUS">MAURITIUS</option>
                    <option value="MAYOTTE" isocountrycode="MYT">MAYOTTE</option>
                    <option value="MEXICO" isocountrycode="MEX">MEXICO</option>
                    <option value="MICRONESIA (FEDERATED STATES OF)" isocountrycode="FSM">MICRONESIA (FEDERATED STATES OF)</option>
                    <option value="MOLDOVA (REPUBLIC OF)" isocountrycode="MDA">MOLDOVA (REPUBLIC OF)</option>
                    <option value="MONACO" isocountrycode="MCO">MONACO</option>
                    <option value="MONGOLIA" isocountrycode="MNG">MONGOLIA</option>
                    <option value="MONTENEGRO" isocountrycode="MNE">MONTENEGRO</option>
                    <option value="MONTSERRAT" isocountrycode="MSR">MONTSERRAT</option>
                    <option value="MOROCCO" isocountrycode="MAR">MOROCCO</option>
                    <option value="MOZAMBIQUE" isocountrycode="MOZ">MOZAMBIQUE</option>
                    <option value="MYANMAR" isocountrycode="MMR">MYANMAR</option>
                    <option value="NAMIBIA" isocountrycode="NAM">NAMIBIA</option>
                    <option value="NAURU" isocountrycode="NRU">NAURU</option>
                    <option value="NEPAL" isocountrycode="NPL">NEPAL</option>
                    <option value="NETHERLANDS" isocountrycode="NLD">NETHERLANDS</option>
                    <option value="NETHERLANDS ANTILLES" isocountrycode="ANT">NETHERLANDS ANTILLES</option>
                    <option value="NEW CALEDONIA" isocountrycode="NCL">NEW CALEDONIA</option>
                    <option value="NEW ZEALAND" isocountrycode="NZL">NEW ZEALAND</option>
                    <option value="NICARAGUA" isocountrycode="NIC">NICARAGUA</option>
                    <option value="NIGER" isocountrycode="NER">NIGER</option>
                    <option value="NIGERIA" isocountrycode="NGA">NIGERIA</option>
                    <option value="NIUE" isocountrycode="NIU">NIUE</option>
                    <option value="NORFOLK ISLAND" isocountrycode="NFK">NORFOLK ISLAND</option>
                    <option value="NORTHERN MARIANA ISLANDS" isocountrycode="MNP">NORTHERN MARIANA ISLANDS</option>
                    <option value="NORWAY" isocountrycode="NOR">NORWAY</option>
                    <option value="OMAN" isocountrycode="OMN">OMAN</option>
                    <option value="PAKISTAN" isocountrycode="PAK">PAKISTAN</option>
                    <option value="PALAU" isocountrycode="PLW">PALAU</option>
                    <option value="PALESTINE. STATE OF" isocountrycode="PSE">PALESTINE. STATE OF</option>
                    <option value="PANAMA" isocountrycode="PAN">PANAMA</option>
                    <option value="PAPUA NEW GUINEA" isocountrycode="PNG">PAPUA NEW GUINEA</option>
                    <option value="PARAGUAY" isocountrycode="PRY">PARAGUAY</option>
                    <option value="PERU" isocountrycode="PER">PERU</option>
                    <option value="PHILIPPINES" isocountrycode="PHL">PHILIPPINES</option>
                    <option value="PITCAIRN" isocountrycode="PCN">PITCAIRN</option>
                    <option value="POLAND" isocountrycode="POL">POLAND</option>
                    <option value="PORTUGAL" isocountrycode="PRT">PORTUGAL</option>
                    <option value="PUERTO RICO" isocountrycode="PRI">PUERTO RICO</option>
                    <option value="QATAR" isocountrycode="QAT">QATAR</option>
                    <option value="RÉUNION" isocountrycode="REU">RÉUNION</option>
                    <option value="ROMANIA" isocountrycode="ROU">ROMANIA</option>
                    <option value="RUSSIAN FEDERATION" isocountrycode="RUS">RUSSIAN FEDERATION</option>
                    <option value="RWANDA" isocountrycode="RWA">RWANDA</option>
                    <option value="SAINT BARTHÉLEMY" isocountrycode="BLM">SAINT BARTHÉLEMY</option>
                    <option value="SAINT HELENA. ASCENSION AND TRISTAN DA CUNHA" isocountrycode="SHN">SAINT HELENA. ASCENSION AND TRISTAN DA CUNHA</option>
                    <option value="SAINT KITTS AND NEVIS" isocountrycode="KNA">SAINT KITTS AND NEVIS</option>
                    <option value="SAINT LUCIA" isocountrycode="LCA">SAINT LUCIA</option>
                    <option value="SAINT MARTIN (FRENCH PART)" isocountrycode="MAF">SAINT MARTIN (FRENCH PART)</option>
                    <option value="SAINT PIERRE AND MIQUELON" isocountrycode="SPM">SAINT PIERRE AND MIQUELON</option>
                    <option value="SAINT VINCENT AND THE GRENADIN" isocountrycode="VCT">SAINT VINCENT AND THE GRENADIN</option>
                    <option value="SAMOA" isocountrycode="WSM">SAMOA</option>
                    <option value="SAN MARINO" isocountrycode="SMR">SAN MARINO</option>
                    <option value="SAO TOME AND PRINCIPE" isocountrycode="STP">SAO TOME AND PRINCIPE</option>
                    <option value="SAUDI ARABIA" isocountrycode="SAU">SAUDI ARABIA</option>
                    <option value="SENEGAL" isocountrycode="SEN">SENEGAL</option>
                    <option value="SERBIA" isocountrycode="SRB">SERBIA</option>
                    <option value="SEYCHELLES" isocountrycode="SYC">SEYCHELLES</option>
                    <option value="SIERRA LEONE" isocountrycode="SLE">SIERRA LEONE</option>
                    <option value="SINGAPORE" isocountrycode="SGP">SINGAPORE</option>
                    <option value="SINT MAARTEN (DUTCH PART)" isocountrycode="SXM">SINT MAARTEN (DUTCH PART)</option>
                    <option value="SLOVAKIA" isocountrycode="SVK">SLOVAKIA</option>
                    <option value="SLOVENIA" isocountrycode="SVN">SLOVENIA</option>
                    <option value="SOLOMON ISLANDS" isocountrycode="SLB">SOLOMON ISLANDS</option>
                    <option value="SOMALIA" isocountrycode="SOM">SOMALIA</option>
                    <option value="SOUTH AFRICA" isocountrycode="ZAF">SOUTH AFRICA</option>
                    <option value="SOUTH GEORGIA AND THE SOUTH SA" isocountrycode="SGS">SOUTH GEORGIA AND THE SOUTH SA</option>
                    <option value="SOUTH SUDAN" isocountrycode="SSD">SOUTH SUDAN</option>
                    <option value="SPAIN" isocountrycode="ESP">SPAIN</option>
                    <option value="SRI LANKA" isocountrycode="LKA">SRI LANKA</option>
                    <option value="SUDAN" isocountrycode="SDN">SUDAN</option>
                    <option value="SURINAME" isocountrycode="SUR">SURINAME</option>
                    <option value="SVALBARD AND JAN MAYEN" isocountrycode="SJM">SVALBARD AND JAN MAYEN</option>
                    <option value="SWAZILAND" isocountrycode="SWZ">SWAZILAND</option>
                    <option value="SWEDEN" isocountrycode="SWE">SWEDEN</option>
                    <option value="SWITZERLAND" isocountrycode="CHE">SWITZERLAND</option>
                    <option value="SYRIAN ARAB REPUBLIC" isocountrycode="SYR">SYRIAN ARAB REPUBLIC</option>
                    <option value="TAIWAN" isocountrycode="TWN">TAIWAN</option>
                    <option value="TAJIKISTAN" isocountrycode="TJK">TAJIKISTAN</option>
                    <option value="TANZANIA, UNITED REPUBLIC OF" isocountrycode="TZA">TANZANIA, UNITED REPUBLIC OF</option>
                    <option value="THAILAND" isocountrycode="THA">THAILAND</option>
                    <option value="TIMOR-LESTE" isocountrycode="TLS">TIMOR-LESTE</option>
                    <option value="TOGO" isocountrycode="TGO">TOGO</option>
                    <option value="TOKELAU" isocountrycode="TKL">TOKELAU</option>
                    <option value="TONGA" isocountrycode="TON">TONGA</option>
                    <option value="TRINIDAD AND TOBAGO" isocountrycode="TTO">TRINIDAD AND TOBAGO</option>
                    <option value="TUNISIA" isocountrycode="TUN">TUNISIA</option>
                    <option value="TURKEY" isocountrycode="TUR">TURKEY</option>
                    <option value="TURKMENISTAN" isocountrycode="TKM">TURKMENISTAN</option>
                    <option value="TURKS AND CAICOS ISLANDS" isocountrycode="TCA">TURKS AND CAICOS ISLANDS</option>
                    <option value="TUVALU" isocountrycode="TUV">TUVALU</option>
                    <option value="UGANDA" isocountrycode="UGA">UGANDA</option>
                    <option value="UKRAINE" isocountrycode="UKR">UKRAINE</option>
                    <option value="UNITED ARAB EMIRATES" isocountrycode="ARE">UNITED ARAB EMIRATES</option>
                    <option value="UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND" isocountrycode="GBR">UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND</option>
                    <option value="UNITED STATES MINOR OUTLYING I" isocountrycode="UMI">UNITED STATES MINOR OUTLYING I</option>
                    <option value="UNITED STATES OF AMERICA" isocountrycode="USA">UNITED STATES OF AMERICA</option>
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                    <option value="VANUATU" isocountrycode="VUT">VANUATU</option>
                    <option value="VENEZUELA (BOLIVARIAN REPUBLIC OF)" isocountrycode="VEN">VENEZUELA (BOLIVARIAN REPUBLIC OF)</option>
                    <option value="VIET NAM" isocountrycode="VNM">VIET NAM</option>
                    <option value="VIRGIN ISLANDS (BRITISH)" isocountrycode="VGB">VIRGIN ISLANDS (BRITISH)</option>
                    <option value="VIRGIN ISLANDS (U.S.)" isocountrycode="VIR">VIRGIN ISLANDS (U.S.)</option>
                    <option value="WALLIS AND FUTUNA" isocountrycode="WLF">WALLIS AND FUTUNA</option>
                    <option value="WESTERN SAHARA" isocountrycode="ESH">WESTERN SAHARA</option>
                    <option value="YEMEN" isocountrycode="YEM">YEMEN</option>
                    <option value="YUGOSLAVIA" isocountrycode="">YUGOSLAVIA</option>
                    <option value="ZAMBIA" isocountrycode="ZMB">ZAMBIA</option>
                    <option value="ZIMBABWE" isocountrycode="ZWE">ZIMBABWE</option>
                  </select> &nbsp;</div>
              </div>
              <div class="form-group  has-feedback"><label for="pmfield2" class="control-label col-xs-2">IBAN</label>
                <div class="input-group col-xs-8"><input type="text" name="pmfield2" id="pmfield2" minlength="1" maxlength="255" class="{ required: false } " alphanumeric="true" nocreditcard="true" onchange="ApplyCountryFieldsValidation(this)">
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              <div class="form-group  has-feedback"><label for="accountno" class="control-label col-xs-2">Account No</label>
                <div class="input-group col-xs-8"><input type="text" name="accountno" id="accountno" class="{ required: true,messages:{required:'Please enter your Account Number'}}" required="true" nocreditcard="true"> <span
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              <div class="form-group">
                <div class="col-xs-10">Electronic transfer bank</div>
              </div>
              <div class="form-group  has-feedback"><label for="bankname" class="control-label col-xs-2">Bank Name</label>
                <div class="input-group col-xs-8"><input type="text" name="bankname" id="bankname" class="{ required: true,messages:{required:'Please enter your Bank Name'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
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              <div class="form-group  has-feedback"><label for="swiftbsb" class="control-label col-xs-2">SWIFT / BSB</label>
                <div class="input-group col-xs-8"><input type="text" name="swiftbsb" id="swiftbsb" class="{ required: true,messages:{required:'Please enter your Swift or BSB Number'}}" required="true" nocreditcard="true"
                    onchange="ApplyCountryFieldsValidation(this)"> <span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group">
                <div class="col-xs-10">Bank additional information</div>
              </div>
              <div class="form-group  has-feedback"><label for="bankaddress1" class="control-label col-xs-2">Address 1</label>
                <div class="input-group col-xs-8"><input type="text" name="bankaddress1" id="bankaddress1" class="{ required: true,messages:{required:'Please enter your street Address'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group  has-feedback"><label for="bankaddress2" class="control-label col-xs-2">City</label>
                <div class="input-group col-xs-8"><input type="text" name="bankaddress2" id="bankaddress2" class="{ required: false } " nocreditcard="true"> &nbsp;</div>
              </div>
              <div class="form-group  has-feedback"><label for="bankcity" class="control-label col-xs-2">City</label>
                <div class="input-group col-xs-8"><input type="text" name="bankcity" id="bankcity" class="{ required: true,messages:{required:'Please enter your City'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group  has-feedback"><label for="bankstate" class="control-label col-xs-2">State</label>
                <div class="input-group col-xs-8"><input type="text" name="bankstate" id="bankstate" class="{ required: true,messages:{required:'please enter your State or Province'}}" required="true" nocreditcard="true"> <span
                    class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
              </div>
              <div class="form-group">
                <div class="col-xs-10">Additional info</div>
              </div>
              <div class="form-group  has-feedback"><label for="extrainfo" class="control-label col-xs-2"></label>
                <div class="input-group col-xs-8"><textarea name="extrainfo" id="extrainfo" cols="50" rows="4"> </textarea> &nbsp;</div>
              </div>
            </div>
          </div>
          <div class="row">
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        </div>
        <!-- panel last-->
        <div class="wizardpanel block3 hidden" id="block3">
          <div class="row">
            <div class="form-group has-feedback"><label for="siteurl" class="control-label col-xs-2">Website URL </label>
              <div class="input-group col-xs-10"><input name="siteurl" id="siteurl" type="text" value="http://" url="true" maxlength="140" size="40" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="targetmarket" class="control-label col-xs-2">Principal Target Market </label>
              <div class="input-group col-xs-10"><select name="targetmarket" id="targetmarket" required="true" class="{required:true,messages:{required:'Select an option that best describes your Primary Target Market.'}}"="true"="">
                  <option value=""></option> @status=1,@langid=1<option value="Austria">Austria</option>
                  <option value="Finland">Finland</option>
                  <option value="Ireland">Ireland</option>
                  <option value="Norway">Norway</option>
                  <option value="Other">Other</option>
                  <option value="UK">UK</option>
                </select><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group">
              <div class="col-xs-2"></div>
              <div class="col-xs-10">
                <b>Select merchant/brand you are applying for:</b>
              </div>
            </div>
            <div class="form-group">
              <div class="col-xs-2"></div>
              <div class="col-xs-10">
                <table width="100%">
                  <tbody>
                    <tr>
                      <td width="20">
                        <input type="checkbox" name="Registration_Submit_Merchants_Standard" value="2,3,4" class="formcontrol input-sm BrandCheck" onclick="TestCheckboxes(this)">
                      </td>
                      <td align="left">&nbsp;&nbsp;Kwiff</td>
                    </tr>
                    <tr>
                      <td width="20">
                        <input type="checkbox" name="Registration_Submit_Merchants_Standard" value="5,6,7" class="formcontrol input-sm BrandCheck" onclick="TestCheckboxes(this)">
                      </td>
                      <td align="left">&nbsp;&nbsp;Betkwiff</td>
                    </tr>
                    <tr>
                      <td width="20">
                        <input type="checkbox" name="Registration_Submit_Merchants_Standard" value="8,9,10" class="formcontrol input-sm BrandCheck" onclick="TestCheckboxes(this)">
                      </td>
                      <td align="left">&nbsp;&nbsp;Betkwiff Brazil</td>
                    </tr>
                    <tr>
                      <td width="20">
                        <input type="checkbox" name="Registration_Submit_Merchants_Standard" value="11,12,13" class="formcontrol input-sm BrandCheck" onclick="TestCheckboxes(this)">
                      </td>
                      <td align="left">&nbsp;&nbsp;Betkwiff Finland</td>
                    </tr>
                  </tbody>
                </table>
              </div>
            </div>
            <div class="form-group has-feedback"><label for="prefcontact" class="control-label col-xs-2">Your Preferred contact method </label>
              <div class="input-group col-xs-10"><select name="prefcontact" id="prefcontact" allowedstring="true">
                  <option value="email">Email</option>
                  <option value="phone">Phone Number</option>
                </select><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="hearaboutus" class="control-label col-xs-2">How did you hear about us </label>
              <div class="input-group col-xs-10"><select name="hearaboutus" id="hearaboutus" required="true" class="{required:true,messages:{required:'Enter how you heard about us'}}" allowedstring="true">
                  <option value="" selected=""></option>
                  <option value="13">Affiliate Manager</option>
                  <option value="15">Affiliate Sites</option>
                  <option value="7">Conference</option>
                  <option value="14">Google</option>
                  <option value="1">Income Access PR</option>
                  <option value="12">Other</option>
                  <option value="11">Social Media</option>
                </select><span class="input-group-addon"><i class="fa fa fa-asterisk "></i></span></div>
            </div>
            <div class="form-group has-feedback"><label for="customfield1" class="control-label col-xs-2">VAT Number </label>
              <div class="input-group col-xs-10"><input type="text" name="customfield1" id="customfield1" isvat="true" value="" size="40" maxlength="20" minlength=""><span class="input-group-addon"><i class="fa  "></i></span></div>
            </div>
            <div class="form-group has-feedback">
              <div class="col-xs-2"></div>
              <div class="input-group col-xs-2"><input name="optinagree" id="optinagree" type="checkbox" class="formcontrol input-sm"></div>
              <div class="col-xs-8">
                <a href="terms_and_conditions.asp" target="_blank"><b>By checking the box you agree to opt into our network communications. These include network announcements and newsletters. You can manage your subscriptions by logging in to your user account.</b></a>
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            <div class="form-group has-feedback">
              <div class="col-xs-2"></div>
              <div class="input-group col-xs-2"><input name="tcagree" id="tcagree" type="checkbox" required="true" class="formcontrol input-sm"></div>
              <div class="col-xs-8"><a href="terms_and_conditions.asp" target="_blank"><b>Terms and Conditions</b> before proceeding with your application </a></div>
            </div>
          </div>
          <div class="row">
            <span class="next btn btn-info pull-left" data-current-block="3" data-next-block="2"><i class="fa fa-angle-double-left fa-2x"></i></span>
            <span class="pull-right"><input class="btn btn-default pull-right" id="signupsubmit" name="signup" type="submit" value="Join Now"></span>
          </div>
        </div>
      </div> <!-- /wizard-wrapper -->
    </div> <!-- /widget-container -->
  </div> <!-- /widget  -->
  <script>
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    value="">
</form>

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 * 3ADDITIONAL


PERSONAL DETAILS

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CONTACT DETAILS

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First Name

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Company Name

Contact Phone

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Company Registration Number

Skype Name

Address 1

City

State

Zip

Country
ÅLAND ISLANDSAFGHANISTANALBANIAALGERIAAMERICAN
SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND
BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIA
(PLURINATIONAL STATE OF)BONAIRE. SINT EUSTATIUS AND SABABOSNIA AND
HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI
DARUSSALAMBULGARIABURKINA FASOBURUNDICôTE D'IVOIRECABO
VERDECAMBODIACAMEROONCANADACAYMAN ISLANDSCENTRAL AFRICAN
REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING)
ISLANDSCOLOMBIACOMOROSCONGOCONGO (DEMOCRATIC REPUBLIC OF THE)COOK ISLANDSCOSTA
RICACROATIACUBACURAÇAOCYPRUSCZECHIADENMARKDJIBOUTIDOMINICADOMINICAN
REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND
ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH
POLYNESIAFRENCH SOUTHERN
TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUERNSEYGUINEAGUINEA-BISSAUGUYANAHAITIHEARD
ISLAND AND MCDONALD ISLAHOLY SEEHONDURASHONG
KONGHUNGARYICELANDINDIAINDONESIAIRAN (ISLAMIC REPUBLIC OF)IRAQIRELANDISLE OF
MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA (DEMOCRATIC
PEOPLE'S REPUBLIC OF)KOREA (REPUBLIC OF)KUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC
REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA
(THE FORMER YUGOSLAV REPUBLIC
OF)MADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL
ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA (FEDERATED STATES
OF)MOLDOVA (REPUBLIC
OF)MONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS
ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN
MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINE. STATE OFPANAMAPAPUA NEW
GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO
RICOQATARRÉUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT BARTHÉLEMYSAINT HELENA.
ASCENSION AND TRISTAN DA CUNHASAINT KITTS AND NEVISSAINT LUCIASAINT MARTIN
(FRENCH PART)SAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINSAMOASAN
MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA
LEONESINGAPORESINT MAARTEN (DUTCH PART)SLOVAKIASLOVENIASOLOMON
ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SASOUTH SUDANSPAINSRI
LANKASUDANSURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB
REPUBLICTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC
OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND
TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED
ARAB EMIRATESUNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELANDUNITED STATES
MINOR OUTLYING IUNITED STATES OF AMERICAURUGUAYUZBEKISTANVANUATUVENEZUELA
(BOLIVARIAN REPUBLIC OF)VIET NAMVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS
(U.S.)WALLIS AND FUTUNAWESTERN SAHARAYEMENYUGOSLAVIAZAMBIAZIMBABWE

Payment Method
Electronic Transfer [EUR]Electronic Transfer [GBP]
Electronic Transfer


NOTE: IF ANY OF THE MANDATORY FIELDS IN THE "BANK ACCOUNT INFORMATION" SECTION
ARE NOT APPLICABLE IN YOUR COUNTRY, PLEASE ENTER "NA"

Bank Account Beneficiary
First Name

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Bank account information
Country
ÅLAND ISLANDSAFGHANISTANALBANIAALGERIAAMERICAN
SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND
BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIA
(PLURINATIONAL STATE OF)BONAIRE. SINT EUSTATIUS AND SABABOSNIA AND
HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI
DARUSSALAMBULGARIABURKINA FASOBURUNDICôTE D'IVOIRECABO
VERDECAMBODIACAMEROONCANADACAYMAN ISLANDSCENTRAL AFRICAN
REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING)
ISLANDSCOLOMBIACOMOROSCONGOCONGO (DEMOCRATIC REPUBLIC OF THE)COOK ISLANDSCOSTA
RICACROATIACUBACURAÇAOCYPRUSCZECHIADENMARKDJIBOUTIDOMINICADOMINICAN
REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND
ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH
POLYNESIAFRENCH SOUTHERN
TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUERNSEYGUINEAGUINEA-BISSAUGUYANAHAITIHEARD
ISLAND AND MCDONALD ISLAHOLY SEEHONDURASHONG
KONGHUNGARYICELANDINDIAINDONESIAIRAN (ISLAMIC REPUBLIC OF)IRAQIRELANDISLE OF
MANISRAELITALYJAMAICAJAPANJERSEYJORDANKAZAKHSTANKENYAKIRIBATIKOREA (DEMOCRATIC
PEOPLE'S REPUBLIC OF)KOREA (REPUBLIC OF)KUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC
REPUBLICLATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA
(THE FORMER YUGOSLAV REPUBLIC
OF)MADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL
ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA (FEDERATED STATES
OF)MOLDOVA (REPUBLIC
OF)MONACOMONGOLIAMONTENEGROMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS
ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN
MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINE. STATE OFPANAMAPAPUA NEW
GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO
RICOQATARRÉUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT BARTHÉLEMYSAINT HELENA.
ASCENSION AND TRISTAN DA CUNHASAINT KITTS AND NEVISSAINT LUCIASAINT MARTIN
(FRENCH PART)SAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINSAMOASAN
MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIASEYCHELLESSIERRA
LEONESINGAPORESINT MAARTEN (DUTCH PART)SLOVAKIASLOVENIASOLOMON
ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SASOUTH SUDANSPAINSRI
LANKASUDANSURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDSYRIAN ARAB
REPUBLICTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC
OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND
TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED
ARAB EMIRATESUNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELANDUNITED STATES
MINOR OUTLYING IUNITED STATES OF AMERICAURUGUAYUZBEKISTANVANUATUVENEZUELA
(BOLIVARIAN REPUBLIC OF)VIET NAMVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS
(U.S.)WALLIS AND FUTUNAWESTERN SAHARAYEMENYUGOSLAVIAZAMBIAZIMBABWE  
IBAN
 
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