goldenwaxlabratory.com Open in urlscan Pro
23.227.38.32  Public Scan

URL: https://goldenwaxlabratory.com/
Submission: On December 28 via api from US — Scanned from US

Form analysis 5 forms found in the DOM

GET /search

<form action="/search" method="get" role="search" class="search search-modal__form">
  <div class="field">
    <input class="search__input field__input" id="Search-In-Modal" type="search" name="q" value="" placeholder="Search" role="combobox" aria-expanded="false" aria-owns="predictive-search-results" aria-controls="predictive-search-results"
      aria-haspopup="listbox" aria-autocomplete="list" autocorrect="off" autocomplete="off" autocapitalize="off" spellcheck="false">
    <label class="field__label" for="Search-In-Modal">Search</label>
    <input type="hidden" name="options[prefix]" value="last">
    <button type="reset" class="reset__button field__button hidden" aria-label="Clear search term">
      <svg class="icon icon-close" aria-hidden="true" focusable="false">
        <use xlink:href="#icon-reset">
        </use>
      </svg>
    </button>
    <button class="search__button field__button" aria-label="Search">
      <svg class="icon icon-search" aria-hidden="true" focusable="false">
        <use href="#icon-search">
        </use>
      </svg>
    </button>
  </div>
  <div class="predictive-search predictive-search--header" tabindex="-1" data-predictive-search="">
    <div class="predictive-search__loading-state">
      <svg aria-hidden="true" focusable="false" class="spinner" viewBox="0 0 66 66" xmlns="http://www.w3.org/2000/svg">
        <circle class="path" fill="none" stroke-width="6" cx="33" cy="33" r="30"></circle>
      </svg>
    </div>
  </div>
  <span class="predictive-search-status visually-hidden" role="status" aria-hidden="true"></span>
</form>

POST /contact#contact_form

<form method="post" action="/contact#contact_form" id="contact_form" accept-charset="UTF-8" class="newsletter-form"><input type="hidden" name="form_type" value="customer"><input type="hidden" name="utf8" value="✓">
  <input type="hidden" name="contact[tags]" value="newsletter">
  <div class="newsletter-form__field-wrapper">
    <div class="field">
      <input id="NewsletterForm--template--18151442972986__newsletter" type="email" name="contact[email]" class="field__input" value="" aria-required="true" autocorrect="off" autocapitalize="off" autocomplete="email" placeholder="Email" required="">
      <label class="field__label" for="NewsletterForm--template--18151442972986__newsletter"> Email </label>
      <button type="submit" class="newsletter-form__button field__button" name="commit" id="Subscribe" aria-label="Subscribe">
        <svg viewBox="0 0 14 10" fill="none" aria-hidden="true" focusable="false" class="icon icon-arrow" xmlns="http://www.w3.org/2000/svg">
          <path fill-rule="evenodd" clip-rule="evenodd" d="M8.537.808a.5.5 0 01.817-.162l4 4a.5.5 0 010 .708l-4 4a.5.5 0 11-.708-.708L11.793 5.5H1a.5.5 0 010-1h10.793L8.646 1.354a.5.5 0 01-.109-.546z" fill="currentColor">
          </path>
        </svg>
      </button>
    </div>
  </div>
</form>

POST /localization

<form method="post" action="/localization" id="FooterCountryFormNoScript" accept-charset="UTF-8" class="localization-form" enctype="multipart/form-data"><input type="hidden" name="form_type" value="localization"><input type="hidden" name="utf8"
    value="✓"><input type="hidden" name="_method" value="put"><input type="hidden" name="return_to" value="/">
  <div class="localization-form__select">
    <h2 class="visually-hidden" id="FooterCountryLabelNoScript">Country/region</h2>
    <select class="localization-selector link" name="country_code" aria-labelledby="FooterCountryLabelNoScript">
      <option value="AL"> Albania (ALL L) </option>
      <option value="DZ"> Algeria (DZD د.ج) </option>
      <option value="AD"> Andorra (EUR €) </option>
      <option value="AO"> Angola (USD $) </option>
      <option value="AI"> Anguilla (XCD $) </option>
      <option value="AG"> Antigua &amp; Barbuda (XCD $) </option>
      <option value="AR"> Argentina (USD $) </option>
      <option value="AM"> Armenia (AMD դր.) </option>
      <option value="AW"> Aruba (AWG ƒ) </option>
      <option value="AU"> Australia (AUD $) </option>
      <option value="AT"> Austria (EUR €) </option>
      <option value="AZ"> Azerbaijan (AZN ₼) </option>
      <option value="BS"> Bahamas (BSD $) </option>
      <option value="BH"> Bahrain (USD $) </option>
      <option value="BD"> Bangladesh (BDT ৳) </option>
      <option value="BB"> Barbados (BBD $) </option>
      <option value="BE"> Belgium (EUR €) </option>
      <option value="BZ"> Belize (BZD $) </option>
      <option value="BJ"> Benin (XOF Fr) </option>
      <option value="BM"> Bermuda (USD $) </option>
      <option value="BT"> Bhutan (USD $) </option>
      <option value="BO"> Bolivia (BOB Bs.) </option>
      <option value="BA"> Bosnia &amp; Herzegovina (BAM КМ) </option>
      <option value="BW"> Botswana (BWP P) </option>
      <option value="BR"> Brazil (USD $) </option>
      <option value="VG"> British Virgin Islands (USD $) </option>
      <option value="BN"> Brunei (BND $) </option>
      <option value="BG"> Bulgaria (BGN лв.) </option>
      <option value="BF"> Burkina Faso (XOF Fr) </option>
      <option value="BI"> Burundi (BIF Fr) </option>
      <option value="KH"> Cambodia (KHR ៛) </option>
      <option value="CM"> Cameroon (XAF Fr) </option>
      <option value="CA"> Canada (CAD $) </option>
      <option value="CV"> Cape Verde (CVE $) </option>
      <option value="BQ"> Caribbean Netherlands (USD $) </option>
      <option value="KY"> Cayman Islands (KYD $) </option>
      <option value="TD"> Chad (XAF Fr) </option>
      <option value="CL"> Chile (USD $) </option>
      <option value="CN"> China (CNY ¥) </option>
      <option value="CO"> Colombia (USD $) </option>
      <option value="KM"> Comoros (KMF Fr) </option>
      <option value="CK"> Cook Islands (NZD $) </option>
      <option value="CR"> Costa Rica (CRC ₡) </option>
      <option value="HR"> Croatia (EUR €) </option>
      <option value="CW"> Curaçao (ANG ƒ) </option>
      <option value="CY"> Cyprus (EUR €) </option>
      <option value="CZ"> Czechia (CZK Kč) </option>
      <option value="DK"> Denmark (DKK kr.) </option>
      <option value="DJ"> Djibouti (DJF Fdj) </option>
      <option value="DM"> Dominica (XCD $) </option>
      <option value="DO"> Dominican Republic (DOP $) </option>
      <option value="EC"> Ecuador (USD $) </option>
      <option value="EG"> Egypt (EGP ج.م) </option>
      <option value="SV"> El Salvador (USD $) </option>
      <option value="GQ"> Equatorial Guinea (XAF Fr) </option>
      <option value="EE"> Estonia (EUR €) </option>
      <option value="SZ"> Eswatini (USD $) </option>
      <option value="ET"> Ethiopia (ETB Br) </option>
      <option value="FK"> Falkland Islands (FKP £) </option>
      <option value="FO"> Faroe Islands (DKK kr.) </option>
      <option value="FJ"> Fiji (FJD $) </option>
      <option value="FI"> Finland (EUR €) </option>
      <option value="FR"> France (EUR €) </option>
      <option value="GF"> French Guiana (EUR €) </option>
      <option value="PF"> French Polynesia (XPF Fr) </option>
      <option value="GA"> Gabon (XOF Fr) </option>
      <option value="GM"> Gambia (GMD D) </option>
      <option value="GE"> Georgia (USD $) </option>
      <option value="DE"> Germany (EUR €) </option>
      <option value="GH"> Ghana (USD $) </option>
      <option value="GI"> Gibraltar (GBP £) </option>
      <option value="GR"> Greece (EUR €) </option>
      <option value="GL"> Greenland (DKK kr.) </option>
      <option value="GD"> Grenada (XCD $) </option>
      <option value="GP"> Guadeloupe (EUR €) </option>
      <option value="GT"> Guatemala (GTQ Q) </option>
      <option value="GG"> Guernsey (GBP £) </option>
      <option value="GN"> Guinea (GNF Fr) </option>
      <option value="GW"> Guinea-Bissau (XOF Fr) </option>
      <option value="GY"> Guyana (GYD $) </option>
      <option value="HT"> Haiti (USD $) </option>
      <option value="HN"> Honduras (HNL L) </option>
      <option value="HK"> Hong Kong SAR (HKD $) </option>
      <option value="HU"> Hungary (HUF Ft) </option>
      <option value="IS"> Iceland (ISK kr) </option>
      <option value="IN"> India (INR ₹) </option>
      <option value="ID"> Indonesia (IDR Rp) </option>
      <option value="IE"> Ireland (EUR €) </option>
      <option value="IL"> Israel (ILS ₪) </option>
      <option value="IT"> Italy (EUR €) </option>
      <option value="JM"> Jamaica (JMD $) </option>
      <option value="JP"> Japan (JPY ¥) </option>
      <option value="JE"> Jersey (USD $) </option>
      <option value="JO"> Jordan (USD $) </option>
      <option value="KZ"> Kazakhstan (KZT 〒) </option>
      <option value="KE"> Kenya (KES KSh) </option>
      <option value="KI"> Kiribati (USD $) </option>
      <option value="KW"> Kuwait (USD $) </option>
      <option value="KG"> Kyrgyzstan (KGS som) </option>
      <option value="LA"> Laos (LAK ₭) </option>
      <option value="LV"> Latvia (EUR €) </option>
      <option value="LS"> Lesotho (USD $) </option>
      <option value="LI"> Liechtenstein (CHF CHF) </option>
      <option value="LT"> Lithuania (EUR €) </option>
      <option value="LU"> Luxembourg (EUR €) </option>
      <option value="MO"> Macao SAR (MOP P) </option>
      <option value="MG"> Madagascar (USD $) </option>
      <option value="MW"> Malawi (MWK MK) </option>
      <option value="MY"> Malaysia (MYR RM) </option>
      <option value="MV"> Maldives (MVR MVR) </option>
      <option value="MT"> Malta (EUR €) </option>
      <option value="MQ"> Martinique (EUR €) </option>
      <option value="MR"> Mauritania (USD $) </option>
      <option value="MU"> Mauritius (MUR ₨) </option>
      <option value="YT"> Mayotte (EUR €) </option>
      <option value="MX"> Mexico (USD $) </option>
      <option value="MD"> Moldova (MDL L) </option>
      <option value="MC"> Monaco (EUR €) </option>
      <option value="MN"> Mongolia (MNT ₮) </option>
      <option value="ME"> Montenegro (EUR €) </option>
      <option value="MS"> Montserrat (XCD $) </option>
      <option value="MA"> Morocco (MAD د.م.) </option>
      <option value="MZ"> Mozambique (USD $) </option>
      <option value="NA"> Namibia (USD $) </option>
      <option value="NR"> Nauru (AUD $) </option>
      <option value="NP"> Nepal (NPR ₨) </option>
      <option value="NL"> Netherlands (EUR €) </option>
      <option value="NC"> New Caledonia (XPF Fr) </option>
      <option value="NZ"> New Zealand (NZD $) </option>
      <option value="NI"> Nicaragua (NIO C$) </option>
      <option value="NG"> Nigeria (NGN ₦) </option>
      <option value="NU"> Niue (NZD $) </option>
      <option value="MK"> North Macedonia (MKD ден) </option>
      <option value="NO"> Norway (USD $) </option>
      <option value="OM"> Oman (USD $) </option>
      <option value="PK"> Pakistan (PKR ₨) </option>
      <option value="PA"> Panama (USD $) </option>
      <option value="PG"> Papua New Guinea (PGK K) </option>
      <option value="PY"> Paraguay (PYG ₲) </option>
      <option value="PE"> Peru (PEN S/.) </option>
      <option value="PH"> Philippines (PHP ₱) </option>
      <option value="PL"> Poland (PLN zł) </option>
      <option value="PT"> Portugal (EUR €) </option>
      <option value="QA"> Qatar (QAR ر.ق) </option>
      <option value="RE"> Réunion (EUR €) </option>
      <option value="RO"> Romania (RON Lei) </option>
      <option value="RW"> Rwanda (RWF FRw) </option>
      <option value="WS"> Samoa (WST T) </option>
      <option value="SM"> San Marino (EUR €) </option>
      <option value="ST"> São Tomé &amp; Príncipe (STD Db) </option>
      <option value="SA"> Saudi Arabia (SAR ر.س) </option>
      <option value="SN"> Senegal (XOF Fr) </option>
      <option value="RS"> Serbia (RSD РСД) </option>
      <option value="SC"> Seychelles (USD $) </option>
      <option value="SL"> Sierra Leone (SLL Le) </option>
      <option value="SG"> Singapore (SGD $) </option>
      <option value="SK"> Slovakia (EUR €) </option>
      <option value="SI"> Slovenia (EUR €) </option>
      <option value="SB"> Solomon Islands (SBD $) </option>
      <option value="ZA"> South Africa (USD $) </option>
      <option value="KR"> South Korea (KRW ₩) </option>
      <option value="ES"> Spain (EUR €) </option>
      <option value="LK"> Sri Lanka (LKR ₨) </option>
      <option value="BL"> St. Barthélemy (EUR €) </option>
      <option value="SH"> St. Helena (SHP £) </option>
      <option value="KN"> St. Kitts &amp; Nevis (XCD $) </option>
      <option value="LC"> St. Lucia (XCD $) </option>
      <option value="MF"> St. Martin (EUR €) </option>
      <option value="VC"> St. Vincent &amp; Grenadines (XCD $) </option>
      <option value="SR"> Suriname (USD $) </option>
      <option value="SE"> Sweden (SEK kr) </option>
      <option value="CH"> Switzerland (CHF CHF) </option>
      <option value="TW"> Taiwan (TWD $) </option>
      <option value="TZ"> Tanzania (TZS Sh) </option>
      <option value="TH"> Thailand (THB ฿) </option>
      <option value="TL"> Timor-Leste (USD $) </option>
      <option value="TG"> Togo (XOF Fr) </option>
      <option value="TO"> Tonga (TOP T$) </option>
      <option value="TT"> Trinidad &amp; Tobago (TTD $) </option>
      <option value="TN"> Tunisia (USD $) </option>
      <option value="TR"> Turkey (USD $) </option>
      <option value="TC"> Turks &amp; Caicos Islands (USD $) </option>
      <option value="TV"> Tuvalu (AUD $) </option>
      <option value="UG"> Uganda (UGX USh) </option>
      <option value="AE"> United Arab Emirates (AED د.إ) </option>
      <option value="GB"> United Kingdom (GBP £) </option>
      <option value="US" selected=""> United States (USD $) </option>
      <option value="UY"> Uruguay (UYU $) </option>
      <option value="UZ"> Uzbekistan (UZS ) </option>
      <option value="VU"> Vanuatu (VUV Vt) </option>
      <option value="VN"> Vietnam (VND ₫) </option>
      <option value="ZM"> Zambia (USD $) </option>
    </select>
    <svg aria-hidden="true" focusable="false" class="icon icon-caret" viewBox="0 0 10 6">
      <path fill-rule="evenodd" clip-rule="evenodd" d="M9.354.646a.5.5 0 00-.708 0L5 4.293 1.354.646a.5.5 0 00-.708.708l4 4a.5.5 0 00.708 0l4-4a.5.5 0 000-.708z" fill="currentColor">
      </path>
    </svg>
  </div>
  <button class="button button--tertiary">Update country/region</button>
</form>

POST /localization

<form method="post" action="/localization" id="FooterCountryForm" accept-charset="UTF-8" class="localization-form" enctype="multipart/form-data"><input type="hidden" name="form_type" value="localization"><input type="hidden" name="utf8"
    value="✓"><input type="hidden" name="_method" value="put"><input type="hidden" name="return_to" value="/">
  <div class="no-js-hidden">
    <h2 class="caption-large text-body" id="FooterCountryLabel">Country/region</h2>
    <div class="disclosure">
      <button type="button" class="disclosure__button localization-form__select localization-selector link link--text caption-large" aria-expanded="false" aria-controls="FooterCountryList" aria-describedby="FooterCountryLabel"> United States (USD $)
        <svg aria-hidden="true" focusable="false" class="icon icon-caret" viewBox="0 0 10 6">
          <path fill-rule="evenodd" clip-rule="evenodd" d="M9.354.646a.5.5 0 00-.708 0L5 4.293 1.354.646a.5.5 0 00-.708.708l4 4a.5.5 0 00.708 0l4-4a.5.5 0 000-.708z" fill="currentColor">
          </path>
        </svg>
      </button>
      <div class="disclosure__list-wrapper" hidden="">
        <ul id="FooterCountryList" role="list" class="disclosure__list list-unstyled">
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AL">
                            Albania <span class="localization-form__currency">(ALL L)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DZ">
                            Algeria <span class="localization-form__currency">(DZD د.ج)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AD">
                            Andorra <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AO">
                            Angola <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AI">
                            Anguilla <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AG">
                            Antigua &amp; Barbuda <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AR">
                            Argentina <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AM">
                            Armenia <span class="localization-form__currency">(AMD դր.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AW">
                            Aruba <span class="localization-form__currency">(AWG ƒ)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AU">
                            Australia <span class="localization-form__currency">(AUD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AT">
                            Austria <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AZ">
                            Azerbaijan <span class="localization-form__currency">(AZN ₼)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BS">
                            Bahamas <span class="localization-form__currency">(BSD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BH">
                            Bahrain <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BD">
                            Bangladesh <span class="localization-form__currency">(BDT ৳)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BB">
                            Barbados <span class="localization-form__currency">(BBD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BE">
                            Belgium <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BZ">
                            Belize <span class="localization-form__currency">(BZD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BJ">
                            Benin <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BM">
                            Bermuda <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BT">
                            Bhutan <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BO">
                            Bolivia <span class="localization-form__currency">(BOB Bs.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BA">
                            Bosnia &amp; Herzegovina <span class="localization-form__currency">(BAM КМ)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BW">
                            Botswana <span class="localization-form__currency">(BWP P)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BR">
                            Brazil <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="VG">
                            British Virgin Islands <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BN">
                            Brunei <span class="localization-form__currency">(BND $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BG">
                            Bulgaria <span class="localization-form__currency">(BGN лв.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BF">
                            Burkina Faso <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BI">
                            Burundi <span class="localization-form__currency">(BIF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KH">
                            Cambodia <span class="localization-form__currency">(KHR ៛)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CM">
                            Cameroon <span class="localization-form__currency">(XAF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CA">
                            Canada <span class="localization-form__currency">(CAD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CV">
                            Cape Verde <span class="localization-form__currency">(CVE $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BQ">
                            Caribbean Netherlands <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KY">
                            Cayman Islands <span class="localization-form__currency">(KYD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TD">
                            Chad <span class="localization-form__currency">(XAF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CL">
                            Chile <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CN">
                            China <span class="localization-form__currency">(CNY ¥)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CO">
                            Colombia <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KM">
                            Comoros <span class="localization-form__currency">(KMF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CK">
                            Cook Islands <span class="localization-form__currency">(NZD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CR">
                            Costa Rica <span class="localization-form__currency">(CRC ₡)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="HR">
                            Croatia <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CW">
                            Curaçao <span class="localization-form__currency">(ANG ƒ)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CY">
                            Cyprus <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CZ">
                            Czechia <span class="localization-form__currency">(CZK Kč)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DK">
                            Denmark <span class="localization-form__currency">(DKK kr.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DJ">
                            Djibouti <span class="localization-form__currency">(DJF Fdj)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DM">
                            Dominica <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DO">
                            Dominican Republic <span class="localization-form__currency">(DOP $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="EC">
                            Ecuador <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="EG">
                            Egypt <span class="localization-form__currency">(EGP ج.م)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SV">
                            El Salvador <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GQ">
                            Equatorial Guinea <span class="localization-form__currency">(XAF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="EE">
                            Estonia <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SZ">
                            Eswatini <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ET">
                            Ethiopia <span class="localization-form__currency">(ETB Br)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="FK">
                            Falkland Islands <span class="localization-form__currency">(FKP £)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="FO">
                            Faroe Islands <span class="localization-form__currency">(DKK kr.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="FJ">
                            Fiji <span class="localization-form__currency">(FJD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="FI">
                            Finland <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="FR">
                            France <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GF">
                            French Guiana <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PF">
                            French Polynesia <span class="localization-form__currency">(XPF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GA">
                            Gabon <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GM">
                            Gambia <span class="localization-form__currency">(GMD D)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GE">
                            Georgia <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="DE">
                            Germany <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GH">
                            Ghana <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GI">
                            Gibraltar <span class="localization-form__currency">(GBP £)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GR">
                            Greece <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GL">
                            Greenland <span class="localization-form__currency">(DKK kr.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GD">
                            Grenada <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GP">
                            Guadeloupe <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GT">
                            Guatemala <span class="localization-form__currency">(GTQ Q)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GG">
                            Guernsey <span class="localization-form__currency">(GBP £)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GN">
                            Guinea <span class="localization-form__currency">(GNF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GW">
                            Guinea-Bissau <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GY">
                            Guyana <span class="localization-form__currency">(GYD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="HT">
                            Haiti <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="HN">
                            Honduras <span class="localization-form__currency">(HNL L)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="HK">
                            Hong Kong SAR <span class="localization-form__currency">(HKD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="HU">
                            Hungary <span class="localization-form__currency">(HUF Ft)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="IS">
                            Iceland <span class="localization-form__currency">(ISK kr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="IN">
                            India <span class="localization-form__currency">(INR ₹)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ID">
                            Indonesia <span class="localization-form__currency">(IDR Rp)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="IE">
                            Ireland <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="IL">
                            Israel <span class="localization-form__currency">(ILS ₪)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="IT">
                            Italy <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="JM">
                            Jamaica <span class="localization-form__currency">(JMD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="JP">
                            Japan <span class="localization-form__currency">(JPY ¥)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="JE">
                            Jersey <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="JO">
                            Jordan <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KZ">
                            Kazakhstan <span class="localization-form__currency">(KZT 〒)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KE">
                            Kenya <span class="localization-form__currency">(KES KSh)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KI">
                            Kiribati <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KW">
                            Kuwait <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KG">
                            Kyrgyzstan <span class="localization-form__currency">(KGS som)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LA">
                            Laos <span class="localization-form__currency">(LAK ₭)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LV">
                            Latvia <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LS">
                            Lesotho <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LI">
                            Liechtenstein <span class="localization-form__currency">(CHF CHF)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LT">
                            Lithuania <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LU">
                            Luxembourg <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MO">
                            Macao SAR <span class="localization-form__currency">(MOP P)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MG">
                            Madagascar <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MW">
                            Malawi <span class="localization-form__currency">(MWK MK)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MY">
                            Malaysia <span class="localization-form__currency">(MYR RM)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MV">
                            Maldives <span class="localization-form__currency">(MVR MVR)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MT">
                            Malta <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MQ">
                            Martinique <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MR">
                            Mauritania <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MU">
                            Mauritius <span class="localization-form__currency">(MUR ₨)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="YT">
                            Mayotte <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MX">
                            Mexico <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MD">
                            Moldova <span class="localization-form__currency">(MDL L)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MC">
                            Monaco <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MN">
                            Mongolia <span class="localization-form__currency">(MNT ₮)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ME">
                            Montenegro <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MS">
                            Montserrat <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MA">
                            Morocco <span class="localization-form__currency">(MAD د.م.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MZ">
                            Mozambique <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NA">
                            Namibia <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NR">
                            Nauru <span class="localization-form__currency">(AUD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NP">
                            Nepal <span class="localization-form__currency">(NPR ₨)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NL">
                            Netherlands <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NC">
                            New Caledonia <span class="localization-form__currency">(XPF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NZ">
                            New Zealand <span class="localization-form__currency">(NZD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NI">
                            Nicaragua <span class="localization-form__currency">(NIO C$)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NG">
                            Nigeria <span class="localization-form__currency">(NGN ₦)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NU">
                            Niue <span class="localization-form__currency">(NZD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MK">
                            North Macedonia <span class="localization-form__currency">(MKD ден)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="NO">
                            Norway <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="OM">
                            Oman <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PK">
                            Pakistan <span class="localization-form__currency">(PKR ₨)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PA">
                            Panama <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PG">
                            Papua New Guinea <span class="localization-form__currency">(PGK K)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PY">
                            Paraguay <span class="localization-form__currency">(PYG ₲)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PE">
                            Peru <span class="localization-form__currency">(PEN S/.)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PH">
                            Philippines <span class="localization-form__currency">(PHP ₱)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PL">
                            Poland <span class="localization-form__currency">(PLN zł)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="PT">
                            Portugal <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="QA">
                            Qatar <span class="localization-form__currency">(QAR ر.ق)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="RE">
                            Réunion <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="RO">
                            Romania <span class="localization-form__currency">(RON Lei)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="RW">
                            Rwanda <span class="localization-form__currency">(RWF FRw)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="WS">
                            Samoa <span class="localization-form__currency">(WST T)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SM">
                            San Marino <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ST">
                            São Tomé &amp; Príncipe <span class="localization-form__currency">(STD Db)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SA">
                            Saudi Arabia <span class="localization-form__currency">(SAR ر.س)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SN">
                            Senegal <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="RS">
                            Serbia <span class="localization-form__currency">(RSD РСД)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SC">
                            Seychelles <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SL">
                            Sierra Leone <span class="localization-form__currency">(SLL Le)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SG">
                            Singapore <span class="localization-form__currency">(SGD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SK">
                            Slovakia <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SI">
                            Slovenia <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SB">
                            Solomon Islands <span class="localization-form__currency">(SBD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ZA">
                            South Africa <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KR">
                            South Korea <span class="localization-form__currency">(KRW ₩)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ES">
                            Spain <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LK">
                            Sri Lanka <span class="localization-form__currency">(LKR ₨)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="BL">
                            St. Barthélemy <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SH">
                            St. Helena <span class="localization-form__currency">(SHP £)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="KN">
                            St. Kitts &amp; Nevis <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="LC">
                            St. Lucia <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="MF">
                            St. Martin <span class="localization-form__currency">(EUR €)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="VC">
                            St. Vincent &amp; Grenadines <span class="localization-form__currency">(XCD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SR">
                            Suriname <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="SE">
                            Sweden <span class="localization-form__currency">(SEK kr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="CH">
                            Switzerland <span class="localization-form__currency">(CHF CHF)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TW">
                            Taiwan <span class="localization-form__currency">(TWD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TZ">
                            Tanzania <span class="localization-form__currency">(TZS Sh)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TH">
                            Thailand <span class="localization-form__currency">(THB ฿)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TL">
                            Timor-Leste <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TG">
                            Togo <span class="localization-form__currency">(XOF Fr)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TO">
                            Tonga <span class="localization-form__currency">(TOP T$)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TT">
                            Trinidad &amp; Tobago <span class="localization-form__currency">(TTD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TN">
                            Tunisia <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TR">
                            Turkey <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TC">
                            Turks &amp; Caicos Islands <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="TV">
                            Tuvalu <span class="localization-form__currency">(AUD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="UG">
                            Uganda <span class="localization-form__currency">(UGX USh)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="AE">
                            United Arab Emirates <span class="localization-form__currency">(AED د.إ)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="GB">
                            United Kingdom <span class="localization-form__currency">(GBP £)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large disclosure__link--active focus-inset" href="#" aria-current="true" data-value="US">
                            United States <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="UY">
                            Uruguay <span class="localization-form__currency">(UYU $)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="UZ">
                            Uzbekistan <span class="localization-form__currency">(UZS )</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="VU">
                            Vanuatu <span class="localization-form__currency">(VUV Vt)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="VN">
                            Vietnam <span class="localization-form__currency">(VND ₫)</span>
                          </a>
          </li>
          <li class="disclosure__item" tabindex="-1">
            <a class="link link--text disclosure__link caption-large focus-inset" href="#" data-value="ZM">
                            Zambia <span class="localization-form__currency">(USD $)</span>
                          </a>
          </li>
        </ul>
      </div>
    </div>
    <input type="hidden" name="country_code" value="US">
  </div>
</form>

<form id="net-order-form" class="submit-address" _lpchecked="1">
  <input type="text" name="address[first_name]" value="" placeholder="First Name" required=""
    style="background-image: url(&quot;data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAABHklEQVQ4EaVTO26DQBD1ohQWaS2lg9JybZ+AK7hNwx2oIoVf4UPQ0Lj1FdKktevIpel8AKNUkDcWMxpgSaIEaTVv3sx7uztiTdu2s/98DywOw3Dued4Who/M2aIx5lZV1aEsy0+qiwHELyi+Ytl0PQ69SxAxkWIA4RMRTdNsKE59juMcuZd6xIAFeZ6fGCdJ8kY4y7KAuTRNGd7jyEBXsdOPE3a0QGPsniOnnYMO67LgSQN9T41F2QGrQRRFCwyzoIF2qyBuKKbcOgPXdVeY9rMWgNsjf9ccYesJhk3f5dYT1HX9gR0LLQR30TnjkUEcx2uIuS4RnI+aj6sJR0AM8AaumPaM/rRehyWhXqbFAA9kh3/8/NvHxAYGAsZ/il8IalkCLBfNVAAAAABJRU5ErkJggg==&quot;); background-repeat: no-repeat; background-attachment: scroll; background-size: 16px 18px; background-position: 98% 50%; cursor: auto;">
  <input type="text" name="address[last_name]" value="" placeholder="Surname" required="">
  <input type="text" name="address[company]" value="" placeholder="Company">
  <input type="text" name="address[address1]" value="" placeholder="Address Line 1" required="">
  <input type="text" name="address[address2]" value="" placeholder="Address Line 2">
  <input type="text" name="address[city]" value="" placeholder="City" required="">
  <select id="AddressCountry" name="address[country]" data-default="">
    <option value="United States"
      data-provinces="[[&quot;Alabama&quot;,&quot;Alabama&quot;],[&quot;Alaska&quot;,&quot;Alaska&quot;],[&quot;American Samoa&quot;,&quot;American Samoa&quot;],[&quot;Arizona&quot;,&quot;Arizona&quot;],[&quot;Arkansas&quot;,&quot;Arkansas&quot;],[&quot;California&quot;,&quot;California&quot;],[&quot;Colorado&quot;,&quot;Colorado&quot;],[&quot;Connecticut&quot;,&quot;Connecticut&quot;],[&quot;Delaware&quot;,&quot;Delaware&quot;],[&quot;District of Columbia&quot;,&quot;District of Columbia&quot;],[&quot;Federated States of Micronesia&quot;,&quot;Federated States of Micronesia&quot;],[&quot;Florida&quot;,&quot;Florida&quot;],[&quot;Georgia&quot;,&quot;Georgia&quot;],[&quot;Guam&quot;,&quot;Guam&quot;],[&quot;Hawaii&quot;,&quot;Hawaii&quot;],[&quot;Idaho&quot;,&quot;Idaho&quot;],[&quot;Illinois&quot;,&quot;Illinois&quot;],[&quot;Indiana&quot;,&quot;Indiana&quot;],[&quot;Iowa&quot;,&quot;Iowa&quot;],[&quot;Kansas&quot;,&quot;Kansas&quot;],[&quot;Kentucky&quot;,&quot;Kentucky&quot;],[&quot;Louisiana&quot;,&quot;Louisiana&quot;],[&quot;Maine&quot;,&quot;Maine&quot;],[&quot;Marshall Islands&quot;,&quot;Marshall Islands&quot;],[&quot;Maryland&quot;,&quot;Maryland&quot;],[&quot;Massachusetts&quot;,&quot;Massachusetts&quot;],[&quot;Michigan&quot;,&quot;Michigan&quot;],[&quot;Minnesota&quot;,&quot;Minnesota&quot;],[&quot;Mississippi&quot;,&quot;Mississippi&quot;],[&quot;Missouri&quot;,&quot;Missouri&quot;],[&quot;Montana&quot;,&quot;Montana&quot;],[&quot;Nebraska&quot;,&quot;Nebraska&quot;],[&quot;Nevada&quot;,&quot;Nevada&quot;],[&quot;New Hampshire&quot;,&quot;New Hampshire&quot;],[&quot;New Jersey&quot;,&quot;New Jersey&quot;],[&quot;New Mexico&quot;,&quot;New Mexico&quot;],[&quot;New York&quot;,&quot;New York&quot;],[&quot;North Carolina&quot;,&quot;North Carolina&quot;],[&quot;North Dakota&quot;,&quot;North Dakota&quot;],[&quot;Northern Mariana Islands&quot;,&quot;Northern Mariana Islands&quot;],[&quot;Ohio&quot;,&quot;Ohio&quot;],[&quot;Oklahoma&quot;,&quot;Oklahoma&quot;],[&quot;Oregon&quot;,&quot;Oregon&quot;],[&quot;Palau&quot;,&quot;Palau&quot;],[&quot;Pennsylvania&quot;,&quot;Pennsylvania&quot;],[&quot;Puerto Rico&quot;,&quot;Puerto Rico&quot;],[&quot;Rhode Island&quot;,&quot;Rhode Island&quot;],[&quot;South Carolina&quot;,&quot;South Carolina&quot;],[&quot;South Dakota&quot;,&quot;South Dakota&quot;],[&quot;Tennessee&quot;,&quot;Tennessee&quot;],[&quot;Texas&quot;,&quot;Texas&quot;],[&quot;Utah&quot;,&quot;Utah&quot;],[&quot;Vermont&quot;,&quot;Vermont&quot;],[&quot;Virgin Islands&quot;,&quot;Virgin Islands&quot;],[&quot;Virginia&quot;,&quot;Virginia&quot;],[&quot;Washington&quot;,&quot;Washington&quot;],[&quot;West Virginia&quot;,&quot;West Virginia&quot;],[&quot;Wisconsin&quot;,&quot;Wisconsin&quot;],[&quot;Wyoming&quot;,&quot;Wyoming&quot;],[&quot;Armed Forces Americas&quot;,&quot;Armed Forces Americas&quot;],[&quot;Armed Forces Europe&quot;,&quot;Armed Forces Europe&quot;],[&quot;Armed Forces Pacific&quot;,&quot;Armed Forces Pacific&quot;]]">
      United States</option>
    <option value="---" data-provinces="[]">---</option>
    <option value="Afghanistan" data-provinces="[]">Afghanistan</option>
    <option value="Aland Islands" data-provinces="[]">Åland Islands</option>
    <option value="Albania" data-provinces="[]">Albania</option>
    <option value="Algeria" data-provinces="[]">Algeria</option>
    <option value="Andorra" data-provinces="[]">Andorra</option>
    <option value="Angola" data-provinces="[]">Angola</option>
    <option value="Anguilla" data-provinces="[]">Anguilla</option>
    <option value="Antigua And Barbuda" data-provinces="[]">Antigua &amp; Barbuda</option>
    <option value="Argentina"
      data-provinces="[[&quot;Buenos Aires&quot;,&quot;Buenos Aires&quot;],[&quot;Catamarca&quot;,&quot;Catamarca&quot;],[&quot;Chaco&quot;,&quot;Chaco&quot;],[&quot;Chubut&quot;,&quot;Chubut&quot;],[&quot;Ciudad Autónoma de Buenos Aires&quot;,&quot;Ciudad Autónoma de Buenos Aires&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Corrientes&quot;,&quot;Corrientes&quot;],[&quot;Entre Ríos&quot;,&quot;Entre Ríos&quot;],[&quot;Formosa&quot;,&quot;Formosa&quot;],[&quot;Jujuy&quot;,&quot;Jujuy&quot;],[&quot;La Pampa&quot;,&quot;La Pampa&quot;],[&quot;La Rioja&quot;,&quot;La Rioja&quot;],[&quot;Mendoza&quot;,&quot;Mendoza&quot;],[&quot;Misiones&quot;,&quot;Misiones&quot;],[&quot;Neuquén&quot;,&quot;Neuquén&quot;],[&quot;Río Negro&quot;,&quot;Río Negro&quot;],[&quot;Salta&quot;,&quot;Salta&quot;],[&quot;San Juan&quot;,&quot;San Juan&quot;],[&quot;San Luis&quot;,&quot;San Luis&quot;],[&quot;Santa Cruz&quot;,&quot;Santa Cruz&quot;],[&quot;Santa Fe&quot;,&quot;Santa Fe&quot;],[&quot;Santiago Del Estero&quot;,&quot;Santiago Del Estero&quot;],[&quot;Tierra Del Fuego&quot;,&quot;Tierra Del Fuego&quot;],[&quot;Tucumán&quot;,&quot;Tucumán&quot;]]">
      Argentina</option>
    <option value="Armenia" data-provinces="[]">Armenia</option>
    <option value="Aruba" data-provinces="[]">Aruba</option>
    <option value="Australia"
      data-provinces="[[&quot;Australian Capital Territory&quot;,&quot;Australian Capital Territory&quot;],[&quot;New South Wales&quot;,&quot;New South Wales&quot;],[&quot;Northern Territory&quot;,&quot;Northern Territory&quot;],[&quot;Queensland&quot;,&quot;Queensland&quot;],[&quot;South Australia&quot;,&quot;South Australia&quot;],[&quot;Tasmania&quot;,&quot;Tasmania&quot;],[&quot;Victoria&quot;,&quot;Victoria&quot;],[&quot;Western Australia&quot;,&quot;Western Australia&quot;]]">
      Australia</option>
    <option value="Austria" data-provinces="[]">Austria</option>
    <option value="Azerbaijan" data-provinces="[]">Azerbaijan</option>
    <option value="Bahamas" data-provinces="[]">Bahamas</option>
    <option value="Bahrain" data-provinces="[]">Bahrain</option>
    <option value="Bangladesh" data-provinces="[]">Bangladesh</option>
    <option value="Barbados" data-provinces="[]">Barbados</option>
    <option value="Belarus" data-provinces="[]">Belarus</option>
    <option value="Belgium" data-provinces="[]">Belgium</option>
    <option value="Belize" data-provinces="[]">Belize</option>
    <option value="Benin" data-provinces="[]">Benin</option>
    <option value="Bermuda" data-provinces="[]">Bermuda</option>
    <option value="Bhutan" data-provinces="[]">Bhutan</option>
    <option value="Bolivia" data-provinces="[]">Bolivia</option>
    <option value="Bosnia And Herzegovina" data-provinces="[]">Bosnia &amp; Herzegovina</option>
    <option value="Botswana" data-provinces="[]">Botswana</option>
    <option value="Bouvet Island" data-provinces="[]">Bouvet Island</option>
    <option value="Brazil"
      data-provinces="[[&quot;Acre&quot;,&quot;Acre&quot;],[&quot;Alagoas&quot;,&quot;Alagoas&quot;],[&quot;Amapá&quot;,&quot;Amapá&quot;],[&quot;Amazonas&quot;,&quot;Amazonas&quot;],[&quot;Bahia&quot;,&quot;Bahia&quot;],[&quot;Ceará&quot;,&quot;Ceará&quot;],[&quot;Distrito Federal&quot;,&quot;Distrito Federal&quot;],[&quot;Espírito Santo&quot;,&quot;Espírito Santo&quot;],[&quot;Goiás&quot;,&quot;Goiás&quot;],[&quot;Maranhão&quot;,&quot;Maranhão&quot;],[&quot;Mato Grosso&quot;,&quot;Mato Grosso&quot;],[&quot;Mato Grosso do Sul&quot;,&quot;Mato Grosso do Sul&quot;],[&quot;Minas Gerais&quot;,&quot;Minas Gerais&quot;],[&quot;Pará&quot;,&quot;Pará&quot;],[&quot;Paraíba&quot;,&quot;Paraíba&quot;],[&quot;Paraná&quot;,&quot;Paraná&quot;],[&quot;Pernambuco&quot;,&quot;Pernambuco&quot;],[&quot;Piauí&quot;,&quot;Piauí&quot;],[&quot;Rio Grande do Norte&quot;,&quot;Rio Grande do Norte&quot;],[&quot;Rio Grande do Sul&quot;,&quot;Rio Grande do Sul&quot;],[&quot;Rio de Janeiro&quot;,&quot;Rio de Janeiro&quot;],[&quot;Rondônia&quot;,&quot;Rondônia&quot;],[&quot;Roraima&quot;,&quot;Roraima&quot;],[&quot;Santa Catarina&quot;,&quot;Santa Catarina&quot;],[&quot;São Paulo&quot;,&quot;São Paulo&quot;],[&quot;Sergipe&quot;,&quot;Sergipe&quot;],[&quot;Tocantins&quot;,&quot;Tocantins&quot;]]">
      Brazil</option>
    <option value="British Indian Ocean Territory" data-provinces="[]">British Indian Ocean Territory</option>
    <option value="Virgin Islands, British" data-provinces="[]">British Virgin Islands</option>
    <option value="Brunei" data-provinces="[]">Brunei</option>
    <option value="Bulgaria" data-provinces="[]">Bulgaria</option>
    <option value="Burkina Faso" data-provinces="[]">Burkina Faso</option>
    <option value="Burundi" data-provinces="[]">Burundi</option>
    <option value="Cambodia" data-provinces="[]">Cambodia</option>
    <option value="Republic of Cameroon" data-provinces="[]">Cameroon</option>
    <option value="Canada"
      data-provinces="[[&quot;Alberta&quot;,&quot;Alberta&quot;],[&quot;British Columbia&quot;,&quot;British Columbia&quot;],[&quot;Manitoba&quot;,&quot;Manitoba&quot;],[&quot;New Brunswick&quot;,&quot;New Brunswick&quot;],[&quot;Newfoundland&quot;,&quot;Newfoundland&quot;],[&quot;Northwest Territories&quot;,&quot;Northwest Territories&quot;],[&quot;Nova Scotia&quot;,&quot;Nova Scotia&quot;],[&quot;Nunavut&quot;,&quot;Nunavut&quot;],[&quot;Ontario&quot;,&quot;Ontario&quot;],[&quot;Prince Edward Island&quot;,&quot;Prince Edward Island&quot;],[&quot;Quebec&quot;,&quot;Quebec&quot;],[&quot;Saskatchewan&quot;,&quot;Saskatchewan&quot;],[&quot;Yukon&quot;,&quot;Yukon&quot;]]">
      Canada</option>
    <option value="Cape Verde" data-provinces="[]">Cape Verde</option>
    <option value="Cayman Islands" data-provinces="[]">Cayman Islands</option>
    <option value="Central African Republic" data-provinces="[]">Central African Republic</option>
    <option value="Chad" data-provinces="[]">Chad</option>
    <option value="Chile" data-provinces="[]">Chile</option>
    <option value="China"
      data-provinces="[[&quot;Anhui&quot;,&quot;Anhui&quot;],[&quot;Beijing&quot;,&quot;Beijing&quot;],[&quot;Chongqing&quot;,&quot;Chongqing&quot;],[&quot;Fujian&quot;,&quot;Fujian&quot;],[&quot;Gansu&quot;,&quot;Gansu&quot;],[&quot;Guangdong&quot;,&quot;Guangdong&quot;],[&quot;Guangxi&quot;,&quot;Guangxi&quot;],[&quot;Guizhou&quot;,&quot;Guizhou&quot;],[&quot;Hainan&quot;,&quot;Hainan&quot;],[&quot;Hebei&quot;,&quot;Hebei&quot;],[&quot;Heilongjiang&quot;,&quot;Heilongjiang&quot;],[&quot;Henan&quot;,&quot;Henan&quot;],[&quot;Hubei&quot;,&quot;Hubei&quot;],[&quot;Hunan&quot;,&quot;Hunan&quot;],[&quot;Inner Mongolia&quot;,&quot;Inner Mongolia&quot;],[&quot;Jiangsu&quot;,&quot;Jiangsu&quot;],[&quot;Jiangxi&quot;,&quot;Jiangxi&quot;],[&quot;Jilin&quot;,&quot;Jilin&quot;],[&quot;Liaoning&quot;,&quot;Liaoning&quot;],[&quot;Ningxia&quot;,&quot;Ningxia&quot;],[&quot;Qinghai&quot;,&quot;Qinghai&quot;],[&quot;Shaanxi&quot;,&quot;Shaanxi&quot;],[&quot;Shandong&quot;,&quot;Shandong&quot;],[&quot;Shanghai&quot;,&quot;Shanghai&quot;],[&quot;Shanxi&quot;,&quot;Shanxi&quot;],[&quot;Sichuan&quot;,&quot;Sichuan&quot;],[&quot;Tianjin&quot;,&quot;Tianjin&quot;],[&quot;Xinjiang&quot;,&quot;Xinjiang&quot;],[&quot;Xizang&quot;,&quot;Xizang&quot;],[&quot;Yunnan&quot;,&quot;Yunnan&quot;],[&quot;Zhejiang&quot;,&quot;Zhejiang&quot;]]">
      China</option>
    <option value="Christmas Island" data-provinces="[]">Christmas Island</option>
    <option value="Cocos (Keeling) Islands" data-provinces="[]">Cocos (Keeling) Islands</option>
    <option value="Colombia"
      data-provinces="[[&quot;Bogotá, D.C.&quot;,&quot;Bogotá, D.C.&quot;],[&quot;Amazonas&quot;,&quot;Amazonas&quot;],[&quot;Antioquia&quot;,&quot;Antioquia&quot;],[&quot;Arauca&quot;,&quot;Arauca&quot;],[&quot;Atlántico&quot;,&quot;Atlántico&quot;],[&quot;Bolívar&quot;,&quot;Bolívar&quot;],[&quot;Boyacá&quot;,&quot;Boyacá&quot;],[&quot;Caldas&quot;,&quot;Caldas&quot;],[&quot;Caquetá&quot;,&quot;Caquetá&quot;],[&quot;Casanare&quot;,&quot;Casanare&quot;],[&quot;Cauca&quot;,&quot;Cauca&quot;],[&quot;Cesar&quot;,&quot;Cesar&quot;],[&quot;Chocó&quot;,&quot;Chocó&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Cundinamarca&quot;,&quot;Cundinamarca&quot;],[&quot;Guainía&quot;,&quot;Guainía&quot;],[&quot;Guaviare&quot;,&quot;Guaviare&quot;],[&quot;Huila&quot;,&quot;Huila&quot;],[&quot;La Guajira&quot;,&quot;La Guajira&quot;],[&quot;Magdalena&quot;,&quot;Magdalena&quot;],[&quot;Meta&quot;,&quot;Meta&quot;],[&quot;Nariño&quot;,&quot;Nariño&quot;],[&quot;Norte de Santander&quot;,&quot;Norte de Santander&quot;],[&quot;Putumayo&quot;,&quot;Putumayo&quot;],[&quot;Quindío&quot;,&quot;Quindío&quot;],[&quot;Risaralda&quot;,&quot;Risaralda&quot;],[&quot;San Andrés, Providencia y Santa Catalina&quot;,&quot;San Andrés, Providencia y Santa Catalina&quot;],[&quot;Santander&quot;,&quot;Santander&quot;],[&quot;Sucre&quot;,&quot;Sucre&quot;],[&quot;Tolima&quot;,&quot;Tolima&quot;],[&quot;Valle del Cauca&quot;,&quot;Valle del Cauca&quot;],[&quot;Vaupés&quot;,&quot;Vaupés&quot;],[&quot;Vichada&quot;,&quot;Vichada&quot;]]">
      Colombia</option>
    <option value="Comoros" data-provinces="[]">Comoros</option>
    <option value="Congo" data-provinces="[]">Congo - Brazzaville</option>
    <option value="Congo, The Democratic Republic Of The" data-provinces="[]">Congo - Kinshasa</option>
    <option value="Cook Islands" data-provinces="[]">Cook Islands</option>
    <option value="Costa Rica" data-provinces="[]">Costa Rica</option>
    <option value="Croatia" data-provinces="[]">Croatia</option>
    <option value="Cuba" data-provinces="[]">Cuba</option>
    <option value="Curaçao" data-provinces="[]">Curaçao</option>
    <option value="Cyprus" data-provinces="[]">Cyprus</option>
    <option value="Czech Republic" data-provinces="[]">Czech Republic</option>
    <option value="Côte d'Ivoire" data-provinces="[]">Côte d’Ivoire</option>
    <option value="Denmark" data-provinces="[]">Denmark</option>
    <option value="Djibouti" data-provinces="[]">Djibouti</option>
    <option value="Dominica" data-provinces="[]">Dominica</option>
    <option value="Dominican Republic" data-provinces="[]">Dominican Republic</option>
    <option value="Ecuador" data-provinces="[]">Ecuador</option>
    <option value="Egypt"
      data-provinces="[[&quot;6th of October&quot;,&quot;6th of October&quot;],[&quot;Al Sharqia&quot;,&quot;Al Sharqia&quot;],[&quot;Alexandria&quot;,&quot;Alexandria&quot;],[&quot;Aswan&quot;,&quot;Aswan&quot;],[&quot;Asyut&quot;,&quot;Asyut&quot;],[&quot;Beheira&quot;,&quot;Beheira&quot;],[&quot;Beni Suef&quot;,&quot;Beni Suef&quot;],[&quot;Cairo&quot;,&quot;Cairo&quot;],[&quot;Dakahlia&quot;,&quot;Dakahlia&quot;],[&quot;Damietta&quot;,&quot;Damietta&quot;],[&quot;Faiyum&quot;,&quot;Faiyum&quot;],[&quot;Gharbia&quot;,&quot;Gharbia&quot;],[&quot;Giza&quot;,&quot;Giza&quot;],[&quot;Helwan&quot;,&quot;Helwan&quot;],[&quot;Ismailia&quot;,&quot;Ismailia&quot;],[&quot;Kafr el-Sheikh&quot;,&quot;Kafr el-Sheikh&quot;],[&quot;Luxor&quot;,&quot;Luxor&quot;],[&quot;Matrouh&quot;,&quot;Matrouh&quot;],[&quot;Minya&quot;,&quot;Minya&quot;],[&quot;Monufia&quot;,&quot;Monufia&quot;],[&quot;New Valley&quot;,&quot;New Valley&quot;],[&quot;North Sinai&quot;,&quot;North Sinai&quot;],[&quot;Port Said&quot;,&quot;Port Said&quot;],[&quot;Qalyubia&quot;,&quot;Qalyubia&quot;],[&quot;Qena&quot;,&quot;Qena&quot;],[&quot;Red Sea&quot;,&quot;Red Sea&quot;],[&quot;Sohag&quot;,&quot;Sohag&quot;],[&quot;South Sinai&quot;,&quot;South Sinai&quot;],[&quot;Suez&quot;,&quot;Suez&quot;]]">
      Egypt</option>
    <option value="El Salvador" data-provinces="[]">El Salvador</option>
    <option value="Equatorial Guinea" data-provinces="[]">Equatorial Guinea</option>
    <option value="Eritrea" data-provinces="[]">Eritrea</option>
    <option value="Estonia" data-provinces="[]">Estonia</option>
    <option value="Ethiopia" data-provinces="[]">Ethiopia</option>
    <option value="Falkland Islands (Malvinas)" data-provinces="[]">Falkland Islands</option>
    <option value="Faroe Islands" data-provinces="[]">Faroe Islands</option>
    <option value="Fiji" data-provinces="[]">Fiji</option>
    <option value="Finland" data-provinces="[]">Finland</option>
    <option value="France" data-provinces="[]">France</option>
    <option value="French Guiana" data-provinces="[]">French Guiana</option>
    <option value="French Polynesia" data-provinces="[]">French Polynesia</option>
    <option value="French Southern Territories" data-provinces="[]">French Southern Territories</option>
    <option value="Gabon" data-provinces="[]">Gabon</option>
    <option value="Gambia" data-provinces="[]">Gambia</option>
    <option value="Georgia" data-provinces="[]">Georgia</option>
    <option value="Germany" data-provinces="[]">Germany</option>
    <option value="Ghana" data-provinces="[]">Ghana</option>
    <option value="Gibraltar" data-provinces="[]">Gibraltar</option>
    <option value="Greece" data-provinces="[]">Greece</option>
    <option value="Greenland" data-provinces="[]">Greenland</option>
    <option value="Grenada" data-provinces="[]">Grenada</option>
    <option value="Guadeloupe" data-provinces="[]">Guadeloupe</option>
    <option value="Guatemala"
      data-provinces="[[&quot;Alta Verapaz&quot;,&quot;Alta Verapaz&quot;],[&quot;Baja Verapaz&quot;,&quot;Baja Verapaz&quot;],[&quot;Chimaltenango&quot;,&quot;Chimaltenango&quot;],[&quot;Chiquimula&quot;,&quot;Chiquimula&quot;],[&quot;El Progreso&quot;,&quot;El Progreso&quot;],[&quot;Escuintla&quot;,&quot;Escuintla&quot;],[&quot;Guatemala&quot;,&quot;Guatemala&quot;],[&quot;Huehuetenango&quot;,&quot;Huehuetenango&quot;],[&quot;Izabal&quot;,&quot;Izabal&quot;],[&quot;Jalapa&quot;,&quot;Jalapa&quot;],[&quot;Jutiapa&quot;,&quot;Jutiapa&quot;],[&quot;Petén&quot;,&quot;Petén&quot;],[&quot;Quetzaltenango&quot;,&quot;Quetzaltenango&quot;],[&quot;Quiché&quot;,&quot;Quiché&quot;],[&quot;Retalhuleu&quot;,&quot;Retalhuleu&quot;],[&quot;Sacatepéquez&quot;,&quot;Sacatepéquez&quot;],[&quot;San Marcos&quot;,&quot;San Marcos&quot;],[&quot;Santa Rosa&quot;,&quot;Santa Rosa&quot;],[&quot;Sololá&quot;,&quot;Sololá&quot;],[&quot;Suchitepéquez&quot;,&quot;Suchitepéquez&quot;],[&quot;Totonicapán&quot;,&quot;Totonicapán&quot;],[&quot;Zacapa&quot;,&quot;Zacapa&quot;]]">
      Guatemala</option>
    <option value="Guernsey" data-provinces="[]">Guernsey</option>
    <option value="Guinea" data-provinces="[]">Guinea</option>
    <option value="Guinea Bissau" data-provinces="[]">Guinea-Bissau</option>
    <option value="Guyana" data-provinces="[]">Guyana</option>
    <option value="Haiti" data-provinces="[]">Haiti</option>
    <option value="Heard Island And Mcdonald Islands" data-provinces="[]">Heard &amp; McDonald Islands</option>
    <option value="Honduras" data-provinces="[]">Honduras</option>
    <option value="Hong Kong" data-provinces="[]">Hong Kong SAR China</option>
    <option value="Hungary" data-provinces="[]">Hungary</option>
    <option value="Iceland" data-provinces="[]">Iceland</option>
    <option value="India"
      data-provinces="[[&quot;Andaman and Nicobar&quot;,&quot;Andaman and Nicobar&quot;],[&quot;Andhra Pradesh&quot;,&quot;Andhra Pradesh&quot;],[&quot;Arunachal Pradesh&quot;,&quot;Arunachal Pradesh&quot;],[&quot;Assam&quot;,&quot;Assam&quot;],[&quot;Bihar&quot;,&quot;Bihar&quot;],[&quot;Chandigarh&quot;,&quot;Chandigarh&quot;],[&quot;Chattisgarh&quot;,&quot;Chattisgarh&quot;],[&quot;Dadra and Nagar Haveli&quot;,&quot;Dadra and Nagar Haveli&quot;],[&quot;Daman and Diu&quot;,&quot;Daman and Diu&quot;],[&quot;Delhi&quot;,&quot;Delhi&quot;],[&quot;Goa&quot;,&quot;Goa&quot;],[&quot;Gujarat&quot;,&quot;Gujarat&quot;],[&quot;Haryana&quot;,&quot;Haryana&quot;],[&quot;Himachal Pradesh&quot;,&quot;Himachal Pradesh&quot;],[&quot;Jammu and Kashmir&quot;,&quot;Jammu and Kashmir&quot;],[&quot;Jharkhand&quot;,&quot;Jharkhand&quot;],[&quot;Karnataka&quot;,&quot;Karnataka&quot;],[&quot;Kerala&quot;,&quot;Kerala&quot;],[&quot;Lakshadweep&quot;,&quot;Lakshadweep&quot;],[&quot;Madhya Pradesh&quot;,&quot;Madhya Pradesh&quot;],[&quot;Maharashtra&quot;,&quot;Maharashtra&quot;],[&quot;Manipur&quot;,&quot;Manipur&quot;],[&quot;Meghalaya&quot;,&quot;Meghalaya&quot;],[&quot;Mizoram&quot;,&quot;Mizoram&quot;],[&quot;Nagaland&quot;,&quot;Nagaland&quot;],[&quot;Orissa&quot;,&quot;Orissa&quot;],[&quot;Puducherry&quot;,&quot;Puducherry&quot;],[&quot;Punjab&quot;,&quot;Punjab&quot;],[&quot;Rajasthan&quot;,&quot;Rajasthan&quot;],[&quot;Sikkim&quot;,&quot;Sikkim&quot;],[&quot;Tamil Nadu&quot;,&quot;Tamil Nadu&quot;],[&quot;Telangana&quot;,&quot;Telangana&quot;],[&quot;Tripura&quot;,&quot;Tripura&quot;],[&quot;Uttar Pradesh&quot;,&quot;Uttar Pradesh&quot;],[&quot;Uttarakhand&quot;,&quot;Uttarakhand&quot;],[&quot;West Bengal&quot;,&quot;West Bengal&quot;]]">
      India</option>
    <option value="Indonesia"
      data-provinces="[[&quot;Aceh&quot;,&quot;Aceh&quot;],[&quot;Bali&quot;,&quot;Bali&quot;],[&quot;Bangka Belitung&quot;,&quot;Bangka Belitung&quot;],[&quot;Banten&quot;,&quot;Banten&quot;],[&quot;Bengkulu&quot;,&quot;Bengkulu&quot;],[&quot;Gorontalo&quot;,&quot;Gorontalo&quot;],[&quot;Jakarta&quot;,&quot;Jakarta&quot;],[&quot;Jambi&quot;,&quot;Jambi&quot;],[&quot;Jawa Barat&quot;,&quot;Jawa Barat&quot;],[&quot;Jawa Tengah&quot;,&quot;Jawa Tengah&quot;],[&quot;Jawa Timur&quot;,&quot;Jawa Timur&quot;],[&quot;Kalimantan Barat&quot;,&quot;Kalimantan Barat&quot;],[&quot;Kalimantan Selatan&quot;,&quot;Kalimantan Selatan&quot;],[&quot;Kalimantan Tengah&quot;,&quot;Kalimantan Tengah&quot;],[&quot;Kalimantan Timur&quot;,&quot;Kalimantan Timur&quot;],[&quot;Kalimantan Utara&quot;,&quot;Kalimantan Utara&quot;],[&quot;Kepulauan Riau&quot;,&quot;Kepulauan Riau&quot;],[&quot;Lampung&quot;,&quot;Lampung&quot;],[&quot;Maluku&quot;,&quot;Maluku&quot;],[&quot;Maluku Utara&quot;,&quot;Maluku Utara&quot;],[&quot;Nusa Tenggara Barat&quot;,&quot;Nusa Tenggara Barat&quot;],[&quot;Nusa Tenggara Timur&quot;,&quot;Nusa Tenggara Timur&quot;],[&quot;Papua&quot;,&quot;Papua&quot;],[&quot;Papua Barat&quot;,&quot;Papua Barat&quot;],[&quot;Riau&quot;,&quot;Riau&quot;],[&quot;Sulawesi Barat&quot;,&quot;Sulawesi Barat&quot;],[&quot;Sulawesi Selatan&quot;,&quot;Sulawesi Selatan&quot;],[&quot;Sulawesi Tengah&quot;,&quot;Sulawesi Tengah&quot;],[&quot;Sulawesi Tenggara&quot;,&quot;Sulawesi Tenggara&quot;],[&quot;Sulawesi Utara&quot;,&quot;Sulawesi Utara&quot;],[&quot;Sumatra Barat&quot;,&quot;Sumatra Barat&quot;],[&quot;Sumatra Selatan&quot;,&quot;Sumatra Selatan&quot;],[&quot;Sumatra Utara&quot;,&quot;Sumatra Utara&quot;],[&quot;Yogyakarta&quot;,&quot;Yogyakarta&quot;]]">
      Indonesia</option>
    <option value="Iran, Islamic Republic Of" data-provinces="[]">Iran</option>
    <option value="Iraq" data-provinces="[]">Iraq</option>
    <option value="Ireland"
      data-provinces="[[&quot;Carlow&quot;,&quot;Carlow&quot;],[&quot;Cavan&quot;,&quot;Cavan&quot;],[&quot;Clare&quot;,&quot;Clare&quot;],[&quot;Cork&quot;,&quot;Cork&quot;],[&quot;Donegal&quot;,&quot;Donegal&quot;],[&quot;Dublin&quot;,&quot;Dublin&quot;],[&quot;Galway&quot;,&quot;Galway&quot;],[&quot;Kerry&quot;,&quot;Kerry&quot;],[&quot;Kildare&quot;,&quot;Kildare&quot;],[&quot;Kilkenny&quot;,&quot;Kilkenny&quot;],[&quot;Laois&quot;,&quot;Laois&quot;],[&quot;Leitrim&quot;,&quot;Leitrim&quot;],[&quot;Limerick&quot;,&quot;Limerick&quot;],[&quot;Longford&quot;,&quot;Longford&quot;],[&quot;Louth&quot;,&quot;Louth&quot;],[&quot;Mayo&quot;,&quot;Mayo&quot;],[&quot;Meath&quot;,&quot;Meath&quot;],[&quot;Monaghan&quot;,&quot;Monaghan&quot;],[&quot;Offaly&quot;,&quot;Offaly&quot;],[&quot;Roscommon&quot;,&quot;Roscommon&quot;],[&quot;Sligo&quot;,&quot;Sligo&quot;],[&quot;Tipperary&quot;,&quot;Tipperary&quot;],[&quot;Waterford&quot;,&quot;Waterford&quot;],[&quot;Westmeath&quot;,&quot;Westmeath&quot;],[&quot;Wexford&quot;,&quot;Wexford&quot;],[&quot;Wicklow&quot;,&quot;Wicklow&quot;]]">
      Ireland</option>
    <option value="Isle Of Man" data-provinces="[]">Isle of Man</option>
    <option value="Israel" data-provinces="[]">Israel</option>
    <option value="Italy"
      data-provinces="[[&quot;Agrigento&quot;,&quot;Agrigento&quot;],[&quot;Alessandria&quot;,&quot;Alessandria&quot;],[&quot;Ancona&quot;,&quot;Ancona&quot;],[&quot;Aosta&quot;,&quot;Aosta&quot;],[&quot;Arezzo&quot;,&quot;Arezzo&quot;],[&quot;Ascoli Piceno&quot;,&quot;Ascoli Piceno&quot;],[&quot;Asti&quot;,&quot;Asti&quot;],[&quot;Avellino&quot;,&quot;Avellino&quot;],[&quot;Bari&quot;,&quot;Bari&quot;],[&quot;Barletta-Andria-Trani&quot;,&quot;Barletta-Andria-Trani&quot;],[&quot;Belluno&quot;,&quot;Belluno&quot;],[&quot;Benevento&quot;,&quot;Benevento&quot;],[&quot;Bergamo&quot;,&quot;Bergamo&quot;],[&quot;Biella&quot;,&quot;Biella&quot;],[&quot;Bologna&quot;,&quot;Bologna&quot;],[&quot;Bolzano&quot;,&quot;Bolzano&quot;],[&quot;Brescia&quot;,&quot;Brescia&quot;],[&quot;Brindisi&quot;,&quot;Brindisi&quot;],[&quot;Cagliari&quot;,&quot;Cagliari&quot;],[&quot;Caltanissetta&quot;,&quot;Caltanissetta&quot;],[&quot;Campobasso&quot;,&quot;Campobasso&quot;],[&quot;Carbonia-Iglesias&quot;,&quot;Carbonia-Iglesias&quot;],[&quot;Caserta&quot;,&quot;Caserta&quot;],[&quot;Catania&quot;,&quot;Catania&quot;],[&quot;Catanzaro&quot;,&quot;Catanzaro&quot;],[&quot;Chieti&quot;,&quot;Chieti&quot;],[&quot;Como&quot;,&quot;Como&quot;],[&quot;Cosenza&quot;,&quot;Cosenza&quot;],[&quot;Cremona&quot;,&quot;Cremona&quot;],[&quot;Crotone&quot;,&quot;Crotone&quot;],[&quot;Cuneo&quot;,&quot;Cuneo&quot;],[&quot;Enna&quot;,&quot;Enna&quot;],[&quot;Fermo&quot;,&quot;Fermo&quot;],[&quot;Ferrara&quot;,&quot;Ferrara&quot;],[&quot;Firenze&quot;,&quot;Firenze&quot;],[&quot;Foggia&quot;,&quot;Foggia&quot;],[&quot;Forlì-Cesena&quot;,&quot;Forlì-Cesena&quot;],[&quot;Frosinone&quot;,&quot;Frosinone&quot;],[&quot;Genova&quot;,&quot;Genova&quot;],[&quot;Gorizia&quot;,&quot;Gorizia&quot;],[&quot;Grosseto&quot;,&quot;Grosseto&quot;],[&quot;Imperia&quot;,&quot;Imperia&quot;],[&quot;Isernia&quot;,&quot;Isernia&quot;],[&quot;L'Aquila&quot;,&quot;L'Aquila&quot;],[&quot;La Spezia&quot;,&quot;La Spezia&quot;],[&quot;Latina&quot;,&quot;Latina&quot;],[&quot;Lecce&quot;,&quot;Lecce&quot;],[&quot;Lecco&quot;,&quot;Lecco&quot;],[&quot;Livorno&quot;,&quot;Livorno&quot;],[&quot;Lodi&quot;,&quot;Lodi&quot;],[&quot;Lucca&quot;,&quot;Lucca&quot;],[&quot;Macerata&quot;,&quot;Macerata&quot;],[&quot;Mantova&quot;,&quot;Mantova&quot;],[&quot;Massa-Carrara&quot;,&quot;Massa-Carrara&quot;],[&quot;Matera&quot;,&quot;Matera&quot;],[&quot;Medio Campidano&quot;,&quot;Medio Campidano&quot;],[&quot;Messina&quot;,&quot;Messina&quot;],[&quot;Milano&quot;,&quot;Milano&quot;],[&quot;Modena&quot;,&quot;Modena&quot;],[&quot;Monza e Brianza&quot;,&quot;Monza e Brianza&quot;],[&quot;Napoli&quot;,&quot;Napoli&quot;],[&quot;Novara&quot;,&quot;Novara&quot;],[&quot;Nuoro&quot;,&quot;Nuoro&quot;],[&quot;Ogliastra&quot;,&quot;Ogliastra&quot;],[&quot;Olbia-Tempio&quot;,&quot;Olbia-Tempio&quot;],[&quot;Oristano&quot;,&quot;Oristano&quot;],[&quot;Padova&quot;,&quot;Padova&quot;],[&quot;Palermo&quot;,&quot;Palermo&quot;],[&quot;Parma&quot;,&quot;Parma&quot;],[&quot;Pavia&quot;,&quot;Pavia&quot;],[&quot;Perugia&quot;,&quot;Perugia&quot;],[&quot;Pesaro e Urbino&quot;,&quot;Pesaro e Urbino&quot;],[&quot;Pescara&quot;,&quot;Pescara&quot;],[&quot;Piacenza&quot;,&quot;Piacenza&quot;],[&quot;Pisa&quot;,&quot;Pisa&quot;],[&quot;Pistoia&quot;,&quot;Pistoia&quot;],[&quot;Pordenone&quot;,&quot;Pordenone&quot;],[&quot;Potenza&quot;,&quot;Potenza&quot;],[&quot;Prato&quot;,&quot;Prato&quot;],[&quot;Ragusa&quot;,&quot;Ragusa&quot;],[&quot;Ravenna&quot;,&quot;Ravenna&quot;],[&quot;Reggio Calabria&quot;,&quot;Reggio Calabria&quot;],[&quot;Reggio Emilia&quot;,&quot;Reggio Emilia&quot;],[&quot;Rieti&quot;,&quot;Rieti&quot;],[&quot;Rimini&quot;,&quot;Rimini&quot;],[&quot;Roma&quot;,&quot;Roma&quot;],[&quot;Rovigo&quot;,&quot;Rovigo&quot;],[&quot;Salerno&quot;,&quot;Salerno&quot;],[&quot;Sassari&quot;,&quot;Sassari&quot;],[&quot;Savona&quot;,&quot;Savona&quot;],[&quot;Siena&quot;,&quot;Siena&quot;],[&quot;Siracusa&quot;,&quot;Siracusa&quot;],[&quot;Sondrio&quot;,&quot;Sondrio&quot;],[&quot;Taranto&quot;,&quot;Taranto&quot;],[&quot;Teramo&quot;,&quot;Teramo&quot;],[&quot;Terni&quot;,&quot;Terni&quot;],[&quot;Torino&quot;,&quot;Torino&quot;],[&quot;Trapani&quot;,&quot;Trapani&quot;],[&quot;Trento&quot;,&quot;Trento&quot;],[&quot;Treviso&quot;,&quot;Treviso&quot;],[&quot;Trieste&quot;,&quot;Trieste&quot;],[&quot;Udine&quot;,&quot;Udine&quot;],[&quot;Varese&quot;,&quot;Varese&quot;],[&quot;Venezia&quot;,&quot;Venezia&quot;],[&quot;Verbano-Cusio-Ossola&quot;,&quot;Verbano-Cusio-Ossola&quot;],[&quot;Vercelli&quot;,&quot;Vercelli&quot;],[&quot;Verona&quot;,&quot;Verona&quot;],[&quot;Vibo Valentia&quot;,&quot;Vibo Valentia&quot;],[&quot;Vicenza&quot;,&quot;Vicenza&quot;],[&quot;Viterbo&quot;,&quot;Viterbo&quot;]]">
      Italy</option>
    <option value="Jamaica" data-provinces="[]">Jamaica</option>
    <option value="Japan"
      data-provinces="[[&quot;Hokkaidō&quot;,&quot;Hokkaidō&quot;],[&quot;Aomori&quot;,&quot;Aomori&quot;],[&quot;Iwate&quot;,&quot;Iwate&quot;],[&quot;Miyagi&quot;,&quot;Miyagi&quot;],[&quot;Akita&quot;,&quot;Akita&quot;],[&quot;Yamagata&quot;,&quot;Yamagata&quot;],[&quot;Fukushima&quot;,&quot;Fukushima&quot;],[&quot;Ibaraki&quot;,&quot;Ibaraki&quot;],[&quot;Tochigi&quot;,&quot;Tochigi&quot;],[&quot;Gunma&quot;,&quot;Gunma&quot;],[&quot;Saitama&quot;,&quot;Saitama&quot;],[&quot;Chiba&quot;,&quot;Chiba&quot;],[&quot;Tōkyō&quot;,&quot;Tōkyō&quot;],[&quot;Kanagawa&quot;,&quot;Kanagawa&quot;],[&quot;Niigata&quot;,&quot;Niigata&quot;],[&quot;Toyama&quot;,&quot;Toyama&quot;],[&quot;Ishikawa&quot;,&quot;Ishikawa&quot;],[&quot;Fukui&quot;,&quot;Fukui&quot;],[&quot;Yamanashi&quot;,&quot;Yamanashi&quot;],[&quot;Nagano&quot;,&quot;Nagano&quot;],[&quot;Gifu&quot;,&quot;Gifu&quot;],[&quot;Shizuoka&quot;,&quot;Shizuoka&quot;],[&quot;Aichi&quot;,&quot;Aichi&quot;],[&quot;Mie&quot;,&quot;Mie&quot;],[&quot;Shiga&quot;,&quot;Shiga&quot;],[&quot;Kyōto&quot;,&quot;Kyōto&quot;],[&quot;Ōsaka&quot;,&quot;Ōsaka&quot;],[&quot;Hyōgo&quot;,&quot;Hyōgo&quot;],[&quot;Nara&quot;,&quot;Nara&quot;],[&quot;Wakayama&quot;,&quot;Wakayama&quot;],[&quot;Tottori&quot;,&quot;Tottori&quot;],[&quot;Shimane&quot;,&quot;Shimane&quot;],[&quot;Okayama&quot;,&quot;Okayama&quot;],[&quot;Hiroshima&quot;,&quot;Hiroshima&quot;],[&quot;Yamaguchi&quot;,&quot;Yamaguchi&quot;],[&quot;Tokushima&quot;,&quot;Tokushima&quot;],[&quot;Kagawa&quot;,&quot;Kagawa&quot;],[&quot;Ehime&quot;,&quot;Ehime&quot;],[&quot;Kōchi&quot;,&quot;Kōchi&quot;],[&quot;Fukuoka&quot;,&quot;Fukuoka&quot;],[&quot;Saga&quot;,&quot;Saga&quot;],[&quot;Nagasaki&quot;,&quot;Nagasaki&quot;],[&quot;Kumamoto&quot;,&quot;Kumamoto&quot;],[&quot;Ōita&quot;,&quot;Ōita&quot;],[&quot;Miyazaki&quot;,&quot;Miyazaki&quot;],[&quot;Kagoshima&quot;,&quot;Kagoshima&quot;],[&quot;Okinawa&quot;,&quot;Okinawa&quot;]]">
      Japan</option>
    <option value="Jersey" data-provinces="[]">Jersey</option>
    <option value="Jordan" data-provinces="[]">Jordan</option>
    <option value="Kazakhstan" data-provinces="[]">Kazakhstan</option>
    <option value="Kenya" data-provinces="[]">Kenya</option>
    <option value="Kiribati" data-provinces="[]">Kiribati</option>
    <option value="Kosovo" data-provinces="[]">Kosovo</option>
    <option value="Kuwait" data-provinces="[]">Kuwait</option>
    <option value="Kyrgyzstan" data-provinces="[]">Kyrgyzstan</option>
    <option value="Lao People's Democratic Republic" data-provinces="[]">Laos</option>
    <option value="Latvia" data-provinces="[]">Latvia</option>
    <option value="Lebanon" data-provinces="[]">Lebanon</option>
    <option value="Lesotho" data-provinces="[]">Lesotho</option>
    <option value="Liberia" data-provinces="[]">Liberia</option>
    <option value="Libyan Arab Jamahiriya" data-provinces="[]">Libya</option>
    <option value="Liechtenstein" data-provinces="[]">Liechtenstein</option>
    <option value="Lithuania" data-provinces="[]">Lithuania</option>
    <option value="Luxembourg" data-provinces="[]">Luxembourg</option>
    <option value="Macao" data-provinces="[]">Macau SAR China</option>
    <option value="Macedonia, Republic Of" data-provinces="[]">Macedonia</option>
    <option value="Madagascar" data-provinces="[]">Madagascar</option>
    <option value="Malawi" data-provinces="[]">Malawi</option>
    <option value="Malaysia"
      data-provinces="[[&quot;Johor&quot;,&quot;Johor&quot;],[&quot;Kedah&quot;,&quot;Kedah&quot;],[&quot;Kelantan&quot;,&quot;Kelantan&quot;],[&quot;Kuala Lumpur&quot;,&quot;Kuala Lumpur&quot;],[&quot;Labuan&quot;,&quot;Labuan&quot;],[&quot;Melaka&quot;,&quot;Melaka&quot;],[&quot;Negeri Sembilan&quot;,&quot;Negeri Sembilan&quot;],[&quot;Pahang&quot;,&quot;Pahang&quot;],[&quot;Perak&quot;,&quot;Perak&quot;],[&quot;Perlis&quot;,&quot;Perlis&quot;],[&quot;Pulau Pinang&quot;,&quot;Pulau Pinang&quot;],[&quot;Putrajaya&quot;,&quot;Putrajaya&quot;],[&quot;Sabah&quot;,&quot;Sabah&quot;],[&quot;Sarawak&quot;,&quot;Sarawak&quot;],[&quot;Selangor&quot;,&quot;Selangor&quot;],[&quot;Terengganu&quot;,&quot;Terengganu&quot;]]">
      Malaysia</option>
    <option value="Maldives" data-provinces="[]">Maldives</option>
    <option value="Mali" data-provinces="[]">Mali</option>
    <option value="Malta" data-provinces="[]">Malta</option>
    <option value="Martinique" data-provinces="[]">Martinique</option>
    <option value="Mauritania" data-provinces="[]">Mauritania</option>
    <option value="Mauritius" data-provinces="[]">Mauritius</option>
    <option value="Mayotte" data-provinces="[]">Mayotte</option>
    <option value="Mexico"
      data-provinces="[[&quot;Aguascalientes&quot;,&quot;Aguascalientes&quot;],[&quot;Baja California&quot;,&quot;Baja California&quot;],[&quot;Baja California Sur&quot;,&quot;Baja California Sur&quot;],[&quot;Campeche&quot;,&quot;Campeche&quot;],[&quot;Chiapas&quot;,&quot;Chiapas&quot;],[&quot;Chihuahua&quot;,&quot;Chihuahua&quot;],[&quot;Ciudad de México&quot;,&quot;Ciudad de México&quot;],[&quot;Coahuila&quot;,&quot;Coahuila&quot;],[&quot;Colima&quot;,&quot;Colima&quot;],[&quot;Durango&quot;,&quot;Durango&quot;],[&quot;Guanajuato&quot;,&quot;Guanajuato&quot;],[&quot;Guerrero&quot;,&quot;Guerrero&quot;],[&quot;Hidalgo&quot;,&quot;Hidalgo&quot;],[&quot;Jalisco&quot;,&quot;Jalisco&quot;],[&quot;México&quot;,&quot;México&quot;],[&quot;Michoacán&quot;,&quot;Michoacán&quot;],[&quot;Morelos&quot;,&quot;Morelos&quot;],[&quot;Nayarit&quot;,&quot;Nayarit&quot;],[&quot;Nuevo León&quot;,&quot;Nuevo León&quot;],[&quot;Oaxaca&quot;,&quot;Oaxaca&quot;],[&quot;Puebla&quot;,&quot;Puebla&quot;],[&quot;Querétaro&quot;,&quot;Querétaro&quot;],[&quot;Quintana Roo&quot;,&quot;Quintana Roo&quot;],[&quot;San Luis Potosí&quot;,&quot;San Luis Potosí&quot;],[&quot;Sinaloa&quot;,&quot;Sinaloa&quot;],[&quot;Sonora&quot;,&quot;Sonora&quot;],[&quot;Tabasco&quot;,&quot;Tabasco&quot;],[&quot;Tamaulipas&quot;,&quot;Tamaulipas&quot;],[&quot;Tlaxcala&quot;,&quot;Tlaxcala&quot;],[&quot;Veracruz&quot;,&quot;Veracruz&quot;],[&quot;Yucatán&quot;,&quot;Yucatán&quot;],[&quot;Zacatecas&quot;,&quot;Zacatecas&quot;]]">
      Mexico</option>
    <option value="Moldova, Republic of" data-provinces="[]">Moldova</option>
    <option value="Monaco" data-provinces="[]">Monaco</option>
    <option value="Mongolia" data-provinces="[]">Mongolia</option>
    <option value="Montenegro" data-provinces="[]">Montenegro</option>
    <option value="Montserrat" data-provinces="[]">Montserrat</option>
    <option value="Morocco" data-provinces="[]">Morocco</option>
    <option value="Mozambique" data-provinces="[]">Mozambique</option>
    <option value="Myanmar" data-provinces="[]">Myanmar (Burma)</option>
    <option value="Namibia" data-provinces="[]">Namibia</option>
    <option value="Nauru" data-provinces="[]">Nauru</option>
    <option value="Nepal" data-provinces="[]">Nepal</option>
    <option value="Netherlands" data-provinces="[]">Netherlands</option>
    <option value="Netherlands Antilles" data-provinces="[]">Netherlands Antilles</option>
    <option value="New Caledonia" data-provinces="[]">New Caledonia</option>
    <option value="New Zealand"
      data-provinces="[[&quot;Auckland&quot;,&quot;Auckland&quot;],[&quot;Bay of Plenty&quot;,&quot;Bay of Plenty&quot;],[&quot;Canterbury&quot;,&quot;Canterbury&quot;],[&quot;Gisborne&quot;,&quot;Gisborne&quot;],[&quot;Hawke's Bay&quot;,&quot;Hawke's Bay&quot;],[&quot;Manawatu-Wanganui&quot;,&quot;Manawatu-Wanganui&quot;],[&quot;Marlborough&quot;,&quot;Marlborough&quot;],[&quot;Nelson&quot;,&quot;Nelson&quot;],[&quot;Northland&quot;,&quot;Northland&quot;],[&quot;Otago&quot;,&quot;Otago&quot;],[&quot;Southland&quot;,&quot;Southland&quot;],[&quot;Taranaki&quot;,&quot;Taranaki&quot;],[&quot;Tasman&quot;,&quot;Tasman&quot;],[&quot;Waikato&quot;,&quot;Waikato&quot;],[&quot;Wellington&quot;,&quot;Wellington&quot;],[&quot;West Coast&quot;,&quot;West Coast&quot;]]">
      New Zealand</option>
    <option value="Nicaragua" data-provinces="[]">Nicaragua</option>
    <option value="Niger" data-provinces="[]">Niger</option>
    <option value="Nigeria"
      data-provinces="[[&quot;Abia&quot;,&quot;Abia&quot;],[&quot;Abuja Federal Capital Territory&quot;,&quot;Abuja Federal Capital Territory&quot;],[&quot;Adamawa&quot;,&quot;Adamawa&quot;],[&quot;Akwa Ibom&quot;,&quot;Akwa Ibom&quot;],[&quot;Anambra&quot;,&quot;Anambra&quot;],[&quot;Bauchi&quot;,&quot;Bauchi&quot;],[&quot;Bayelsa&quot;,&quot;Bayelsa&quot;],[&quot;Benue&quot;,&quot;Benue&quot;],[&quot;Borno&quot;,&quot;Borno&quot;],[&quot;Cross River&quot;,&quot;Cross River&quot;],[&quot;Delta&quot;,&quot;Delta&quot;],[&quot;Ebonyi&quot;,&quot;Ebonyi&quot;],[&quot;Edo&quot;,&quot;Edo&quot;],[&quot;Ekiti&quot;,&quot;Ekiti&quot;],[&quot;Enugu&quot;,&quot;Enugu&quot;],[&quot;Gombe&quot;,&quot;Gombe&quot;],[&quot;Imo&quot;,&quot;Imo&quot;],[&quot;Jigawa&quot;,&quot;Jigawa&quot;],[&quot;Kaduna&quot;,&quot;Kaduna&quot;],[&quot;Kano&quot;,&quot;Kano&quot;],[&quot;Katsina&quot;,&quot;Katsina&quot;],[&quot;Kebbi&quot;,&quot;Kebbi&quot;],[&quot;Kogi&quot;,&quot;Kogi&quot;],[&quot;Kwara&quot;,&quot;Kwara&quot;],[&quot;Lagos&quot;,&quot;Lagos&quot;],[&quot;Nasarawa&quot;,&quot;Nasarawa&quot;],[&quot;Niger&quot;,&quot;Niger&quot;],[&quot;Ogun&quot;,&quot;Ogun&quot;],[&quot;Ondo&quot;,&quot;Ondo&quot;],[&quot;Osun&quot;,&quot;Osun&quot;],[&quot;Oyo&quot;,&quot;Oyo&quot;],[&quot;Plateau&quot;,&quot;Plateau&quot;],[&quot;Rivers&quot;,&quot;Rivers&quot;],[&quot;Sokoto&quot;,&quot;Sokoto&quot;],[&quot;Taraba&quot;,&quot;Taraba&quot;],[&quot;Yobe&quot;,&quot;Yobe&quot;],[&quot;Zamfara&quot;,&quot;Zamfara&quot;]]">
      Nigeria</option>
    <option value="Niue" data-provinces="[]">Niue</option>
    <option value="Norfolk Island" data-provinces="[]">Norfolk Island</option>
    <option value="Korea, Democratic People's Republic Of" data-provinces="[]">North Korea</option>
    <option value="Norway" data-provinces="[]">Norway</option>
    <option value="Oman" data-provinces="[]">Oman</option>
    <option value="Pakistan" data-provinces="[]">Pakistan</option>
    <option value="Palestinian Territory, Occupied" data-provinces="[]">Palestinian Territories</option>
    <option value="Panama"
      data-provinces="[[&quot;Bocas del Toro&quot;,&quot;Bocas del Toro&quot;],[&quot;Chiriquí&quot;,&quot;Chiriquí&quot;],[&quot;Coclé&quot;,&quot;Coclé&quot;],[&quot;Colón&quot;,&quot;Colón&quot;],[&quot;Darién&quot;,&quot;Darién&quot;],[&quot;Emberá&quot;,&quot;Emberá&quot;],[&quot;Herrera&quot;,&quot;Herrera&quot;],[&quot;Kuna Yala&quot;,&quot;Kuna Yala&quot;],[&quot;Los Santos&quot;,&quot;Los Santos&quot;],[&quot;Ngöbe-Buglé&quot;,&quot;Ngöbe-Buglé&quot;],[&quot;Panamá&quot;,&quot;Panamá&quot;],[&quot;Panamá Oeste&quot;,&quot;Panamá Oeste&quot;],[&quot;Veraguas&quot;,&quot;Veraguas&quot;]]">
      Panama</option>
    <option value="Papua New Guinea" data-provinces="[]">Papua New Guinea</option>
    <option value="Paraguay" data-provinces="[]">Paraguay</option>
    <option value="Peru" data-provinces="[]">Peru</option>
    <option value="Philippines" data-provinces="[]">Philippines</option>
    <option value="Pitcairn" data-provinces="[]">Pitcairn Islands</option>
    <option value="Poland" data-provinces="[]">Poland</option>
    <option value="Portugal"
      data-provinces="[[&quot;Açores&quot;,&quot;Açores&quot;],[&quot;Aveiro&quot;,&quot;Aveiro&quot;],[&quot;Beja&quot;,&quot;Beja&quot;],[&quot;Braga&quot;,&quot;Braga&quot;],[&quot;Bragança&quot;,&quot;Bragança&quot;],[&quot;Castelo Branco&quot;,&quot;Castelo Branco&quot;],[&quot;Coimbra&quot;,&quot;Coimbra&quot;],[&quot;Évora&quot;,&quot;Évora&quot;],[&quot;Faro&quot;,&quot;Faro&quot;],[&quot;Guarda&quot;,&quot;Guarda&quot;],[&quot;Leiria&quot;,&quot;Leiria&quot;],[&quot;Lisboa&quot;,&quot;Lisboa&quot;],[&quot;Madeira&quot;,&quot;Madeira&quot;],[&quot;Portalegre&quot;,&quot;Portalegre&quot;],[&quot;Porto&quot;,&quot;Porto&quot;],[&quot;Santarém&quot;,&quot;Santarém&quot;],[&quot;Setúbal&quot;,&quot;Setúbal&quot;],[&quot;Viana do Castelo&quot;,&quot;Viana do Castelo&quot;],[&quot;Vila Real&quot;,&quot;Vila Real&quot;],[&quot;Viseu&quot;,&quot;Viseu&quot;]]">
      Portugal</option>
    <option value="Qatar" data-provinces="[]">Qatar</option>
    <option value="Reunion" data-provinces="[]">Réunion</option>
    <option value="Romania"
      data-provinces="[[&quot;Alba&quot;,&quot;Alba&quot;],[&quot;Arad&quot;,&quot;Arad&quot;],[&quot;Argeș&quot;,&quot;Argeș&quot;],[&quot;Bacău&quot;,&quot;Bacău&quot;],[&quot;Bihor&quot;,&quot;Bihor&quot;],[&quot;Bistrița-Năsăud&quot;,&quot;Bistrița-Năsăud&quot;],[&quot;Botoșani&quot;,&quot;Botoșani&quot;],[&quot;Brăila&quot;,&quot;Brăila&quot;],[&quot;Brașov&quot;,&quot;Brașov&quot;],[&quot;București&quot;,&quot;București&quot;],[&quot;Buzău&quot;,&quot;Buzău&quot;],[&quot;Caraș-Severin&quot;,&quot;Caraș-Severin&quot;],[&quot;Cluj&quot;,&quot;Cluj&quot;],[&quot;Constanța&quot;,&quot;Constanța&quot;],[&quot;Covasna&quot;,&quot;Covasna&quot;],[&quot;Călărași&quot;,&quot;Călărași&quot;],[&quot;Dolj&quot;,&quot;Dolj&quot;],[&quot;Dâmbovița&quot;,&quot;Dâmbovița&quot;],[&quot;Galați&quot;,&quot;Galați&quot;],[&quot;Giurgiu&quot;,&quot;Giurgiu&quot;],[&quot;Gorj&quot;,&quot;Gorj&quot;],[&quot;Harghita&quot;,&quot;Harghita&quot;],[&quot;Hunedoara&quot;,&quot;Hunedoara&quot;],[&quot;Ialomița&quot;,&quot;Ialomița&quot;],[&quot;Iași&quot;,&quot;Iași&quot;],[&quot;Ilfov&quot;,&quot;Ilfov&quot;],[&quot;Maramureș&quot;,&quot;Maramureș&quot;],[&quot;Mehedinți&quot;,&quot;Mehedinți&quot;],[&quot;Mureș&quot;,&quot;Mureș&quot;],[&quot;Neamț&quot;,&quot;Neamț&quot;],[&quot;Olt&quot;,&quot;Olt&quot;],[&quot;Prahova&quot;,&quot;Prahova&quot;],[&quot;Sălaj&quot;,&quot;Sălaj&quot;],[&quot;Satu Mare&quot;,&quot;Satu Mare&quot;],[&quot;Sibiu&quot;,&quot;Sibiu&quot;],[&quot;Suceava&quot;,&quot;Suceava&quot;],[&quot;Teleorman&quot;,&quot;Teleorman&quot;],[&quot;Timiș&quot;,&quot;Timiș&quot;],[&quot;Tulcea&quot;,&quot;Tulcea&quot;],[&quot;Vâlcea&quot;,&quot;Vâlcea&quot;],[&quot;Vaslui&quot;,&quot;Vaslui&quot;],[&quot;Vrancea&quot;,&quot;Vrancea&quot;]]">
      Romania</option>
    <option value="Russia"
      data-provinces="[[&quot;Altai Krai&quot;,&quot;Altai Krai&quot;],[&quot;Altai Republic&quot;,&quot;Altai Republic&quot;],[&quot;Amur Oblast&quot;,&quot;Amur Oblast&quot;],[&quot;Arkhangelsk Oblast&quot;,&quot;Arkhangelsk Oblast&quot;],[&quot;Astrakhan Oblast&quot;,&quot;Astrakhan Oblast&quot;],[&quot;Belgorod Oblast&quot;,&quot;Belgorod Oblast&quot;],[&quot;Bryansk Oblast&quot;,&quot;Bryansk Oblast&quot;],[&quot;Chechen Republic&quot;,&quot;Chechen Republic&quot;],[&quot;Chelyabinsk Oblast&quot;,&quot;Chelyabinsk Oblast&quot;],[&quot;Chukotka Autonomous Okrug&quot;,&quot;Chukotka Autonomous Okrug&quot;],[&quot;Chuvash Republic&quot;,&quot;Chuvash Republic&quot;],[&quot;Irkutsk Oblast&quot;,&quot;Irkutsk Oblast&quot;],[&quot;Ivanovo Oblast&quot;,&quot;Ivanovo Oblast&quot;],[&quot;Jewish Autonomous Oblast&quot;,&quot;Jewish Autonomous Oblast&quot;],[&quot;Kabardino-Balkarian Republic&quot;,&quot;Kabardino-Balkarian Republic&quot;],[&quot;Kaliningrad Oblast&quot;,&quot;Kaliningrad Oblast&quot;],[&quot;Kaluga Oblast&quot;,&quot;Kaluga Oblast&quot;],[&quot;Kamchatka Krai&quot;,&quot;Kamchatka Krai&quot;],[&quot;Karachay–Cherkess Republic&quot;,&quot;Karachay–Cherkess Republic&quot;],[&quot;Kemerovo Oblast&quot;,&quot;Kemerovo Oblast&quot;],[&quot;Khabarovsk Krai&quot;,&quot;Khabarovsk Krai&quot;],[&quot;Khanty-Mansi Autonomous Okrug&quot;,&quot;Khanty-Mansi Autonomous Okrug&quot;],[&quot;Kirov Oblast&quot;,&quot;Kirov Oblast&quot;],[&quot;Komi Republic&quot;,&quot;Komi Republic&quot;],[&quot;Kostroma Oblast&quot;,&quot;Kostroma Oblast&quot;],[&quot;Krasnodar Krai&quot;,&quot;Krasnodar Krai&quot;],[&quot;Krasnoyarsk Krai&quot;,&quot;Krasnoyarsk Krai&quot;],[&quot;Kurgan Oblast&quot;,&quot;Kurgan Oblast&quot;],[&quot;Kursk Oblast&quot;,&quot;Kursk Oblast&quot;],[&quot;Leningrad Oblast&quot;,&quot;Leningrad Oblast&quot;],[&quot;Lipetsk Oblast&quot;,&quot;Lipetsk Oblast&quot;],[&quot;Magadan Oblast&quot;,&quot;Magadan Oblast&quot;],[&quot;Mari El Republic&quot;,&quot;Mari El Republic&quot;],[&quot;Moscow&quot;,&quot;Moscow&quot;],[&quot;Moscow Oblast&quot;,&quot;Moscow Oblast&quot;],[&quot;Murmansk Oblast&quot;,&quot;Murmansk Oblast&quot;],[&quot;Nizhny Novgorod Oblast&quot;,&quot;Nizhny Novgorod Oblast&quot;],[&quot;Novgorod Oblast&quot;,&quot;Novgorod Oblast&quot;],[&quot;Novosibirsk Oblast&quot;,&quot;Novosibirsk Oblast&quot;],[&quot;Omsk Oblast&quot;,&quot;Omsk Oblast&quot;],[&quot;Orenburg Oblast&quot;,&quot;Orenburg Oblast&quot;],[&quot;Oryol Oblast&quot;,&quot;Oryol Oblast&quot;],[&quot;Penza Oblast&quot;,&quot;Penza Oblast&quot;],[&quot;Perm Krai&quot;,&quot;Perm Krai&quot;],[&quot;Primorsky Krai&quot;,&quot;Primorsky Krai&quot;],[&quot;Pskov Oblast&quot;,&quot;Pskov Oblast&quot;],[&quot;Republic of Adygeya&quot;,&quot;Republic of Adygeya&quot;],[&quot;Republic of Bashkortostan&quot;,&quot;Republic of Bashkortostan&quot;],[&quot;Republic of Buryatia&quot;,&quot;Republic of Buryatia&quot;],[&quot;Republic of Dagestan&quot;,&quot;Republic of Dagestan&quot;],[&quot;Republic of Ingushetia&quot;,&quot;Republic of Ingushetia&quot;],[&quot;Republic of Kalmykia&quot;,&quot;Republic of Kalmykia&quot;],[&quot;Republic of Karelia&quot;,&quot;Republic of Karelia&quot;],[&quot;Republic of Khakassia&quot;,&quot;Republic of Khakassia&quot;],[&quot;Republic of Mordovia&quot;,&quot;Republic of Mordovia&quot;],[&quot;Republic of North Ossetia–Alania&quot;,&quot;Republic of North Ossetia–Alania&quot;],[&quot;Republic of Tatarstan&quot;,&quot;Republic of Tatarstan&quot;],[&quot;Rostov Oblast&quot;,&quot;Rostov Oblast&quot;],[&quot;Ryazan Oblast&quot;,&quot;Ryazan Oblast&quot;],[&quot;Saint Petersburg&quot;,&quot;Saint Petersburg&quot;],[&quot;Sakha Republic (Yakutia)&quot;,&quot;Sakha Republic (Yakutia)&quot;],[&quot;Sakhalin Oblast&quot;,&quot;Sakhalin Oblast&quot;],[&quot;Samara Oblast&quot;,&quot;Samara Oblast&quot;],[&quot;Saratov Oblast&quot;,&quot;Saratov Oblast&quot;],[&quot;Smolensk Oblast&quot;,&quot;Smolensk Oblast&quot;],[&quot;Stavropol Krai&quot;,&quot;Stavropol Krai&quot;],[&quot;Sverdlovsk Oblast&quot;,&quot;Sverdlovsk Oblast&quot;],[&quot;Tambov Oblast&quot;,&quot;Tambov Oblast&quot;],[&quot;Tomsk Oblast&quot;,&quot;Tomsk Oblast&quot;],[&quot;Tula Oblast&quot;,&quot;Tula Oblast&quot;],[&quot;Tver Oblast&quot;,&quot;Tver Oblast&quot;],[&quot;Tyumen Oblast&quot;,&quot;Tyumen Oblast&quot;],[&quot;Tyva Republic&quot;,&quot;Tyva Republic&quot;],[&quot;Udmurtia&quot;,&quot;Udmurtia&quot;],[&quot;Ulyanovsk Oblast&quot;,&quot;Ulyanovsk Oblast&quot;],[&quot;Vladimir Oblast&quot;,&quot;Vladimir Oblast&quot;],[&quot;Volgograd Oblast&quot;,&quot;Volgograd Oblast&quot;],[&quot;Vologda Oblast&quot;,&quot;Vologda Oblast&quot;],[&quot;Voronezh Oblast&quot;,&quot;Voronezh Oblast&quot;],[&quot;Yamalo-Nenets Autonomous Okrug&quot;,&quot;Yamalo-Nenets Autonomous Okrug&quot;],[&quot;Yaroslavl Oblast&quot;,&quot;Yaroslavl Oblast&quot;],[&quot;Zabaykalsky Krai&quot;,&quot;Zabaykalsky Krai&quot;]]">
      Russia</option>
    <option value="Rwanda" data-provinces="[]">Rwanda</option>
    <option value="Sint Maarten" data-provinces="[]">Saint Martin</option>
    <option value="Samoa" data-provinces="[]">Samoa</option>
    <option value="San Marino" data-provinces="[]">San Marino</option>
    <option value="Sao Tome And Principe" data-provinces="[]">São Tomé &amp; Príncipe</option>
    <option value="Saudi Arabia" data-provinces="[]">Saudi Arabia</option>
    <option value="Senegal" data-provinces="[]">Senegal</option>
    <option value="Serbia" data-provinces="[]">Serbia</option>
    <option value="Seychelles" data-provinces="[]">Seychelles</option>
    <option value="Sierra Leone" data-provinces="[]">Sierra Leone</option>
    <option value="Singapore" data-provinces="[]">Singapore</option>
    <option value="Slovakia" data-provinces="[]">Slovakia</option>
    <option value="Slovenia" data-provinces="[]">Slovenia</option>
    <option value="Solomon Islands" data-provinces="[]">Solomon Islands</option>
    <option value="Somalia" data-provinces="[]">Somalia</option>
    <option value="South Africa"
      data-provinces="[[&quot;Eastern Cape&quot;,&quot;Eastern Cape&quot;],[&quot;Free State&quot;,&quot;Free State&quot;],[&quot;Gauteng&quot;,&quot;Gauteng&quot;],[&quot;KwaZulu-Natal&quot;,&quot;KwaZulu-Natal&quot;],[&quot;Limpopo&quot;,&quot;Limpopo&quot;],[&quot;Mpumalanga&quot;,&quot;Mpumalanga&quot;],[&quot;North West&quot;,&quot;North West&quot;],[&quot;Northern Cape&quot;,&quot;Northern Cape&quot;],[&quot;Western Cape&quot;,&quot;Western Cape&quot;]]">
      South Africa</option>
    <option value="South Georgia And The South Sandwich Islands" data-provinces="[]">South Georgia &amp; South Sandwich Islands</option>
    <option value="South Korea"
      data-provinces="[[&quot;Busan&quot;,&quot;Busan&quot;],[&quot;Chungbuk&quot;,&quot;Chungbuk&quot;],[&quot;Chungnam&quot;,&quot;Chungnam&quot;],[&quot;Daegu&quot;,&quot;Daegu&quot;],[&quot;Daejeon&quot;,&quot;Daejeon&quot;],[&quot;Gangwon&quot;,&quot;Gangwon&quot;],[&quot;Gwangju&quot;,&quot;Gwangju&quot;],[&quot;Gyeongbuk&quot;,&quot;Gyeongbuk&quot;],[&quot;Gyeonggi&quot;,&quot;Gyeonggi&quot;],[&quot;Gyeongnam&quot;,&quot;Gyeongnam&quot;],[&quot;Incheon&quot;,&quot;Incheon&quot;],[&quot;Jeju&quot;,&quot;Jeju&quot;],[&quot;Jeonbuk&quot;,&quot;Jeonbuk&quot;],[&quot;Jeonnam&quot;,&quot;Jeonnam&quot;],[&quot;Sejong&quot;,&quot;Sejong&quot;],[&quot;Seoul&quot;,&quot;Seoul&quot;],[&quot;Ulsan&quot;,&quot;Ulsan&quot;]]">
      South Korea</option>
    <option value="South Sudan" data-provinces="[]">South Sudan</option>
    <option value="Spain"
      data-provinces="[[&quot;A Coruña&quot;,&quot;A Coruña&quot;],[&quot;Álava&quot;,&quot;Álava&quot;],[&quot;Albacete&quot;,&quot;Albacete&quot;],[&quot;Alicante&quot;,&quot;Alicante&quot;],[&quot;Almería&quot;,&quot;Almería&quot;],[&quot;Asturias&quot;,&quot;Asturias&quot;],[&quot;Ávila&quot;,&quot;Ávila&quot;],[&quot;Badajoz&quot;,&quot;Badajoz&quot;],[&quot;Balears&quot;,&quot;Balears&quot;],[&quot;Barcelona&quot;,&quot;Barcelona&quot;],[&quot;Burgos&quot;,&quot;Burgos&quot;],[&quot;Cáceres&quot;,&quot;Cáceres&quot;],[&quot;Cádiz&quot;,&quot;Cádiz&quot;],[&quot;Cantabria&quot;,&quot;Cantabria&quot;],[&quot;Castellón&quot;,&quot;Castellón&quot;],[&quot;Ceuta&quot;,&quot;Ceuta&quot;],[&quot;Ciudad Real&quot;,&quot;Ciudad Real&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Cuenca&quot;,&quot;Cuenca&quot;],[&quot;Girona&quot;,&quot;Girona&quot;],[&quot;Granada&quot;,&quot;Granada&quot;],[&quot;Guadalajara&quot;,&quot;Guadalajara&quot;],[&quot;Guipúzcoa&quot;,&quot;Guipúzcoa&quot;],[&quot;Huelva&quot;,&quot;Huelva&quot;],[&quot;Huesca&quot;,&quot;Huesca&quot;],[&quot;Jaén&quot;,&quot;Jaén&quot;],[&quot;La Rioja&quot;,&quot;La Rioja&quot;],[&quot;Las Palmas&quot;,&quot;Las Palmas&quot;],[&quot;León&quot;,&quot;León&quot;],[&quot;Lleida&quot;,&quot;Lleida&quot;],[&quot;Lugo&quot;,&quot;Lugo&quot;],[&quot;Madrid&quot;,&quot;Madrid&quot;],[&quot;Málaga&quot;,&quot;Málaga&quot;],[&quot;Melilla&quot;,&quot;Melilla&quot;],[&quot;Murcia&quot;,&quot;Murcia&quot;],[&quot;Navarra&quot;,&quot;Navarra&quot;],[&quot;Ourense&quot;,&quot;Ourense&quot;],[&quot;Palencia&quot;,&quot;Palencia&quot;],[&quot;Pontevedra&quot;,&quot;Pontevedra&quot;],[&quot;Salamanca&quot;,&quot;Salamanca&quot;],[&quot;Santa Cruz de Tenerife&quot;,&quot;Santa Cruz de Tenerife&quot;],[&quot;Segovia&quot;,&quot;Segovia&quot;],[&quot;Sevilla&quot;,&quot;Sevilla&quot;],[&quot;Soria&quot;,&quot;Soria&quot;],[&quot;Tarragona&quot;,&quot;Tarragona&quot;],[&quot;Teruel&quot;,&quot;Teruel&quot;],[&quot;Toledo&quot;,&quot;Toledo&quot;],[&quot;Valencia&quot;,&quot;Valencia&quot;],[&quot;Valladolid&quot;,&quot;Valladolid&quot;],[&quot;Vizcaya&quot;,&quot;Vizcaya&quot;],[&quot;Zamora&quot;,&quot;Zamora&quot;],[&quot;Zaragoza&quot;,&quot;Zaragoza&quot;]]">
      Spain</option>
    <option value="Sri Lanka" data-provinces="[]">Sri Lanka</option>
    <option value="Saint Barthélemy" data-provinces="[]">St. Barthélemy</option>
    <option value="Saint Helena" data-provinces="[]">St. Helena</option>
    <option value="Saint Kitts And Nevis" data-provinces="[]">St. Kitts &amp; Nevis</option>
    <option value="Saint Lucia" data-provinces="[]">St. Lucia</option>
    <option value="Saint Martin" data-provinces="[]">St. Martin</option>
    <option value="Saint Pierre And Miquelon" data-provinces="[]">St. Pierre &amp; Miquelon</option>
    <option value="St. Vincent" data-provinces="[]">St. Vincent &amp; Grenadines</option>
    <option value="Sudan" data-provinces="[]">Sudan</option>
    <option value="Suriname" data-provinces="[]">Suriname</option>
    <option value="Svalbard And Jan Mayen" data-provinces="[]">Svalbard &amp; Jan Mayen</option>
    <option value="Swaziland" data-provinces="[]">Swaziland</option>
    <option value="Sweden" data-provinces="[]">Sweden</option>
    <option value="Switzerland" data-provinces="[]">Switzerland</option>
    <option value="Syria" data-provinces="[]">Syria</option>
    <option value="Taiwan" data-provinces="[]">Taiwan</option>
    <option value="Tajikistan" data-provinces="[]">Tajikistan</option>
    <option value="Tanzania, United Republic Of" data-provinces="[]">Tanzania</option>
    <option value="Thailand" data-provinces="[]">Thailand</option>
    <option value="Timor Leste" data-provinces="[]">Timor-Leste</option>
    <option value="Togo" data-provinces="[]">Togo</option>
    <option value="Tokelau" data-provinces="[]">Tokelau</option>
    <option value="Tonga" data-provinces="[]">Tonga</option>
    <option value="Trinidad and Tobago" data-provinces="[]">Trinidad &amp; Tobago</option>
    <option value="Tunisia" data-provinces="[]">Tunisia</option>
    <option value="Turkey" data-provinces="[]">Turkey</option>
    <option value="Turkmenistan" data-provinces="[]">Turkmenistan</option>
    <option value="Turks and Caicos Islands" data-provinces="[]">Turks &amp; Caicos Islands</option>
    <option value="Tuvalu" data-provinces="[]">Tuvalu</option>
    <option value="United States Minor Outlying Islands" data-provinces="[]">U.S. Outlying Islands</option>
    <option value="Uganda" data-provinces="[]">Uganda</option>
    <option value="Ukraine" data-provinces="[]">Ukraine</option>
    <option value="United Arab Emirates"
      data-provinces="[[&quot;Abu Dhabi&quot;,&quot;Abu Dhabi&quot;],[&quot;Ajman&quot;,&quot;Ajman&quot;],[&quot;Dubai&quot;,&quot;Dubai&quot;],[&quot;Fujairah&quot;,&quot;Fujairah&quot;],[&quot;Ras al-Khaimah&quot;,&quot;Ras al-Khaimah&quot;],[&quot;Sharjah&quot;,&quot;Sharjah&quot;],[&quot;Umm al-Quwain&quot;,&quot;Umm al-Quwain&quot;]]">
      United Arab Emirates</option>
    <option value="United Kingdom" data-provinces="[]">United Kingdom</option>
    <option value="United States"
      data-provinces="[[&quot;Alabama&quot;,&quot;Alabama&quot;],[&quot;Alaska&quot;,&quot;Alaska&quot;],[&quot;American Samoa&quot;,&quot;American Samoa&quot;],[&quot;Arizona&quot;,&quot;Arizona&quot;],[&quot;Arkansas&quot;,&quot;Arkansas&quot;],[&quot;California&quot;,&quot;California&quot;],[&quot;Colorado&quot;,&quot;Colorado&quot;],[&quot;Connecticut&quot;,&quot;Connecticut&quot;],[&quot;Delaware&quot;,&quot;Delaware&quot;],[&quot;District of Columbia&quot;,&quot;District of Columbia&quot;],[&quot;Federated States of Micronesia&quot;,&quot;Federated States of Micronesia&quot;],[&quot;Florida&quot;,&quot;Florida&quot;],[&quot;Georgia&quot;,&quot;Georgia&quot;],[&quot;Guam&quot;,&quot;Guam&quot;],[&quot;Hawaii&quot;,&quot;Hawaii&quot;],[&quot;Idaho&quot;,&quot;Idaho&quot;],[&quot;Illinois&quot;,&quot;Illinois&quot;],[&quot;Indiana&quot;,&quot;Indiana&quot;],[&quot;Iowa&quot;,&quot;Iowa&quot;],[&quot;Kansas&quot;,&quot;Kansas&quot;],[&quot;Kentucky&quot;,&quot;Kentucky&quot;],[&quot;Louisiana&quot;,&quot;Louisiana&quot;],[&quot;Maine&quot;,&quot;Maine&quot;],[&quot;Marshall Islands&quot;,&quot;Marshall Islands&quot;],[&quot;Maryland&quot;,&quot;Maryland&quot;],[&quot;Massachusetts&quot;,&quot;Massachusetts&quot;],[&quot;Michigan&quot;,&quot;Michigan&quot;],[&quot;Minnesota&quot;,&quot;Minnesota&quot;],[&quot;Mississippi&quot;,&quot;Mississippi&quot;],[&quot;Missouri&quot;,&quot;Missouri&quot;],[&quot;Montana&quot;,&quot;Montana&quot;],[&quot;Nebraska&quot;,&quot;Nebraska&quot;],[&quot;Nevada&quot;,&quot;Nevada&quot;],[&quot;New Hampshire&quot;,&quot;New Hampshire&quot;],[&quot;New Jersey&quot;,&quot;New Jersey&quot;],[&quot;New Mexico&quot;,&quot;New Mexico&quot;],[&quot;New York&quot;,&quot;New York&quot;],[&quot;North Carolina&quot;,&quot;North Carolina&quot;],[&quot;North Dakota&quot;,&quot;North Dakota&quot;],[&quot;Northern Mariana Islands&quot;,&quot;Northern Mariana Islands&quot;],[&quot;Ohio&quot;,&quot;Ohio&quot;],[&quot;Oklahoma&quot;,&quot;Oklahoma&quot;],[&quot;Oregon&quot;,&quot;Oregon&quot;],[&quot;Palau&quot;,&quot;Palau&quot;],[&quot;Pennsylvania&quot;,&quot;Pennsylvania&quot;],[&quot;Puerto Rico&quot;,&quot;Puerto Rico&quot;],[&quot;Rhode Island&quot;,&quot;Rhode Island&quot;],[&quot;South Carolina&quot;,&quot;South Carolina&quot;],[&quot;South Dakota&quot;,&quot;South Dakota&quot;],[&quot;Tennessee&quot;,&quot;Tennessee&quot;],[&quot;Texas&quot;,&quot;Texas&quot;],[&quot;Utah&quot;,&quot;Utah&quot;],[&quot;Vermont&quot;,&quot;Vermont&quot;],[&quot;Virgin Islands&quot;,&quot;Virgin Islands&quot;],[&quot;Virginia&quot;,&quot;Virginia&quot;],[&quot;Washington&quot;,&quot;Washington&quot;],[&quot;West Virginia&quot;,&quot;West Virginia&quot;],[&quot;Wisconsin&quot;,&quot;Wisconsin&quot;],[&quot;Wyoming&quot;,&quot;Wyoming&quot;],[&quot;Armed Forces Americas&quot;,&quot;Armed Forces Americas&quot;],[&quot;Armed Forces Europe&quot;,&quot;Armed Forces Europe&quot;],[&quot;Armed Forces Pacific&quot;,&quot;Armed Forces Pacific&quot;]]">
      United States</option>
    <option value="Uruguay" data-provinces="[]">Uruguay</option>
    <option value="Uzbekistan" data-provinces="[]">Uzbekistan</option>
    <option value="Vanuatu" data-provinces="[]">Vanuatu</option>
    <option value="Holy See (Vatican City State)" data-provinces="[]">Vatican City</option>
    <option value="Venezuela" data-provinces="[]">Venezuela</option>
    <option value="Vietnam" data-provinces="[]">Vietnam</option>
    <option value="Wallis And Futuna" data-provinces="[]">Wallis &amp; Futuna</option>
    <option value="Western Sahara" data-provinces="[]">Western Sahara</option>
    <option value="Yemen" data-provinces="[]">Yemen</option>
    <option value="Zambia" data-provinces="[]">Zambia</option>
    <option value="Zimbabwe" data-provinces="[]">Zimbabwe</option>
  </select>
  <div id="AddressProvinceContainer" style="">
    <select id="AddressProvince" name="address[province]" data-default="">
      <option value="Alabama">Alabama</option>
      <option value="Alaska">Alaska</option>
      <option value="American Samoa">American Samoa</option>
      <option value="Arizona">Arizona</option>
      <option value="Arkansas">Arkansas</option>
      <option value="California">California</option>
      <option value="Colorado">Colorado</option>
      <option value="Connecticut">Connecticut</option>
      <option value="Delaware">Delaware</option>
      <option value="District of Columbia">District of Columbia</option>
      <option value="Federated States of Micronesia">Federated States of Micronesia</option>
      <option value="Florida">Florida</option>
      <option value="Georgia">Georgia</option>
      <option value="Guam">Guam</option>
      <option value="Hawaii">Hawaii</option>
      <option value="Idaho">Idaho</option>
      <option value="Illinois">Illinois</option>
      <option value="Indiana">Indiana</option>
      <option value="Iowa">Iowa</option>
      <option value="Kansas">Kansas</option>
      <option value="Kentucky">Kentucky</option>
      <option value="Louisiana">Louisiana</option>
      <option value="Maine">Maine</option>
      <option value="Marshall Islands">Marshall Islands</option>
      <option value="Maryland">Maryland</option>
      <option value="Massachusetts">Massachusetts</option>
      <option value="Michigan">Michigan</option>
      <option value="Minnesota">Minnesota</option>
      <option value="Mississippi">Mississippi</option>
      <option value="Missouri">Missouri</option>
      <option value="Montana">Montana</option>
      <option value="Nebraska">Nebraska</option>
      <option value="Nevada">Nevada</option>
      <option value="New Hampshire">New Hampshire</option>
      <option value="New Jersey">New Jersey</option>
      <option value="New Mexico">New Mexico</option>
      <option value="New York">New York</option>
      <option value="North Carolina">North Carolina</option>
      <option value="North Dakota">North Dakota</option>
      <option value="Northern Mariana Islands">Northern Mariana Islands</option>
      <option value="Ohio">Ohio</option>
      <option value="Oklahoma">Oklahoma</option>
      <option value="Oregon">Oregon</option>
      <option value="Palau">Palau</option>
      <option value="Pennsylvania">Pennsylvania</option>
      <option value="Puerto Rico">Puerto Rico</option>
      <option value="Rhode Island">Rhode Island</option>
      <option value="South Carolina">South Carolina</option>
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$) Antigua & Barbuda (XCD $) Argentina (USD $) Armenia (AMD դր.) Aruba (AWG ƒ)
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៛) Cameroon (XAF Fr) Canada (CAD $) Cape Verde (CVE $) Caribbean Netherlands
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kr.) Djibouti (DJF Fdj) Dominica (XCD $) Dominican Republic (DOP $) Ecuador (USD
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€) Eswatini (USD $) Ethiopia (ETB Br) Falkland Islands (FKP £) Faroe Islands
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 * Solomon Islands (SBD $)
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 * St. Vincent & Grenadines (XCD $)
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 * Taiwan (TWD $)
 * Tanzania (TZS Sh)
 * Thailand (THB ฿)
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 * Togo (XOF Fr)
 * Tonga (TOP T$)
 * Trinidad & Tobago (TTD $)
 * Tunisia (USD $)
 * Turkey (USD $)
 * Turks & Caicos Islands (USD $)
 * Tuvalu (AUD $)
 * Uganda (UGX USh)
 * United Arab Emirates (AED د.إ)
 * United Kingdom (GBP £)
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United States --- Afghanistan Åland Islands Albania Algeria Andorra Angola
Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan
Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan
Bolivia Bosnia & Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
Territory British Virgin Islands 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 -
Brazzaville Congo - Kinshasa Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus
Czech Republic Côte d’Ivoire Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French
Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece
Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana
Haiti Heard & McDonald Islands Honduras Hong Kong SAR China Hungary Iceland
India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey
Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon
Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR China
Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania
Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco
Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles
New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North
Korea Norway Oman Pakistan Palestinian Territories Panama Papua New Guinea
Paraguay Peru Philippines Pitcairn Islands Poland Portugal Qatar Réunion Romania
Russia Rwanda Saint Martin Samoa San Marino São Tomé & Príncipe Saudi Arabia
Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon
Islands Somalia South Africa South Georgia & South Sandwich Islands South Korea
South Sudan Spain Sri Lanka St. Barthélemy St. Helena St. Kitts & Nevis St.
Lucia St. Martin St. Pierre & Miquelon St. Vincent & Grenadines Sudan Suriname
Svalbard & Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan
Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia
Turkey Turkmenistan Turks & Caicos Islands Tuvalu U.S. Outlying Islands Uganda
Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan
Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Western Sahara Yemen
Zambia Zimbabwe
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