samsonsociety.com
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162.159.135.42
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Submitted URL: https://t.e2ma.net/click/fit09wb/j1u1b0q/zxufx0p
Effective URL: https://samsonsociety.com/
Submission: On February 24 via api from CA — Scanned from CA
Effective URL: https://samsonsociety.com/
Submission: On February 24 via api from CA — Scanned from CA
Form analysis 8 forms found in the DOM
<form>
<input class="sb-search-input" placeholder="Enter your search term..." type="text" value="" name="s" id="search">
<input class="sb-search-submit" type="submit" value="">
<span class="sb-icon-search"></span>
</form><form>
<input class="sb-search-input" placeholder="Enter your search term..." type="text" value="" name="s" id="search">
<input class="sb-search-submit" type="submit" value="">
<span class="sb-icon-search"></span>
</form>POST https://samsonsociety.com/meetings/search/
<form class="wmeeting-filter wmeeting-filter--my" action="https://samsonsociety.com/meetings/search/" method="post">
<div class="wmeeting-filter__fields-wrap">
<div class="form-group">
<label for="type">Search by day</label>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" title="Select Day"><span class="filter-option pull-left">Select
Day</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Select Day</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sunday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Monday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuesday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wednesday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Thursday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Friday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saturday</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select class="selectpicker form-control" name="meeting-day" tabindex="-98">
<option value="">Select Day</option>
<option value="0">Sunday</option>
<option value="1">Monday</option>
<option value="2">Tuesday</option>
<option value="3">Wednesday</option>
<option value="4">Thursday</option>
<option value="5">Friday</option>
<option value="6">Saturday</option>
</select>
</div>
</div>
<div class="form-group">
<input type="submit" value="" class="filter-srh-submit">
</div>
<!-- a href="https://samsonsociety.com/meetings/search/" class="wmeeting-filter__link">Advanced Search</a-->
</div>
</form><form id="jsInviteNewcomerMeetingForm" action="" onsubmit="return false;" class="send-invite-modal" novalidate="novalidate">
<div class="row">
<div class="col-sm-8 col-xs-8 padding-right-0">
<input type="text" class="form-control" id="jsInvitationEmail" name="email" placeholder="Email">
</div>
<div class="col-sm-4 col-xs-4">
<button id="jsSendInvitation" type="button" class="modal-btn-sm btn-sm--red btn-sm">Send</button>
</div>
</div>
</form><form id="jsNewsLetterSignUp">
<div class="newsletter">
<div class="newsletter-email">
<input type="email" name="email" placeholder="Enter your email address">
</div>
<div class="g-recaptcha brochure__form__captcha" style="float: left; clear: both;width: 100%;margin-top: 20px;
margin-bottom: 20px;" data-sitekey="6LfJX9kZAAAAABSR1xhc2pEynyrFwr-NQ5FQjOa3">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-t1f0jmbi86kj" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LfJX9kZAAAAABSR1xhc2pEynyrFwr-NQ5FQjOa3&co=aHR0cHM6Ly9zYW1zb25zb2NpZXR5LmNvbTo0NDM.&hl=en&v=1kRDYC3bfA-o6-tsWzIBvp7k&size=normal&cb=4rpqlrkocvqu"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
<button type="button" style="margin-left: 0;" id="jsNewsLetterSubmit">Submit</button>
<p id="jsNewsLetterSignUpResponse" style="display:none"></p>
</div>
</form><form id="jsEditProfile">
<div class="col-sm-12">
<div class="media image-upload-wrap">
<div class="media-left jsImgContainer">
<img src="https://samsonsociety.com/wp-content/uploads/2017/09/default-im-attendee-100x100.png" class="jsUserProfilePic img-circle" width="100" alt="attendee">
</div>
<div class="media-body">
<div class="fileUpload btn">
<span>Add profile photo</span>
<input type="file" class="upload jsImgUpload" name="user_profile">
</div>
</div>
</div>
<div class="jsResponseMessage"></div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group">
<label>Username</label>
<label class="label-disabled"></label>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label>Email</label>
<label class="label-disabled"></label>
</div>
</div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group">
<label for="first-name">First Name<span class="required">*</span></label>
<input type="text" class="form-control" name="data[member][first_name]" value="garry">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="last-name">Last Name<span class="required">*</span></label>
<input type="text" class="form-control" name="data[member][last_name]" value="Nutter">
</div>
</div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group">
<label for="jsDob">Date of birth<span class="required">*</span></label>
<input type="text" class="form-control" id="jsDob" name="data[member][dob]" value="September 22 1953">
<p>e.g. January 01 1999</p>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="phone">Phone<span class="required">*</span></label>
<input type="text" class="form-control" id="phone" name="data[member][phone]" value="7209879245">
<p>e.g. xxx-xxx-xxxx</p>
</div>
</div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group ">
<label>Country<span class="required">*</span></label>
<div class="btn-group bootstrap-select jsCountryId jsSetState js"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" title="United States"><span class="filter-option pull-left">United States
</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Choose Country</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">United States </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Afghanistan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Albania </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Algeria </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">American Samoa </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Andorra </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Angola </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Anguilla </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antarctica </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Antigua And Barbuda </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Argentina </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Armenia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aruba </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Australia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Austria </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Azerbaijan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bahamas The </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bahrain </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bangladesh </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Barbados </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belarus </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belgium </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belize </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Benin </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bermuda </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bhutan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bolivia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bosnia and Herzegovina </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Botswana </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bouvet Island </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brazil </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">British Indian Ocean Territory </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brunei </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bulgaria </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Burkina Faso </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Burundi </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cambodia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cameroon </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Canada </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cape Verde </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cayman Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Central African Republic </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chad </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chile </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">China </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Christmas Island </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="47">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cocos (Keeling) Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Colombia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Comoros </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congo </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Congo The Democratic Republic Of The </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cook Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Costa Rica </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cote D'Ivoire (Ivory Coast) </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Croatia (Hrvatska) </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="56"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cuba </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cyprus </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Czech Republic </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Denmark </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Djibouti </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dominica </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Dominican Republic </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="63"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">East Timor </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ecuador </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Egypt </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">El Salvador </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Equatorial Guinea </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="68"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eritrea </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Estonia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ethiopia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">External Territories of Australia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Falkland Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Faroe Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fiji Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Finland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">France </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">French Guiana </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">French Polynesia </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="79">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">French Southern Territories </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gabon </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gambia The </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Georgia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Germany </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ghana </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="85"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gibraltar </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="86"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greece </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Grenada </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadeloupe </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="90"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guam </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="91"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guatemala </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="92">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guernsey and Alderney </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="93"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guinea </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="94"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guinea-Bissau </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="95"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guyana </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="96"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Haiti </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="97">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Heard and McDonald Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="98"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Honduras </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="99"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hong Kong S.A.R. </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="100"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hungary </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="101"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iceland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="102"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">India </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="103"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Indonesia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="104"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iran </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="105"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iraq </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="106"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ireland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="107"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Israel </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="108"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Italy </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="109"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jamaica </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="110"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Japan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="111"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jersey </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="112"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jordan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="113"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kazakhstan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="114"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kenya </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="115"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kiribati </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="116"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Korea North </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="117"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Korea South </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="118"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kuwait </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="119"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kyrgyzstan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="120"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Laos </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="121"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Latvia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="122"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lebanon </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="123"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lesotho </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="124"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Liberia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="125"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Libya </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="126"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Liechtenstein </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="127"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lithuania </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="128"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Luxembourg </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="129"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Macau S.A.R. </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="130"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Macedonia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="131"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Madagascar </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="132"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malawi </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="133"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malaysia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="134"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maldives </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="135"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mali </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="136"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Malta </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="137"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Man (Isle of) </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="138"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marshall Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="139"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Martinique </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="140"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mauritania </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="141"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mauritius </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="142"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mayotte </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="143"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mexico </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="144"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Micronesia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="145"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Moldova </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="146"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Monaco </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="147"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mongolia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="148"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montserrat </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="149"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Morocco </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="150"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mozambique </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="151"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Myanmar </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="152"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Namibia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="153"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nauru </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="154"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nepal </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="155">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Netherlands Antilles </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="156"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Netherlands The </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="157"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Caledonia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="158"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Zealand </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="159"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nicaragua </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="160"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Niger </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="161"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nigeria </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="162"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Niue </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="163"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Norfolk Island </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="164">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Northern Mariana Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="165"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Norway </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="166"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Oman </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="167"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pakistan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="168"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palau </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="169">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Palestinian Territory Occupied </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="170"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Panama </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="171"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Papua new Guinea </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="172"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Paraguay </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="173"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Peru </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="174"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Philippines </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="175"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pitcairn Island </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="176"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Poland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="177"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Portugal </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="178"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Puerto Rico </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="179"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Qatar </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="180"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Reunion </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="181"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Romania </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="182"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Russia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="183"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rwanda </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="184"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saint Helena </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="185">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saint Kitts And Nevis </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="186"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saint Lucia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="187">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saint Pierre and Miquelon </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="188">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saint Vincent And The Grenadines </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="189"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Samoa </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="190"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">San Marino </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="191">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sao Tome and Principe </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="192"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saudi Arabia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="193"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Senegal </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="194"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Serbia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="195"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Seychelles </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="196"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sierra Leone </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="197"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Singapore </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="198"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Slovakia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="199"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Slovenia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="200">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Smaller Territories of the UK </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="201"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Solomon Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="202"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Somalia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="203"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Africa </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="204"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Georgia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="205"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Sudan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="206"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Spain </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="207"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sri Lanka </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="208"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sudan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="209"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Suriname </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="210">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Svalbard And Jan Mayen Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="211"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Swaziland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="212"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sweden </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="213"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Switzerland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="214"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Syria </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="215"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Taiwan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="216"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tajikistan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="217"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tanzania </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="218"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Thailand </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="219"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Togo </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="220"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tokelau </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="221"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tonga </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="222">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Trinidad And Tobago </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="223"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tunisia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="224"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Turkey </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="225"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Turkmenistan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="226">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Turks And Caicos Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="227"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tuvalu </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="228"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uganda </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="229"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ukraine </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="230">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United Arab Emirates </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="231"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United Kingdom </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="232">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">United States Minor Outlying Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="233"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uruguay </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="234"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Uzbekistan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="235"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vanuatu </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="236">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vatican City State (Holy See) </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="237"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Venezuela </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="238"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vietnam </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="239">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Virgin Islands (British) </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="240">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Virgin Islands (US) </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="241">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wallis And Futuna Islands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="242"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Western Sahara </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="243"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yemen </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="244"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yugoslavia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="245"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zambia </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="246"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Zimbabwe </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select class="selectpicker jsCountryId jsSetState jsSelectPicker" name="data[member][country_id]" tabindex="-98">
<option value="">Choose Country</option>
<option value="231" selected="selected">United States </option>
<option value="1">Afghanistan </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="9">Antigua And Barbuda </option>
<option value="10">Argentina </option>
<option value="11">Armenia </option>
<option value="12">Aruba </option>
<option value="13">Australia </option>
<option value="14">Austria </option>
<option value="15">Azerbaijan </option>
<option value="16">Bahamas The </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">Bouvet Island </option>
<option value="30">Brazil </option>
<option value="31">British Indian Ocean Territory </option>
<option value="32">Brunei </option>
<option value="33">Bulgaria </option>
<option value="34">Burkina Faso </option>
<option value="35">Burundi </option>
<option value="36">Cambodia </option>
<option value="37">Cameroon </option>
<option value="38">Canada </option>
<option value="39">Cape Verde </option>
<option value="40">Cayman Islands </option>
<option value="41">Central African Republic </option>
<option value="42">Chad </option>
<option value="43">Chile </option>
<option value="44">China </option>
<option value="45">Christmas Island </option>
<option value="46">Cocos (Keeling) Islands </option>
<option value="47">Colombia </option>
<option value="48">Comoros </option>
<option value="49">Congo </option>
<option value="50">Congo The Democratic Republic Of The </option>
<option value="51">Cook Islands </option>
<option value="52">Costa Rica </option>
<option value="53">Cote D'Ivoire (Ivory Coast) </option>
<option value="54">Croatia (Hrvatska) </option>
<option value="55">Cuba </option>
<option value="56">Cyprus </option>
<option value="57">Czech Republic </option>
<option value="58">Denmark </option>
<option value="59">Djibouti </option>
<option value="60">Dominica </option>
<option value="61">Dominican Republic </option>
<option value="62">East Timor </option>
<option value="63">Ecuador </option>
<option value="64">Egypt </option>
<option value="65">El Salvador </option>
<option value="66">Equatorial Guinea </option>
<option value="67">Eritrea </option>
<option value="68">Estonia </option>
<option value="69">Ethiopia </option>
<option value="70">External Territories of Australia </option>
<option value="71">Falkland Islands </option>
<option value="72">Faroe Islands </option>
<option value="73">Fiji Islands </option>
<option value="74">Finland </option>
<option value="75">France </option>
<option value="76">French Guiana </option>
<option value="77">French Polynesia </option>
<option value="78">French Southern Territories </option>
<option value="79">Gabon </option>
<option value="80">Gambia The </option>
<option value="81">Georgia </option>
<option value="82">Germany </option>
<option value="83">Ghana </option>
<option value="84">Gibraltar </option>
<option value="85">Greece </option>
<option value="86">Greenland </option>
<option value="87">Grenada </option>
<option value="88">Guadeloupe </option>
<option value="89">Guam </option>
<option value="90">Guatemala </option>
<option value="91">Guernsey and Alderney </option>
<option value="92">Guinea </option>
<option value="93">Guinea-Bissau </option>
<option value="94">Guyana </option>
<option value="95">Haiti </option>
<option value="96">Heard and McDonald Islands </option>
<option value="97">Honduras </option>
<option value="98">Hong Kong S.A.R. </option>
<option value="99">Hungary </option>
<option value="100">Iceland </option>
<option value="101">India </option>
<option value="102">Indonesia </option>
<option value="103">Iran </option>
<option value="104">Iraq </option>
<option value="105">Ireland </option>
<option value="106">Israel </option>
<option value="107">Italy </option>
<option value="108">Jamaica </option>
<option value="109">Japan </option>
<option value="110">Jersey </option>
<option value="111">Jordan </option>
<option value="112">Kazakhstan </option>
<option value="113">Kenya </option>
<option value="114">Kiribati </option>
<option value="115">Korea North </option>
<option value="116">Korea South </option>
<option value="117">Kuwait </option>
<option value="118">Kyrgyzstan </option>
<option value="119">Laos </option>
<option value="120">Latvia </option>
<option value="121">Lebanon </option>
<option value="122">Lesotho </option>
<option value="123">Liberia </option>
<option value="124">Libya </option>
<option value="125">Liechtenstein </option>
<option value="126">Lithuania </option>
<option value="127">Luxembourg </option>
<option value="128">Macau S.A.R. </option>
<option value="129">Macedonia </option>
<option value="130">Madagascar </option>
<option value="131">Malawi </option>
<option value="132">Malaysia </option>
<option value="133">Maldives </option>
<option value="134">Mali </option>
<option value="135">Malta </option>
<option value="136">Man (Isle of) </option>
<option value="137">Marshall Islands </option>
<option value="138">Martinique </option>
<option value="139">Mauritania </option>
<option value="140">Mauritius </option>
<option value="141">Mayotte </option>
<option value="142">Mexico </option>
<option value="143">Micronesia </option>
<option value="144">Moldova </option>
<option value="145">Monaco </option>
<option value="146">Mongolia </option>
<option value="147">Montserrat </option>
<option value="148">Morocco </option>
<option value="149">Mozambique </option>
<option value="150">Myanmar </option>
<option value="151">Namibia </option>
<option value="152">Nauru </option>
<option value="153">Nepal </option>
<option value="154">Netherlands Antilles </option>
<option value="155">Netherlands The </option>
<option value="156">New Caledonia </option>
<option value="157">New Zealand </option>
<option value="158">Nicaragua </option>
<option value="159">Niger </option>
<option value="160">Nigeria </option>
<option value="161">Niue </option>
<option value="162">Norfolk Island </option>
<option value="163">Northern Mariana Islands </option>
<option value="164">Norway </option>
<option value="165">Oman </option>
<option value="166">Pakistan </option>
<option value="167">Palau </option>
<option value="168">Palestinian Territory Occupied </option>
<option value="169">Panama </option>
<option value="170">Papua new Guinea </option>
<option value="171">Paraguay </option>
<option value="172">Peru </option>
<option value="173">Philippines </option>
<option value="174">Pitcairn Island </option>
<option value="175">Poland </option>
<option value="176">Portugal </option>
<option value="177">Puerto Rico </option>
<option value="178">Qatar </option>
<option value="179">Reunion </option>
<option value="180">Romania </option>
<option value="181">Russia </option>
<option value="182">Rwanda </option>
<option value="183">Saint Helena </option>
<option value="184">Saint Kitts And Nevis </option>
<option value="185">Saint Lucia </option>
<option value="186">Saint Pierre and Miquelon </option>
<option value="187">Saint Vincent And The Grenadines </option>
<option value="188">Samoa </option>
<option value="189">San Marino </option>
<option value="190">Sao Tome and Principe </option>
<option value="191">Saudi Arabia </option>
<option value="192">Senegal </option>
<option value="193">Serbia </option>
<option value="194">Seychelles </option>
<option value="195">Sierra Leone </option>
<option value="196">Singapore </option>
<option value="197">Slovakia </option>
<option value="198">Slovenia </option>
<option value="199">Smaller Territories of the UK </option>
<option value="200">Solomon Islands </option>
<option value="201">Somalia </option>
<option value="202">South Africa </option>
<option value="203">South Georgia </option>
<option value="204">South Sudan </option>
<option value="205">Spain </option>
<option value="206">Sri Lanka </option>
<option value="207">Sudan </option>
<option value="208">Suriname </option>
<option value="209">Svalbard And Jan Mayen Islands </option>
<option value="210">Swaziland </option>
<option value="211">Sweden </option>
<option value="212">Switzerland </option>
<option value="213">Syria </option>
<option value="214">Taiwan </option>
<option value="215">Tajikistan </option>
<option value="216">Tanzania </option>
<option value="217">Thailand </option>
<option value="218">Togo </option>
<option value="219">Tokelau </option>
<option value="220">Tonga </option>
<option value="221">Trinidad And Tobago </option>
<option value="222">Tunisia </option>
<option value="223">Turkey </option>
<option value="224">Turkmenistan </option>
<option value="225">Turks And Caicos Islands </option>
<option value="226">Tuvalu </option>
<option value="227">Uganda </option>
<option value="228">Ukraine </option>
<option value="229">United Arab Emirates </option>
<option value="230">United Kingdom </option>
<option value="232">United States Minor Outlying Islands </option>
<option value="233">Uruguay </option>
<option value="234">Uzbekistan </option>
<option value="235">Vanuatu </option>
<option value="236">Vatican City State (Holy See) </option>
<option value="237">Venezuela </option>
<option value="238">Vietnam </option>
<option value="239">Virgin Islands (British) </option>
<option value="240">Virgin Islands (US) </option>
<option value="241">Wallis And Futuna Islands </option>
<option value="242">Western Sahara </option>
<option value="243">Yemen </option>
<option value="244">Yugoslavia </option>
<option value="245">Zambia </option>
<option value="246">Zimbabwe </option>
</select>
</div>
</div>
</div>
<div class="col-sm-6">
<div class="form-group ">
<label>State<span class="required">*</span></label>
<div class="btn-group bootstrap-select jsStateId jsSetCity js"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" title="Colorado"><span
class="filter-option pull-left">Colorado</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Choose State</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alabama</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alaska</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Arizona</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Arkansas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">California</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Colorado</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Connecticut</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Delaware</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">District of Columbia</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Florida</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Georgia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hawaii</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Idaho</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Illinois</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Indiana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Iowa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kansas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kentucky</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Louisiana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lowa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maine</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Maryland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Massachusetts</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Michigan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Minnesota</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mississippi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Missouri</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montana</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nebraska</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nevada</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Hampshire</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Jersey</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New Mexico</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">New York</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">North Carolina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">North Dakota</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ohio</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Oklahoma</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ontario</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Oregon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pennsylvania</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ramey</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rhode Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Carolina</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">South Dakota</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tennessee</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Texas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Trimble</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Utah</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vermont</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Virginia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Washington</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">West Virginia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wisconsin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wyoming</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select class="selectpicker jsStateId jsSetCity jsSelectPicker" name="data[member][state_id]" tabindex="-98">
<option value="">Choose State</option>
<option value="3919">Alabama</option>
<option value="3920">Alaska</option>
<option value="3921">Arizona</option>
<option value="3922">Arkansas</option>
<option value="3924">California</option>
<option value="3926" selected="selected">Colorado</option>
<option value="3927">Connecticut</option>
<option value="3928">Delaware</option>
<option value="3929">District of Columbia</option>
<option value="3930">Florida</option>
<option value="3931">Georgia</option>
<option value="3932">Hawaii</option>
<option value="3933">Idaho</option>
<option value="3934">Illinois</option>
<option value="3935">Indiana</option>
<option value="3936">Iowa</option>
<option value="3937">Kansas</option>
<option value="3938">Kentucky</option>
<option value="3939">Louisiana</option>
<option value="3940">Lowa</option>
<option value="3941">Maine</option>
<option value="3942">Maryland</option>
<option value="3943">Massachusetts</option>
<option value="3945">Michigan</option>
<option value="3946">Minnesota</option>
<option value="3947">Mississippi</option>
<option value="3948">Missouri</option>
<option value="3949">Montana</option>
<option value="3950">Nebraska</option>
<option value="3951">Nevada</option>
<option value="3952">New Hampshire</option>
<option value="3953">New Jersey</option>
<option value="3955">New Mexico</option>
<option value="3956">New York</option>
<option value="3957">North Carolina</option>
<option value="3958">North Dakota</option>
<option value="3959">Ohio</option>
<option value="3960">Oklahoma</option>
<option value="3961">Ontario</option>
<option value="3962">Oregon</option>
<option value="3963">Pennsylvania</option>
<option value="3964">Ramey</option>
<option value="3965">Rhode Island</option>
<option value="3966">South Carolina</option>
<option value="3967">South Dakota</option>
<option value="3969">Tennessee</option>
<option value="3970">Texas</option>
<option value="3971">Trimble</option>
<option value="3972">Utah</option>
<option value="3973">Vermont</option>
<option value="3974">Virginia</option>
<option value="3975">Washington</option>
<option value="3976">West Virginia</option>
<option value="3977">Wisconsin</option>
<option value="3978">Wyoming</option>
</select>
</div>
</div>
</div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group ">
<label>City<span class="required">*</span></label>
<div class="btn-group bootstrap-select jsCityId js"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" title="Littleton"><span class="filter-option pull-left">Littleton </span> <span
class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Choose City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Air Force Academy </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alamosa </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Applewood </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Arvada </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aspen </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Aurora </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Avon </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Basalt </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bellvue </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Black Forest </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Boulder </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brighton </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Broomfield </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Canon City </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Carbondale </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Castle Rock </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Castlewood </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Centennial </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cimarron Hills </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Clifton </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Colorado Springs </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Columbine </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Commerce City </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cortez </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Crawford </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Denver </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Durango </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Edwards </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Elizabeth </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Englewood </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Estes Park </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Evergreen </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Federal Heights </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Carson </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Collins </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fort Morgan </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fountain </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Golden </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Grand Junction </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greeley </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="41"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenwood Village </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="42"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gunbarrel </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Highlands Ranch </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Holly </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ken Caryl </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lafayette </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lakewood </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Littleton </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Longmont </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Louisville </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Loveland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lyons </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montrose </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Monument </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nederland </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Niwot </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="57"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Northglenn </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pagosa Springs </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Parker </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Penrose </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Peyton </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pueblo </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Redlands </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ridgway </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rifle </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="66"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Rocky Ford </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sanford </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Security-Widefield </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="69"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sherrelwood </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Silver Cliff </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Snowmass Village </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="72"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Southglenn </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Steamboat Springs </span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Sterling </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Superior </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Telluride </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Thornton </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vail </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Welby </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Westcliffe </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="81"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Westminster </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Wheat Ridge </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Woodland Park </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div><select class="selectpicker jsCityId jsSelectPicker" name="data[member][city_id]" tabindex="-98">
<option value="">Choose City</option>
<option value="43383">Air Force Academy </option>
<option value="43384">Alamosa </option>
<option value="43385">Applewood </option>
<option value="43386">Arvada </option>
<option value="43387">Aspen </option>
<option value="43388">Aurora </option>
<option value="43389">Avon </option>
<option value="43390">Basalt </option>
<option value="43391">Bellvue </option>
<option value="43392">Black Forest </option>
<option value="43393">Boulder </option>
<option value="43394">Brighton </option>
<option value="43395">Broomfield </option>
<option value="43396">Canon City </option>
<option value="43397">Carbondale </option>
<option value="43398">Castle Rock </option>
<option value="43399">Castlewood </option>
<option value="43400">Centennial </option>
<option value="43401">Cimarron Hills </option>
<option value="43402">Clifton </option>
<option value="43403">Colorado Springs </option>
<option value="43404">Columbine </option>
<option value="43405">Commerce City </option>
<option value="43406">Cortez </option>
<option value="43407">Crawford </option>
<option value="43408">Denver </option>
<option value="43409">Durango </option>
<option value="43410">Edwards </option>
<option value="43411">Elizabeth </option>
<option value="43412">Englewood </option>
<option value="43413">Estes Park </option>
<option value="43414">Evergreen </option>
<option value="43415">Federal Heights </option>
<option value="43416">Fort Carson </option>
<option value="43417">Fort Collins </option>
<option value="43418">Fort Morgan </option>
<option value="43419">Fountain </option>
<option value="43420">Golden </option>
<option value="43421">Grand Junction </option>
<option value="43422">Greeley </option>
<option value="43423">Greenwood Village </option>
<option value="43424">Gunbarrel </option>
<option value="43425">Highlands Ranch </option>
<option value="43426">Holly </option>
<option value="43427">Ken Caryl </option>
<option value="43428">Lafayette </option>
<option value="43429">Lakewood </option>
<option value="43430" selected="selected">Littleton </option>
<option value="43431">Longmont </option>
<option value="43432">Louisville </option>
<option value="43433">Loveland </option>
<option value="43434">Lyons </option>
<option value="43435">Montrose </option>
<option value="43436">Monument </option>
<option value="43437">Nederland </option>
<option value="43438">Niwot </option>
<option value="43439">Northglenn </option>
<option value="43440">Pagosa Springs </option>
<option value="43441">Parker </option>
<option value="43442">Penrose </option>
<option value="43443">Peyton </option>
<option value="43444">Pueblo </option>
<option value="43445">Redlands </option>
<option value="43446">Ridgway </option>
<option value="43447">Rifle </option>
<option value="43448">Rocky Ford </option>
<option value="43449">Sanford </option>
<option value="43450">Security-Widefield </option>
<option value="43451">Sherrelwood </option>
<option value="43452">Silver Cliff </option>
<option value="43453">Snowmass Village </option>
<option value="43454">Southglenn </option>
<option value="43455">Steamboat Springs </option>
<option value="43456">Sterling </option>
<option value="43457">Superior </option>
<option value="43458">Telluride </option>
<option value="43459">Thornton </option>
<option value="43460">Vail </option>
<option value="43461">Welby </option>
<option value="43462">Westcliffe </option>
<option value="43463">Westminster </option>
<option value="43464">Wheat Ridge </option>
<option value="43465">Woodland Park </option>
</select>
</div>
</div>
</div>
<div class="col-sm-6">
<div class="form-group ">
<label>Zip<span class="required">*</span></label>
<input type="text" name="data[member][zip]" class="form-control" value="80123">
</div>
</div>
</div>
<div class="boot-col-wrap">
<div class="col-sm-6">
<div class="form-group ">
<label>Timezone<span class="required">*</span></label>
<div class="btn-group bootstrap-select js"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" role="button" title="Mountain Time (US & Canada)"><span class="filter-option pull-left">Mountain Time (US
& Canada)</span> <span class="bs-caret"><span class="caret"></span></span></button>
<div class="dropdown-menu open" role="combobox">
<ul class="dropdown-menu inner" role="listbox" aria-expanded="false">
<li data-original-index="0"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Midway Island, Samoa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="1"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hawaii-Aleutian</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hawaii</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Marquesas Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="4"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gambier Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Alaska</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="6">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tijuana, Baja California</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="7"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pitcairn Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="8">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Pacific Time (US & Canada)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="9" class="selected">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"><span class="text">Mountain Time (US & Canada)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="10">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chihuahua, La Paz, Mazatlan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="11"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Arizona</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="12">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Saskatchewan, Central America</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="13">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Guadalajara, Mexico City, Monterrey</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="14"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Easter Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="15">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Central Time (US & Canada)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="16">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eastern Time (US & Canada)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="17"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cuba</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="18">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bogota, Lima, Quito, Rio Branco</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="19"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Caracas</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="20"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Santiago</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="21"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">La Paz</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="22"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Faukland Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="23"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brazil</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="24">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Atlantic Time (Goose Bay)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="25">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Atlantic Time (Canada)</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="26"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Newfoundland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="27"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">UTC-3</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="28"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Montevideo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="29"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Miquelon, St. Pierre</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="30"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenland</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="31"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Buenos Aires</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="32"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brasilia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="33"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Mid-Atlantic</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="34"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cape Verde Is.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="35"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Azores</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="36">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenwich Mean Time : Belfast</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="37">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenwich Mean Time : Dublin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="38">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenwich Mean Time : Lisbon</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="39">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Greenwich Mean Time : London</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="40"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Monrovia, Reykjavik</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="41">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Amsterdam, Berlin, Bern, Rome, Stockho</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="42">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Belgrade, Bratislava, Budapest, Ljublj</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="43">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brussels, Copenhagen, Madrid, Paris</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="44"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">West Central Africa</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="45"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Windhoek</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="46"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Beirut</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="47"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Cairo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="48"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Gaza</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="49"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Harare, Pretoria</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="50"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Jerusalem</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="51"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Minsk</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="52"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Syria</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="53">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Moscow, St. Petersburg, Volgograd</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="54"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nairobi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="55"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tehran</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="56"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Abu Dhabi, Muscat</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="57"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yerevan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="58"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kabul</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="59"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Ekaterinburg</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="60"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Tashkent</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="61">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chennai, Kolkata, Mumbai, New Delhi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="62"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kathmandu</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="63"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Astana, Dhaka</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="64"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Novosibirsk</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="65"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yangon (Rangoon)</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="66">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Bangkok, Hanoi, Jakarta</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="67"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Krasnoyarsk</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="68">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Beijing, Chongqing, Hong Kong, Urumqi</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="69">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Irkutsk, Ulaan Bataar</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="70"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Perth</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="71"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Eucla</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="72">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Osaka, Sapporo, Tokyo</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="73"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Seoul</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="74"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Yakutsk</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="75"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Adelaide</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="76"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Darwin</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="77"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Brisbane</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="78"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Hobart</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="79"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Vladivostok</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="80"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Lord Howe Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="81">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Solomon Is., New Caledonia</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="82"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Magadan</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="83"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Norfolk Island</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="84"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Anadyr, Kamchatka</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="85"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Auckland, Wellington</span><span class="glyphicon glyphicon-ok check-mark"></span></a>
</li>
<li data-original-index="86">
<a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Fiji, Kamchatka, Marshall Is.</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="87"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Chatham Islands</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="88"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Nuku'alofa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="89"><a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"><span class="text">Kiritimati</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
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<option value="4">Marquesas Islands</option>
<option value="5">Gambier Islands</option>
<option value="6">Alaska</option>
<option value="7">Tijuana, Baja California</option>
<option value="8">Pitcairn Islands</option>
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<option value="13">Saskatchewan, Central America</option>
<option value="14">Guadalajara, Mexico City, Monterrey</option>
<option value="15">Easter Island</option>
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<option value="17">Eastern Time (US & Canada)</option>
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<option value="19">Bogota, Lima, Quito, Rio Branco</option>
<option value="20">Caracas</option>
<option value="21">Santiago</option>
<option value="22">La Paz</option>
<option value="23">Faukland Islands</option>
<option value="24">Brazil</option>
<option value="25">Atlantic Time (Goose Bay)</option>
<option value="26">Atlantic Time (Canada)</option>
<option value="27">Newfoundland</option>
<option value="28">UTC-3</option>
<option value="29">Montevideo</option>
<option value="30">Miquelon, St. Pierre</option>
<option value="31">Greenland</option>
<option value="32">Buenos Aires</option>
<option value="33">Brasilia</option>
<option value="34">Mid-Atlantic</option>
<option value="35">Cape Verde Is.</option>
<option value="36">Azores</option>
<option value="37">Greenwich Mean Time : Belfast</option>
<option value="38">Greenwich Mean Time : Dublin</option>
<option value="39">Greenwich Mean Time : Lisbon</option>
<option value="40">Greenwich Mean Time : London</option>
<option value="41">Monrovia, Reykjavik</option>
<option value="42">Amsterdam, Berlin, Bern, Rome, Stockho</option>
<option value="43">Belgrade, Bratislava, Budapest, Ljublj</option>
<option value="44">Brussels, Copenhagen, Madrid, Paris</option>
<option value="45">West Central Africa</option>
<option value="46">Windhoek</option>
<option value="47">Beirut</option>
<option value="48">Cairo</option>
<option value="49">Gaza</option>
<option value="50">Harare, Pretoria</option>
<option value="51">Jerusalem</option>
<option value="52">Minsk</option>
<option value="53">Syria</option>
<option value="54">Moscow, St. Petersburg, Volgograd</option>
<option value="55">Nairobi</option>
<option value="56">Tehran</option>
<option value="57">Abu Dhabi, Muscat</option>
<option value="58">Yerevan</option>
<option value="59">Kabul</option>
<option value="60">Ekaterinburg</option>
<option value="61">Tashkent</option>
<option value="62">Chennai, Kolkata, Mumbai, New Delhi</option>
<option value="63">Kathmandu</option>
<option value="64">Astana, Dhaka</option>
<option value="65">Novosibirsk</option>
<option value="66">Yangon (Rangoon)</option>
<option value="67">Bangkok, Hanoi, Jakarta</option>
<option value="68">Krasnoyarsk</option>
<option value="69">Beijing, Chongqing, Hong Kong, Urumqi</option>
<option value="70">Irkutsk, Ulaan Bataar</option>
<option value="71">Perth</option>
<option value="72">Eucla</option>
<option value="73">Osaka, Sapporo, Tokyo</option>
<option value="74">Seoul</option>
<option value="75">Yakutsk</option>
<option value="76">Adelaide</option>
<option value="77">Darwin</option>
<option value="78">Brisbane</option>
<option value="79">Hobart</option>
<option value="80">Vladivostok</option>
<option value="81">Lord Howe Island</option>
<option value="82">Solomon Is., New Caledonia</option>
<option value="83">Magadan</option>
<option value="84">Norfolk Island</option>
<option value="85">Anadyr, Kamchatka</option>
<option value="86">Auckland, Wellington</option>
<option value="87">Fiji, Kamchatka, Marshall Is.</option>
<option value="88">Chatham Islands</option>
<option value="89">Nuku'alofa</option>
<option value="90">Kiritimati</option>
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<input id="jsOptOut" name="data[member][opt_out]" type="checkbox">
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<label for="jsOptOut">Exclude me from all member searches</label>
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<div class="material-switch ">
<input id="jsSearchableCheckbox" name="data[member][searchable]" type="checkbox">
<label for="jsSearchableCheckbox" class="label-primary"></label>
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<label for="jsSearchableCheckbox">Immediately display my contact info for all member searches</label>
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<input type="password" class="form-control" name="data[member][current_password]">
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<div class="col-sm-8 col-sm-offset-2">
<div class="form-group">
<label>New Password</label>
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<div class="col-sm-8 col-sm-offset-2">
<div class="form-group">
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<input type="password" class="form-control" name="data[member][confirm_password]">
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<p>e.g. xxx-xxx-xxxx</p>
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× Help us reach more menDonate LINKS * Home(current) * About Us * About Us * Mission & Vision * What is a Silas? * My Meetings * My Groups * Today's Devotional * Resources * Resources * The Samson Harbor * Videos * Swag Store * Help * Contact Us * Sign in * * Español * Italiano * 한국어 * Русский Toggle navigation Hello, Guest | Sign In Help us reach more menDonate Toggle navigation * Home(current) * About Us * About Us * Mission & Vision * What is a Silas? * My Meetings * My Groups * Today's Devotional * Resources * Resources * The Samson Harbor * Videos * Swag Store * Help * Contact Us * * Español * Italiano * 한국어 * Русский THE SAMSON SOCIETY IS A FELLOWSHIP OF CHRISTIAN MEN WHO ARE SERIOUS ABOUT AUTHENTICITY, COMMUNITY, HUMILITY & RECOVERY. SERIOUS, NOT GRAVE. Read More Find a meeting Watch intro video HOW DO I BECOME A MEMBER OF THE SAMSON SOCIETY? If you are a first-time visitor, you will need to attend a virtual Newcomer Meeting or a local meeting before you can become a member of this site. To attend a virtual Newcomer Meeting, click “SEND ME AN INVITE” on one of the listings below, and we’ll send you a link. You can attend the meeting using your desktop, laptop, tablet or phone. If you decide to join the Samson Society after attending the meeting, we’ll make you a member of the site. Membership will unlock all the tools on the site, including the worldwide Meeting Search. If you are already a member of a local Samson Society group, make sure your meeting is listed on this new site. If it isn’t listed, go to the “Sign Up / Register a Group” tab at the bottom of this page and click “Create a Group.” Registering your group will make it possible for men in search of brotherhood to find you. × SAMSON SOCIETY NEWCOMER MEETINGS JOIN AN ONLINE MEETING TO SEE WHAT WE DO. YOU CAN STAY ANONYMOUS. Search by day Select Day * Select Day * Sunday * Monday * Tuesday * Wednesday * Thursday * Friday * Saturday Select Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sat February 24 2024 Meeting Type: Newcomer Meeting Location: Zoom Meeting Language: English Send me an invite Sending... 09:00 AM (Central Time (US & Canada)) join meeting Sun February 25 2024 Meeting Type: Newcomer Meeting Location: Zoom Meeting Language: English Send me an invite Sending... 09:00 AM (Central Time (US & Canada)) join meeting Mon February 26 2024 Meeting Type: Newcomer Meeting Location: Zoom Meeting Language: English Send me an invite Sending... 12:00 PM (Central Time (US & Canada)) join meeting Wed February 28 2024 Meeting Type: Newcomer Meeting Location: Zoom Meeting Language: English Send me an invite Sending... 07:00 AM (Central Time (US & Canada)) join meeting Find A Local Meeting × SEND MEETING INVITATION Send Please click here to download the meeting invitation PODCASTS INSPIRATION AND INSTRUCTION FOR PIRATE MONKS RESOURCES Need some help on the Path? Check out these resources: * Free Samson Meeting Materials * Accountability Software and Filters * Free e-Books * Online Screening Tests * Recovery Workshops and Intensives MUST READ Samson and the Pirate Monks By Nate Larkin Read the first chapter, order the book. FOOD FOR THOUGHT WORDS OF WISDOM FROM PIRATE MONKS AND THEIR FRIENDS WHAT'S SO BAD ABOUT CROSS-TALK? One thing that mystified me when I started attending recovery meetings was the weird rule against cross-talk. Why on earth, I ... Read More THE TRUTH ABOUT RECOVERY Jesus said that if we hold to his teaching then we show that we are his disciples -- and w... Read More MARRIAGE ... IN RETROSPECT Ronald Wayne, one of the co-founders of Apple Computer, sold his 10% interest in the compa... Read More THE DOWNSIDE OF INTENTIONALITY People tell me I’m one of the most intentional people they know. I’ve given away a hun... Read More WHAT MEN WANT I’m going to go way out on a limb and tell you what you want. 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