www.verdifg.com Open in urlscan Pro
104.18.243.107  Public Scan

Submitted URL: https://verdifg.com/checkouts/0a290a551f9cadf38f90a6a7d549a76c
Effective URL: https://www.verdifg.com/checkouts/f8700c0f7d8fb7779ebd78612c0d07c3?isShowCart=1&step=contact_information
Submission: On November 25 via api from BE — Scanned from US

Form analysis 1 forms found in the DOM

javascript:;

<form action="javascript:;">
  <div class="order-write-list clearfloat">
    <div class="order-write-item">
      <label>Email</label>
      <input type="text" class="np-ui-input J-OrderVal" data-type="shipping_email" placeholder="Email" name="e-mail" tabindex="1" maxlength="100" value="" autofocus="">
      <div class="np-ui-input-tips"></div>
      <div class="J-Offers order-checkbox">
        <span class="np-ui-checkbox"></span>
        <span>Subscribe to receive exclusive offers and order status updates</span>
      </div>
    </div>
  </div>
  <div class="order-title">Shipping address</div>
  <div class="order-write-list clearfloat">
    <div class="order-write-item fl order-write--show">
      <label>Country/Region</label>
      <select class="np-ui-select J-Country J-OrderVal" autocomplete="shipping country" data-type="shipping_contry" data-backup="country" aria-required="true" id="country" name="country">
        <option value="US" data-id="140" data-is-verify-postcode="1" data-countries="United States" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">United States</option>
        <option value="CA" data-id="99" data-is-verify-postcode="1" data-countries="Canada" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Canada</option>
        <option value="AU" data-id="25" data-is-verify-postcode="1" data-countries="Australia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Australia</option>
        <option disabled="disabled">----------------------------</option>
        <option value="AF" data-id="10" data-is-verify-postcode="" data-countries="Afghanistan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Afghanistan</option>
        <option value="AX" data-id="27" data-is-verify-postcode="" data-countries="Aland lslands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Aland lslands</option>
        <option value="AL" data-id="8" data-is-verify-postcode="" data-countries="Albania" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Albania</option>
        <option value="DZ" data-id="9" data-is-verify-postcode="" data-countries="Algeria" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Algeria</option>
        <option value="AD" data-id="21" data-is-verify-postcode="" data-countries="Andorra" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Andorra</option>
        <option value="AO" data-id="22" data-is-verify-postcode="" data-countries="Angola" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Angola</option>
        <option value="AI" data-id="23" data-is-verify-postcode="" data-countries="Anguilla" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Anguilla</option>
        <option value="AG" data-id="24" data-is-verify-postcode="" data-countries="Antigua and Barbuda" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Antigua and Barbuda</option>
        <option value="AR" data-id="11" data-is-verify-postcode="" data-countries="Argentina" data-is_required_tax_no="1" data-document_name_tax_no="DNI or CUIT" data-taxno-status="1">Argentina</option>
        <option value="AM" data-id="229" data-is-verify-postcode="" data-countries="Armenia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Armenia</option>
        <option value="AW" data-id="13" data-is-verify-postcode="" data-countries="Aruba" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Aruba</option>
        <option value="AU" data-id="25" data-is-verify-postcode="" data-countries="Australia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Australia</option>
        <option value="AT" data-id="26" data-is-verify-postcode="" data-countries="Austria" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Austria</option>
        <option value="AZ" data-id="15" data-is-verify-postcode="" data-countries="Azerbaijan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Azerbaijan</option>
        <option value="BS" data-id="30" data-is-verify-postcode="" data-countries="Bahamas" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bahamas</option>
        <option value="BH" data-id="34" data-is-verify-postcode="" data-countries="Bahrain" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bahrain</option>
        <option value="BD" data-id="145" data-is-verify-postcode="" data-countries="Bangladesh" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bangladesh</option>
        <option value="BB" data-id="28" data-is-verify-postcode="" data-countries="Barbados" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Barbados</option>
        <option value="BY" data-id="37" data-is-verify-postcode="" data-countries="Belarus" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Belarus</option>
        <option value="BE" data-id="42" data-is-verify-postcode="" data-countries="Belgium" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Belgium</option>
        <option value="BZ" data-id="49" data-is-verify-postcode="" data-countries="Belize" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Belize</option>
        <option value="BJ" data-id="41" data-is-verify-postcode="" data-countries="Benin" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Benin</option>
        <option value="BM" data-id="38" data-is-verify-postcode="" data-countries="Bermuda" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bermuda</option>
        <option value="BT" data-id="50" data-is-verify-postcode="" data-countries="Bhutan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bhutan</option>
        <option value="BO" data-id="46" data-is-verify-postcode="" data-countries="Bolivia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bolivia</option>
        <option value="BA" data-id="47" data-is-verify-postcode="" data-countries="Bosnia and Herzegovina" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bosnia and Herzegovina</option>
        <option value="BW" data-id="48" data-is-verify-postcode="" data-countries="Botswana" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Botswana</option>
        <option value="BV" data-id="53" data-is-verify-postcode="" data-countries="Bouvet&nbsp;Island" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bouvet&nbsp;Island</option>
        <option value="BR" data-id="36" data-is-verify-postcode="" data-countries="Brazil" data-is_required_tax_no="1" data-document_name_tax_no="CPF or CNPJ" data-taxno-status="1">Brazil</option>
        <option value="IO" data-id="238" data-is-verify-postcode="" data-countries="British Indian Ocean Territory" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">British Indian Ocean Territory</option>
        <option value="BN" data-id="216" data-is-verify-postcode="" data-countries="Brunei" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Brunei</option>
        <option value="BG" data-id="39" data-is-verify-postcode="" data-countries="Bulgaria" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Bulgaria</option>
        <option value="BF" data-id="51" data-is-verify-postcode="" data-countries="Burkina&nbsp;Faso" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Burkina&nbsp;Faso</option>
        <option value="BI" data-id="52" data-is-verify-postcode="" data-countries="Burundi" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Burundi</option>
        <option value="KH" data-id="102" data-is-verify-postcode="" data-countries="Cambodia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cambodia</option>
        <option value="CM" data-id="105" data-is-verify-postcode="" data-countries="Cameroon" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cameroon</option>
        <option value="CA" data-id="99" data-is-verify-postcode="" data-countries="Canada" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Canada</option>
        <option value="CV" data-id="73" data-is-verify-postcode="" data-countries="Cape Verde" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cape Verde</option>
        <option value="KY" data-id="107" data-is-verify-postcode="" data-countries="Cayman Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cayman Islands</option>
        <option value="CF" data-id="246" data-is-verify-postcode="" data-countries="Central African Republic" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Central African Republic</option>
        <option value="TD" data-id="243" data-is-verify-postcode="" data-countries="Chad" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Chad</option>
        <option value="CL" data-id="245" data-is-verify-postcode="" data-countries="Chile" data-is_required_tax_no="1" data-document_name_tax_no="CI or RUT" data-taxno-status="1">Chile</option>
        <option value="CN" data-id="7" data-is-verify-postcode="" data-countries="China" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">China</option>
        <option value="CX" data-id="181" data-is-verify-postcode="" data-countries="Christmas Island" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Christmas Island</option>
        <option value="CC" data-id="108" data-is-verify-postcode="" data-countries="Cocos(Keeling)Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cocos(Keeling)Islands</option>
        <option value="CO" data-id="78" data-is-verify-postcode="" data-countries="Colombia" data-is_required_tax_no="1" data-document_name_tax_no="CC" data-taxno-status="1">Colombia</option>
        <option value="KM" data-id="109" data-is-verify-postcode="" data-countries="Comoros" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Comoros</option>
        <option value="CG" data-id="76" data-is-verify-postcode="" data-countries="Congo" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Congo</option>
        <option value="CD" data-id="77" data-is-verify-postcode="" data-countries="Congo(DRC)" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Congo(DRC)</option>
        <option value="CK" data-id="114" data-is-verify-postcode="" data-countries="Cook Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cook Islands</option>
        <option value="CR" data-id="79" data-is-verify-postcode="" data-countries="Costa&nbsp;Rica" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Costa&nbsp;Rica</option>
        <option value="CI" data-id="110" data-is-verify-postcode="" data-countries="Cote dIvoire" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cote dIvoire</option>
        <option value="HR" data-id="112" data-is-verify-postcode="" data-countries="Croatia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Croatia</option>
        <option value="CU" data-id="83" data-is-verify-postcode="" data-countries="Cuba" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cuba</option>
        <option value="CY" data-id="178" data-is-verify-postcode="" data-countries="Cyprus" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Cyprus</option>
        <option value="CZ" data-id="103" data-is-verify-postcode="" data-countries="Česká republika" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Česká republika</option>
        <option value="DK" data-id="55" data-is-verify-postcode="" data-countries="Denmark" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Denmark</option>
        <option value="DJ" data-id="95" data-is-verify-postcode="" data-countries="Djibouti" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Djibouti</option>
        <option value="DO" data-id="60" data-is-verify-postcode="" data-countries="Dominican Republic" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Dominican Republic</option>
        <option value="EC" data-id="62" data-is-verify-postcode="" data-countries="Ecuador" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Ecuador</option>
        <option value="EG" data-id="17" data-is-verify-postcode="" data-countries="Egypt" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Egypt</option>
        <option value="SV" data-id="173" data-is-verify-postcode="" data-countries="El&nbsp;Salvador" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">El&nbsp;Salvador</option>
        <option value="GQ" data-id="15511" data-is-verify-postcode="" data-countries="Equatorial Guinea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Equatorial Guinea</option>
        <option value="ER" data-id="63" data-is-verify-postcode="" data-countries="Eritrea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Eritrea</option>
        <option value="EE" data-id="20" data-is-verify-postcode="" data-countries="Estonia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Estonia</option>
        <option value="ET" data-id="18" data-is-verify-postcode="" data-countries="Ethiopia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Ethiopia</option>
        <option value="FK" data-id="74" data-is-verify-postcode="" data-countries="Falkland Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Falkland Islands</option>
        <option value="FO" data-id="65" data-is-verify-postcode="" data-countries="Faroe Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Faroe Islands</option>
        <option value="FJ" data-id="71" data-is-verify-postcode="" data-countries="Fiji Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Fiji Islands</option>
        <option value="FI" data-id="72" data-is-verify-postcode="" data-countries="Finland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Finland</option>
        <option value="FR" data-id="64" data-is-verify-postcode="" data-countries="France" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">France</option>
        <option value="PF" data-id="66" data-is-verify-postcode="" data-countries="Frech Polynesia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Frech Polynesia</option>
        <option value="GF" data-id="67" data-is-verify-postcode="" data-countries="French Guiana" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">French Guiana</option>
        <option value="TF" data-id="68" data-is-verify-postcode="" data-countries="French&nbsp;Southern and Antarctic Lands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">French&nbsp;Southern and Antarctic Lands
        </option>
        <option value="GA" data-id="101" data-is-verify-postcode="" data-countries="Gabon" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Gabon</option>
        <option value="GM" data-id="75" data-is-verify-postcode="" data-countries="Gambia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Gambia</option>
        <option value="GE" data-id="15501" data-is-verify-postcode="" data-countries="Georgia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Georgia</option>
        <option value="DE" data-id="56" data-is-verify-postcode="" data-countries="Germany" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Germany</option>
        <option value="GH" data-id="100" data-is-verify-postcode="" data-countries="Ghana" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Ghana</option>
        <option value="GI" data-id="244" data-is-verify-postcode="" data-countries="Gibraltar" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Gibraltar</option>
        <option value="GR" data-id="222" data-is-verify-postcode="" data-countries="Greece" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Greece</option>
        <option value="GL" data-id="82" data-is-verify-postcode="" data-countries="Greenland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Greenland</option>
        <option value="GD" data-id="81" data-is-verify-postcode="" data-countries="Grenada" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Grenada</option>
        <option value="GP" data-id="84" data-is-verify-postcode="" data-countries="Guadeloupe" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guadeloupe</option>
        <option value="GT" data-id="212" data-is-verify-postcode="" data-countries="Guatemala" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guatemala</option>
        <option value="GG" data-id="80" data-is-verify-postcode="" data-countries="Guernsey" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guernsey</option>
        <option value="GN" data-id="97" data-is-verify-postcode="" data-countries="Guinea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guinea</option>
        <option value="GW" data-id="98" data-is-verify-postcode="" data-countries="Guinea-Bissau" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guinea-Bissau</option>
        <option value="GY" data-id="86" data-is-verify-postcode="" data-countries="Guyana" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Guyana</option>
        <option value="HT" data-id="88" data-is-verify-postcode="" data-countries="Haiti" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Haiti</option>
        <option value="HM" data-id="92" data-is-verify-postcode="" data-countries="Heard&nbsp;Island and McDonald Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Heard&nbsp;Island and McDonald Islands</option>
        <option value="HN" data-id="93" data-is-verify-postcode="" data-countries="Honduras" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Honduras</option>
        <option value="HU" data-id="226" data-is-verify-postcode="" data-countries="Magyarország" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Magyarország</option>
        <option value="IS" data-id="43" data-is-verify-postcode="" data-countries="Iceland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Iceland</option>
        <option value="IN" data-id="235" data-is-verify-postcode="" data-countries="India" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">India</option>
        <option value="ID" data-id="236" data-is-verify-postcode="" data-countries="Indonesia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Indonesia</option>
        <option value="IR" data-id="232" data-is-verify-postcode="" data-countries="Iran" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Iran</option>
        <option value="IQ" data-id="231" data-is-verify-postcode="" data-countries="Iraq" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Iraq</option>
        <option value="IE" data-id="19" data-is-verify-postcode="" data-countries="Ireland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Ireland</option>
        <option value="IM" data-id="137" data-is-verify-postcode="" data-countries="Isle of Man" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Isle of Man</option>
        <option value="IL" data-id="233" data-is-verify-postcode="" data-countries="Israel" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Israel</option>
        <option value="IT" data-id="234" data-is-verify-postcode="" data-countries="Italy" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Italy</option>
        <option value="JM" data-id="228" data-is-verify-postcode="" data-countries="Jamaica" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Jamaica</option>
        <option value="JP" data-id="170" data-is-verify-postcode="" data-countries="日本" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">日本</option>
        <option value="JE" data-id="242" data-is-verify-postcode="" data-countries="Jersey" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Jersey</option>
        <option value="JO" data-id="239" data-is-verify-postcode="" data-countries="Jordan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Jordan</option>
        <option value="KZ" data-id="87" data-is-verify-postcode="" data-countries="Kazakhstan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Kazakhstan</option>
        <option value="KE" data-id="113" data-is-verify-postcode="" data-countries="Kenya" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Kenya</option>
        <option value="KI" data-id="94" data-is-verify-postcode="" data-countries="Kiribati" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Kiribati</option>
        <option value="KW" data-id="111" data-is-verify-postcode="" data-countries="Kuwait" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Kuwait</option>
        <option value="KG" data-id="96" data-is-verify-postcode="" data-countries="Kyrgyzstan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Kyrgyzstan</option>
        <option value="LA" data-id="117" data-is-verify-postcode="" data-countries="Laos" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Laos</option>
        <option value="LV" data-id="115" data-is-verify-postcode="" data-countries="Latvia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Latvia</option>
        <option value="LB" data-id="118" data-is-verify-postcode="" data-countries="Lebanon" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Lebanon</option>
        <option value="LS" data-id="116" data-is-verify-postcode="" data-countries="Lesotho" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Lesotho</option>
        <option value="LR" data-id="119" data-is-verify-postcode="" data-countries="Liberia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Liberia</option>
        <option value="LY" data-id="120" data-is-verify-postcode="" data-countries="Libya" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Libya</option>
        <option value="LI" data-id="122" data-is-verify-postcode="" data-countries="Liechtenstein" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Liechtenstein</option>
        <option value="LT" data-id="121" data-is-verify-postcode="" data-countries="Lithuania" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Lithuania</option>
        <option value="LU" data-id="124" data-is-verify-postcode="" data-countries="Luxembourg" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Luxembourg</option>
        <option value="MO" data-id="15500" data-is-verify-postcode="" data-countries="Macao SAR" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Macao SAR</option>
        <option value="MK" data-id="133" data-is-verify-postcode="" data-countries="Macedonia,Former Yugoslav Republic of" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Macedonia,Former Yugoslav Republic of</option>
        <option value="MG" data-id="127" data-is-verify-postcode="" data-countries="Madagascar" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Madagascar</option>
        <option value="MW" data-id="130" data-is-verify-postcode="" data-countries="Malawi" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Malawi</option>
        <option value="MY" data-id="131" data-is-verify-postcode="" data-countries="Malaysia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Malaysia</option>
        <option value="MV" data-id="128" data-is-verify-postcode="" data-countries="Maldives" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Maldives</option>
        <option value="ML" data-id="132" data-is-verify-postcode="" data-countries="Mali" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mali</option>
        <option value="MT" data-id="129" data-is-verify-postcode="" data-countries="Malta" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Malta</option>
        <option value="MQ" data-id="135" data-is-verify-postcode="" data-countries="Martinique" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Martinique</option>
        <option value="MR" data-id="139" data-is-verify-postcode="" data-countries="Mauritania" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mauritania</option>
        <option value="MU" data-id="138" data-is-verify-postcode="" data-countries="Mauritius" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mauritius</option>
        <option value="YT" data-id="136" data-is-verify-postcode="" data-countries="Mayotte" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mayotte</option>
        <option value="MX" data-id="153" data-is-verify-postcode="" data-countries="Mexico" data-is_required_tax_no="1" data-document_name_tax_no="CURP" data-taxno-status="1">Mexico</option>
        <option value="MD" data-id="149" data-is-verify-postcode="" data-countries="Moldova" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Moldova</option>
        <option value="MC" data-id="151" data-is-verify-postcode="" data-countries="Monaco" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Monaco</option>
        <option value="MN" data-id="143" data-is-verify-postcode="" data-countries="Mongolia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mongolia</option>
        <option value="ME" data-id="15497" data-is-verify-postcode="" data-countries="Montenegro" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Montenegro</option>
        <option value="MS" data-id="144" data-is-verify-postcode="" data-countries="Montserrat" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Montserrat</option>
        <option value="MA" data-id="150" data-is-verify-postcode="" data-countries="Morocco" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Morocco</option>
        <option value="MZ" data-id="152" data-is-verify-postcode="" data-countries="Mozambique" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Mozambique</option>
        <option value="MM" data-id="148" data-is-verify-postcode="" data-countries="Myanmar" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Myanmar</option>
        <option value="NA" data-id="154" data-is-verify-postcode="" data-countries="Namibia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Namibia</option>
        <option value="NR" data-id="158" data-is-verify-postcode="" data-countries="Nauru" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Nauru</option>
        <option value="NP" data-id="159" data-is-verify-postcode="" data-countries="Nepal" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Nepal</option>
        <option value="NL" data-id="90" data-is-verify-postcode="" data-countries="Netherlands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Netherlands</option>
        <option value="NC" data-id="224" data-is-verify-postcode="" data-countries="New Caledonia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">New Caledonia</option>
        <option value="NZ" data-id="225" data-is-verify-postcode="" data-countries="New Zealand" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">New Zealand</option>
        <option value="NI" data-id="160" data-is-verify-postcode="" data-countries="Nicaragua" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Nicaragua</option>
        <option value="NE" data-id="161" data-is-verify-postcode="" data-countries="Niger" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Niger</option>
        <option value="NG" data-id="162" data-is-verify-postcode="" data-countries="Nigeria" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Nigeria</option>
        <option value="NU" data-id="163" data-is-verify-postcode="" data-countries="Niue" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Niue</option>
        <option value="NF" data-id="165" data-is-verify-postcode="" data-countries="Norfolk Island" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Norfolk Island</option>
        <option value="KP" data-id="54" data-is-verify-postcode="" data-countries="North&nbsp;Korea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">North&nbsp;Korea</option>
        <option value="NO" data-id="164" data-is-verify-postcode="" data-countries="Norway" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Norway</option>
        <option value="OM" data-id="14" data-is-verify-postcode="" data-countries="Oman" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Oman</option>
        <option value="PK" data-id="31" data-is-verify-postcode="" data-countries="Pakistan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Pakistan</option>
        <option value="PS" data-id="33" data-is-verify-postcode="" data-countries="Palestinian Authority" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Palestinian Authority</option>
        <option value="PA" data-id="35" data-is-verify-postcode="" data-countries="Panama" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Panama</option>
        <option value="PG" data-id="29" data-is-verify-postcode="" data-countries="Papua New Guinea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Papua New Guinea</option>
        <option value="PY" data-id="32" data-is-verify-postcode="" data-countries="Paraguay" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Paraguay</option>
        <option value="PE" data-id="147" data-is-verify-postcode="" data-countries="Peru" data-is_required_tax_no="1" data-document_name_tax_no="DNI" data-taxno-status="1">Peru</option>
        <option value="PH" data-id="70" data-is-verify-postcode="" data-countries="Philippines" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Philippines</option>
        <option value="PN" data-id="167" data-is-verify-postcode="" data-countries="Pitcairn Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Pitcairn Islands</option>
        <option value="PL" data-id="45" data-is-verify-postcode="" data-countries="Polska" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Polska</option>
        <option value="PT" data-id="168" data-is-verify-postcode="" data-countries="Portugal" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Portugal</option>
        <option value="PR" data-id="45505" data-is-verify-postcode="" data-countries="Puerto Rico" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Puerto Rico</option>
        <option value="QA" data-id="106" data-is-verify-postcode="" data-countries="Qatar" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Qatar</option>
        <option value="RE" data-id="123" data-is-verify-postcode="" data-countries="Reunion" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Reunion</option>
        <option value="RO" data-id="126" data-is-verify-postcode="" data-countries="Romania" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Romania</option>
        <option value="RU" data-id="61" data-is-verify-postcode="" data-countries="Russia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Russia</option>
        <option value="RW" data-id="125" data-is-verify-postcode="" data-countries="Rwanda" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Rwanda</option>
        <option value="WS" data-id="174" data-is-verify-postcode="" data-countries="Samoa" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Samoa</option>
        <option value="SM" data-id="186" data-is-verify-postcode="" data-countries="San&nbsp;Marino" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">San&nbsp;Marino</option>
        <option value="ST" data-id="182" data-is-verify-postcode="" data-countries="Sao Tome and Principe" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Sao Tome and Principe</option>
        <option value="SA" data-id="180" data-is-verify-postcode="" data-countries="Saudi Arabia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Saudi Arabia</option>
        <option value="SN" data-id="177" data-is-verify-postcode="" data-countries="Senegal" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Senegal</option>
        <option value="RS" data-id="175" data-is-verify-postcode="" data-countries="Serbia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Serbia</option>
        <option value="SC" data-id="179" data-is-verify-postcode="" data-countries="Seychelles" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Seychelles</option>
        <option value="SL" data-id="176" data-is-verify-postcode="" data-countries="Sierra Leone" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Sierra Leone</option>
        <option value="SG" data-id="223" data-is-verify-postcode="" data-countries="Singapore" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Singapore</option>
        <option value="SK" data-id="190" data-is-verify-postcode="" data-countries="Slovakia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Slovakia</option>
        <option value="SI" data-id="191" data-is-verify-postcode="" data-countries="Slovenia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Slovenia</option>
        <option value="SB" data-id="196" data-is-verify-postcode="" data-countries="Solomon Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Solomon Islands</option>
        <option value="SO" data-id="197" data-is-verify-postcode="" data-countries="Somalia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Somalia</option>
        <option value="ZA" data-id="155" data-is-verify-postcode="" data-countries="South Africa" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">South Africa</option>
        <option value="KR" data-id="89" data-is-verify-postcode="" data-countries="South Korea" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">South Korea</option>
        <option value="ES" data-id="221" data-is-verify-postcode="" data-countries="Spain" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Spain</option>
        <option value="LK" data-id="189" data-is-verify-postcode="" data-countries="Sri&nbsp;Lanka" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Sri&nbsp;Lanka</option>
        <option value="SH" data-id="183" data-is-verify-postcode="" data-countries="St.Helena" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">St.Helena</option>
        <option value="KN" data-id="184" data-is-verify-postcode="" data-countries="St.Kitts and Nevis" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">St.Kitts and Nevis</option>
        <option value="LC" data-id="185" data-is-verify-postcode="" data-countries="St.Lucia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">St.Lucia</option>
        <option value="PM" data-id="187" data-is-verify-postcode="" data-countries="St.Pierre and Miquelon" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">St.Pierre and Miquelon</option>
        <option value="VC" data-id="188" data-is-verify-postcode="" data-countries="St.Vincent and the Grenadines" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">St.Vincent and the Grenadines</option>
        <option value="SD" data-id="194" data-is-verify-postcode="" data-countries="Sudan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Sudan</option>
        <option value="SR" data-id="195" data-is-verify-postcode="" data-countries="Suriname" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Suriname</option>
        <option value="SJ" data-id="192" data-is-verify-postcode="" data-countries="Svalbard and Jan Mayen" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Svalbard and Jan Mayen</option>
        <option value="SZ" data-id="193" data-is-verify-postcode="" data-countries="Swaziland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Swaziland</option>
        <option value="SE" data-id="171" data-is-verify-postcode="" data-countries="Sweden" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Sweden</option>
        <option value="CH" data-id="172" data-is-verify-postcode="" data-countries="Switzerland" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Switzerland</option>
        <option value="SY" data-id="227" data-is-verify-postcode="" data-countries="Syria" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Syria</option>
        <option value="TW" data-id="15498" data-is-verify-postcode="" data-countries="中國臺灣" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">中國臺灣</option>
        <option value="TJ" data-id="198" data-is-verify-postcode="" data-countries="Tajikistan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tajikistan</option>
        <option value="TZ" data-id="200" data-is-verify-postcode="" data-countries="Tanzania" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tanzania</option>
        <option value="TH" data-id="199" data-is-verify-postcode="" data-countries="Thailand" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Thailand</option>
        <option value="TL" data-id="57" data-is-verify-postcode="" data-countries="Timor-Leste" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Timor-Leste</option>
        <option value="TG" data-id="58" data-is-verify-postcode="" data-countries="Togo" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Togo</option>
        <option value="TK" data-id="209" data-is-verify-postcode="" data-countries="Tokelau" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tokelau</option>
        <option value="TO" data-id="201" data-is-verify-postcode="" data-countries="Tonga" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tonga</option>
        <option value="TT" data-id="204" data-is-verify-postcode="" data-countries="Trinidad and Tobago" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Trinidad and Tobago</option>
        <option value="TN" data-id="205" data-is-verify-postcode="" data-countries="Tunisia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tunisia</option>
        <option value="TR" data-id="207" data-is-verify-postcode="" data-countries="Turkey" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Turkey</option>
        <option value="TM" data-id="208" data-is-verify-postcode="" data-countries="Turkmenistan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Turkmenistan</option>
        <option value="TC" data-id="202" data-is-verify-postcode="" data-countries="Turks and Caicos Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Turks and Caicos Islands</option>
        <option value="TV" data-id="206" data-is-verify-postcode="" data-countries="Tuvalu" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Tuvalu</option>
        <option value="UG" data-id="217" data-is-verify-postcode="" data-countries="Uganda" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Uganda</option>
        <option value="UA" data-id="218" data-is-verify-postcode="" data-countries="Ukraine" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Ukraine</option>
        <option value="AE" data-id="12" data-is-verify-postcode="" data-countries="United Arab Emirates" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">United Arab Emirates</option>
        <option value="US" data-id="140" data-is-verify-postcode="" data-countries="United States" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">United States</option>
        <option value="UM" data-id="142" data-is-verify-postcode="" data-countries="United&nbsp;States Minor Outlying Islands" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">United&nbsp;States Minor Outlying Islands
        </option>
        <option value="UY" data-id="219" data-is-verify-postcode="" data-countries="Uruguay" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Uruguay</option>
        <option value="UZ" data-id="220" data-is-verify-postcode="" data-countries="Uzbekistan" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Uzbekistan</option>
        <option value="VU" data-id="211" data-is-verify-postcode="" data-countries="Vanuatu" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Vanuatu</option>
        <option value="VA" data-id="69" data-is-verify-postcode="" data-countries="Vatican City" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Vatican City</option>
        <option value="VE" data-id="215" data-is-verify-postcode="" data-countries="Venezuela" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Venezuela</option>
        <option value="VN" data-id="240" data-is-verify-postcode="" data-countries="Vietnam" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Vietnam</option>
        <option value="VG" data-id="214" data-is-verify-postcode="" data-countries="Virgin Islands,British" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Virgin Islands,British</option>
        <option value="WF" data-id="210" data-is-verify-postcode="" data-countries="Wallis and Futuna" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Wallis and Futuna</option>
        <option value="YE" data-id="230" data-is-verify-postcode="" data-countries="Yemen" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Yemen</option>
        <option value="ZM" data-id="241" data-is-verify-postcode="" data-countries="Zambia" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Zambia</option>
        <option value="ZW" data-id="104" data-is-verify-postcode="" data-countries="Zimbabwe" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">Zimbabwe</option>
        <option value="HK" data-id="15499" data-is-verify-postcode="" data-countries="中國香港" data-is_required_tax_no="" data-document_name_tax_no="" data-taxno-status="">中國香港</option>
      </select>
      <span class="iconfont icon-back select-arrow"></span>
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list clearfloat order-item-half">
    <div class="order-write-item fl">
      <label>First Name</label>
      <input type="text" class="np-ui-input J-OrderVal" maxlength="64" data-type="shipping_first_name" tabindex="2" placeholder="First Name" name="firstname" value="">
      <div class="np-ui-input-tips"></div>
    </div>
    <div class="order-write-item fr">
      <label>Last Name</label>
      <input type="text" class="np-ui-input J-OrderVal" maxlength="64" data-type="shipping_last_name" tabindex="3" placeholder="Last Name" name="lastname" value="">
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list order-item-phone" name="shipping_phone" style="display: none;">
    <div class="phone-code"> + <span class="J-PhoneCode" data-type="shipping_phone_code">1</span>
    </div>
    <div class="order-write-item">
      <label>Phone</label>
      <input type="tel" class="np-ui-input J-OrderVal J-PhoneVal" data-type="shipping_phone" maxlength="32" placeholder="Phone" tabindex="8" name="phone" value="">
      <div class="np-ui-input-tips"></div>
      <span class="iconfont icon-wenhao phone-tips-icon J-Tips"></span>
      <div class="phone-tips">
        <p>In case we need to contact you for delivery</p>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat" name="postcode" style="display: none">
    <div class="order-write-item">
      <label>Postal/Zip Code</label>
      <input type="text" autocorrect="off" class="np-ui-input J-OrderVal J-ZipCode J-GoogleMapAddress" maxlength="32" data-type="shipping_zip_code" tabindex="4" placeholder="Postal/Zip Code" name="ZIPcode" value="">
      <div class="np-ui-input-tips"></div>
      <div class="zip-code-address-box" style="display:none">
        <div class="zip-code-address-list J-ZipCodeList"></div>
      </div>
      <span class="iconfont icon-dingwei phone-tips-icon J-Tips"></span>
      <div class="phone-tips zipcode-tips">
        <p>Enter characters to enable address suggestion</p>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat">
    <div class="order-write-item">
      <label>Address</label>
      <input type="text" autocorrect="off" id="street_number" class="np-ui-input J-OrderVal J-GoogleMapAddress " maxlength="255" data-type="shipping_address" tabindex="4" placeholder="Address" value="" name="Address">
      <div class="np-ui-input-tips"></div>
      <span class="iconfont icon-dingwei phone-tips-icon J-Tips"></span>
      <div class="phone-tips zipcode-tips">
        <p>Enter characters to enable address suggestion</p>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat">
    <div class="order-write-item">
      <label>Apartment, suite, etc. (optional)</label>
      <input type="text" class="np-ui-input J-OrderVal" maxlength="255" data-type="shipping_other_address" tabindex="5" placeholder="Apartment, suite, etc. (optional)" name="apartment" value="">
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list clearfloat" name="city_input">
    <div class="order-write-item">
      <label>City</label>
      <input type="text" id="locality" class="np-ui-input J-OrderVal" maxlength="64" data-type="shipping_city" tabindex="6" placeholder="City" name="city" value="">
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list clearfloat order-item-three order-write-flex">
    <div class="order-write-item fl order-write-item-flex-1 mr-12 order-write--show">
      <label>Province/State</label>
      <select class="np-ui-select J-Province J-OrderVal" data-type="shipping_province" aria-required="true" id="administrative_area_level_1" name="administrative_area_level_1">
        <option value="-1000" disabled="disabled" selected=""> State </option>
        <option value="AL" data-province="Alabama">Alabama</option>
        <option value="AK" data-province="Alaska">Alaska</option>
        <option value="AS" data-province="American Samoa">American Samoa</option>
        <option value="AZ" data-province="Arizona">Arizona</option>
        <option value="AR" data-province="Arkansas">Arkansas</option>
        <option value="CA" data-province="California">California</option>
        <option value="CO" data-province="Colorado">Colorado</option>
        <option value="CT" data-province="Connecticut">Connecticut</option>
        <option value="DE" data-province="Delaware">Delaware</option>
        <option value="DC" data-province="District of Columbia">District of Columbia</option>
        <option value="FM" data-province="Federated States of Micronesia">Federated States of Micronesia</option>
        <option value="FL" data-province="Florida">Florida</option>
        <option value="GA" data-province="Georgia">Georgia</option>
        <option value="GU" data-province="Guam">Guam</option>
        <option value="HI" data-province="Hawaii">Hawaii</option>
        <option value="ID" data-province="Idaho">Idaho</option>
        <option value="IL" data-province="Illinois">Illinois</option>
        <option value="IN" data-province="Indiana">Indiana</option>
        <option value="IA" data-province="Iowa">Iowa</option>
        <option value="KS" data-province="Kansas">Kansas</option>
        <option value="KY" data-province="Kentucky">Kentucky</option>
        <option value="LA" data-province="Louisiana">Louisiana</option>
        <option value="ME" data-province="Maine">Maine</option>
        <option value="MH" data-province="Marshall Islands">Marshall Islands</option>
        <option value="MD" data-province="Maryland">Maryland</option>
        <option value="MA" data-province="Massachusetts">Massachusetts</option>
        <option value="MI" data-province="Michigan">Michigan</option>
        <option value="MN" data-province="Minnesota">Minnesota</option>
        <option value="MS" data-province="Mississippi">Mississippi</option>
        <option value="MO" data-province="Missouri">Missouri</option>
        <option value="MT" data-province="Montana">Montana</option>
        <option value="NE" data-province="Nebraska">Nebraska</option>
        <option value="NV" data-province="Nevada">Nevada</option>
        <option value="NH" data-province="New Hampshire">New Hampshire</option>
        <option value="NJ" data-province="New Jersey">New Jersey</option>
        <option value="NM" data-province="New Mexico">New Mexico</option>
        <option value="NY" data-province="New York">New York</option>
        <option value="NC" data-province="North Carolina">North Carolina</option>
        <option value="ND" data-province="North Dakota">North Dakota</option>
        <option value="MP" data-province="Northern Mariana Islands">Northern Mariana Islands</option>
        <option value="OH" data-province="Ohio">Ohio</option>
        <option value="OK" data-province="Oklahoma">Oklahoma</option>
        <option value="OR" data-province="Oregon">Oregon</option>
        <option value="PW" data-province="Palau">Palau</option>
        <option value="PA" data-province="Pennsylvania">Pennsylvania</option>
        <option value="PR" data-province="Puerto Rico">Puerto Rico</option>
        <option value="RI" data-province="Rhode Island">Rhode Island</option>
        <option value="SC" data-province="South Carolina">South Carolina</option>
        <option value="SD" data-province="South Dakota">South Dakota</option>
        <option value="TN" data-province="Tennessee">Tennessee</option>
        <option value="TX" data-province="Texas">Texas</option>
        <option value="UT" data-province="Utah">Utah</option>
        <option value="VT" data-province="Vermont">Vermont</option>
        <option value="VI" data-province="Virgin Islands">Virgin Islands</option>
        <option value="VA" data-province="Virginia">Virginia</option>
        <option value="WA" data-province="Washington">Washington</option>
        <option value="WV" data-province="West Virginia">West Virginia</option>
        <option value="WI" data-province="Wisconsin">Wisconsin</option>
        <option value="WY" data-province="Wyoming">Wyoming</option>
        <option value="AA" data-province="Armed Forces Americas">Armed Forces Americas</option>
        <option value="AE" data-province="Armed Forces Europe">Armed Forces Europe</option>
        <option value="AP" data-province="Armed Forces Pacific">Armed Forces Pacific</option>
      </select>
      <span class="iconfont icon-back select-arrow"></span>
      <div class="np-ui-input-tips" style="display: none;"></div>
    </div>
    <div class="order-write-item fr order-write-item-flex-1 mr-12 order-write--show" style="display: none" name="city_select">
      <label>City</label>
      <select class="np-ui-select J-City J-OrderVal" data-type="shipping_city" aria-required="true"></select>
      <span class="iconfont icon-back select-arrow"></span>
      <div class="np-ui-input-tips" style="display: none;"></div>
    </div>
    <div class="order-write-item fr order-write-item-flex-1">
      <label>Postal/Zip Code</label>
      <input type="text" id="postal_code" class="np-ui-input J-OrderVal J-ZipCode" maxlength="32" data-type="shipping_zip_code" tabindex="7" placeholder="Postal/Zip Code" name="ZIPcode" value="">
      <div class="np-ui-input-tips"></div>
      <div class="zip-code-address-box" style="display:none">
        <div class="zip-code-address-list J-ZipCodeList"></div>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat order-item-three order-br-taxno" style="display: none;">
    <div class="order-write-item fl order-write--show">
      <label>Tax NO.</label>
      <select class="np-ui-select J-TaxCode" data-type="tax_number_code" name="TaxCode">
        <option data-countries="CPF" value="CPF"> CPF NO. </option>
        <option data-countries="CNPJ" value="CNPJ"> CNPJ NO. </option>
      </select>
      <span class="iconfont icon-back select-arrow"></span>
    </div>
    <div class="order-write-item fr">
      <label>VAT NO.</label>
      <input class="np-ui-input J-OrderVal J-TaxVal" data-type="tax_number" name="TaxVal" placeholder="Value Added Tax NO." tabindex="7" type="text" value="">
      <div class="np-ui-input-tips"></div>
      <span class="iconfont icon-wenhao phone-tips-icon J-Tips"></span>
      <div class="phone-tips tax-no-tips">
        <p>Preste atenção: De acordo com os requisitos alfandegários, preencha seu CNPJ ou CPF com precisão, caso contrário seu pedido não será enviado por correio e será cancelado.</p>
        <p>CPF para pessoas físicas, CNPJ para empresas.</p>
        <div class="tips-img">
          <img alt="cnpj" src="https://static.nbneri.com/cdn/img/cnpj.png">
          <img alt="cpf" src="https://static.nbneri.com/cdn/img/cpf.png">
        </div>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat order-item-three order-cl-taxno" style="display: none;">
    <div class="order-write-item fl order-write--show">
      <label>Tax NO.</label>
      <select class="np-ui-select J-TaxCode" data-type="tax_number_code" name="TaxCode" disabled="disabled" style="background: rgba(153,153,153,.1);">
        <option data-countries="CPF" value="CPF"> CPF NO. </option>
      </select>
    </div>
    <div class="order-write-item fr">
      <label>VAT NO.</label>
      <input class="np-ui-input J-OrderVal J-TaxVal" data-type="tax_number" name="TaxVal" placeholder="Value Added Tax NO." tabindex="7" type="text" value="">
      <div class="np-ui-input-tips"></div>
      <span class="iconfont icon-wenhao phone-tips-icon J-Tips"></span>
      <div class="phone-tips tax-no-tips">
        <p>CPF es el número de impuesto brasileño, utilizado por la aduana brasileña para verificar la información del paquete importado.</p>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list order-item-phone">
    <div class="phone-code"> + <span class="J-PhoneCode" data-type="shipping_phone_code">1</span>
    </div>
    <div class="order-write-item">
      <label>Phone</label>
      <input type="tel" class="np-ui-input J-OrderVal J-PhoneVal" data-type="shipping_phone" maxlength="32" placeholder="Phone" tabindex="8" name="phone" value="">
      <div class="np-ui-input-tips"></div>
      <span class="iconfont icon-wenhao phone-tips-icon J-Tips"></span>
      <div class="phone-tips">
        <p>In case we need to contact you for delivery</p>
        <span class="iconfont icon-bofang"></span>
      </div>
    </div>
  </div>
  <div class="order-write-list clearfloat" name="street_address" style="display: none;">
    <div class="order-write-item">
      <label>Address</label>
      <input type="text" autocorrect="off" id="street_number" class="np-ui-input J-OrderVal" maxlength="255" data-type="shipping_address" tabindex="4" placeholder="Address" value="" name="Address">
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list clearfloat" name="other_address" style="display: none;">
    <div class="order-write-item">
      <label>Apartment, suite, etc. (optional)</label>
      <input type="text" class="np-ui-input J-OrderVal" maxlength="255" data-type="shipping_other_address" tabindex="5" placeholder="Apartment, suite, etc. (optional)" name="apartment" value="">
      <div class="np-ui-input-tips"></div>
    </div>
  </div>
  <div class="order-write-list order-button">
    <div class="order-write-item">
    </div>
    <div class="order-write-item">
      <button class="np-ui-btn np-ui-main-btn J-placeCustomer J-Event-AddPaymentInfo">
        <span class="btn-text">Continue to shipping</span>
        <span class="iconfont icon-jiazai loading"></span>
      </button>
    </div>
  </div>
</form>

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Afghanistan Aland lslands Albania Algeria Andorra Angola Anguilla Antigua and
Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain
Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia
and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory
Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman
Islands Central African Republic Chad Chile China Christmas Island
Cocos(Keeling)Islands Colombia Comoros Congo Congo(DRC) Cook Islands Costa Rica
Cote dIvoire Croatia Cuba Cyprus Česká republika Denmark Djibouti Dominican
Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia
Falkland Islands Faroe Islands Fiji Islands Finland France Frech Polynesia
French Guiana French Southern and Antarctic Lands Gabon Gambia Georgia Germany
Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea
Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras
Magyarország Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy
Jamaica 日本 Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia
Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR
Macedonia,Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali
Malta Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia
Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island
North Korea Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea
Paraguay Peru Philippines Pitcairn Islands Polska Portugal Puerto Rico Qatar
Reunion Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi
Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia
Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St.Helena
St.Kitts and Nevis St.Lucia St.Pierre and Miquelon St.Vincent and the Grenadines
Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria 中國臺灣
Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago
Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine
United Arab Emirates United States United States Minor Outlying Islands Uruguay
Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands,British Wallis
and Futuna Yemen Zambia Zimbabwe 中國香港

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Province/State State AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFederated States of
MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall
IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana
IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin
IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed
Forces EuropeArmed Forces Pacific

City

Postal/Zip Code


Tax NO. CPF NO. CNPJ NO.
VAT NO.


Preste atenção: De acordo com os requisitos alfandegários, preencha seu CNPJ ou
CPF com precisão, caso contrário seu pedido não será enviado por correio e será
cancelado.

CPF para pessoas físicas, CNPJ para empresas.


Tax NO. CPF NO.
VAT NO.


CPF es el número de impuesto brasileño, utilizado por la aduana brasileña para
verificar la información del paquete importado.

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   Apartment, suite, etc. (optional)
   
   City
   
   Country/Region United States Canada Australia ----------------------------
   Afghanistan Aland lslands Albania Algeria Andorra Angola Anguilla Antigua and
   Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain
   Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia
   Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
   Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape
   Verde Cayman Islands Central African Republic Chad Chile China Christmas
   Island Cocos(Keeling)Islands Colombia Comoros Congo Congo(DRC) Cook Islands
   Costa Rica Cote dIvoire Croatia Cuba Cyprus Česká republika Denmark Djibouti
   Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea
   Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France
   Frech Polynesia French Guiana French Southern and Antarctic Lands Gabon
   Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe
   Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and
   McDonald Islands Honduras Magyarország Iceland India Indonesia Iran Iraq
   Ireland Isle of Man Israel Italy Jamaica 日本 Jersey Jordan Kazakhstan Kenya
   Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
   Liechtenstein Lithuania Luxembourg Macao SAR Macedonia,Former Yugoslav
   Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique
   Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro
   Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New
   Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea
   Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea Paraguay
   Peru Philippines Pitcairn Islands Polska Portugal Puerto Rico Qatar Reunion
   Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia
   Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon
   Islands Somalia South Africa South Korea Spain Sri Lanka St.Helena St.Kitts
   and Nevis St.Lucia St.Pierre and Miquelon St.Vincent and the Grenadines Sudan
   Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria 中國臺灣
   Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and
   Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda
   Ukraine United Arab Emirates United States United States Minor Outlying
   Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin
   Islands,British Wallis and Futuna Yemen Zambia Zimbabwe 中國香港
   
   Province/State State AlabamaAlaskaAmerican
   SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
   ColumbiaFederated States of
   MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall
   IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
   HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern
   Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode
   IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin
   IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces
   AmericasArmed Forces EuropeArmed Forces Pacific
   
   Postal/Zip Code
   
   City
   
   + 1
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