wildpharao.com Open in urlscan Pro
2606:4700:3037::ac43:87cd Public Scan

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Submitted URL:
http://acamed.tk/
Effective URL:
https://wildpharao.com/?btag=8689247_148773
Submission: On April 14 via api (April 14th 2022, 5:12:14 am UTC) from US — Scanned from DE

Form analysis
4 forms found in the DOM

GET https://wildpharao.com/

<form role="search" method="get" class="search-form" action="https://wildpharao.com/">
  <label>
    <span class="screen-reader-text">Search for:</span>
    <input type="search" class="search-field" placeholder="Search …" value="" name="s">
  </label>
  <input type="submit" class="search-submit" value="Search">
</form>

Name: arm_form — POST

<form method="post"
  class="arm_form arm_shortcode_form arm_form_103 arm_form_layout_writer armf_alignment_left armf_layout_block armf_button_position_center arm_form_ltr arm_form_style_bright_cyan armAngularInit arm_cl_103_9pRnIjwfX8 ng-pristine ng-scope ng-invalid ng-invalid-required"
  enctype="multipart/form-data" novalidate="" name="arm_form" id="arm_form103_9pRnIjwfX8" data-ng-controller="ARMCtrl" data-ng-id="103" data-ng-submit="armFormSubmit(arm_form.$valid, 'arm_form103_9pRnIjwfX8', $event);" onsubmit="return false;"
  style="width: 100%;" data-random-id="103_9pRnIjwfX8"><input type="text" name="arm_filter_input" arm_register="true" data-random-key="103_9pRnIjwfX8" value="" style="opacity:0 !important;display:none !important;visibility:hidden !important;">
  <style type="text/css" id="arm_form_style_103">
    .arm_form_103 .arm_editor_form_fileds_wrapper,
    .arm_form_103 .arm_form_inner_container {
      padding-top: 30px !important;
      padding-bottom: 30px !important;
      padding-right: 30px !important;
      padding-left: 30px !important;
    }

    .arm_popup_member_form_103 .arm_form_message_container {
      max-width: 100%;
      width: 550px;
      margin: 0 auto;
    }

    .arm_popup_member_form_103 .arm_form_heading_container,
    .arm_form_103 .arm_form_heading_container,
    .arm_form_103 .arm_update_card_form_heading_container .arm_form_field_label_wrapper_text,
    .arm_form_103 .arm_form_heading_container,
    .arm_form_103 .arm_form_heading_container .arm_form_field_label_wrapper_text {
      color: #555555;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 28px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_103 .arm_registration_link,
    .arm_form_103 .arm_forgotpassword_link {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_103 .arm_pass_strength_meter {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_103 .arm_registration_link a,
    .arm_form_103 .arm_forgotpassword_link a {
      color: #23b7e5 !important;
    }

    .arm_form_103 .arm_reg_login_links a {
      color: #23b7e5 !important;
    }

    .arm_form_103 .arm_form_field_container .arm_registration_link,
    .arm_form_103 .arm_form_field_container.arm_registration_link,
    .arm_form_103 .arm_registration_link {
      margin: 0px 0px 0px 0px !important;
    }

    .arm_form_103 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_103 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_103 .arm_forgotpassword_link {
      margin: -132px 0px 0px 315px !important;
    }

    .arm_form_103 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_103 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_103 .arm_forgotpassword_link {
      z-index: 2;
    }

    .arm_form_103 .arm_close_account_message,
    .arm_form_103 .arm_forgot_password_description {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 17px;
    }

    .arm_form_103 .arm_form_field_container {
      margin-bottom: 15px !important;
    }

    .arm_form_103 .arm_form_input_wrapper {
      max-width: 100%;
      width: 62%;
      width: 100%;
    }

    .arm_form_message_container.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper,
    .arm_form_message_container1.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper {
      border: none !important;
    }

    .arm_module_forms_container .arm_form_103,
    .arm_member_form_container .arm_form_103,
    .arm_update_card_form_container .arm_form_103,
    .arm_editor_form_fileds_container,
    .arm_editor_form_fileds_container .arm_form_103 {
      max-width: 100%;
      width: 550px;
      margin: 0 auto;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_103 {
      background: #ffffff !important;
      background-repeat: no-repeat;
      background-position: top left;
    }

    .arm_module_forms_container .arm_form_103,
    .arm_member_form_container .arm_form_103,
    .arm_update_card_form_container .arm_form_103,
    .arm_editor_form_fileds_wrapper {
      background: #ffffff;
      background-repeat: no-repeat;
      background-position: top left;
      border: 0px solid #cccccc;
      border-radius: 8px;
      -webkit-border-radius: 8px;
      -moz-border-radius: 8px;
      -o-border-radius: 8px;
      float: center;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_103 .arm_module_forms_container .arm_form_103,
    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_103 .arm_member_form_container .arm_form_103,
    .arm_update_card_form_container .arm_form_103 {
      background: none !important;
    }

    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container,
    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container1 {
      float: center;
      width: 550px;
    }

    .arm_form_103 .arm_form_label_wrapper {
      max-width: 100%;
      width: 30%;
      width: 250px;
    }

    .arm_form_103 md-input-container.md-input-invalid.md-input-focused label,
    .arm_form_103 md-input-container.md-default-theme:not(.md-input-invalid).md-input-focused label,
    .arm_form_103 md-input-container.md-default-theme.md-input-invalid.md-input-focused label,
    .arm_form_103 md-input-container:not(.md-input-invalid).md-input-focused label,
    .arm_form_103 .arm_form_field_label_text,
    .arm_form_103 .arm_member_form_field_label .arm_form_field_label_text,
    .arm_form_103 .arm_member_form_field_description .arm_form_field_description_text,
    .arm_form_103 .arm_form_label_wrapper .required_tag,
    .arm_form_103 .arm_form_input_container label,
    .arm_form_103 md-input-container:not(.md-input-invalid) md-select .md-select-value.md-select-placeholder,
    .arm_form_103 md-input-container:not(.md-input-invalid).md-input-has-value label {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      margin: 0px !important;
      line-height: 28px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_103 .arm_member_form_field_description .arm_form_field_description_text {
      font-size: 16px;
      line-height: 16px;
    }

    md-select-menu.md-default-theme md-content md-option:not([disabled]):focus,
    md-select-menu md-content md-option:not([disabled]):focus,
    md-select-menu.md-default-theme md-content md-option:not([disabled]):hover,
    md-select-menu md-content md-option:not([disabled]):hover {
      background-color: #23b7e5;
      color: #ffffff;
    }

    .armSelectOption103,
    .arm_payment_transfer_mode_option_103 {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_103 .arm_form_input_container.arm_form_input_container_section {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_103 md-radio-button,
    .arm_form_103 md-checkbox {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    md-select-menu.md-default-theme md-option.armSelectOption103[selected],
    md-select-menu md-option.armSelectOption103[selected] {
      font-weight: bold;
      color: #242424;
    }

    .arm_form_103 .arm_form_input_container input {
      height: 33px;
    }

    .arm_form_103.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_prefix,
    .arm_form_103.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_suffix,
    .arm_form_103.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_prefix,
    .arm_form_103.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_suffix {
      height: 38px;
    }

    .arm_form_103 .arm_apply_coupon_container .arm_coupon_submit_wrapper .arm_apply_coupon_btn {
      min-height: 35px;
      margin: 0;
    }

    .arm_form_103 .arm_form_input_container input,
    .arm_form_103 .arm_form_input_container textarea,
    .arm_form_103 .arm_form_input_container select,
    .arm_form_103 .arm_form_input_container md-select md-select-value {
      background-color: #ffffff !important;
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7;
      border-radius: 0px !important;
      -webkit-border-radius: 0px !important;
      -moz-border-radius: 0px !important;
      -o-border-radius: 0px !important;
      color: #242424;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
      height: 33px;
    }

    .arm_form_103 .armFileUploadWrapper .armFileDragArea {
      border-color: #c7c7c7;
    }

    .arm_form_103 .armFileUploadWrapper .armFileDragArea.arm_dragover {
      border-color: #23b7e5;
    }

    .arm_form_103 md-checkbox.md-default-theme.md-checked .md-ink-ripple,
    .arm_form_103 md-checkbox.md-checked .md-ink-ripple {
      color: rgba(199, 199, 199, 0.87);
    }

    .arm_form_103 md-radio-button.md-default-theme.md-checked .md-off,
    .arm_form_103 md-radio-button.md-default-theme .md-off,
    .arm_form_103 md-radio-button.md-checked .md-off,
    .arm_form_103 md-radio-button .md-off,
    .arm_form_103 md-checkbox.md-default-theme .md-icon,
    .arm_form_103 md-checkbox .md-icon {
      border-color: #c7c7c7;
    }

    .arm_form_103 md-radio-button.md-default-theme .md-on,
    .arm_form_103 md-radio-button .md-on,
    .arm_form_103 md-checkbox.md-default-theme.md-checked .md-icon,
    .arm_form_103 md-checkbox.md-checked .md-icon {
      background-color: #23b7e5;
    }

    md-option.armSelectOption103 .md-ripple.md-ripple-placed,
    md-option.armSelectOption103 .md-ripple.md-ripple-scaled,
    .arm_form_103 .md-ripple.md-ripple-placed,
    .arm_form_103 .md-ripple.md-ripple-scaled {
      background-color: rgba(35, 183, 229, 0.87) !important;
    }

    .arm_form_103 .md-button .md-ripple.md-ripple-placed,
    .arm_form_103 .md-button .md-ripple.md-ripple-scaled {
      background-color: rgb(255, 255, 255) !important;
    }

    .arm_form_103 md-checkbox.md-focused:not([disabled]):not(.md-checked) .md-container:before {
      background-color: rgba(35, 183, 229, 0.12) !important;
    }

    .arm_form_103 md-radio-group.md-default-theme.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_103 md-radio-group.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_103 md-checkbox.md-default-theme.md-checked.md-focused .md-container:before,
    .arm_form_103 md-checkbox.md-checked.md-focused .md-container:before {
      background-color: rgba(35, 183, 229, 0.26) !important;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .select-wrapper input.select-dropdown,
    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .file-field input.file-path {
      border-color: #c7c7c7;
      border-width: 0 0 1px 0 !important;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_box.select-wrapper {
      border: 0 !important;
    }

    .arm_form_103 .arm_form_input_container input:focus,
    .arm_form_103 .arm_form_input_container textarea:focus,
    .arm_form_103 .arm_form_input_container select:focus,
    .arm_form_103 .arm_form_input_container md-select:focus md-select-value,
    .arm_form_103 .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      color: #242424;
      border: 1px solid #23b7e5;
      border-color: #23b7e5;
    }

    .arm_form_103 .arm_uploaded_file_info .armbar {
      background-color: #23b7e5;
    }

    .arm_form_103 .arm_form_input_box.arm_error_msg,
    .arm_form_103 .arm_form_input_box.arm_invalid,
    .arm_form_103 .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_103 md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #f05050;
      border-color: #f05050 !important;
    }

    .arm_form_103 .arm_form_message_container .arm_success_msg,
    .arm_form_103 .arm_form_message_container .arm_error_msg,
    .arm_form_103 .arm_form_message_container1 .arm_success_msg,
    .arm_form_103 .arm_form_message_container1 .arm_success_msg1,
    .arm_form_103 .arm_form_message_container1 .arm_error_msg,
    .arm_form_103 .arm_form_message_container .arm_success_msg a {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_103 .arm_coupon_field_wrapper .success.notify_msg {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_103 md-select.md-default-theme.ng-invalid.ng-dirty .md-select-value,
    .arm_form_103 md-select.ng-invalid.ng-dirty .md-select-value {
      color: #242424 !important;
      border-color: #f05050 !important;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_container textarea {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      -moz-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
      max-height: 150px;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_container input,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container select,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container md-select md-select-value {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_container input:focus,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container select:focus,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container md-select:focus md-select-value,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_103 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7 !important;
    }

    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_103 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_container textarea:focus,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_103 .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      border: 1px solid #23b7e5;
      border-color: #23b7e5 !important;
    }

    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg:focus,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid:focus,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_103.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
      border-color: #23b7e5 !important;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_container textarea:focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_103.arm_form_layout_writer textarea.arm_form_input_box.arm_error_msg:focus,
    .arm_form_103.arm_form_layout_writer textarea.arm_form_input_box.arm_invalid:focus,
    .arm_form_103.arm_form_layout_writer textarea.arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_103.arm_form_layout_writer .arm_form_input_container_textarea md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_103.arm_form_layout_writer .arm_form_input_box.arm_error_msg:focus,
    .arm_form_103.arm_form_layout_writer .arm_form_input_box.arm_invalid:focus,
    .arm_form_103.arm_form_layout_writer .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_103.arm_form_layout_writer md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_103.arm_form_layout_iconic:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_103.arm_form_layout_rounded:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_103:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      background: #ffffff;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-size: 16px;
      padding-left: 5px;
      padding-right: 5px;
      text-decoration: none !important;
    }

    .arm_form_103.arm_standard_validation_type .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
    }

    .arm_form_103 .arm_msg_pos_right .arm_error_msg_box .arm_error_box_arrow:after {
      border-right-color: #ffffff !important;
    }

    .arm_form_103 .arm_msg_pos_left .arm_error_msg_box .arm_error_box_arrow:after {
      border-left-color: #ffffff !important;
    }

    .arm_form_103 .arm_msg_pos_top .arm_error_msg_box .arm_error_box_arrow:after {
      border-top-color: #ffffff !important;
    }

    .arm_form_103 .arm_msg_pos_bottom .arm_error_msg_box .arm_error_box_arrow:after {
      border-bottom-color: #ffffff !important;
    }

    .arm_form_103 .arm_writer_error_msg_box {
      color: #e6594d;
      font-size: 14px;
      font-size: 14px;
    }

    .arm_form_103 .arm_form_field_submit_button.md-button .md-ripple-container {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
    }

    .arm_form_103 .arm_form_field_submit_button.md-button,
    .arm_form_103 .arm_form_field_submit_button {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
      width: auto;
      max-width: 100%;
      width: 350px;
      min-height: 35px;
      min-height: 45px;
      padding: 0 10px;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 18px;
      margin: 10px 0px 0px 0px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
      text-transform: none;
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_field_submit_button.arm_form_field_container_button.arm_editable_input_button {
      height: 45px;
    }

    .arm_form_103 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button.md-button,
    .arm_form_103 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button {
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_103 .arm_form_field_submit_button.md-button #arm_form_loader,
    .arm_form_103 .arm_form_field_submit_button #arm_form_loader {
      fill: #23b7e5;
    }

    /*.arm_form_103 button:hover,*/
    .arm_form_103 .arm_form_field_submit_button:hover,
    .arm_form_103 .arm_form_field_submit_button.md-button:hover,
    .arm_form_103 .arm_form_field_submit_button.md-button:not([disabled]):hover,
    .arm_form_103 .arm_form_field_submit_button.md-button.md-default-theme:not([disabled]):hover,
    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn:hover,
    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn-large:hover {
      background-color: #25c0f0 !important;
      border: 2px solid #25c0f0 !important;
      color: #ffffff !important;
    }

    .arm_form_103 .arm_form_field_submit_button:hover #arm_form_loader,
    .arm_form_103 .arm_form_field_submit_button.md-button:hover #arm_form_loader,
    .arm_form_103 .arm_form_field_submit_button.md-button:not([disabled]):hover #arm_form_loader,
    .arm_form_103 .arm_form_field_submit_button.md-button.md-default-theme:not([disabled]):hover #arm_form_loader,
    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn:hover #arm_form_loader,
    .arm_form_103.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn-large:hover #arm_form_loader {
      fill: #ffffff !important;
    }

    .arm_form_103 .arm_form_wrapper_container .armFileUploadWrapper .armFileBtn,
    .arm_form_103 .arm_form_wrapper_container .armFileUploadContainer {
      border: 1px solid #23b7e5;
      background-color: #23b7e5;
      color: #ffffff;
    }

    .arm_form_103 .arm_form_wrapper_container .armFileUploadWrapper .armFileBtn:hover,
    .arm_form_103 .arm_form_wrapper_container .armFileUploadContainer:hover {
      background-color: #25c0f0 !important;
      border-color: #25c0f0 !important;
      color: #ffffff !important;
    }

    .arm_form_103 .arm_field_fa_icons {
      color: #bababa;
    }

    .arm_date_field_103 .bootstrap-datetimepicker-widget table td.today:before {
      border: 3px solid #23b7e5;
    }

    .arm_date_field_103 .bootstrap-datetimepicker-widget table td.active,
    .arm_date_field_103 .bootstrap-datetimepicker-widget table td.active:hover {
      color: #23b7e5 !important;
      background: url(https://wildpharao.com/wp-content/plugins/armember/images/bootstrap_datepicker_bright_cyan.png) no-repeat !important;
    }

    .arm_date_field_103 .bootstrap-datetimepicker-widget table td span:hover {
      border-color: #23b7e5;
    }

    .arm_date_field_103 .bootstrap-datetimepicker-widget table td span.active {
      background-color: #23b7e5;
    }

    .arm_date_field_103 .arm_cal_header {
      background-color: #23b7e5 !important;
    }

    .arm_date_field_103 .arm_cal_month {
      background-color: #23b7e5 !important;
      border-bottom: 1px solid #23b7e5;
    }

    .arm_date_field_103 .bootstrap-datetimepicker-widget table td.day:hover {
      background: url(https://wildpharao.com/wp-content/plugins/armember/images/bootstrap_datepicker_hover.png) no-repeat;
    }

    .arm_date_field_103 .arm_cal_hour:hover,
    .arm_date_field_103 .arm_cal_minute:hover {
      border-color: #23b7e5;
    }

    .arm_date_field_103 .timepicker-picker .btn-primary {
      background-color: #23b7e5;
      border-color: #23b7e5;
    }

    .arm_date_field_103 .armglyphicon-time:before,
    .arm_date_field_103 .armglyphicon-calendar:before,
    .arm_date_field_103 .armglyphicon-chevron-up:before,
    .arm_date_field_103 .armglyphicon-chevron-down:before {
      color: #23b7e5;
    }

    .arm_form_103 stop.arm_social_connect_svg {
      stop-color: #23b7e5;
    }
  </style>
  <div class="arm_form_inner_container arm_msg_pos_bottom">
    <div class="arm_form_wrapper_container arm_form_wrapper_container_103 arm_field_position_center arm_front_side_form" data-form_id="103">
      <div class="arm_forgot_password_description">Please enter your email address or username below.</div>
      <div class="arm_form_field_container  arm_form_field_container_text " id="arm_form_field_container_191" data-field_id="191" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_text">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_191">*</span>
            <div class="arm_form_field_label_text">Username OR Email Address</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_text arm_form_input_container" id="arm_form_input_container_191"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_0"> * Username OR
                Email Address</label><input name="user_login" type="text" value=""
                class="arm_form_input_box arm_form_input_box_191 arm_material_input arm_cl_user_login_103_9pRnIjwfX8 arm_prefix_suffix_icon arm_has_suffix_icon ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required"
                data-ng-model="arm_form.user_login_191" required="required" data-ng-trim="false" 103_9prnijwfx8="" id="input_0" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.user_login.$error" data-ng-show="arm_form.user_login.$touched" class="arm_error_msg_box md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true"><!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Username can not be left blank.
                </div><!-- ngMessage: invalid -->
              </div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_submit" id="arm_form_field_container_192" data-field_id="192">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_submit"></div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_submit arm_form_input_container" id="arm_form_input_container_192"><button
              class="arm_form_field_submit_button arm_form_field_container_button arm_btn_style_border arm_form_input_box arm_form_input_box_192 arm_material_input arm_cl_submit_ arm_prefix_suffix_icon arm_has_suffix_icon arm_form_input_box_192 md-button md-ink-ripple"
              type="submit" ng-transclude="" name="armFormSubmitBtn" ng-click="armSubmitBtnClick($event)"><span class="arm_spinner ng-scope"><svg version="1.1" id="arm_form_loader" xmlns="http://www.w3.org/2000/svg"
                  xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="18px" height="18px" viewBox="0 0 26.349 26.35" style="enable-background:new 0 0 26.349 26.35;" xml:space="preserve">
                  <g>
                    <g>
                      <circle cx="13.792" cy="3.082" r="3.082"></circle>
                      <circle cx="13.792" cy="24.501" r="1.849"></circle>
                      <circle cx="6.219" cy="6.218" r="2.774"></circle>
                      <circle cx="21.365" cy="21.363" r="1.541"></circle>
                      <circle cx="3.082" cy="13.792" r="2.465"></circle>
                      <circle cx="24.501" cy="13.791" r="1.232"></circle>
                      <path d="M4.694,19.84c-0.843,0.843-0.843,2.207,0,3.05c0.842,0.843,2.208,0.843,3.05,0c0.843-0.843,0.843-2.207,0-3.05 C6.902,18.996,5.537,18.988,4.694,19.84z"></path>
                      <circle cx="21.364" cy="6.218" r="0.924"></circle>
                    </g>
                  </g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                </svg></span>Submit</button>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="armclear"></div>
    </div><input type="hidden" name="arm_action" value="forgot-password" autocomplete="off"><input type="hidden" name="redirect_to" value="https://wildpharao.com" autocomplete="off"><input type="hidden" name="isAdmin" value="0"
      autocomplete="off"><input type="hidden" name="referral_url" value="https://wildpharao.com" autocomplete="off">
    <div class="armclear"></div>
  </div><input type="text" style="visibility:hidden !important;display:none !important;opacity:0 !important;" name="2z6bvmqj">
</form>

Name: arm_form — POST

<form method="post"
  class="arm_form arm_shortcode_form arm_form_101 arm_form_layout_writer armf_alignment_left armf_layout_block armf_button_position_center arm_form_ltr arm_form_style_bright_cyan armAngularInit arm_cl_101_s5WHechu1a ng-pristine ng-scope ng-invalid ng-invalid-required ng-valid-email ng-valid-pattern ng-valid-minlength"
  enctype="multipart/form-data" novalidate="" name="arm_form" id="arm_form101_YJD2JAe8hX" data-ng-controller="ARMCtrl" data-ng-id="101" data-ng-submit="armFormSubmit(arm_form.$valid, 'arm_form101_YJD2JAe8hX', $event);" onsubmit="return false;"
  style="width: 100%;" data-random-id="101_s5WHechu1a"><input type="text" name="arm_filter_input" arm_register="true" data-random-key="101_s5WHechu1a" value="" style="opacity:0 !important;display:none !important;visibility:hidden !important;">
  <style type="text/css" id="arm_form_style_101">
    .arm_form_101 .arm_editor_form_fileds_wrapper,
    .arm_form_101 .arm_form_inner_container {
      padding-top: 30px !important;
      padding-bottom: 30px !important;
      padding-right: 30px !important;
      padding-left: 30px !important;
    }

    .arm_popup_member_form_101 .arm_form_message_container {
      max-width: 100%;
      width: 600px;
      margin: 0 auto;
    }

    .arm_popup_member_form_101 .arm_form_heading_container,
    .arm_form_101 .arm_form_heading_container,
    .arm_form_101 .arm_update_card_form_heading_container .arm_form_field_label_wrapper_text,
    .arm_form_101 .arm_form_heading_container,
    .arm_form_101 .arm_form_heading_container .arm_form_field_label_wrapper_text {
      color: #555555;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 28px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_101 .arm_registration_link,
    .arm_form_101 .arm_forgotpassword_link {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_101 .arm_pass_strength_meter {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_101 .arm_registration_link a,
    .arm_form_101 .arm_forgotpassword_link a {
      color: #23b7e5 !important;
    }

    .arm_form_101 .arm_reg_login_links a {
      color: #23b7e5 !important;
    }

    .arm_form_101 .arm_form_field_container .arm_registration_link,
    .arm_form_101 .arm_form_field_container.arm_registration_link,
    .arm_form_101 .arm_registration_link {
      margin: 0px 0px 0px 0px !important;
    }

    .arm_form_101 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_101 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_101 .arm_forgotpassword_link {
      margin: 0px 0px 0px 0px !important;
    }

    .arm_form_101 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_101 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_101 .arm_forgotpassword_link {
      z-index: 2;
    }

    .arm_form_101 .arm_close_account_message,
    .arm_form_101 .arm_forgot_password_description {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 17px;
    }

    .arm_form_101 .arm_form_field_container {
      margin-bottom: 15px !important;
    }

    .arm_form_101 .arm_form_input_wrapper {
      max-width: 100%;
      width: 62%;
      width: 100%;
    }

    .arm_form_message_container.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper,
    .arm_form_message_container1.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper {
      border: none !important;
    }

    .arm_module_forms_container .arm_form_101,
    .arm_member_form_container .arm_form_101,
    .arm_update_card_form_container .arm_form_101,
    .arm_editor_form_fileds_container,
    .arm_editor_form_fileds_container .arm_form_101 {
      max-width: 100%;
      width: 600px;
      margin: 0 auto;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_101 {
      background: #ffffff !important;
      background-repeat: no-repeat;
      background-position: top left;
    }

    .arm_module_forms_container .arm_form_101,
    .arm_member_form_container .arm_form_101,
    .arm_update_card_form_container .arm_form_101,
    .arm_editor_form_fileds_wrapper {
      background: #ffffff;
      background-repeat: no-repeat;
      background-position: top left;
      border: 0px solid #cccccc;
      border-radius: 8px;
      -webkit-border-radius: 8px;
      -moz-border-radius: 8px;
      -o-border-radius: 8px;
      float: center;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_101 .arm_module_forms_container .arm_form_101,
    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_101 .arm_member_form_container .arm_form_101,
    .arm_update_card_form_container .arm_form_101 {
      background: none !important;
    }

    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container,
    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container1 {
      float: center;
      width: 600px;
    }

    .arm_form_101 .arm_form_label_wrapper {
      max-width: 100%;
      width: 30%;
      width: 250px;
    }

    .arm_form_101 md-input-container.md-input-invalid.md-input-focused label,
    .arm_form_101 md-input-container.md-default-theme:not(.md-input-invalid).md-input-focused label,
    .arm_form_101 md-input-container.md-default-theme.md-input-invalid.md-input-focused label,
    .arm_form_101 md-input-container:not(.md-input-invalid).md-input-focused label,
    .arm_form_101 .arm_form_field_label_text,
    .arm_form_101 .arm_member_form_field_label .arm_form_field_label_text,
    .arm_form_101 .arm_member_form_field_description .arm_form_field_description_text,
    .arm_form_101 .arm_form_label_wrapper .required_tag,
    .arm_form_101 .arm_form_input_container label,
    .arm_form_101 md-input-container:not(.md-input-invalid) md-select .md-select-value.md-select-placeholder,
    .arm_form_101 md-input-container:not(.md-input-invalid).md-input-has-value label {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      margin: 0px !important;
      line-height: 28px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_101 .arm_member_form_field_description .arm_form_field_description_text {
      font-size: 16px;
      line-height: 16px;
    }

    md-select-menu.md-default-theme md-content md-option:not([disabled]):focus,
    md-select-menu md-content md-option:not([disabled]):focus,
    md-select-menu.md-default-theme md-content md-option:not([disabled]):hover,
    md-select-menu md-content md-option:not([disabled]):hover {
      background-color: #23b7e5;
      color: #ffffff;
    }

    .armSelectOption101,
    .arm_payment_transfer_mode_option_101 {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_101 .arm_form_input_container.arm_form_input_container_section {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_101 md-radio-button,
    .arm_form_101 md-checkbox {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    md-select-menu.md-default-theme md-option.armSelectOption101[selected],
    md-select-menu md-option.armSelectOption101[selected] {
      font-weight: bold;
      color: #242424;
    }

    .arm_form_101 .arm_form_input_container input {
      height: 33px;
    }

    .arm_form_101.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_prefix,
    .arm_form_101.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_suffix,
    .arm_form_101.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_prefix,
    .arm_form_101.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_suffix {
      height: 38px;
    }

    .arm_form_101 .arm_apply_coupon_container .arm_coupon_submit_wrapper .arm_apply_coupon_btn {
      min-height: 35px;
      margin: 0;
    }

    .arm_form_101 .arm_form_input_container input,
    .arm_form_101 .arm_form_input_container textarea,
    .arm_form_101 .arm_form_input_container select,
    .arm_form_101 .arm_form_input_container md-select md-select-value {
      background-color: #ffffff !important;
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7;
      border-radius: 0px !important;
      -webkit-border-radius: 0px !important;
      -moz-border-radius: 0px !important;
      -o-border-radius: 0px !important;
      color: #242424;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
      height: 33px;
    }

    .arm_form_101 .armFileUploadWrapper .armFileDragArea {
      border-color: #c7c7c7;
    }

    .arm_form_101 .armFileUploadWrapper .armFileDragArea.arm_dragover {
      border-color: #23b7e5;
    }

    .arm_form_101 md-checkbox.md-default-theme.md-checked .md-ink-ripple,
    .arm_form_101 md-checkbox.md-checked .md-ink-ripple {
      color: rgba(199, 199, 199, 0.87);
    }

    .arm_form_101 md-radio-button.md-default-theme.md-checked .md-off,
    .arm_form_101 md-radio-button.md-default-theme .md-off,
    .arm_form_101 md-radio-button.md-checked .md-off,
    .arm_form_101 md-radio-button .md-off,
    .arm_form_101 md-checkbox.md-default-theme .md-icon,
    .arm_form_101 md-checkbox .md-icon {
      border-color: #c7c7c7;
    }

    .arm_form_101 md-radio-button.md-default-theme .md-on,
    .arm_form_101 md-radio-button .md-on,
    .arm_form_101 md-checkbox.md-default-theme.md-checked .md-icon,
    .arm_form_101 md-checkbox.md-checked .md-icon {
      background-color: #23b7e5;
    }

    md-option.armSelectOption101 .md-ripple.md-ripple-placed,
    md-option.armSelectOption101 .md-ripple.md-ripple-scaled,
    .arm_form_101 .md-ripple.md-ripple-placed,
    .arm_form_101 .md-ripple.md-ripple-scaled {
      background-color: rgba(35, 183, 229, 0.87) !important;
    }

    .arm_form_101 .md-button .md-ripple.md-ripple-placed,
    .arm_form_101 .md-button .md-ripple.md-ripple-scaled {
      background-color: rgb(255, 255, 255) !important;
    }

    .arm_form_101 md-checkbox.md-focused:not([disabled]):not(.md-checked) .md-container:before {
      background-color: rgba(35, 183, 229, 0.12) !important;
    }

    .arm_form_101 md-radio-group.md-default-theme.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_101 md-radio-group.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_101 md-checkbox.md-default-theme.md-checked.md-focused .md-container:before,
    .arm_form_101 md-checkbox.md-checked.md-focused .md-container:before {
      background-color: rgba(35, 183, 229, 0.26) !important;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .select-wrapper input.select-dropdown,
    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .file-field input.file-path {
      border-color: #c7c7c7;
      border-width: 0 0 1px 0 !important;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_box.select-wrapper {
      border: 0 !important;
    }

    .arm_form_101 .arm_form_input_container input:focus,
    .arm_form_101 .arm_form_input_container textarea:focus,
    .arm_form_101 .arm_form_input_container select:focus,
    .arm_form_101 .arm_form_input_container md-select:focus md-select-value,
    .arm_form_101 .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      color: #242424;
      border: 1px solid #23b7e5;
      border-color: #23b7e5;
    }

    .arm_form_101 .arm_uploaded_file_info .armbar {
      background-color: #23b7e5;
    }

    .arm_form_101 .arm_form_input_box.arm_error_msg,
    .arm_form_101 .arm_form_input_box.arm_invalid,
    .arm_form_101 .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_101 md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #f05050;
      border-color: #f05050 !important;
    }

    .arm_form_101 .arm_form_message_container .arm_success_msg,
    .arm_form_101 .arm_form_message_container .arm_error_msg,
    .arm_form_101 .arm_form_message_container1 .arm_success_msg,
    .arm_form_101 .arm_form_message_container1 .arm_success_msg1,
    .arm_form_101 .arm_form_message_container1 .arm_error_msg,
    .arm_form_101 .arm_form_message_container .arm_success_msg a {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_101 .arm_coupon_field_wrapper .success.notify_msg {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_101 md-select.md-default-theme.ng-invalid.ng-dirty .md-select-value,
    .arm_form_101 md-select.ng-invalid.ng-dirty .md-select-value {
      color: #242424 !important;
      border-color: #f05050 !important;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_container textarea {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      -moz-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
      max-height: 150px;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_container input,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container select,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container md-select md-select-value {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_container input:focus,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container select:focus,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container md-select:focus md-select-value,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_101 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7 !important;
    }

    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_101 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_container textarea:focus,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_101 .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      border: 1px solid #23b7e5;
      border-color: #23b7e5 !important;
    }

    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg:focus,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid:focus,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_101.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
      border-color: #23b7e5 !important;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_container textarea:focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_101.arm_form_layout_writer textarea.arm_form_input_box.arm_error_msg:focus,
    .arm_form_101.arm_form_layout_writer textarea.arm_form_input_box.arm_invalid:focus,
    .arm_form_101.arm_form_layout_writer textarea.arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_101.arm_form_layout_writer .arm_form_input_container_textarea md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_101.arm_form_layout_writer .arm_form_input_box.arm_error_msg:focus,
    .arm_form_101.arm_form_layout_writer .arm_form_input_box.arm_invalid:focus,
    .arm_form_101.arm_form_layout_writer .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_101.arm_form_layout_writer md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_101.arm_form_layout_iconic:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_101.arm_form_layout_rounded:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_101:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      background: #ffffff;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-size: 16px;
      padding-left: 5px;
      padding-right: 5px;
      text-decoration: none !important;
    }

    .arm_form_101.arm_standard_validation_type .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
    }

    .arm_form_101 .arm_msg_pos_right .arm_error_msg_box .arm_error_box_arrow:after {
      border-right-color: #ffffff !important;
    }

    .arm_form_101 .arm_msg_pos_left .arm_error_msg_box .arm_error_box_arrow:after {
      border-left-color: #ffffff !important;
    }

    .arm_form_101 .arm_msg_pos_top .arm_error_msg_box .arm_error_box_arrow:after {
      border-top-color: #ffffff !important;
    }

    .arm_form_101 .arm_msg_pos_bottom .arm_error_msg_box .arm_error_box_arrow:after {
      border-bottom-color: #ffffff !important;
    }

    .arm_form_101 .arm_writer_error_msg_box {
      color: #e6594d;
      font-size: 14px;
      font-size: 14px;
    }

    .arm_form_101 .arm_form_field_submit_button.md-button .md-ripple-container {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
    }

    .arm_form_101 .arm_form_field_submit_button.md-button,
    .arm_form_101 .arm_form_field_submit_button {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
      width: auto;
      max-width: 100%;
      width: 350px;
      min-height: 35px;
      min-height: 45px;
      padding: 0 10px;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 18px;
      margin: 10px 0px 0px 0px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
      text-transform: none;
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_field_submit_button.arm_form_field_container_button.arm_editable_input_button {
      height: 45px;
    }

    .arm_form_101 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button.md-button,
    .arm_form_101 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button {
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_101 .arm_form_field_submit_button.md-button #arm_form_loader,
    .arm_form_101 .arm_form_field_submit_button #arm_form_loader {
      fill: #23b7e5;
    }

    /*.arm_form_101 button:hover,*/
    .arm_form_101 .arm_form_field_submit_button:hover,
    .arm_form_101 .arm_form_field_submit_button.md-button:hover,
    .arm_form_101 .arm_form_field_submit_button.md-button:not([disabled]):hover,
    .arm_form_101 .arm_form_field_submit_button.md-button.md-default-theme:not([disabled]):hover,
    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn:hover,
    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn-large:hover {
      background-color: #25c0f0 !important;
      border: 2px solid #25c0f0 !important;
      color: #ffffff !important;
    }

    .arm_form_101 .arm_form_field_submit_button:hover #arm_form_loader,
    .arm_form_101 .arm_form_field_submit_button.md-button:hover #arm_form_loader,
    .arm_form_101 .arm_form_field_submit_button.md-button:not([disabled]):hover #arm_form_loader,
    .arm_form_101 .arm_form_field_submit_button.md-button.md-default-theme:not([disabled]):hover #arm_form_loader,
    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn:hover #arm_form_loader,
    .arm_form_101.arm_form_layout_writer .arm_form_wrapper_container .arm_form_field_submit_button.btn-large:hover #arm_form_loader {
      fill: #ffffff !important;
    }

    .arm_form_101 .arm_form_wrapper_container .armFileUploadWrapper .armFileBtn,
    .arm_form_101 .arm_form_wrapper_container .armFileUploadContainer {
      border: 1px solid #23b7e5;
      background-color: #23b7e5;
      color: #ffffff;
    }

    .arm_form_101 .arm_form_wrapper_container .armFileUploadWrapper .armFileBtn:hover,
    .arm_form_101 .arm_form_wrapper_container .armFileUploadContainer:hover {
      background-color: #25c0f0 !important;
      border-color: #25c0f0 !important;
      color: #ffffff !important;
    }

    .arm_form_101 .arm_field_fa_icons {
      color: #bababa;
    }

    .arm_date_field_101 .bootstrap-datetimepicker-widget table td.today:before {
      border: 3px solid #23b7e5;
    }

    .arm_date_field_101 .bootstrap-datetimepicker-widget table td.active,
    .arm_date_field_101 .bootstrap-datetimepicker-widget table td.active:hover {
      color: #23b7e5 !important;
      background: url(https://wildpharao.com/wp-content/plugins/armember/images/bootstrap_datepicker_bright_cyan.png) no-repeat !important;
    }

    .arm_date_field_101 .bootstrap-datetimepicker-widget table td span:hover {
      border-color: #23b7e5;
    }

    .arm_date_field_101 .bootstrap-datetimepicker-widget table td span.active {
      background-color: #23b7e5;
    }

    .arm_date_field_101 .arm_cal_header {
      background-color: #23b7e5 !important;
    }

    .arm_date_field_101 .arm_cal_month {
      background-color: #23b7e5 !important;
      border-bottom: 1px solid #23b7e5;
    }

    .arm_date_field_101 .bootstrap-datetimepicker-widget table td.day:hover {
      background: url(https://wildpharao.com/wp-content/plugins/armember/images/bootstrap_datepicker_hover.png) no-repeat;
    }

    .arm_date_field_101 .arm_cal_hour:hover,
    .arm_date_field_101 .arm_cal_minute:hover {
      border-color: #23b7e5;
    }

    .arm_date_field_101 .timepicker-picker .btn-primary {
      background-color: #23b7e5;
      border-color: #23b7e5;
    }

    .arm_date_field_101 .armglyphicon-time:before,
    .arm_date_field_101 .armglyphicon-calendar:before,
    .arm_date_field_101 .armglyphicon-chevron-up:before,
    .arm_date_field_101 .armglyphicon-chevron-down:before {
      color: #23b7e5;
    }

    .arm_form_101 stop.arm_social_connect_svg {
      stop-color: #23b7e5;
    }
  </style>
  <div class="arm_form_inner_container arm_msg_pos_bottom">
    <div class="arm_form_wrapper_container arm_form_wrapper_container_101 arm_field_position_center arm_front_side_form" data-form_id="101">
      <div class="arm_form_field_container  arm_form_field_container_text " id="arm_form_field_container_320" data-field_id="320" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_text">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_320">*</span>
            <div class="arm_form_field_label_text">Username</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_text arm_form_input_container" id="arm_form_input_container_320"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_3"> *
                Username</label><input name="user_login" type="text" value=""
                class="arm_form_input_box arm_form_input_box_320 arm_material_input arm_cl_user_login_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon usernamecheck existcheck ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required"
                data-ng-model="arm_form.user_login_320" required="required" data-ng-trim="false" 101_yjd2jae8hx="" id="input_3" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.user_login.$error" data-ng-show="arm_form.user_login.$touched" class="arm_error_msg_box md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true"><!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Username can not be left blank.
                </div><!-- ngMessage: invalid --><!-- ngMessage: existcheck --><!-- ngMessage: usernamecheck -->
              </div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_text " id="arm_form_field_container_321" data-field_id="321" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_text">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_321">*</span>
            <div class="arm_form_field_label_text">First Name</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_text arm_form_input_container" id="arm_form_input_container_321"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_4"> * First
                Name</label><input name="first_name" type="text" value=""
                class="arm_form_input_box arm_form_input_box_321 arm_material_input arm_cl_first_name_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon flnamecheck ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required"
                data-ng-model="arm_form.first_name_321" required="required" data-ng-trim="false" 101_yjd2jae8hx="" id="input_4" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.first_name.$error" data-ng-show="arm_form.first_name.$touched" class="arm_error_msg_box md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true"><!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>First Name can not be left blank.
                </div><!-- ngMessage: invalid --><!-- ngMessage: flnamecheck -->
              </div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_text " id="arm_form_field_container_322" data-field_id="322" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_text">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_322">*</span>
            <div class="arm_form_field_label_text">Last Name</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_text arm_form_input_container" id="arm_form_input_container_322"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_5"> * Last
                Name</label><input name="last_name" type="text" value=""
                class="arm_form_input_box arm_form_input_box_322 arm_material_input arm_cl_last_name_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon flnamecheck ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required"
                data-ng-model="arm_form.last_name_322" required="required" data-ng-trim="false" 101_yjd2jae8hx="" id="input_5" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.last_name.$error" data-ng-show="arm_form.last_name.$touched" class="arm_error_msg_box md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true"><!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Last Name can not be left blank.
                </div><!-- ngMessage: invalid --><!-- ngMessage: flnamecheck -->
              </div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_email " id="arm_form_field_container_323" data-field_id="323" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_email">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_323">*</span>
            <div class="arm_form_field_label_text">Email Address</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_email arm_form_input_container" id="arm_form_input_container_323"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_6"> * Email
                Address</label><input name="user_email" type="email" value=""
                class="arm_form_input_box arm_form_input_box_323 arm_material_input arm_cl_user_email_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon existcheck ng-pristine ng-untouched md-input ng-empty ng-valid-email ng-invalid ng-invalid-required ng-valid-pattern"
                data-ng-model="arm_form.user_email_323" required="required" data-ng-trim="false" data-ng-pattern="/^.+@.+\..+$/" 101_yjd2jae8hx="" id="input_6" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.user_email.$error" data-ng-show="arm_form.user_email.$touched" class="arm_error_msg_box md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true"><!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Email Address can not be left blank.
                </div><!-- ngMessage: invalid --><!-- ngMessageExp: ['email', 'pattern'] --><!-- ngMessage: existcheck -->
              </div>
            </md-input-container><input type="hidden" data-id="arm_compare_323" class="arm_compare_323 ng-pristine ng-untouched ng-valid ng-empty" ng-model="arm_form.arm_compare_323" value="" autocomplete="off" aria-invalid="false">
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_password " id="arm_form_field_container_324" data-field_id="324" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_password">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_324">*</span>
            <div class="arm_form_field_label_text">Password</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_password arm_form_input_container" id="arm_form_input_container_324"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required" for="input_7"> *
                Password</label><input name="user_pass" type="password" autocomplete="off" value=""
                class="arm_form_input_box arm_form_input_box_324 arm_material_input arm_cl_user_pass_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required ng-valid-minlength"
                data-ng-model="arm_form.user_pass_324" required="required" data-ng-minlength="6" id="input_7" aria-invalid="true">
              <div class="md-errors-spacer"></div><span class="arm_editor_suffix arm_field_fa_icons  arm_visible_password_material " id="" style=""><i class="armfa armfa-eye"></i></span>
              <div data-ng-messages="arm_form.user_pass.$error" data-ng-show="arm_form.user_pass.$touched" class="arm_error_msg_box ng-scope md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true">
                <!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Password can not be left blank.
                </div><!-- ngMessage: invalid --><!-- ngMessage: minlength -->
              </div>
            </md-input-container><input type="hidden" data-id="arm_compare_324" class="arm_compare_324 ng-pristine ng-untouched ng-valid ng-empty" ng-model="arm_form.arm_compare_324" value="" autocomplete="off" aria-invalid="false">
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_date " id="arm_form_field_container_325" data-field_id="325" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_date">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_325">*</span>
            <div class="arm_form_field_label_text">Birthdate</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_date arm_form_input_container" id="arm_form_input_container_325"><md-input-container class="md-block arm_date_field_101 flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required"
                for="input_8"> * Birthdate</label><input name="date_ywqtu" type="text" autocomplete="off" value=""
                class="arm_form_input_box arm_form_input_box_325 arm_material_input arm_cl_date_ywqtu_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon arm_datepicker arm_datepicker_front ng-pristine ng-untouched md-input ng-empty ng-invalid ng-invalid-required"
                data-ng-model="arm_form.date_ywqtu_325" required="required" data-dateformat="DD/MM/YYYY" data-date_field="arm_date_field_101" data-show_timepicker="0" data-cal_localization="" 101_yjd2jae8hx="" id="input_8" aria-invalid="true">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.date_ywqtu.$error" data-ng-show="arm_form.date_ywqtu.$touched" class="arm_error_msg_box ng-scope md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true">
                <!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Please select date.
                </div><!-- ngMessage: invalid -->
              </div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_select " id="arm_form_field_container_326" data-field_id="326" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_select">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_326">*</span>
            <div class="arm_form_field_label_text">Country/Region</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_select arm_form_input_container" id="arm_form_input_container_326"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required md-placeholder"
                for="select_206"> * Country/Region</label><md-select
                class="arm_form_input_box arm_form_input_box_326 arm_material_input arm_cl_country_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" name="country"
                data-ng-model="country" required="required" aria-label="Country/Region" 101_yjd2jae8hx="" tabindex="0" aria-disabled="false" role="listbox" aria-expanded="false" aria-multiselectable="false" id="select_206"
                aria-owns="select_container_207" aria-required="true" aria-invalid="true"><md-select-value class="md-select-value md-select-placeholder" id="select_value_label_1"><span> * Country/Region</span><span class="md-select-icon"
                    aria-hidden="true"></span></md-select-value>
                <div class="md-select-menu-container" aria-hidden="true" id="select_container_207"><md-select-menu class="_md"><md-content><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="0" tabindex="0"
                        role="option" aria-selected="false" id="select_option_9">
                        <div class="md-text">Country/Region</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="14" tabindex="0" role="option" aria-selected="false" id="select_option_10">
                        <div class="md-text">Austria</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="36" tabindex="0" role="option" aria-selected="false" id="select_option_11">
                        <div class="md-text">Canada</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="64" tabindex="0" role="option" aria-selected="false" id="select_option_12">
                        <div class="md-text">Finland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="71" tabindex="0" role="option" aria-selected="false" id="select_option_13">
                        <div class="md-text">Germany</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="91" tabindex="0" role="option" aria-selected="false" id="select_option_14">
                        <div class="md-text">Ireland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="137" tabindex="0" role="option" aria-selected="false" id="select_option_15">
                        <div class="md-text">New Zealand</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="141" tabindex="0" role="option" aria-selected="false" id="select_option_16">
                        <div class="md-text">Norway</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="183" tabindex="0" role="option" aria-selected="false" id="select_option_17">
                        <div class="md-text">Switzerland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="—————————" tabindex="0" role="option" aria-selected="false" id="select_option_18">
                        <div class="md-text">—————————</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="2" tabindex="0" role="option" aria-selected="false" id="select_option_19">
                        <div class="md-text">Albania</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="3" tabindex="0" role="option" aria-selected="false" id="select_option_20">
                        <div class="md-text">Algeria</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="4" tabindex="0" role="option" aria-selected="false" id="select_option_21">
                        <div class="md-text">American Samoa</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="5" tabindex="0" role="option" aria-selected="false" id="select_option_22">
                        <div class="md-text">Andorra</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="6" tabindex="0" role="option" aria-selected="false" id="select_option_23">
                        <div class="md-text">Angola</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="7" tabindex="0" role="option" aria-selected="false" id="select_option_24">
                        <div class="md-text">Anguilla</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="8" tabindex="0" role="option" aria-selected="false" id="select_option_25">
                        <div class="md-text">Antarctica</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="10" tabindex="0" role="option" aria-selected="false" id="select_option_26">
                        <div class="md-text">Argentina</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="11" tabindex="0" role="option" aria-selected="false" id="select_option_27">
                        <div class="md-text">Armenia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="13" tabindex="0" role="option" aria-selected="false" id="select_option_28">
                        <div class="md-text">Australia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="15" tabindex="0" role="option" aria-selected="false" id="select_option_29">
                        <div class="md-text">Azerbaijan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="17" tabindex="0" role="option" aria-selected="false" id="select_option_30">
                        <div class="md-text">Bahrain</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="18" tabindex="0" role="option" aria-selected="false" id="select_option_31">
                        <div class="md-text">Bangladesh</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="19" tabindex="0" role="option" aria-selected="false" id="select_option_32">
                        <div class="md-text">Barbados</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="20" tabindex="0" role="option" aria-selected="false" id="select_option_33">
                        <div class="md-text">Belarus</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="21" tabindex="0" role="option" aria-selected="false" id="select_option_34">
                        <div class="md-text">Belgium</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="22" tabindex="0" role="option" aria-selected="false" id="select_option_35">
                        <div class="md-text">Belize</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="23" tabindex="0" role="option" aria-selected="false" id="select_option_36">
                        <div class="md-text">Benin</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="24" tabindex="0" role="option" aria-selected="false" id="select_option_37">
                        <div class="md-text">Bermuda</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="25" tabindex="0" role="option" aria-selected="false" id="select_option_38">
                        <div class="md-text">Bhutan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="26" tabindex="0" role="option" aria-selected="false" id="select_option_39">
                        <div class="md-text">Bolivia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="27" tabindex="0" role="option" aria-selected="false" id="select_option_40">
                        <div class="md-text">Bosnia and Herzegovina</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="28" tabindex="0" role="option" aria-selected="false" id="select_option_41">
                        <div class="md-text">Botswana</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="29" tabindex="0" role="option" aria-selected="false" id="select_option_42">
                        <div class="md-text">Brazil</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="30" tabindex="0" role="option" aria-selected="false" id="select_option_43">
                        <div class="md-text">Brunei</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="31" tabindex="0" role="option" aria-selected="false" id="select_option_44">
                        <div class="md-text">Bulgaria</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="32" tabindex="0" role="option" aria-selected="false" id="select_option_45">
                        <div class="md-text">Burkina Faso</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="33" tabindex="0" role="option" aria-selected="false" id="select_option_46">
                        <div class="md-text">Burundi</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="34" tabindex="0" role="option" aria-selected="false" id="select_option_47">
                        <div class="md-text">Cambodia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="35" tabindex="0" role="option" aria-selected="false" id="select_option_48">
                        <div class="md-text">Cameroon</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="37" tabindex="0" role="option" aria-selected="false" id="select_option_49">
                        <div class="md-text">Cape Verde</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="38" tabindex="0" role="option" aria-selected="false" id="select_option_50">
                        <div class="md-text">Cayman Islands</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="39" tabindex="0" role="option" aria-selected="false" id="select_option_51">
                        <div class="md-text">Central African Republic</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="40" tabindex="0" role="option" aria-selected="false" id="select_option_52">
                        <div class="md-text">Chad</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="41" tabindex="0" role="option" aria-selected="false" id="select_option_53">
                        <div class="md-text">Chile</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="42" tabindex="0" role="option" aria-selected="false" id="select_option_54">
                        <div class="md-text">China</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="43" tabindex="0" role="option" aria-selected="false" id="select_option_55">
                        <div class="md-text">Colombia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="44" tabindex="0" role="option" aria-selected="false" id="select_option_56">
                        <div class="md-text">Comoros</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="45" tabindex="0" role="option" aria-selected="false" id="select_option_57">
                        <div class="md-text">Congo</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="46" tabindex="0" role="option" aria-selected="false" id="select_option_58">
                        <div class="md-text">Costa Rica</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="47" tabindex="0" role="option" aria-selected="false" id="select_option_59">
                        <div class="md-text">Croatia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="48" tabindex="0" role="option" aria-selected="false" id="select_option_60">
                        <div class="md-text">Cuba</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="49" tabindex="0" role="option" aria-selected="false" id="select_option_61">
                        <div class="md-text">Cyprus</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="50" tabindex="0" role="option" aria-selected="false" id="select_option_62">
                        <div class="md-text">Czech Republic</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="51" tabindex="0" role="option" aria-selected="false" id="select_option_63">
                        <div class="md-text">Denmark</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="52" tabindex="0" role="option" aria-selected="false" id="select_option_64">
                        <div class="md-text">Djibouti</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="53" tabindex="0" role="option" aria-selected="false" id="select_option_65">
                        <div class="md-text">Dominica</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="54" tabindex="0" role="option" aria-selected="false" id="select_option_66">
                        <div class="md-text">Dominican Republic</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="55" tabindex="0" role="option" aria-selected="false" id="select_option_67">
                        <div class="md-text">East Timor</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="56" tabindex="0" role="option" aria-selected="false" id="select_option_68">
                        <div class="md-text">Ecuador</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="57" tabindex="0" role="option" aria-selected="false" id="select_option_69">
                        <div class="md-text">Egypt</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="58" tabindex="0" role="option" aria-selected="false" id="select_option_70">
                        <div class="md-text">El Salvador</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="59" tabindex="0" role="option" aria-selected="false" id="select_option_71">
                        <div class="md-text">Equatorial Guinea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="60" tabindex="0" role="option" aria-selected="false" id="select_option_72">
                        <div class="md-text">Eritrea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="61" tabindex="0" role="option" aria-selected="false" id="select_option_73">
                        <div class="md-text">Estonia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="62" tabindex="0" role="option" aria-selected="false" id="select_option_74">
                        <div class="md-text">Ethiopia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="63" tabindex="0" role="option" aria-selected="false" id="select_option_75">
                        <div class="md-text">Fiji</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="65" tabindex="0" role="option" aria-selected="false" id="select_option_76">
                        <div class="md-text">France</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="68" tabindex="0" role="option" aria-selected="false" id="select_option_77">
                        <div class="md-text">Gabon</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="69" tabindex="0" role="option" aria-selected="false" id="select_option_78">
                        <div class="md-text">Gambia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="70" tabindex="0" role="option" aria-selected="false" id="select_option_79">
                        <div class="md-text">Georgia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="72" tabindex="0" role="option" aria-selected="false" id="select_option_80">
                        <div class="md-text">Ghana</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="73" tabindex="0" role="option" aria-selected="false" id="select_option_81">
                        <div class="md-text">Gibraltar</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="74" tabindex="0" role="option" aria-selected="false" id="select_option_82">
                        <div class="md-text">Greece</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="75" tabindex="0" role="option" aria-selected="false" id="select_option_83">
                        <div class="md-text">Greenland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="76" tabindex="0" role="option" aria-selected="false" id="select_option_84">
                        <div class="md-text">Grenada</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="77" tabindex="0" role="option" aria-selected="false" id="select_option_85">
                        <div class="md-text">Guam</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="78" tabindex="0" role="option" aria-selected="false" id="select_option_86">
                        <div class="md-text">Guatemala</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="79" tabindex="0" role="option" aria-selected="false" id="select_option_87">
                        <div class="md-text">Guinea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="80" tabindex="0" role="option" aria-selected="false" id="select_option_88">
                        <div class="md-text">Guinea-Bissau</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="81" tabindex="0" role="option" aria-selected="false" id="select_option_89">
                        <div class="md-text">Guyana</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="82" tabindex="0" role="option" aria-selected="false" id="select_option_90">
                        <div class="md-text">Haiti</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="83" tabindex="0" role="option" aria-selected="false" id="select_option_91">
                        <div class="md-text">Honduras</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="84" tabindex="0" role="option" aria-selected="false" id="select_option_92">
                        <div class="md-text">Hong Kong</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="86" tabindex="0" role="option" aria-selected="false" id="select_option_93">
                        <div class="md-text">Iceland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="87" tabindex="0" role="option" aria-selected="false" id="select_option_94">
                        <div class="md-text">India</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="88" tabindex="0" role="option" aria-selected="false" id="select_option_95">
                        <div class="md-text">Indonesia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="89" tabindex="0" role="option" aria-selected="false" id="select_option_96">
                        <div class="md-text">Iran</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="90" tabindex="0" role="option" aria-selected="false" id="select_option_97">
                        <div class="md-text">Iraq</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="92" tabindex="0" role="option" aria-selected="false" id="select_option_98">
                        <div class="md-text">Israel</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="93" tabindex="0" role="option" aria-selected="false" id="select_option_99">
                        <div class="md-text">Italy</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="94" tabindex="0" role="option" aria-selected="false" id="select_option_100">
                        <div class="md-text">Jamaica</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="95" tabindex="0" role="option" aria-selected="false" id="select_option_101">
                        <div class="md-text">Japan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="96" tabindex="0" role="option" aria-selected="false" id="select_option_102">
                        <div class="md-text">Jordan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="97" tabindex="0" role="option" aria-selected="false" id="select_option_103">
                        <div class="md-text">Kazakhstan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="98" tabindex="0" role="option" aria-selected="false" id="select_option_104">
                        <div class="md-text">Kenya</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="99" tabindex="0" role="option" aria-selected="false" id="select_option_105">
                        <div class="md-text">Kiribati</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="100" tabindex="0" role="option" aria-selected="false" id="select_option_106">
                        <div class="md-text">North Korea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="101" tabindex="0" role="option" aria-selected="false" id="select_option_107">
                        <div class="md-text">South Korea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="102" tabindex="0" role="option" aria-selected="false" id="select_option_108">
                        <div class="md-text">Kuwait</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="103" tabindex="0" role="option" aria-selected="false" id="select_option_109">
                        <div class="md-text">Kyrgyzstan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="104" tabindex="0" role="option" aria-selected="false" id="select_option_110">
                        <div class="md-text">Laos</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="105" tabindex="0" role="option" aria-selected="false" id="select_option_111">
                        <div class="md-text">Latvia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="106" tabindex="0" role="option" aria-selected="false" id="select_option_112">
                        <div class="md-text">Lebanon</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="107" tabindex="0" role="option" aria-selected="false" id="select_option_113">
                        <div class="md-text">Lesotho</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="108" tabindex="0" role="option" aria-selected="false" id="select_option_114">
                        <div class="md-text">Liberia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="109" tabindex="0" role="option" aria-selected="false" id="select_option_115">
                        <div class="md-text">Libya</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="110" tabindex="0" role="option" aria-selected="false" id="select_option_116">
                        <div class="md-text">Liechtenstein</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="111" tabindex="0" role="option" aria-selected="false" id="select_option_117">
                        <div class="md-text">Lithuania</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="112" tabindex="0" role="option" aria-selected="false" id="select_option_118">
                        <div class="md-text">Luxembourg</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="113" tabindex="0" role="option" aria-selected="false" id="select_option_119">
                        <div class="md-text">Macedonia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="114" tabindex="0" role="option" aria-selected="false" id="select_option_120">
                        <div class="md-text">Madagascar</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="115" tabindex="0" role="option" aria-selected="false" id="select_option_121">
                        <div class="md-text">Malawi</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="116" tabindex="0" role="option" aria-selected="false" id="select_option_122">
                        <div class="md-text">Malaysia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="117" tabindex="0" role="option" aria-selected="false" id="select_option_123">
                        <div class="md-text">Maldives</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="118" tabindex="0" role="option" aria-selected="false" id="select_option_124">
                        <div class="md-text">Mali</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="119" tabindex="0" role="option" aria-selected="false" id="select_option_125">
                        <div class="md-text">Malta</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="120" tabindex="0" role="option" aria-selected="false" id="select_option_126">
                        <div class="md-text">Marshall Islands</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="121" tabindex="0" role="option" aria-selected="false" id="select_option_127">
                        <div class="md-text">Mauritania</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="122" tabindex="0" role="option" aria-selected="false" id="select_option_128">
                        <div class="md-text">Mauritius</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="123" tabindex="0" role="option" aria-selected="false" id="select_option_129">
                        <div class="md-text">Mexico</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="124" tabindex="0" role="option" aria-selected="false" id="select_option_130">
                        <div class="md-text">Micronesia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="125" tabindex="0" role="option" aria-selected="false" id="select_option_131">
                        <div class="md-text">Moldova</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="126" tabindex="0" role="option" aria-selected="false" id="select_option_132">
                        <div class="md-text">Monaco</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="127" tabindex="0" role="option" aria-selected="false" id="select_option_133">
                        <div class="md-text">Mongolia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="128" tabindex="0" role="option" aria-selected="false" id="select_option_134">
                        <div class="md-text">Montenegro</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="129" tabindex="0" role="option" aria-selected="false" id="select_option_135">
                        <div class="md-text">Montserrat</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="130" tabindex="0" role="option" aria-selected="false" id="select_option_136">
                        <div class="md-text">Morocco</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="131" tabindex="0" role="option" aria-selected="false" id="select_option_137">
                        <div class="md-text">Mozambique</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="132" tabindex="0" role="option" aria-selected="false" id="select_option_138">
                        <div class="md-text">Myanmar</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="133" tabindex="0" role="option" aria-selected="false" id="select_option_139">
                        <div class="md-text">Namibia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="134" tabindex="0" role="option" aria-selected="false" id="select_option_140">
                        <div class="md-text">Nauru</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="135" tabindex="0" role="option" aria-selected="false" id="select_option_141">
                        <div class="md-text">Nepal</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="138" tabindex="0" role="option" aria-selected="false" id="select_option_142">
                        <div class="md-text">Nicaragua</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="139" tabindex="0" role="option" aria-selected="false" id="select_option_143">
                        <div class="md-text">Niger</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="140" tabindex="0" role="option" aria-selected="false" id="select_option_144">
                        <div class="md-text">Nigeria</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="143" tabindex="0" role="option" aria-selected="false" id="select_option_145">
                        <div class="md-text">Oman</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="144" tabindex="0" role="option" aria-selected="false" id="select_option_146">
                        <div class="md-text">Pakistan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="145" tabindex="0" role="option" aria-selected="false" id="select_option_147">
                        <div class="md-text">Palau</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="146" tabindex="0" role="option" aria-selected="false" id="select_option_148">
                        <div class="md-text">Palestine</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="147" tabindex="0" role="option" aria-selected="false" id="select_option_149">
                        <div class="md-text">Panama</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="148" tabindex="0" role="option" aria-selected="false" id="select_option_150">
                        <div class="md-text">Papua New Guinea</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="149" tabindex="0" role="option" aria-selected="false" id="select_option_151">
                        <div class="md-text">Paraguay</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="150" tabindex="0" role="option" aria-selected="false" id="select_option_152">
                        <div class="md-text">Peru</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="151" tabindex="0" role="option" aria-selected="false" id="select_option_153">
                        <div class="md-text">Philippines</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="152" tabindex="0" role="option" aria-selected="false" id="select_option_154">
                        <div class="md-text">Poland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="153" tabindex="0" role="option" aria-selected="false" id="select_option_155">
                        <div class="md-text">Portugal</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="154" tabindex="0" role="option" aria-selected="false" id="select_option_156">
                        <div class="md-text">Puerto Rico</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="155" tabindex="0" role="option" aria-selected="false" id="select_option_157">
                        <div class="md-text">Qatar</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="156" tabindex="0" role="option" aria-selected="false" id="select_option_158">
                        <div class="md-text">Reunion Island</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="157" tabindex="0" role="option" aria-selected="false" id="select_option_159">
                        <div class="md-text">Romania</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="158" tabindex="0" role="option" aria-selected="false" id="select_option_160">
                        <div class="md-text">Russia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="159" tabindex="0" role="option" aria-selected="false" id="select_option_161">
                        <div class="md-text">Rwanda</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="163" tabindex="0" role="option" aria-selected="false" id="select_option_162">
                        <div class="md-text">Samoa</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="164" tabindex="0" role="option" aria-selected="false" id="select_option_163">
                        <div class="md-text">San Marino</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="165" tabindex="0" role="option" aria-selected="false" id="select_option_164">
                        <div class="md-text">Sao Tome and Principe</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="166" tabindex="0" role="option" aria-selected="false" id="select_option_165">
                        <div class="md-text">Saudi Arabia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="167" tabindex="0" role="option" aria-selected="false" id="select_option_166">
                        <div class="md-text">Senegal</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="168" tabindex="0" role="option" aria-selected="false" id="select_option_167">
                        <div class="md-text">Serbia and Montenegro</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="169" tabindex="0" role="option" aria-selected="false" id="select_option_168">
                        <div class="md-text">Seychelles</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="170" tabindex="0" role="option" aria-selected="false" id="select_option_169">
                        <div class="md-text">Sierra Leone</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="171" tabindex="0" role="option" aria-selected="false" id="select_option_170">
                        <div class="md-text">Singapore</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="172" tabindex="0" role="option" aria-selected="false" id="select_option_171">
                        <div class="md-text">Slovakia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="173" tabindex="0" role="option" aria-selected="false" id="select_option_172">
                        <div class="md-text">Slovenia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="174" tabindex="0" role="option" aria-selected="false" id="select_option_173">
                        <div class="md-text">Solomon Islands</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="175" tabindex="0" role="option" aria-selected="false" id="select_option_174">
                        <div class="md-text">Somalia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="176" tabindex="0" role="option" aria-selected="false" id="select_option_175">
                        <div class="md-text">South Africa</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="178" tabindex="0" role="option" aria-selected="false" id="select_option_176">
                        <div class="md-text">Sri Lanka</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="179" tabindex="0" role="option" aria-selected="false" id="select_option_177">
                        <div class="md-text">Sudan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="180" tabindex="0" role="option" aria-selected="false" id="select_option_178">
                        <div class="md-text">Suriname</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="181" tabindex="0" role="option" aria-selected="false" id="select_option_179">
                        <div class="md-text">Swaziland</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="182" tabindex="0" role="option" aria-selected="false" id="select_option_180">
                        <div class="md-text">Sweden</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="184" tabindex="0" role="option" aria-selected="false" id="select_option_181">
                        <div class="md-text">Syria</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="185" tabindex="0" role="option" aria-selected="false" id="select_option_182">
                        <div class="md-text">Taiwan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="186" tabindex="0" role="option" aria-selected="false" id="select_option_183">
                        <div class="md-text">Tajikistan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="187" tabindex="0" role="option" aria-selected="false" id="select_option_184">
                        <div class="md-text">Tanzania</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="188" tabindex="0" role="option" aria-selected="false" id="select_option_185">
                        <div class="md-text">Thailand</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="189" tabindex="0" role="option" aria-selected="false" id="select_option_186">
                        <div class="md-text">Togo</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="190" tabindex="0" role="option" aria-selected="false" id="select_option_187">
                        <div class="md-text">Tonga</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="191" tabindex="0" role="option" aria-selected="false" id="select_option_188">
                        <div class="md-text">Trinidad and Tobago</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="192" tabindex="0" role="option" aria-selected="false" id="select_option_189">
                        <div class="md-text">Tunisia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="193" tabindex="0" role="option" aria-selected="false" id="select_option_190">
                        <div class="md-text">Turkey</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="194" tabindex="0" role="option" aria-selected="false" id="select_option_191">
                        <div class="md-text">Turkmenistan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="195" tabindex="0" role="option" aria-selected="false" id="select_option_192">
                        <div class="md-text">Tuvalu</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="196" tabindex="0" role="option" aria-selected="false" id="select_option_193">
                        <div class="md-text">Uganda</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="197" tabindex="0" role="option" aria-selected="false" id="select_option_194">
                        <div class="md-text">Ukraine</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="198" tabindex="0" role="option" aria-selected="false" id="select_option_195">
                        <div class="md-text">United Arab Emirates</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="201" tabindex="0" role="option" aria-selected="false" id="select_option_196">
                        <div class="md-text">Uruguay</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="202" tabindex="0" role="option" aria-selected="false" id="select_option_197">
                        <div class="md-text">Uzbekistan</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="203" tabindex="0" role="option" aria-selected="false" id="select_option_198">
                        <div class="md-text">Vanuatu</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="204" tabindex="0" role="option" aria-selected="false" id="select_option_199">
                        <div class="md-text">Vatican City</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="205" tabindex="0" role="option" aria-selected="false" id="select_option_200">
                        <div class="md-text">Venezuela</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="206" tabindex="0" role="option" aria-selected="false" id="select_option_201">
                        <div class="md-text">Vietnam</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="207" tabindex="0" role="option" aria-selected="false" id="select_option_202">
                        <div class="md-text">Virgin Islands, British</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="210" tabindex="0" role="option" aria-selected="false" id="select_option_203">
                        <div class="md-text">Zambia</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="211" tabindex="0" role="option" aria-selected="false" id="select_option_204">
                        <div class="md-text">Zimbabwe</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="212" tabindex="0" role="option" aria-selected="false" id="select_option_205">
                        <div class="md-text">Not Listed</div>
                      </md-option></md-content></md-select-menu></div>
              </md-select>
              <div data-ng-messages="arm_form.country.$error" data-ng-show="arm_form.country.$touched" class="arm_error_msg_box ng-scope md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true">
                <!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Please select atleast one option.
                </div><!-- ngMessage: invalid -->
              </div><select class="md-visually-hidden" name="country" aria-hidden="true" tabindex="-1">
                <option value="0">Country/Region</option>
                <option value="14">Austria</option>
                <option value="36">Canada</option>
                <option value="64">Finland</option>
                <option value="71">Germany</option>
                <option value="91">Ireland</option>
                <option value="137">New Zealand</option>
                <option value="141">Norway</option>
                <option value="183">Switzerland</option>
                <option value="—————————">—————————</option>
                <option value="2">Albania</option>
                <option value="3">Algeria</option>
                <option value="4">American Samoa</option>
                <option value="5">Andorra</option>
                <option value="6">Angola</option>
                <option value="7">Anguilla</option>
                <option value="8">Antarctica</option>
                <option value="10">Argentina</option>
                <option value="11">Armenia</option>
                <option value="13">Australia</option>
                <option value="15">Azerbaijan</option>
                <option value="17">Bahrain</option>
                <option value="18">Bangladesh</option>
                <option value="19">Barbados</option>
                <option value="20">Belarus</option>
                <option value="21">Belgium</option>
                <option value="22">Belize</option>
                <option value="23">Benin</option>
                <option value="24">Bermuda</option>
                <option value="25">Bhutan</option>
                <option value="26">Bolivia</option>
                <option value="27">Bosnia and Herzegovina</option>
                <option value="28">Botswana</option>
                <option value="29">Brazil</option>
                <option value="30">Brunei</option>
                <option value="31">Bulgaria</option>
                <option value="32">Burkina Faso</option>
                <option value="33">Burundi</option>
                <option value="34">Cambodia</option>
                <option value="35">Cameroon</option>
                <option value="37">Cape Verde</option>
                <option value="38">Cayman Islands</option>
                <option value="39">Central African Republic</option>
                <option value="40">Chad</option>
                <option value="41">Chile</option>
                <option value="42">China</option>
                <option value="43">Colombia</option>
                <option value="44">Comoros</option>
                <option value="45">Congo</option>
                <option value="46">Costa Rica</option>
                <option value="47">Croatia</option>
                <option value="48">Cuba</option>
                <option value="49">Cyprus</option>
                <option value="50">Czech Republic</option>
                <option value="51">Denmark</option>
                <option value="52">Djibouti</option>
                <option value="53">Dominica</option>
                <option value="54">Dominican Republic</option>
                <option value="55">East Timor</option>
                <option value="56">Ecuador</option>
                <option value="57">Egypt</option>
                <option value="58">El Salvador</option>
                <option value="59">Equatorial Guinea</option>
                <option value="60">Eritrea</option>
                <option value="61">Estonia</option>
                <option value="62">Ethiopia</option>
                <option value="63">Fiji</option>
                <option value="65">France</option>
                <option value="68">Gabon</option>
                <option value="69">Gambia</option>
                <option value="70">Georgia</option>
                <option value="72">Ghana</option>
                <option value="73">Gibraltar</option>
                <option value="74">Greece</option>
                <option value="75">Greenland</option>
                <option value="76">Grenada</option>
                <option value="77">Guam</option>
                <option value="78">Guatemala</option>
                <option value="79">Guinea</option>
                <option value="80">Guinea-Bissau</option>
                <option value="81">Guyana</option>
                <option value="82">Haiti</option>
                <option value="83">Honduras</option>
                <option value="84">Hong Kong</option>
                <option value="86">Iceland</option>
                <option value="87">India</option>
                <option value="88">Indonesia</option>
                <option value="89">Iran</option>
                <option value="90">Iraq</option>
                <option value="92">Israel</option>
                <option value="93">Italy</option>
                <option value="94">Jamaica</option>
                <option value="95">Japan</option>
                <option value="96">Jordan</option>
                <option value="97">Kazakhstan</option>
                <option value="98">Kenya</option>
                <option value="99">Kiribati</option>
                <option value="100">North Korea</option>
                <option value="101">South Korea</option>
                <option value="102">Kuwait</option>
                <option value="103">Kyrgyzstan</option>
                <option value="104">Laos</option>
                <option value="105">Latvia</option>
                <option value="106">Lebanon</option>
                <option value="107">Lesotho</option>
                <option value="108">Liberia</option>
                <option value="109">Libya</option>
                <option value="110">Liechtenstein</option>
                <option value="111">Lithuania</option>
                <option value="112">Luxembourg</option>
                <option value="113">Macedonia</option>
                <option value="114">Madagascar</option>
                <option value="115">Malawi</option>
                <option value="116">Malaysia</option>
                <option value="117">Maldives</option>
                <option value="118">Mali</option>
                <option value="119">Malta</option>
                <option value="120">Marshall Islands</option>
                <option value="121">Mauritania</option>
                <option value="122">Mauritius</option>
                <option value="123">Mexico</option>
                <option value="124">Micronesia</option>
                <option value="125">Moldova</option>
                <option value="126">Monaco</option>
                <option value="127">Mongolia</option>
                <option value="128">Montenegro</option>
                <option value="129">Montserrat</option>
                <option value="130">Morocco</option>
                <option value="131">Mozambique</option>
                <option value="132">Myanmar</option>
                <option value="133">Namibia</option>
                <option value="134">Nauru</option>
                <option value="135">Nepal</option>
                <option value="138">Nicaragua</option>
                <option value="139">Niger</option>
                <option value="140">Nigeria</option>
                <option value="143">Oman</option>
                <option value="144">Pakistan</option>
                <option value="145">Palau</option>
                <option value="146">Palestine</option>
                <option value="147">Panama</option>
                <option value="148">Papua New Guinea</option>
                <option value="149">Paraguay</option>
                <option value="150">Peru</option>
                <option value="151">Philippines</option>
                <option value="152">Poland</option>
                <option value="153">Portugal</option>
                <option value="154">Puerto Rico</option>
                <option value="155">Qatar</option>
                <option value="156">Reunion Island</option>
                <option value="157">Romania</option>
                <option value="158">Russia</option>
                <option value="159">Rwanda</option>
                <option value="163">Samoa</option>
                <option value="164">San Marino</option>
                <option value="165">Sao Tome and Principe</option>
                <option value="166">Saudi Arabia</option>
                <option value="167">Senegal</option>
                <option value="168">Serbia and Montenegro</option>
                <option value="169">Seychelles</option>
                <option value="170">Sierra Leone</option>
                <option value="171">Singapore</option>
                <option value="172">Slovakia</option>
                <option value="173">Slovenia</option>
                <option value="174">Solomon Islands</option>
                <option value="175">Somalia</option>
                <option value="176">South Africa</option>
                <option value="178">Sri Lanka</option>
                <option value="179">Sudan</option>
                <option value="180">Suriname</option>
                <option value="181">Swaziland</option>
                <option value="182">Sweden</option>
                <option value="184">Syria</option>
                <option value="185">Taiwan</option>
                <option value="186">Tajikistan</option>
                <option value="187">Tanzania</option>
                <option value="188">Thailand</option>
                <option value="189">Togo</option>
                <option value="190">Tonga</option>
                <option value="191">Trinidad and Tobago</option>
                <option value="192">Tunisia</option>
                <option value="193">Turkey</option>
                <option value="194">Turkmenistan</option>
                <option value="195">Tuvalu</option>
                <option value="196">Uganda</option>
                <option value="197">Ukraine</option>
                <option value="198">United Arab Emirates</option>
                <option value="201">Uruguay</option>
                <option value="202">Uzbekistan</option>
                <option value="203">Vanuatu</option>
                <option value="204">Vatican City</option>
                <option value="205">Venezuela</option>
                <option value="206">Vietnam</option>
                <option value="207">Virgin Islands, British</option>
                <option value="210">Zambia</option>
                <option value="211">Zimbabwe</option>
                <option value="212">Not Listed</option>
                <option ng-value="country" selected="" aria-checked="false"></option>
              </select>
            </md-input-container><input type="hidden" name="country" value="" autocomplete="off">
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_select " id="arm_form_field_container_327" data-field_id="327" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_select">
          <div class="arm_member_form_field_label"><span class="required_tag required_tag_327">*</span>
            <div class="arm_form_field_label_text">Currency</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_select arm_form_input_container" id="arm_form_input_container_327"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label md-required md-placeholder"
                for="select_212"> * Currency</label><md-select
                class="arm_form_input_box arm_form_input_box_327 arm_material_input arm_cl_currency_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" name="currency"
                data-ng-model="currency" required="required" aria-label="Currency" 101_yjd2jae8hx="" tabindex="0" aria-disabled="false" role="listbox" aria-expanded="false" aria-multiselectable="false" id="select_212" aria-owns="select_container_213"
                aria-required="true" aria-invalid="true"><md-select-value class="md-select-value md-select-placeholder" id="select_value_label_2"><span> * Currency</span><span class="md-select-icon" aria-hidden="true"></span></md-select-value>
                <div class="md-select-menu-container" aria-hidden="true" id="select_container_213"><md-select-menu class="_md"><md-content><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="EUR" tabindex="0"
                        role="option" aria-selected="false" id="select_option_208">
                        <div class="md-text">EUR</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="CAD" tabindex="0" role="option" aria-selected="false" id="select_option_209">
                        <div class="md-text">CAD</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="NZD" tabindex="0" role="option" aria-selected="false" id="select_option_210">
                        <div class="md-text">NZD</div>
                      </md-option><md-option class="armMDOption armSelectOption101 armSelectOptionLTR md-ink-ripple" value="USD" tabindex="0" role="option" aria-selected="false" id="select_option_211">
                        <div class="md-text">USD</div>
                      </md-option></md-content></md-select-menu></div>
              </md-select>
              <div data-ng-messages="arm_form.currency.$error" data-ng-show="arm_form.currency.$touched" class="arm_error_msg_box ng-scope md-input-messages-animation ng-active ng-hide" aria-live="assertive" aria-hidden="true">
                <!-- ngMessage: required -->
                <div data-ng-message="required" class="arm_error_msg md-input-message-animation ng-scope">
                  <div class="arm_error_box_arrow"></div>Please select atleast one option.
                </div><!-- ngMessage: invalid -->
              </div><select class="md-visually-hidden" name="currency" aria-hidden="true" tabindex="-1">
                <option value="EUR">EUR</option>
                <option value="CAD">CAD</option>
                <option value="NZD">NZD</option>
                <option value="USD">USD</option>
                <option ng-value="currency" selected="" aria-checked="false"></option>
              </select>
            </md-input-container><input type="hidden" name="currency" value="" autocomplete="off">
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_text " id="arm_form_field_container_328" data-field_id="328" style="">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_text">
          <div class="arm_member_form_field_label">
            <div class="arm_form_field_label_text">Bonus Code</div>
          </div>
        </div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_text arm_form_input_container" id="arm_form_input_container_328"><md-input-container class="md-block flex-gt-sm" flex-gt-sm=""><label class="arm_material_label" for="input_214"> Bonus Code</label><input
                name="start_bonuscode" type="text" value=""
                class="arm_form_input_box arm_form_input_box_328 arm_material_input arm_cl_start_bonuscode_101_YJD2JAe8hX arm_prefix_suffix_icon arm_has_suffix_icon ng-pristine ng-untouched ng-valid md-input ng-empty"
                data-ng-model="arm_form.start_bonuscode_328" data-ng-trim="false" 101_yjd2jae8hx="" id="input_214" aria-invalid="false">
              <div class="md-errors-spacer"></div>
              <div data-ng-messages="arm_form.start_bonuscode.$error" data-ng-show="arm_form.start_bonuscode.$touched" class="arm_error_msg_box md-input-messages-animation ng-inactive ng-hide" aria-live="assertive" aria-hidden="true">
                <!-- ngMessage: required --><!-- ngMessage: invalid --></div>
            </md-input-container>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="arm_form_field_container  arm_form_field_container_submit" id="arm_form_field_container_329" data-field_id="329">
        <div class="arm_form_label_wrapper arm_form_field_label_wrapper arm_form_member_field_submit"></div>
        <div class="arm_label_input_separator"></div>
        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_submit arm_form_input_container" id="arm_form_input_container_329"><button
              class="arm_form_field_submit_button arm_form_field_container_button arm_btn_style_border arm_form_input_box arm_form_input_box_329 arm_material_input arm_cl_submit_ arm_prefix_suffix_icon arm_has_suffix_icon arm_form_input_box_329 md-button md-ink-ripple"
              type="submit" ng-transclude="" name="armFormSubmitBtn" ng-click="armSubmitBtnClick($event)"><span class="arm_spinner ng-scope"><svg version="1.1" id="arm_form_loader" xmlns="http://www.w3.org/2000/svg"
                  xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="18px" height="18px" viewBox="0 0 26.349 26.35" style="enable-background:new 0 0 26.349 26.35;" xml:space="preserve">
                  <g>
                    <g>
                      <circle cx="13.792" cy="3.082" r="3.082"></circle>
                      <circle cx="13.792" cy="24.501" r="1.849"></circle>
                      <circle cx="6.219" cy="6.218" r="2.774"></circle>
                      <circle cx="21.365" cy="21.363" r="1.541"></circle>
                      <circle cx="3.082" cy="13.792" r="2.465"></circle>
                      <circle cx="24.501" cy="13.791" r="1.232"></circle>
                      <path d="M4.694,19.84c-0.843,0.843-0.843,2.207,0,3.05c0.842,0.843,2.208,0.843,3.05,0c0.843-0.843,0.843-2.207,0-3.05 C6.902,18.996,5.537,18.988,4.694,19.84z"></path>
                      <circle cx="21.364" cy="6.218" r="0.924"></circle>
                    </g>
                  </g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                </svg></span>Submit</button>
            <div class="arm_member_form_field_description">
              <div class="arm_form_field_description_wrapper_text arm_form_field_description_text"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="armclear"></div>
    </div><input type="hidden" name="arm_action" value="please-signup" autocomplete="off"><input type="hidden" name="redirect_to" value="https://wildpharao.com" autocomplete="off"><input type="hidden" name="isAdmin" value="0"
      autocomplete="off"><input type="hidden" name="referral_url" value="https://wildpharao.com" autocomplete="off"><input type="hidden" name="arm_form_id" value="101" autocomplete="off">
    <div class="arm_reg_links_wrapper arm_reg_options arm_reg_login_links"><input type="hidden" name="arm_signup_login_form" value="arm_reg_form_login_link_101_s5WHechu1a" autocomplete="off">
      <center><span class="arm_login_link">Already have an account?
          <a href="javascript:void(0)" class="arm_reg_popup_form_links arm_form_popup_ahref" data-form_id="arm_reg_form_login_link_101_s5WHechu1a" data-toggle="armmodal" data-modal_bg="#000000" data-overlay="0.6">Login</a></span></center>
      <div class="armclear"></div>
    </div>
    <div class="armclear"></div>
    <div class="armclear"></div>
  </div><input type="text" style="visibility:hidden !important;display:none !important;opacity:0 !important;" name="f2xft5xg">
</form>

Name: arm_form — POST

<form method="post"
  class="arm_form arm_shortcode_form arm_form_102 arm_form_layout_writer armf_alignment_left armf_layout_block armf_button_position_center arm_form_ltr arm_form_style_bright_cyan armAngularInit arm_cl_102_7KvpKam9jg ng-pristine ng-scope ng-invalid ng-invalid-required ng-valid-minlength"
  enctype="multipart/form-data" novalidate="" name="arm_form" id="arm_form102_7KvpKam9jg" data-ng-controller="ARMCtrl" data-ng-id="102" data-ng-submit="armFormSubmit(arm_form.$valid, 'arm_form102_7KvpKam9jg', $event);" onsubmit="return false;"
  style="width: 100%;" data-random-id="102_7KvpKam9jg">
  <style type="text/css" id="arm_form_style_102">
    .arm_form_102 .arm_editor_form_fileds_wrapper,
    .arm_form_102 .arm_form_inner_container {
      padding-top: 30px !important;
      padding-bottom: 30px !important;
      padding-right: 30px !important;
      padding-left: 30px !important;
    }

    .arm_popup_member_form_102 .arm_form_message_container {
      max-width: 100%;
      width: 550px;
      margin: 0 auto;
    }

    .arm_popup_member_form_102 .arm_form_heading_container,
    .arm_form_102 .arm_form_heading_container,
    .arm_form_102 .arm_update_card_form_heading_container .arm_form_field_label_wrapper_text,
    .arm_form_102 .arm_form_heading_container,
    .arm_form_102 .arm_form_heading_container .arm_form_field_label_wrapper_text {
      color: #555555;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 28px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_102 .arm_registration_link,
    .arm_form_102 .arm_forgotpassword_link {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_102 .arm_pass_strength_meter {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_102 .arm_registration_link a,
    .arm_form_102 .arm_forgotpassword_link a {
      color: #23b7e5 !important;
    }

    .arm_form_102 .arm_reg_login_links a {
      color: #23b7e5 !important;
    }

    .arm_form_102 .arm_form_field_container .arm_registration_link,
    .arm_form_102 .arm_form_field_container.arm_registration_link,
    .arm_form_102 .arm_registration_link {
      margin: 0px 0px 0px 0px !important;
    }

    .arm_form_102 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_102 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_102 .arm_forgotpassword_link {
      margin: -132px 0px 0px 315px !important;
    }

    .arm_form_102 .arm_form_field_container .arm_forgotpassword_link,
    .arm_form_102 .arm_form_field_container.arm_forgotpassword_link,
    .arm_form_102 .arm_forgotpassword_link {
      z-index: 2;
    }

    .arm_form_102 .arm_close_account_message,
    .arm_form_102 .arm_forgot_password_description {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 17px;
    }

    .arm_form_102 .arm_form_field_container {
      margin-bottom: 15px !important;
    }

    .arm_form_102 .arm_form_input_wrapper {
      max-width: 100%;
      width: 62%;
      width: 100%;
    }

    .arm_form_message_container.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper,
    .arm_form_message_container1.arm_editor_form_fileds_container.arm_editor_form_fileds_wrapper {
      border: none !important;
    }

    .arm_module_forms_container .arm_form_102,
    .arm_member_form_container .arm_form_102,
    .arm_update_card_form_container .arm_form_102,
    .arm_editor_form_fileds_container,
    .arm_editor_form_fileds_container .arm_form_102 {
      max-width: 100%;
      width: 550px;
      margin: 0 auto;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_102 {
      background: #ffffff !important;
      background-repeat: no-repeat;
      background-position: top left;
    }

    .arm_module_forms_container .arm_form_102,
    .arm_member_form_container .arm_form_102,
    .arm_update_card_form_container .arm_form_102,
    .arm_editor_form_fileds_wrapper {
      background: #ffffff;
      background-repeat: no-repeat;
      background-position: top left;
      border: 0px solid #cccccc;
      border-radius: 8px;
      -webkit-border-radius: 8px;
      -moz-border-radius: 8px;
      -o-border-radius: 8px;
      float: center;
    }

    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_102 .arm_module_forms_container .arm_form_102,
    .popup_wrapper.arm_popup_wrapper.arm_popup_member_form.arm_popup_member_form_102 .arm_member_form_container .arm_form_102,
    .arm_update_card_form_container .arm_form_102 {
      background: none !important;
    }

    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container,
    .arm_form_msg.arm_member_form_container,
    .arm_form_msg .arm_form_message_container1 {
      float: center;
      width: 550px;
    }

    .arm_form_102 .arm_form_label_wrapper {
      max-width: 100%;
      width: 30%;
      width: 250px;
    }

    .arm_form_102 md-input-container.md-input-invalid.md-input-focused label,
    .arm_form_102 md-input-container.md-default-theme:not(.md-input-invalid).md-input-focused label,
    .arm_form_102 md-input-container.md-default-theme.md-input-invalid.md-input-focused label,
    .arm_form_102 md-input-container:not(.md-input-invalid).md-input-focused label,
    .arm_form_102 .arm_form_field_label_text,
    .arm_form_102 .arm_member_form_field_label .arm_form_field_label_text,
    .arm_form_102 .arm_member_form_field_description .arm_form_field_description_text,
    .arm_form_102 .arm_form_label_wrapper .required_tag,
    .arm_form_102 .arm_form_input_container label,
    .arm_form_102 md-input-container:not(.md-input-invalid) md-select .md-select-value.md-select-placeholder,
    .arm_form_102 md-input-container:not(.md-input-invalid).md-input-has-value label {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      margin: 0px !important;
      line-height: 28px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_102 .arm_member_form_field_description .arm_form_field_description_text {
      font-size: 16px;
      line-height: 16px;
    }

    md-select-menu.md-default-theme md-content md-option:not([disabled]):focus,
    md-select-menu md-content md-option:not([disabled]):focus,
    md-select-menu.md-default-theme md-content md-option:not([disabled]):hover,
    md-select-menu md-content md-option:not([disabled]):hover {
      background-color: #23b7e5;
      color: #ffffff;
    }

    .armSelectOption102,
    .arm_payment_transfer_mode_option_102 {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    .arm_form_102 .arm_form_input_container.arm_form_input_container_section {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
    }

    .arm_form_102 md-radio-button,
    .arm_form_102 md-checkbox {
      color: #919191;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
      cursor: pointer;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
    }

    md-select-menu.md-default-theme md-option.armSelectOption102[selected],
    md-select-menu md-option.armSelectOption102[selected] {
      font-weight: bold;
      color: #242424;
    }

    .arm_form_102 .arm_form_input_container input {
      height: 33px;
    }

    .arm_form_102.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_prefix,
    .arm_form_102.arm_standard_validation_type.arm_form_layout_iconic .arm_editor_suffix,
    .arm_form_102.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_prefix,
    .arm_form_102.arm_standard_validation_type.arm_form_layout_rounded .arm_editor_suffix {
      height: 38px;
    }

    .arm_form_102 .arm_apply_coupon_container .arm_coupon_submit_wrapper .arm_apply_coupon_btn {
      min-height: 35px;
      margin: 0;
    }

    .arm_form_102 .arm_form_input_container input,
    .arm_form_102 .arm_form_input_container textarea,
    .arm_form_102 .arm_form_input_container select,
    .arm_form_102 .arm_form_input_container md-select md-select-value {
      background-color: #ffffff !important;
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7;
      border-radius: 0px !important;
      -webkit-border-radius: 0px !important;
      -moz-border-radius: 0px !important;
      -o-border-radius: 0px !important;
      color: #242424;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-weight: normal;
      font-style: normal;
      text-decoration: none;
      height: 33px;
    }

    .arm_form_102 .armFileUploadWrapper .armFileDragArea {
      border-color: #c7c7c7;
    }

    .arm_form_102 .armFileUploadWrapper .armFileDragArea.arm_dragover {
      border-color: #23b7e5;
    }

    .arm_form_102 md-checkbox.md-default-theme.md-checked .md-ink-ripple,
    .arm_form_102 md-checkbox.md-checked .md-ink-ripple {
      color: rgba(199, 199, 199, 0.87);
    }

    .arm_form_102 md-radio-button.md-default-theme.md-checked .md-off,
    .arm_form_102 md-radio-button.md-default-theme .md-off,
    .arm_form_102 md-radio-button.md-checked .md-off,
    .arm_form_102 md-radio-button .md-off,
    .arm_form_102 md-checkbox.md-default-theme .md-icon,
    .arm_form_102 md-checkbox .md-icon {
      border-color: #c7c7c7;
    }

    .arm_form_102 md-radio-button.md-default-theme .md-on,
    .arm_form_102 md-radio-button .md-on,
    .arm_form_102 md-checkbox.md-default-theme.md-checked .md-icon,
    .arm_form_102 md-checkbox.md-checked .md-icon {
      background-color: #23b7e5;
    }

    md-option.armSelectOption102 .md-ripple.md-ripple-placed,
    md-option.armSelectOption102 .md-ripple.md-ripple-scaled,
    .arm_form_102 .md-ripple.md-ripple-placed,
    .arm_form_102 .md-ripple.md-ripple-scaled {
      background-color: rgba(35, 183, 229, 0.87) !important;
    }

    .arm_form_102 .md-button .md-ripple.md-ripple-placed,
    .arm_form_102 .md-button .md-ripple.md-ripple-scaled {
      background-color: rgb(255, 255, 255) !important;
    }

    .arm_form_102 md-checkbox.md-focused:not([disabled]):not(.md-checked) .md-container:before {
      background-color: rgba(35, 183, 229, 0.12) !important;
    }

    .arm_form_102 md-radio-group.md-default-theme.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_102 md-radio-group.md-focused:not(:empty) .md-checked .md-container:before,
    .arm_form_102 md-checkbox.md-default-theme.md-checked.md-focused .md-container:before,
    .arm_form_102 md-checkbox.md-checked.md-focused .md-container:before {
      background-color: rgba(35, 183, 229, 0.26) !important;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_wrapper_container .select-wrapper input.select-dropdown,
    .arm_form_102.arm_form_layout_writer .arm_form_wrapper_container .file-field input.file-path {
      border-color: #c7c7c7;
      border-width: 0 0 1px 0 !important;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_box.select-wrapper {
      border: 0 !important;
    }

    .arm_form_102 .arm_form_input_container input:focus,
    .arm_form_102 .arm_form_input_container textarea:focus,
    .arm_form_102 .arm_form_input_container select:focus,
    .arm_form_102 .arm_form_input_container md-select:focus md-select-value,
    .arm_form_102 .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      color: #242424;
      border: 1px solid #23b7e5;
      border-color: #23b7e5;
    }

    .arm_form_102 .arm_uploaded_file_info .armbar {
      background-color: #23b7e5;
    }

    .arm_form_102 .arm_form_input_box.arm_error_msg,
    .arm_form_102 .arm_form_input_box.arm_invalid,
    .arm_form_102 .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_102 md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #f05050;
      border-color: #f05050 !important;
    }

    .arm_form_102 .arm_form_message_container .arm_success_msg,
    .arm_form_102 .arm_form_message_container .arm_error_msg,
    .arm_form_102 .arm_form_message_container1 .arm_success_msg,
    .arm_form_102 .arm_form_message_container1 .arm_success_msg1,
    .arm_form_102 .arm_form_message_container1 .arm_error_msg,
    .arm_form_102 .arm_form_message_container .arm_success_msg a {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_102 .arm_coupon_field_wrapper .success.notify_msg {
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      text-decoration: none !important;
    }

    .arm_form_102 md-select.md-default-theme.ng-invalid.ng-dirty .md-select-value,
    .arm_form_102 md-select.ng-invalid.ng-dirty .md-select-value {
      color: #242424 !important;
      border-color: #f05050 !important;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_container textarea {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      -moz-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
      max-height: 150px;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_container input,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container select,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container md-select md-select-value {
      -webkit-transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      transition: all 0.3s cubic-bezier(0.64, 0.09, 0.08, 1);
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #c7c7c7 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 0 100%;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_container input:focus,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container select:focus,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container md-select:focus md-select-value,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched) md-select-value,
    .arm_form_102 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched) {
      border: 1px solid #c7c7c7;
      border-color: #c7c7c7 !important;
    }

    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_102 .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_container textarea:focus,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_102 .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      border: 1px solid #23b7e5;
      border-color: #23b7e5 !important;
    }

    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_error_msg:focus,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.arm_invalid:focus,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container md-input-container .md-input.ng-invalid:not(.ng-untouched):focus,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container input:focus,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container select:focus,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select:focus md-select-value,
    .arm_form_102.arm_form_layout_writer .arm_editor_form_fileds_container .arm_form_input_container md-select[aria-expanded='true']+md-select-value {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
      border-color: #23b7e5 !important;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_container textarea:focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #23b7e5 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_102.arm_form_layout_writer textarea.arm_form_input_box.arm_error_msg:focus,
    .arm_form_102.arm_form_layout_writer textarea.arm_form_input_box.arm_invalid:focus,
    .arm_form_102.arm_form_layout_writer textarea.arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_102.arm_form_layout_writer .arm_form_input_container_textarea md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 99.1%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_102.arm_form_layout_writer .arm_form_input_box.arm_error_msg:focus,
    .arm_form_102.arm_form_layout_writer .arm_form_input_box.arm_invalid:focus,
    .arm_form_102.arm_form_layout_writer .arm_form_input_box.ng-invalid:not(.ng-untouched):focus md-select-value,
    .arm_form_102.arm_form_layout_writer md-input-container .md-input.ng-invalid:not(.ng-untouched):focus {
      background: -webkit-linear-gradient(top, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background: linear-gradient(to bottom, rgba(255, 255, 255, 0) 96%, #f05050 4%);
      background-repeat: no-repeat;
      background-position: 0 0;
      background-size: 100% 100%;
    }

    .arm_form_102.arm_form_layout_iconic:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_102.arm_form_layout_rounded:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg,
    .arm_form_102:not(.arm_standard_validation_type) .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      background: #ffffff;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 14px;
      font-size: 16px;
      padding-left: 5px;
      padding-right: 5px;
      text-decoration: none !important;
    }

    .arm_form_102.arm_standard_validation_type .arm_error_msg_box .arm_error_msg {
      color: #e6594d;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 16px;
    }

    .arm_form_102 .arm_msg_pos_right .arm_error_msg_box .arm_error_box_arrow:after {
      border-right-color: #ffffff !important;
    }

    .arm_form_102 .arm_msg_pos_left .arm_error_msg_box .arm_error_box_arrow:after {
      border-left-color: #ffffff !important;
    }

    .arm_form_102 .arm_msg_pos_top .arm_error_msg_box .arm_error_box_arrow:after {
      border-top-color: #ffffff !important;
    }

    .arm_form_102 .arm_msg_pos_bottom .arm_error_msg_box .arm_error_box_arrow:after {
      border-bottom-color: #ffffff !important;
    }

    .arm_form_102 .arm_writer_error_msg_box {
      color: #e6594d;
      font-size: 14px;
      font-size: 14px;
    }

    .arm_form_102 .arm_form_field_submit_button.md-button .md-ripple-container {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
    }

    .arm_form_102 .arm_form_field_submit_button.md-button,
    .arm_form_102 .arm_form_field_submit_button {
      border-radius: 50px;
      -webkit-border-radius: 50px;
      -moz-border-radius: 50px;
      -o-border-radius: 50px;
      width: auto;
      max-width: 100%;
      width: 350px;
      min-height: 35px;
      min-height: 45px;
      padding: 0 10px;
      font-family: Helvetica, sans-serif, 'Trebuchet MS';
      font-size: 18px;
      margin: 10px 0px 0px 0px;
      font-weight: bold;
      font-style: normal;
      text-decoration: none;
      text-transform: none;
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_field_submit_button.arm_form_field_container_button.arm_editable_input_button {
      height: 45px;
    }

    .arm_form_102 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button.md-button,
    .arm_form_102 .arm_setup_submit_btn_wrapper .arm_form_field_submit_button {
      background-color: transparent;
      border: 2px solid #23b7e5;
      color: #23b7e5;
    }

    .arm_form_102 .arm_form_field_submit_button.md-button #arm_form_loader,
    .arm_form_102 .arm_form_field_submit_button #arm_form_loader {
      fill: #23b7e5;
    }

    /*.arm_form_102 button:hover,*/
    .arm_form_102 .arm_form_field_submit_button:hover,
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                <!-- ngMessage: required -->
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        <div class="arm_label_input_separator"></div>
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                <div class="md-icon"></div>
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              <div ng-transclude="" class="md-label"><label class="arm_form_field_label_wrapper_value ng-scope">Remember me</label><input type="hidden" data-ng-model="arm_form.rememberme" name="rememberme" value="" autocomplete="off"
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        <div class="arm_form_input_wrapper">
          <div class="arm_form_input_container_submit arm_form_input_container" id="arm_form_input_container_190"><button
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                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
                  <g></g>
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            <div class="arm_member_form_field_description">
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      <div class="armclear"></div>
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    <div class="arm_login_links_wrapper arm_login_options arm_socialicons_bottom"><span class="arm_registration_link">
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        </center>
      </span>
      <div class="armclear"></div>
    </div>
    <div class="armclear"></div>
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</form>

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Form analysis 4 forms found in the DOM

GET https://wildpharao.com/

Name: arm_form — POST

Name: arm_form — POST

Name: arm_form — POST

Text Content

wildpharao.com Open in urlscan Pro
2606:4700:3037::ac43:87cd Public Scan

Form analysis
4 forms found in the DOM