thebatterydude.com Open in urlscan Pro
192.200.160.248  Public Scan

Submitted URL: http://thebatterydude.com/
Effective URL: https://thebatterydude.com/
Submission: On May 16 via api from US — Scanned from DE

Form analysis 4 forms found in the DOM

/search.php

<form class="form" id="searchForm" action="/search.php">
  <fieldset class="form-fieldset">
    <div class="form-field">
      <label class="is-srOnly" for="search_query">Search</label>
      <input class="form-input" data-search-quick="" name="search_query" id="search_query" data-error-message="Search field cannot be empty." placeholder="Search the store" autocomplete="off">
      <div class="search-icon">
        <input type="submit" class="submitBtn navUser-action--quickSearch hollow searchIcon float-right" value="Search">
        <svg>
          <use xlink:href="#icon-Search-01-01"></use>
        </svg>
      </div>
    </div>
  </fieldset>
</form>

POST /subscribe.php

<form class="form" action="/subscribe.php" method="post">
  <fieldset class="form-fieldset">
    <input type="hidden" name="action" value="subscribe">
    <input type="hidden" name="nl_first_name" value="bc">
    <input type="hidden" name="check" value="1">
    <div class="form-field">
      <label class="form-label is-srOnly" for="nl_email">Email Address</label>
      <div class="form-prefixPostfix wrap">
        <input class="form-input" id="nl_email" name="nl_email" type="email" value="" placeholder="Your email address">
        <input class="button button--primary form-prefixPostfix-button--postfix" type="submit" value="Submit">
        <span style="display: none;"></span>
      </div>
    </div>
  </fieldset>
</form>

<form class="jdgm-form" novalidate="novalidate">
  <div class="jdgm-form__name-fieldset">
    <label for="jdgm_review_reviewer_name_j4ks5aetu">Name</label>
    <span class="jdgm-form__reviewer-name-format-container"> (<label for="jdgm_review_reviewer_name_format_j4ks5aetu" class="jdgm-form__inline-label jdgm-always-visible">displayed publicly like</label>
      <span class="jdgm-form__reviewer-name-format-dropdown-wrapper">
        <select id="jdgm_review_reviewer_name_format_j4ks5aetu" name="reviewer_name_format" class="jdgm-form__reviewer-name-format-dropdown">
          <option value="" selected="">John Smith</option>
          <option value="last_initial">John S.</option>
          <option value="all_initials">J.S.</option>
          <option value="anonymous">Anonymous</option>
        </select>
        <span class="jdgm-form__reviewer-name-format-dropdown-arrow"></span>
      </span> ) </span>
    <input id="jdgm_review_reviewer_name_j4ks5aetu" name="reviewer_name" type="text" placeholder="Enter your name (public)" aria-label="Name">
  </div>
  <div class="jdgm-form__email-fieldset">
    <label for="jdgm_review_reviewer_email_j4ks5aetu">Email</label>
    <input id="jdgm_review_reviewer_email_j4ks5aetu" name="reviewer_email" type="email" required="" placeholder="Enter your email (private)" aria-label="Email" aria-required="true">
  </div>
  <div class="jdgm-form__rating-fieldset" aria-label="Rating">
    <label>Rating</label>
    <span class="jdgm-form__rating"
      style="cursor: pointer;"><a data-alt="1" class="jdgm-star jdgm--off" title="1 star" role="button" aria-label="1 star"></a><a data-alt="2" class="jdgm-star jdgm--off" title="2 stars" role="button" aria-label="2 stars"></a><a data-alt="3" class="jdgm-star jdgm--off" title="3 stars" role="button" aria-label="3 stars"></a><a data-alt="4" class="jdgm-star jdgm--off" title="4 stars" role="button" aria-label="4 stars"></a><a data-alt="5" class="jdgm-star jdgm--off" title="5 stars" role="button" aria-label="5 stars"></a><input
        name="score" type="hidden"></span>
  </div>
  <div class="jdgm-form__title-fieldset">
    <label for="jdgm_review_title_j4ks5aetu">Review Title</label><span class="jdgm-countdown"></span>
    <input id="jdgm_review_title_j4ks5aetu" name="review_title" type="text" placeholder="Give your review a title" aria-label="Review Title">
  </div>
  <div class="jdgm-form__body-fieldset">
    <label for="jdgm_review_body_j4ks5aetu">Review</label><span class="jdgm-countdown"></span>
    <textarea id="jdgm_review_body_j4ks5aetu" rows="5" name="review_body" placeholder="Write your comments here" aria-label="Review"></textarea>
  </div>
  <div class="jdgm-custom-forms"></div>
  <label class="jdgm-picture-fieldset-title">Picture/Video (optional)</label>
  <div class="jdgm-picture-fieldset">
    <div class="jdgm-picture-fieldset__container jdgm-media-fieldset__container">
      <label class="jdgm-picture-fieldset__box jdgm-picture-fieldset__box--input">
        <div class="jdgm-picture-fieldset__box-wrapper">
          <div class="jdgm-picture-fieldset__icon jdgm-photocamera-icon">
          </div>
        </div>
        <input type="file" name="pictures" class="jdgm-picture-fieldset__input" multiple="" accept="image/gif,image/jpeg,image/jpg,image/png,image/webp" aria-label="Choose a review picture (optional)">
        <div style="display: none !important" aria-label="Choose a review picture (optional)">Choose a review picture (optional)</div>
      </label>
    </div>
  </div>
  <div>
    <p>How we use your data: We’ll only contact you about the review you left, and only if necessary. By submitting your review, you agree to Judge.me’s <a href="https://judge.me/terms" target="_blank" rel="nofollow noopener">terms</a>,
      <a href="https://judge.me/privacy" target="_blank" rel="nofollow noopener">privacy</a> and <a href="https://judge.me/content-policy" target="_blank" rel="nofollow noopener">content</a> policies.</p>
  </div>
  <input type="submit" class="jdgm-submit-rev btn btn_c button " value="Submit Review">
</form>

#

<form action="#" id="qtl-form" class="qtl-form">
  <div class="qtl-intro">
    <h1 id="h1"> Customer Information</h1>
    <h2 id="h2">Please fill the form below.</h2>
    <div class="qtl-user-name-div" style="margin-top: 5px;"> </div> <input type="text" name="qtl-first-name" data-field="First Name" id="qtl-first-name" class="qtl-input" placeholder="First Name  *" tabindex="3" data-required="1" maxlength="30">
    <input type="text" name="qtl-last-name" data-field="Last Name" id="qtl-last-name" class="qtl-input" placeholder="Last Name  *" tabindex="3" data-required="1" maxlength="30"> <input type="email" name="qtl-email" data-field="Email" id="qtl-email"
      class="qtl-input" placeholder="Email  *" tabindex="3" data-required="1" maxlength="50"> <input type="text" onkeypress="return qtl.isNumberKey(event);" name="qtl-phone" data-field="Phone" id="qtl-phone" class="qtl-input" placeholder="Phone  *"
      tabindex="3" data-required="1" maxlength="10"> <input type="hidden" name="qtl-country_code" data-field="Country Code" id="qtl-country_code" class="qtl-input" placeholder="Country Code " tabindex="3" data-required="0" maxlength="10"> <input
      type="hidden" name="qtl-state_code" data-field="State Code" id="qtl-state_code" class="qtl-input" placeholder="State Code " tabindex="3" data-required="0" maxlength="10"> <input type="text" name="qtl-company" data-field="Company"
      id="qtl-company" class="qtl-input" placeholder="Company " tabindex="3" data-required="0" maxlength="30"> <input type="text" name="qtl-address" data-field="Address" id="qtl-address" class="qtl-input" placeholder="Address " tabindex="3"
      data-required="0" maxlength="150"> <input type="text" data-fld-key="8" name="qtl-country" data-field="Country" id="qtl-country" autocomplete="off" list="countryData" onchange="qtl.checkFromList(this,'countryData');" class="qtl-input"
      placeholder="Country " tabindex="3" data-required="0" maxlength="30"> <datalist id="countryData">
      <option value="Afghanistan" data-val="{&quot;id&quot;:1,&quot;country&quot;:&quot;Afghanistan&quot;,&quot;country_iso2&quot;:&quot;AF&quot;,&quot;country_iso3&quot;:&quot;AFG&quot;}">AF</option>
      <option value="Albania" data-val="{&quot;id&quot;:2,&quot;country&quot;:&quot;Albania&quot;,&quot;country_iso2&quot;:&quot;AL&quot;,&quot;country_iso3&quot;:&quot;ALB&quot;}">AL</option>
      <option value="Algeria" data-val="{&quot;id&quot;:3,&quot;country&quot;:&quot;Algeria&quot;,&quot;country_iso2&quot;:&quot;DZ&quot;,&quot;country_iso3&quot;:&quot;DZA&quot;}">DZ</option>
      <option value="American Samoa" data-val="{&quot;id&quot;:4,&quot;country&quot;:&quot;American Samoa&quot;,&quot;country_iso2&quot;:&quot;AS&quot;,&quot;country_iso3&quot;:&quot;ASM&quot;}">AS</option>
      <option value="Andorra" data-val="{&quot;id&quot;:5,&quot;country&quot;:&quot;Andorra&quot;,&quot;country_iso2&quot;:&quot;AD&quot;,&quot;country_iso3&quot;:&quot;AND&quot;}">AD</option>
      <option value="Angola" data-val="{&quot;id&quot;:6,&quot;country&quot;:&quot;Angola&quot;,&quot;country_iso2&quot;:&quot;AO&quot;,&quot;country_iso3&quot;:&quot;AGO&quot;}">AO</option>
      <option value="Anguilla" data-val="{&quot;id&quot;:7,&quot;country&quot;:&quot;Anguilla&quot;,&quot;country_iso2&quot;:&quot;AI&quot;,&quot;country_iso3&quot;:&quot;AIA&quot;}">AI</option>
      <option value="Antarctica" data-val="{&quot;id&quot;:8,&quot;country&quot;:&quot;Antarctica&quot;,&quot;country_iso2&quot;:&quot;AQ&quot;,&quot;country_iso3&quot;:&quot;&quot;}">AQ</option>
      <option value="Antigua and Barbuda" data-val="{&quot;id&quot;:9,&quot;country&quot;:&quot;Antigua and Barbuda&quot;,&quot;country_iso2&quot;:&quot;AG&quot;,&quot;country_iso3&quot;:&quot;ATG&quot;}">AG</option>
      <option value="Argentina" data-val="{&quot;id&quot;:10,&quot;country&quot;:&quot;Argentina&quot;,&quot;country_iso2&quot;:&quot;AR&quot;,&quot;country_iso3&quot;:&quot;ARG&quot;}">AR</option>
      <option value="Armenia" data-val="{&quot;id&quot;:11,&quot;country&quot;:&quot;Armenia&quot;,&quot;country_iso2&quot;:&quot;AM&quot;,&quot;country_iso3&quot;:&quot;ARM&quot;}">AM</option>
      <option value="Aruba" data-val="{&quot;id&quot;:12,&quot;country&quot;:&quot;Aruba&quot;,&quot;country_iso2&quot;:&quot;AW&quot;,&quot;country_iso3&quot;:&quot;ABW&quot;}">AW</option>
      <option value="Australia" data-val="{&quot;id&quot;:13,&quot;country&quot;:&quot;Australia&quot;,&quot;country_iso2&quot;:&quot;AU&quot;,&quot;country_iso3&quot;:&quot;AUS&quot;}">AU</option>
      <option value="Austria" data-val="{&quot;id&quot;:14,&quot;country&quot;:&quot;Austria&quot;,&quot;country_iso2&quot;:&quot;AT&quot;,&quot;country_iso3&quot;:&quot;AUT&quot;}">AT</option>
      <option value="Azerbaijan" data-val="{&quot;id&quot;:15,&quot;country&quot;:&quot;Azerbaijan&quot;,&quot;country_iso2&quot;:&quot;AZ&quot;,&quot;country_iso3&quot;:&quot;AZE&quot;}">AZ</option>
      <option value="Bahamas" data-val="{&quot;id&quot;:16,&quot;country&quot;:&quot;Bahamas&quot;,&quot;country_iso2&quot;:&quot;BS&quot;,&quot;country_iso3&quot;:&quot;BHS&quot;}">BS</option>
      <option value="Bahrain" data-val="{&quot;id&quot;:17,&quot;country&quot;:&quot;Bahrain&quot;,&quot;country_iso2&quot;:&quot;BH&quot;,&quot;country_iso3&quot;:&quot;BHR&quot;}">BH</option>
      <option value="Bangladesh" data-val="{&quot;id&quot;:18,&quot;country&quot;:&quot;Bangladesh&quot;,&quot;country_iso2&quot;:&quot;BD&quot;,&quot;country_iso3&quot;:&quot;BGD&quot;}">BD</option>
      <option value="Barbados" data-val="{&quot;id&quot;:19,&quot;country&quot;:&quot;Barbados&quot;,&quot;country_iso2&quot;:&quot;BB&quot;,&quot;country_iso3&quot;:&quot;BRB&quot;}">BB</option>
      <option value="Belarus" data-val="{&quot;id&quot;:20,&quot;country&quot;:&quot;Belarus&quot;,&quot;country_iso2&quot;:&quot;BY&quot;,&quot;country_iso3&quot;:&quot;BLR&quot;}">BY</option>
      <option value="Belgium" data-val="{&quot;id&quot;:21,&quot;country&quot;:&quot;Belgium&quot;,&quot;country_iso2&quot;:&quot;BE&quot;,&quot;country_iso3&quot;:&quot;BEL&quot;}">BE</option>
      <option value="Belize" data-val="{&quot;id&quot;:22,&quot;country&quot;:&quot;Belize&quot;,&quot;country_iso2&quot;:&quot;BZ&quot;,&quot;country_iso3&quot;:&quot;BLZ&quot;}">BZ</option>
      <option value="Benin" data-val="{&quot;id&quot;:23,&quot;country&quot;:&quot;Benin&quot;,&quot;country_iso2&quot;:&quot;BJ&quot;,&quot;country_iso3&quot;:&quot;BEN&quot;}">BJ</option>
      <option value="Bermuda" data-val="{&quot;id&quot;:24,&quot;country&quot;:&quot;Bermuda&quot;,&quot;country_iso2&quot;:&quot;BM&quot;,&quot;country_iso3&quot;:&quot;BMU&quot;}">BM</option>
      <option value="Bhutan" data-val="{&quot;id&quot;:25,&quot;country&quot;:&quot;Bhutan&quot;,&quot;country_iso2&quot;:&quot;BT&quot;,&quot;country_iso3&quot;:&quot;BTN&quot;}">BT</option>
      <option value="Bolivia" data-val="{&quot;id&quot;:26,&quot;country&quot;:&quot;Bolivia&quot;,&quot;country_iso2&quot;:&quot;BO&quot;,&quot;country_iso3&quot;:&quot;BOL&quot;}">BO</option>
      <option value="Bosnia and Herzegovina" data-val="{&quot;id&quot;:27,&quot;country&quot;:&quot;Bosnia and Herzegovina&quot;,&quot;country_iso2&quot;:&quot;BA&quot;,&quot;country_iso3&quot;:&quot;BIH&quot;}">BA</option>
      <option value="Botswana" data-val="{&quot;id&quot;:28,&quot;country&quot;:&quot;Botswana&quot;,&quot;country_iso2&quot;:&quot;BW&quot;,&quot;country_iso3&quot;:&quot;BWA&quot;}">BW</option>
      <option value="Bouvet Island" data-val="{&quot;id&quot;:29,&quot;country&quot;:&quot;Bouvet Island&quot;,&quot;country_iso2&quot;:&quot;BV&quot;,&quot;country_iso3&quot;:&quot;BVT&quot;}">BV</option>
      <option value="Brazil" data-val="{&quot;id&quot;:30,&quot;country&quot;:&quot;Brazil&quot;,&quot;country_iso2&quot;:&quot;BR&quot;,&quot;country_iso3&quot;:&quot;BRA&quot;}">BR</option>
      <option value="British Indian Ocean Territory" data-val="{&quot;id&quot;:31,&quot;country&quot;:&quot;British Indian Ocean Territory&quot;,&quot;country_iso2&quot;:&quot;IO&quot;,&quot;country_iso3&quot;:&quot;IOT&quot;}">IO</option>
      <option value="Brunei Darussalam" data-val="{&quot;id&quot;:32,&quot;country&quot;:&quot;Brunei Darussalam&quot;,&quot;country_iso2&quot;:&quot;BN&quot;,&quot;country_iso3&quot;:&quot;BRN&quot;}">BN</option>
      <option value="Bulgaria" data-val="{&quot;id&quot;:33,&quot;country&quot;:&quot;Bulgaria&quot;,&quot;country_iso2&quot;:&quot;BG&quot;,&quot;country_iso3&quot;:&quot;BGR&quot;}">BG</option>
      <option value="Burkina Faso" data-val="{&quot;id&quot;:34,&quot;country&quot;:&quot;Burkina Faso&quot;,&quot;country_iso2&quot;:&quot;BF&quot;,&quot;country_iso3&quot;:&quot;BFA&quot;}">BF</option>
      <option value="Burundi" data-val="{&quot;id&quot;:35,&quot;country&quot;:&quot;Burundi&quot;,&quot;country_iso2&quot;:&quot;BI&quot;,&quot;country_iso3&quot;:&quot;BDI&quot;}">BI</option>
      <option value="Cambodia" data-val="{&quot;id&quot;:36,&quot;country&quot;:&quot;Cambodia&quot;,&quot;country_iso2&quot;:&quot;KH&quot;,&quot;country_iso3&quot;:&quot;KHM&quot;}">KH</option>
      <option value="Cameroon" data-val="{&quot;id&quot;:37,&quot;country&quot;:&quot;Cameroon&quot;,&quot;country_iso2&quot;:&quot;CM&quot;,&quot;country_iso3&quot;:&quot;CMR&quot;}">CM</option>
      <option value="Canada" data-val="{&quot;id&quot;:38,&quot;country&quot;:&quot;Canada&quot;,&quot;country_iso2&quot;:&quot;CA&quot;,&quot;country_iso3&quot;:&quot;CAN&quot;}">CA</option>
      <option value="Cape Verde" data-val="{&quot;id&quot;:39,&quot;country&quot;:&quot;Cape Verde&quot;,&quot;country_iso2&quot;:&quot;CV&quot;,&quot;country_iso3&quot;:&quot;CPV&quot;}">CV</option>
      <option value="Cayman Islands" data-val="{&quot;id&quot;:40,&quot;country&quot;:&quot;Cayman Islands&quot;,&quot;country_iso2&quot;:&quot;KY&quot;,&quot;country_iso3&quot;:&quot;CYM&quot;}">KY</option>
      <option value="Central African Republic" data-val="{&quot;id&quot;:41,&quot;country&quot;:&quot;Central African Republic&quot;,&quot;country_iso2&quot;:&quot;CF&quot;,&quot;country_iso3&quot;:&quot;CAF&quot;}">CF</option>
      <option value="Chad" data-val="{&quot;id&quot;:42,&quot;country&quot;:&quot;Chad&quot;,&quot;country_iso2&quot;:&quot;TD&quot;,&quot;country_iso3&quot;:&quot;TCD&quot;}">TD</option>
      <option value="Chile" data-val="{&quot;id&quot;:43,&quot;country&quot;:&quot;Chile&quot;,&quot;country_iso2&quot;:&quot;CL&quot;,&quot;country_iso3&quot;:&quot;CHL&quot;}">CL</option>
      <option value="China" data-val="{&quot;id&quot;:44,&quot;country&quot;:&quot;China&quot;,&quot;country_iso2&quot;:&quot;CN&quot;,&quot;country_iso3&quot;:&quot;CHN&quot;}">CN</option>
      <option value="Christmas Island" data-val="{&quot;id&quot;:45,&quot;country&quot;:&quot;Christmas Island&quot;,&quot;country_iso2&quot;:&quot;CX&quot;,&quot;country_iso3&quot;:&quot;CXR&quot;}">CX</option>
      <option value="Cocos (Keeling) Islands" data-val="{&quot;id&quot;:46,&quot;country&quot;:&quot;Cocos (Keeling) Islands&quot;,&quot;country_iso2&quot;:&quot;CC&quot;,&quot;country_iso3&quot;:&quot;CCK&quot;}">CC</option>
      <option value="Colombia" data-val="{&quot;id&quot;:47,&quot;country&quot;:&quot;Colombia&quot;,&quot;country_iso2&quot;:&quot;CO&quot;,&quot;country_iso3&quot;:&quot;COL&quot;}">CO</option>
      <option value="Comoros" data-val="{&quot;id&quot;:48,&quot;country&quot;:&quot;Comoros&quot;,&quot;country_iso2&quot;:&quot;KM&quot;,&quot;country_iso3&quot;:&quot;COM&quot;}">KM</option>
      <option value="Congo" data-val="{&quot;id&quot;:49,&quot;country&quot;:&quot;Congo&quot;,&quot;country_iso2&quot;:&quot;CG&quot;,&quot;country_iso3&quot;:&quot;COG&quot;}">CG</option>
      <option value="Congo, the Democratic Republic of the" data-val="{&quot;id&quot;:50,&quot;country&quot;:&quot;Congo, the Democratic Republic of the&quot;,&quot;country_iso2&quot;:&quot;CD&quot;,&quot;country_iso3&quot;:&quot;COD&quot;}">CD
      </option>
      <option value="Cook Islands" data-val="{&quot;id&quot;:51,&quot;country&quot;:&quot;Cook Islands&quot;,&quot;country_iso2&quot;:&quot;CK&quot;,&quot;country_iso3&quot;:&quot;COK&quot;}">CK</option>
      <option value="Costa Rica" data-val="{&quot;id&quot;:52,&quot;country&quot;:&quot;Costa Rica&quot;,&quot;country_iso2&quot;:&quot;CR&quot;,&quot;country_iso3&quot;:&quot;CRI&quot;}">CR</option>
      <option value="Croatia" data-val="{&quot;id&quot;:54,&quot;country&quot;:&quot;Croatia&quot;,&quot;country_iso2&quot;:&quot;HR&quot;,&quot;country_iso3&quot;:&quot;HRV&quot;}">HR</option>
      <option value="Cyprus" data-val="{&quot;id&quot;:56,&quot;country&quot;:&quot;Cyprus&quot;,&quot;country_iso2&quot;:&quot;CY&quot;,&quot;country_iso3&quot;:&quot;CYP&quot;}">CY</option>
      <option value="Czech Republic" data-val="{&quot;id&quot;:57,&quot;country&quot;:&quot;Czech Republic&quot;,&quot;country_iso2&quot;:&quot;CZ&quot;,&quot;country_iso3&quot;:&quot;CZE&quot;}">CZ</option>
      <option value="Denmark" data-val="{&quot;id&quot;:58,&quot;country&quot;:&quot;Denmark&quot;,&quot;country_iso2&quot;:&quot;DK&quot;,&quot;country_iso3&quot;:&quot;DNK&quot;}">DK</option>
      <option value="Djibouti" data-val="{&quot;id&quot;:59,&quot;country&quot;:&quot;Djibouti&quot;,&quot;country_iso2&quot;:&quot;DJ&quot;,&quot;country_iso3&quot;:&quot;DJI&quot;}">DJ</option>
      <option value="Dominica" data-val="{&quot;id&quot;:60,&quot;country&quot;:&quot;Dominica&quot;,&quot;country_iso2&quot;:&quot;DM&quot;,&quot;country_iso3&quot;:&quot;DMA&quot;}">DM</option>
      <option value="Dominican Republic" data-val="{&quot;id&quot;:61,&quot;country&quot;:&quot;Dominican Republic&quot;,&quot;country_iso2&quot;:&quot;DO&quot;,&quot;country_iso3&quot;:&quot;DOM&quot;}">DO</option>
      <option value="Ecuador" data-val="{&quot;id&quot;:62,&quot;country&quot;:&quot;Ecuador&quot;,&quot;country_iso2&quot;:&quot;EC&quot;,&quot;country_iso3&quot;:&quot;ECU&quot;}">EC</option>
      <option value="Egypt" data-val="{&quot;id&quot;:63,&quot;country&quot;:&quot;Egypt&quot;,&quot;country_iso2&quot;:&quot;EG&quot;,&quot;country_iso3&quot;:&quot;EGY&quot;}">EG</option>
      <option value="El Salvador" data-val="{&quot;id&quot;:64,&quot;country&quot;:&quot;El Salvador&quot;,&quot;country_iso2&quot;:&quot;SV&quot;,&quot;country_iso3&quot;:&quot;SLV&quot;}">SV</option>
      <option value="Equatorial Guinea" data-val="{&quot;id&quot;:65,&quot;country&quot;:&quot;Equatorial Guinea&quot;,&quot;country_iso2&quot;:&quot;GQ&quot;,&quot;country_iso3&quot;:&quot;GNQ&quot;}">GQ</option>
      <option value="Eritrea" data-val="{&quot;id&quot;:66,&quot;country&quot;:&quot;Eritrea&quot;,&quot;country_iso2&quot;:&quot;ER&quot;,&quot;country_iso3&quot;:&quot;ERI&quot;}">ER</option>
      <option value="Estonia" data-val="{&quot;id&quot;:67,&quot;country&quot;:&quot;Estonia&quot;,&quot;country_iso2&quot;:&quot;EE&quot;,&quot;country_iso3&quot;:&quot;EST&quot;}">EE</option>
      <option value="Ethiopia" data-val="{&quot;id&quot;:68,&quot;country&quot;:&quot;Ethiopia&quot;,&quot;country_iso2&quot;:&quot;ET&quot;,&quot;country_iso3&quot;:&quot;ETH&quot;}">ET</option>
      <option value="Falkland Islands (Malvinas)" data-val="{&quot;id&quot;:69,&quot;country&quot;:&quot;Falkland Islands (Malvinas)&quot;,&quot;country_iso2&quot;:&quot;FK&quot;,&quot;country_iso3&quot;:&quot;FLK&quot;}">FK</option>
      <option value="Faroe Islands" data-val="{&quot;id&quot;:70,&quot;country&quot;:&quot;Faroe Islands&quot;,&quot;country_iso2&quot;:&quot;FO&quot;,&quot;country_iso3&quot;:&quot;FRO&quot;}">FO</option>
      <option value="Fiji" data-val="{&quot;id&quot;:71,&quot;country&quot;:&quot;Fiji&quot;,&quot;country_iso2&quot;:&quot;FJ&quot;,&quot;country_iso3&quot;:&quot;FJI&quot;}">FJ</option>
      <option value="Finland" data-val="{&quot;id&quot;:72,&quot;country&quot;:&quot;Finland&quot;,&quot;country_iso2&quot;:&quot;FI&quot;,&quot;country_iso3&quot;:&quot;FIN&quot;}">FI</option>
      <option value="France" data-val="{&quot;id&quot;:73,&quot;country&quot;:&quot;France&quot;,&quot;country_iso2&quot;:&quot;FR&quot;,&quot;country_iso3&quot;:&quot;FRA&quot;}">FR</option>
      <option value="French Guiana" data-val="{&quot;id&quot;:74,&quot;country&quot;:&quot;French Guiana&quot;,&quot;country_iso2&quot;:&quot;GF&quot;,&quot;country_iso3&quot;:&quot;GUF&quot;}">GF</option>
      <option value="French Polynesia" data-val="{&quot;id&quot;:75,&quot;country&quot;:&quot;French Polynesia&quot;,&quot;country_iso2&quot;:&quot;PF&quot;,&quot;country_iso3&quot;:&quot;PYF&quot;}">PF</option>
      <option value="French Southern Territories" data-val="{&quot;id&quot;:76,&quot;country&quot;:&quot;French Southern Territories&quot;,&quot;country_iso2&quot;:&quot;TF&quot;,&quot;country_iso3&quot;:&quot;ATF&quot;}">TF</option>
      <option value="Gabon" data-val="{&quot;id&quot;:77,&quot;country&quot;:&quot;Gabon&quot;,&quot;country_iso2&quot;:&quot;GA&quot;,&quot;country_iso3&quot;:&quot;GAB&quot;}">GA</option>
      <option value="Gambia" data-val="{&quot;id&quot;:78,&quot;country&quot;:&quot;Gambia&quot;,&quot;country_iso2&quot;:&quot;GM&quot;,&quot;country_iso3&quot;:&quot;GMB&quot;}">GM</option>
      <option value="Georgia" data-val="{&quot;id&quot;:79,&quot;country&quot;:&quot;Georgia&quot;,&quot;country_iso2&quot;:&quot;GE&quot;,&quot;country_iso3&quot;:&quot;GEO&quot;}">GE</option>
      <option value="Germany" data-val="{&quot;id&quot;:80,&quot;country&quot;:&quot;Germany&quot;,&quot;country_iso2&quot;:&quot;DE&quot;,&quot;country_iso3&quot;:&quot;DEU&quot;}">DE</option>
      <option value="Ghana" data-val="{&quot;id&quot;:81,&quot;country&quot;:&quot;Ghana&quot;,&quot;country_iso2&quot;:&quot;GH&quot;,&quot;country_iso3&quot;:&quot;GHA&quot;}">GH</option>
      <option value="Gibraltar" data-val="{&quot;id&quot;:82,&quot;country&quot;:&quot;Gibraltar&quot;,&quot;country_iso2&quot;:&quot;GI&quot;,&quot;country_iso3&quot;:&quot;GIB&quot;}">GI</option>
      <option value="Greece" data-val="{&quot;id&quot;:83,&quot;country&quot;:&quot;Greece&quot;,&quot;country_iso2&quot;:&quot;GR&quot;,&quot;country_iso3&quot;:&quot;GRC&quot;}">GR</option>
      <option value="Greenland" data-val="{&quot;id&quot;:84,&quot;country&quot;:&quot;Greenland&quot;,&quot;country_iso2&quot;:&quot;GL&quot;,&quot;country_iso3&quot;:&quot;GRL&quot;}">GL</option>
      <option value="Grenada" data-val="{&quot;id&quot;:85,&quot;country&quot;:&quot;Grenada&quot;,&quot;country_iso2&quot;:&quot;GD&quot;,&quot;country_iso3&quot;:&quot;GRD&quot;}">GD</option>
      <option value="Guadeloupe" data-val="{&quot;id&quot;:86,&quot;country&quot;:&quot;Guadeloupe&quot;,&quot;country_iso2&quot;:&quot;GP&quot;,&quot;country_iso3&quot;:&quot;GLP&quot;}">GP</option>
      <option value="Guam" data-val="{&quot;id&quot;:87,&quot;country&quot;:&quot;Guam&quot;,&quot;country_iso2&quot;:&quot;GU&quot;,&quot;country_iso3&quot;:&quot;GUM&quot;}">GU</option>
      <option value="Guatemala" data-val="{&quot;id&quot;:88,&quot;country&quot;:&quot;Guatemala&quot;,&quot;country_iso2&quot;:&quot;GT&quot;,&quot;country_iso3&quot;:&quot;GTM&quot;}">GT</option>
      <option value="Guinea" data-val="{&quot;id&quot;:89,&quot;country&quot;:&quot;Guinea&quot;,&quot;country_iso2&quot;:&quot;GN&quot;,&quot;country_iso3&quot;:&quot;GIN&quot;}">GN</option>
      <option value="Guinea-Bissau" data-val="{&quot;id&quot;:90,&quot;country&quot;:&quot;Guinea-Bissau&quot;,&quot;country_iso2&quot;:&quot;GW&quot;,&quot;country_iso3&quot;:&quot;GNB&quot;}">GW</option>
      <option value="Guyana" data-val="{&quot;id&quot;:91,&quot;country&quot;:&quot;Guyana&quot;,&quot;country_iso2&quot;:&quot;GY&quot;,&quot;country_iso3&quot;:&quot;GUY&quot;}">GY</option>
      <option value="Haiti" data-val="{&quot;id&quot;:92,&quot;country&quot;:&quot;Haiti&quot;,&quot;country_iso2&quot;:&quot;HT&quot;,&quot;country_iso3&quot;:&quot;HTI&quot;}">HT</option>
      <option value="Heard Island and Mcdonald Islands" data-val="{&quot;id&quot;:93,&quot;country&quot;:&quot;Heard Island and Mcdonald Islands&quot;,&quot;country_iso2&quot;:&quot;HM&quot;,&quot;country_iso3&quot;:&quot;&quot;}">HM</option>
      <option value="Holy See (Vatican City State)" data-val="{&quot;id&quot;:94,&quot;country&quot;:&quot;Holy See (Vatican City State)&quot;,&quot;country_iso2&quot;:&quot;VA&quot;,&quot;country_iso3&quot;:&quot;VAT&quot;}">VA</option>
      <option value="Honduras" data-val="{&quot;id&quot;:95,&quot;country&quot;:&quot;Honduras&quot;,&quot;country_iso2&quot;:&quot;HN&quot;,&quot;country_iso3&quot;:&quot;HND&quot;}">HN</option>
      <option value="Hong Kong" data-val="{&quot;id&quot;:96,&quot;country&quot;:&quot;Hong Kong&quot;,&quot;country_iso2&quot;:&quot;HK&quot;,&quot;country_iso3&quot;:&quot;HKG&quot;}">HK</option>
      <option value="Hungary" data-val="{&quot;id&quot;:97,&quot;country&quot;:&quot;Hungary&quot;,&quot;country_iso2&quot;:&quot;HU&quot;,&quot;country_iso3&quot;:&quot;HUN&quot;}">HU</option>
      <option value="Iceland" data-val="{&quot;id&quot;:98,&quot;country&quot;:&quot;Iceland&quot;,&quot;country_iso2&quot;:&quot;IS&quot;,&quot;country_iso3&quot;:&quot;ISL&quot;}">IS</option>
      <option value="India" data-val="{&quot;id&quot;:99,&quot;country&quot;:&quot;India&quot;,&quot;country_iso2&quot;:&quot;IN&quot;,&quot;country_iso3&quot;:&quot;IND&quot;}">IN</option>
      <option value="Indonesia" data-val="{&quot;id&quot;:100,&quot;country&quot;:&quot;Indonesia&quot;,&quot;country_iso2&quot;:&quot;ID&quot;,&quot;country_iso3&quot;:&quot;IDN&quot;}">ID</option>
      <option value="Iraq" data-val="{&quot;id&quot;:102,&quot;country&quot;:&quot;Iraq&quot;,&quot;country_iso2&quot;:&quot;IQ&quot;,&quot;country_iso3&quot;:&quot;IRQ&quot;}">IQ</option>
      <option value="Ireland" data-val="{&quot;id&quot;:103,&quot;country&quot;:&quot;Ireland&quot;,&quot;country_iso2&quot;:&quot;IE&quot;,&quot;country_iso3&quot;:&quot;IRL&quot;}">IE</option>
      <option value="Israel" data-val="{&quot;id&quot;:104,&quot;country&quot;:&quot;Israel&quot;,&quot;country_iso2&quot;:&quot;IL&quot;,&quot;country_iso3&quot;:&quot;ISR&quot;}">IL</option>
      <option value="Italy" data-val="{&quot;id&quot;:105,&quot;country&quot;:&quot;Italy&quot;,&quot;country_iso2&quot;:&quot;IT&quot;,&quot;country_iso3&quot;:&quot;ITA&quot;}">IT</option>
      <option value="Jamaica" data-val="{&quot;id&quot;:106,&quot;country&quot;:&quot;Jamaica&quot;,&quot;country_iso2&quot;:&quot;JM&quot;,&quot;country_iso3&quot;:&quot;JAM&quot;}">JM</option>
      <option value="Japan" data-val="{&quot;id&quot;:107,&quot;country&quot;:&quot;Japan&quot;,&quot;country_iso2&quot;:&quot;JP&quot;,&quot;country_iso3&quot;:&quot;JPN&quot;}">JP</option>
      <option value="Jordan" data-val="{&quot;id&quot;:108,&quot;country&quot;:&quot;Jordan&quot;,&quot;country_iso2&quot;:&quot;JO&quot;,&quot;country_iso3&quot;:&quot;JOR&quot;}">JO</option>
      <option value="Kazakhstan" data-val="{&quot;id&quot;:109,&quot;country&quot;:&quot;Kazakhstan&quot;,&quot;country_iso2&quot;:&quot;KZ&quot;,&quot;country_iso3&quot;:&quot;KAZ&quot;}">KZ</option>
      <option value="Kenya" data-val="{&quot;id&quot;:110,&quot;country&quot;:&quot;Kenya&quot;,&quot;country_iso2&quot;:&quot;KE&quot;,&quot;country_iso3&quot;:&quot;KEN&quot;}">KE</option>
      <option value="Kiribati" data-val="{&quot;id&quot;:111,&quot;country&quot;:&quot;Kiribati&quot;,&quot;country_iso2&quot;:&quot;KI&quot;,&quot;country_iso3&quot;:&quot;KIR&quot;}">KI</option>
      <option value="Korea, Republic of" data-val="{&quot;id&quot;:113,&quot;country&quot;:&quot;Korea, Republic of&quot;,&quot;country_iso2&quot;:&quot;KR&quot;,&quot;country_iso3&quot;:&quot;KOR&quot;}">KR</option>
      <option value="Kuwait" data-val="{&quot;id&quot;:114,&quot;country&quot;:&quot;Kuwait&quot;,&quot;country_iso2&quot;:&quot;KW&quot;,&quot;country_iso3&quot;:&quot;KWT&quot;}">KW</option>
      <option value="Kyrgyzstan" data-val="{&quot;id&quot;:115,&quot;country&quot;:&quot;Kyrgyzstan&quot;,&quot;country_iso2&quot;:&quot;KG&quot;,&quot;country_iso3&quot;:&quot;KGZ&quot;}">KG</option>
      <option value="Latvia" data-val="{&quot;id&quot;:117,&quot;country&quot;:&quot;Latvia&quot;,&quot;country_iso2&quot;:&quot;LV&quot;,&quot;country_iso3&quot;:&quot;LVA&quot;}">LV</option>
      <option value="Lebanon" data-val="{&quot;id&quot;:118,&quot;country&quot;:&quot;Lebanon&quot;,&quot;country_iso2&quot;:&quot;LB&quot;,&quot;country_iso3&quot;:&quot;LBN&quot;}">LB</option>
      <option value="Lesotho" data-val="{&quot;id&quot;:119,&quot;country&quot;:&quot;Lesotho&quot;,&quot;country_iso2&quot;:&quot;LS&quot;,&quot;country_iso3&quot;:&quot;LSO&quot;}">LS</option>
      <option value="Liberia" data-val="{&quot;id&quot;:120,&quot;country&quot;:&quot;Liberia&quot;,&quot;country_iso2&quot;:&quot;LR&quot;,&quot;country_iso3&quot;:&quot;LBR&quot;}">LR</option>
      <option value="Libya" data-val="{&quot;id&quot;:121,&quot;country&quot;:&quot;Libya&quot;,&quot;country_iso2&quot;:&quot;LY&quot;,&quot;country_iso3&quot;:&quot;LBY&quot;}">LY</option>
      <option value="Liechtenstein" data-val="{&quot;id&quot;:122,&quot;country&quot;:&quot;Liechtenstein&quot;,&quot;country_iso2&quot;:&quot;LI&quot;,&quot;country_iso3&quot;:&quot;LIE&quot;}">LI</option>
      <option value="Lithuania" data-val="{&quot;id&quot;:123,&quot;country&quot;:&quot;Lithuania&quot;,&quot;country_iso2&quot;:&quot;LT&quot;,&quot;country_iso3&quot;:&quot;LTU&quot;}">LT</option>
      <option value="Luxembourg" data-val="{&quot;id&quot;:124,&quot;country&quot;:&quot;Luxembourg&quot;,&quot;country_iso2&quot;:&quot;LU&quot;,&quot;country_iso3&quot;:&quot;LUX&quot;}">LU</option>
      <option value="Macao" data-val="{&quot;id&quot;:125,&quot;country&quot;:&quot;Macao&quot;,&quot;country_iso2&quot;:&quot;MO&quot;,&quot;country_iso3&quot;:&quot;MAC&quot;}">MO</option>
      <option value="Republic of North Macedonia" data-val="{&quot;id&quot;:126,&quot;country&quot;:&quot;Republic of North Macedonia&quot;,&quot;country_iso2&quot;:&quot;MK&quot;,&quot;country_iso3&quot;:&quot;MKD&quot;}">MK</option>
      <option value="Madagascar" data-val="{&quot;id&quot;:127,&quot;country&quot;:&quot;Madagascar&quot;,&quot;country_iso2&quot;:&quot;MG&quot;,&quot;country_iso3&quot;:&quot;MDG&quot;}">MG</option>
      <option value="Malawi" data-val="{&quot;id&quot;:128,&quot;country&quot;:&quot;Malawi&quot;,&quot;country_iso2&quot;:&quot;MW&quot;,&quot;country_iso3&quot;:&quot;MWI&quot;}">MW</option>
      <option value="Malaysia" data-val="{&quot;id&quot;:129,&quot;country&quot;:&quot;Malaysia&quot;,&quot;country_iso2&quot;:&quot;MY&quot;,&quot;country_iso3&quot;:&quot;MYS&quot;}">MY</option>
      <option value="Maldives" data-val="{&quot;id&quot;:130,&quot;country&quot;:&quot;Maldives&quot;,&quot;country_iso2&quot;:&quot;MV&quot;,&quot;country_iso3&quot;:&quot;MDV&quot;}">MV</option>
      <option value="Mali" data-val="{&quot;id&quot;:131,&quot;country&quot;:&quot;Mali&quot;,&quot;country_iso2&quot;:&quot;ML&quot;,&quot;country_iso3&quot;:&quot;MLI&quot;}">ML</option>
      <option value="Malta" data-val="{&quot;id&quot;:132,&quot;country&quot;:&quot;Malta&quot;,&quot;country_iso2&quot;:&quot;MT&quot;,&quot;country_iso3&quot;:&quot;MLT&quot;}">MT</option>
      <option value="Marshall Islands" data-val="{&quot;id&quot;:133,&quot;country&quot;:&quot;Marshall Islands&quot;,&quot;country_iso2&quot;:&quot;MH&quot;,&quot;country_iso3&quot;:&quot;MHL&quot;}">MH</option>
      <option value="Martinique" data-val="{&quot;id&quot;:134,&quot;country&quot;:&quot;Martinique&quot;,&quot;country_iso2&quot;:&quot;MQ&quot;,&quot;country_iso3&quot;:&quot;MTQ&quot;}">MQ</option>
      <option value="Mauritania" data-val="{&quot;id&quot;:135,&quot;country&quot;:&quot;Mauritania&quot;,&quot;country_iso2&quot;:&quot;MR&quot;,&quot;country_iso3&quot;:&quot;MRT&quot;}">MR</option>
      <option value="Mauritius" data-val="{&quot;id&quot;:136,&quot;country&quot;:&quot;Mauritius&quot;,&quot;country_iso2&quot;:&quot;MU&quot;,&quot;country_iso3&quot;:&quot;MUS&quot;}">MU</option>
      <option value="Mayotte" data-val="{&quot;id&quot;:137,&quot;country&quot;:&quot;Mayotte&quot;,&quot;country_iso2&quot;:&quot;YT&quot;,&quot;country_iso3&quot;:&quot;MYT&quot;}">YT</option>
      <option value="Mexico" data-val="{&quot;id&quot;:138,&quot;country&quot;:&quot;Mexico&quot;,&quot;country_iso2&quot;:&quot;MX&quot;,&quot;country_iso3&quot;:&quot;MEX&quot;}">MX</option>
      <option value="Micronesia, Federated States of" data-val="{&quot;id&quot;:139,&quot;country&quot;:&quot;Micronesia, Federated States of&quot;,&quot;country_iso2&quot;:&quot;FM&quot;,&quot;country_iso3&quot;:&quot;FSM&quot;}">FM</option>
      <option value="Moldova, Republic of" data-val="{&quot;id&quot;:140,&quot;country&quot;:&quot;Moldova, Republic of&quot;,&quot;country_iso2&quot;:&quot;MD&quot;,&quot;country_iso3&quot;:&quot;MDA&quot;}">MD</option>
      <option value="Monaco" data-val="{&quot;id&quot;:141,&quot;country&quot;:&quot;Monaco&quot;,&quot;country_iso2&quot;:&quot;MC&quot;,&quot;country_iso3&quot;:&quot;MCO&quot;}">MC</option>
      <option value="Mongolia" data-val="{&quot;id&quot;:142,&quot;country&quot;:&quot;Mongolia&quot;,&quot;country_iso2&quot;:&quot;MN&quot;,&quot;country_iso3&quot;:&quot;MNG&quot;}">MN</option>
      <option value="Montserrat" data-val="{&quot;id&quot;:143,&quot;country&quot;:&quot;Montserrat&quot;,&quot;country_iso2&quot;:&quot;MS&quot;,&quot;country_iso3&quot;:&quot;MSR&quot;}">MS</option>
      <option value="Morocco" data-val="{&quot;id&quot;:144,&quot;country&quot;:&quot;Morocco&quot;,&quot;country_iso2&quot;:&quot;MA&quot;,&quot;country_iso3&quot;:&quot;MAR&quot;}">MA</option>
      <option value="Mozambique" data-val="{&quot;id&quot;:145,&quot;country&quot;:&quot;Mozambique&quot;,&quot;country_iso2&quot;:&quot;MZ&quot;,&quot;country_iso3&quot;:&quot;MOZ&quot;}">MZ</option>
      <option value="Myanmar" data-val="{&quot;id&quot;:146,&quot;country&quot;:&quot;Myanmar&quot;,&quot;country_iso2&quot;:&quot;MM&quot;,&quot;country_iso3&quot;:&quot;MMR&quot;}">MM</option>
      <option value="Namibia" data-val="{&quot;id&quot;:147,&quot;country&quot;:&quot;Namibia&quot;,&quot;country_iso2&quot;:&quot;NA&quot;,&quot;country_iso3&quot;:&quot;NAM&quot;}">NA</option>
      <option value="Nauru" data-val="{&quot;id&quot;:148,&quot;country&quot;:&quot;Nauru&quot;,&quot;country_iso2&quot;:&quot;NR&quot;,&quot;country_iso3&quot;:&quot;NRU&quot;}">NR</option>
      <option value="Nepal" data-val="{&quot;id&quot;:149,&quot;country&quot;:&quot;Nepal&quot;,&quot;country_iso2&quot;:&quot;NP&quot;,&quot;country_iso3&quot;:&quot;NPL&quot;}">NP</option>
      <option value="Netherlands" data-val="{&quot;id&quot;:150,&quot;country&quot;:&quot;Netherlands&quot;,&quot;country_iso2&quot;:&quot;NL&quot;,&quot;country_iso3&quot;:&quot;NLD&quot;}">NL</option>
      <option value="Netherlands Antilles" data-val="{&quot;id&quot;:151,&quot;country&quot;:&quot;Netherlands Antilles&quot;,&quot;country_iso2&quot;:&quot;AN&quot;,&quot;country_iso3&quot;:&quot;ANT&quot;}">AN</option>
      <option value="New Caledonia" data-val="{&quot;id&quot;:152,&quot;country&quot;:&quot;New Caledonia&quot;,&quot;country_iso2&quot;:&quot;NC&quot;,&quot;country_iso3&quot;:&quot;NCL&quot;}">NC</option>
      <option value="New Zealand" data-val="{&quot;id&quot;:153,&quot;country&quot;:&quot;New Zealand&quot;,&quot;country_iso2&quot;:&quot;NZ&quot;,&quot;country_iso3&quot;:&quot;NZL&quot;}">NZ</option>
      <option value="Nicaragua" data-val="{&quot;id&quot;:154,&quot;country&quot;:&quot;Nicaragua&quot;,&quot;country_iso2&quot;:&quot;NI&quot;,&quot;country_iso3&quot;:&quot;NIC&quot;}">NI</option>
      <option value="Niger" data-val="{&quot;id&quot;:155,&quot;country&quot;:&quot;Niger&quot;,&quot;country_iso2&quot;:&quot;NE&quot;,&quot;country_iso3&quot;:&quot;NER&quot;}">NE</option>
      <option value="Nigeria" data-val="{&quot;id&quot;:156,&quot;country&quot;:&quot;Nigeria&quot;,&quot;country_iso2&quot;:&quot;NG&quot;,&quot;country_iso3&quot;:&quot;NGA&quot;}">NG</option>
      <option value="Niue" data-val="{&quot;id&quot;:157,&quot;country&quot;:&quot;Niue&quot;,&quot;country_iso2&quot;:&quot;NU&quot;,&quot;country_iso3&quot;:&quot;NIU&quot;}">NU</option>
      <option value="Norfolk Island" data-val="{&quot;id&quot;:158,&quot;country&quot;:&quot;Norfolk Island&quot;,&quot;country_iso2&quot;:&quot;NF&quot;,&quot;country_iso3&quot;:&quot;NFK&quot;}">NF</option>
      <option value="Northern Mariana Islands" data-val="{&quot;id&quot;:159,&quot;country&quot;:&quot;Northern Mariana Islands&quot;,&quot;country_iso2&quot;:&quot;MP&quot;,&quot;country_iso3&quot;:&quot;MNP&quot;}">MP</option>
      <option value="Norway" data-val="{&quot;id&quot;:160,&quot;country&quot;:&quot;Norway&quot;,&quot;country_iso2&quot;:&quot;NO&quot;,&quot;country_iso3&quot;:&quot;NOR&quot;}">NO</option>
      <option value="Oman" data-val="{&quot;id&quot;:161,&quot;country&quot;:&quot;Oman&quot;,&quot;country_iso2&quot;:&quot;OM&quot;,&quot;country_iso3&quot;:&quot;OMN&quot;}">OM</option>
      <option value="Pakistan" data-val="{&quot;id&quot;:162,&quot;country&quot;:&quot;Pakistan&quot;,&quot;country_iso2&quot;:&quot;PK&quot;,&quot;country_iso3&quot;:&quot;PAK&quot;}">PK</option>
      <option value="Palau" data-val="{&quot;id&quot;:163,&quot;country&quot;:&quot;Palau&quot;,&quot;country_iso2&quot;:&quot;PW&quot;,&quot;country_iso3&quot;:&quot;PLW&quot;}">PW</option>
      <option value="Palestinian Territory, Occupied" data-val="{&quot;id&quot;:164,&quot;country&quot;:&quot;Palestinian Territory, Occupied&quot;,&quot;country_iso2&quot;:&quot;PS&quot;,&quot;country_iso3&quot;:&quot;PSE&quot;}">PS</option>
      <option value="Panama" data-val="{&quot;id&quot;:165,&quot;country&quot;:&quot;Panama&quot;,&quot;country_iso2&quot;:&quot;PA&quot;,&quot;country_iso3&quot;:&quot;PAN&quot;}">PA</option>
      <option value="Papua New Guinea" data-val="{&quot;id&quot;:166,&quot;country&quot;:&quot;Papua New Guinea&quot;,&quot;country_iso2&quot;:&quot;PG&quot;,&quot;country_iso3&quot;:&quot;PNG&quot;}">PG</option>
      <option value="Paraguay" data-val="{&quot;id&quot;:167,&quot;country&quot;:&quot;Paraguay&quot;,&quot;country_iso2&quot;:&quot;PY&quot;,&quot;country_iso3&quot;:&quot;PRY&quot;}">PY</option>
      <option value="Peru" data-val="{&quot;id&quot;:168,&quot;country&quot;:&quot;Peru&quot;,&quot;country_iso2&quot;:&quot;PE&quot;,&quot;country_iso3&quot;:&quot;PER&quot;}">PE</option>
      <option value="Philippines" data-val="{&quot;id&quot;:169,&quot;country&quot;:&quot;Philippines&quot;,&quot;country_iso2&quot;:&quot;PH&quot;,&quot;country_iso3&quot;:&quot;PHL&quot;}">PH</option>
      <option value="Pitcairn" data-val="{&quot;id&quot;:170,&quot;country&quot;:&quot;Pitcairn&quot;,&quot;country_iso2&quot;:&quot;PN&quot;,&quot;country_iso3&quot;:&quot;PCN&quot;}">PN</option>
      <option value="Poland" data-val="{&quot;id&quot;:171,&quot;country&quot;:&quot;Poland&quot;,&quot;country_iso2&quot;:&quot;PL&quot;,&quot;country_iso3&quot;:&quot;POL&quot;}">PL</option>
      <option value="Portugal" data-val="{&quot;id&quot;:172,&quot;country&quot;:&quot;Portugal&quot;,&quot;country_iso2&quot;:&quot;PT&quot;,&quot;country_iso3&quot;:&quot;PRT&quot;}">PT</option>
      <option value="Puerto Rico" data-val="{&quot;id&quot;:173,&quot;country&quot;:&quot;Puerto Rico&quot;,&quot;country_iso2&quot;:&quot;PR&quot;,&quot;country_iso3&quot;:&quot;PRI&quot;}">PR</option>
      <option value="Qatar" data-val="{&quot;id&quot;:174,&quot;country&quot;:&quot;Qatar&quot;,&quot;country_iso2&quot;:&quot;QA&quot;,&quot;country_iso3&quot;:&quot;QAT&quot;}">QA</option>
      <option value="Reunion" data-val="{&quot;id&quot;:175,&quot;country&quot;:&quot;Reunion&quot;,&quot;country_iso2&quot;:&quot;RE&quot;,&quot;country_iso3&quot;:&quot;REU&quot;}">RE</option>
      <option value="Romania" data-val="{&quot;id&quot;:176,&quot;country&quot;:&quot;Romania&quot;,&quot;country_iso2&quot;:&quot;RO&quot;,&quot;country_iso3&quot;:&quot;ROU&quot;}">RO</option>
      <option value="Russian Federation" data-val="{&quot;id&quot;:177,&quot;country&quot;:&quot;Russian Federation&quot;,&quot;country_iso2&quot;:&quot;RU&quot;,&quot;country_iso3&quot;:&quot;RUS&quot;}">RU</option>
      <option value="Rwanda" data-val="{&quot;id&quot;:178,&quot;country&quot;:&quot;Rwanda&quot;,&quot;country_iso2&quot;:&quot;RW&quot;,&quot;country_iso3&quot;:&quot;RWA&quot;}">RW</option>
      <option value="Saint Helena" data-val="{&quot;id&quot;:179,&quot;country&quot;:&quot;Saint Helena&quot;,&quot;country_iso2&quot;:&quot;SH&quot;,&quot;country_iso3&quot;:&quot;SHN&quot;}">SH</option>
      <option value="Saint Kitts and Nevis" data-val="{&quot;id&quot;:180,&quot;country&quot;:&quot;Saint Kitts and Nevis&quot;,&quot;country_iso2&quot;:&quot;KN&quot;,&quot;country_iso3&quot;:&quot;KNA&quot;}">KN</option>
      <option value="Saint Lucia" data-val="{&quot;id&quot;:181,&quot;country&quot;:&quot;Saint Lucia&quot;,&quot;country_iso2&quot;:&quot;LC&quot;,&quot;country_iso3&quot;:&quot;LCA&quot;}">LC</option>
      <option value="Saint Pierre and Miquelon" data-val="{&quot;id&quot;:182,&quot;country&quot;:&quot;Saint Pierre and Miquelon&quot;,&quot;country_iso2&quot;:&quot;PM&quot;,&quot;country_iso3&quot;:&quot;SPM&quot;}">PM</option>
      <option value="Saint Vincent and the Grenadines" data-val="{&quot;id&quot;:183,&quot;country&quot;:&quot;Saint Vincent and the Grenadines&quot;,&quot;country_iso2&quot;:&quot;VC&quot;,&quot;country_iso3&quot;:&quot;VCT&quot;}">VC</option>
      <option value="Samoa" data-val="{&quot;id&quot;:184,&quot;country&quot;:&quot;Samoa&quot;,&quot;country_iso2&quot;:&quot;WS&quot;,&quot;country_iso3&quot;:&quot;WSM&quot;}">WS</option>
      <option value="San Marino" data-val="{&quot;id&quot;:185,&quot;country&quot;:&quot;San Marino&quot;,&quot;country_iso2&quot;:&quot;SM&quot;,&quot;country_iso3&quot;:&quot;SMR&quot;}">SM</option>
      <option value="Sao Tome and Principe" data-val="{&quot;id&quot;:186,&quot;country&quot;:&quot;Sao Tome and Principe&quot;,&quot;country_iso2&quot;:&quot;ST&quot;,&quot;country_iso3&quot;:&quot;STP&quot;}">ST</option>
      <option value="Saudi Arabia" data-val="{&quot;id&quot;:187,&quot;country&quot;:&quot;Saudi Arabia&quot;,&quot;country_iso2&quot;:&quot;SA&quot;,&quot;country_iso3&quot;:&quot;SAU&quot;}">SA</option>
      <option value="Senegal" data-val="{&quot;id&quot;:188,&quot;country&quot;:&quot;Senegal&quot;,&quot;country_iso2&quot;:&quot;SN&quot;,&quot;country_iso3&quot;:&quot;SEN&quot;}">SN</option>
      <option value="Serbia" data-val="{&quot;id&quot;:189,&quot;country&quot;:&quot;Serbia&quot;,&quot;country_iso2&quot;:&quot;RS&quot;,&quot;country_iso3&quot;:&quot;SRB&quot;}">RS</option>
      <option value="Seychelles" data-val="{&quot;id&quot;:190,&quot;country&quot;:&quot;Seychelles&quot;,&quot;country_iso2&quot;:&quot;SC&quot;,&quot;country_iso3&quot;:&quot;SYC&quot;}">SC</option>
      <option value="Sierra Leone" data-val="{&quot;id&quot;:191,&quot;country&quot;:&quot;Sierra Leone&quot;,&quot;country_iso2&quot;:&quot;SL&quot;,&quot;country_iso3&quot;:&quot;SLE&quot;}">SL</option>
      <option value="Singapore" data-val="{&quot;id&quot;:192,&quot;country&quot;:&quot;Singapore&quot;,&quot;country_iso2&quot;:&quot;SG&quot;,&quot;country_iso3&quot;:&quot;SGP&quot;}">SG</option>
      <option value="Slovakia" data-val="{&quot;id&quot;:193,&quot;country&quot;:&quot;Slovakia&quot;,&quot;country_iso2&quot;:&quot;SK&quot;,&quot;country_iso3&quot;:&quot;SVK&quot;}">SK</option>
      <option value="Slovenia" data-val="{&quot;id&quot;:194,&quot;country&quot;:&quot;Slovenia&quot;,&quot;country_iso2&quot;:&quot;SI&quot;,&quot;country_iso3&quot;:&quot;SVN&quot;}">SI</option>
      <option value="Solomon Islands" data-val="{&quot;id&quot;:195,&quot;country&quot;:&quot;Solomon Islands&quot;,&quot;country_iso2&quot;:&quot;SB&quot;,&quot;country_iso3&quot;:&quot;SLB&quot;}">SB</option>
      <option value="Somalia" data-val="{&quot;id&quot;:196,&quot;country&quot;:&quot;Somalia&quot;,&quot;country_iso2&quot;:&quot;SO&quot;,&quot;country_iso3&quot;:&quot;SOM&quot;}">SO</option>
      <option value="South Africa" data-val="{&quot;id&quot;:197,&quot;country&quot;:&quot;South Africa&quot;,&quot;country_iso2&quot;:&quot;ZA&quot;,&quot;country_iso3&quot;:&quot;ZAF&quot;}">ZA</option>
      <option value="South Georgia and the South Sandwich Islands"
        data-val="{&quot;id&quot;:198,&quot;country&quot;:&quot;South Georgia and the South Sandwich Islands&quot;,&quot;country_iso2&quot;:&quot;GS&quot;,&quot;country_iso3&quot;:&quot;SGS&quot;}">GS</option>
      <option value="Spain" data-val="{&quot;id&quot;:199,&quot;country&quot;:&quot;Spain&quot;,&quot;country_iso2&quot;:&quot;ES&quot;,&quot;country_iso3&quot;:&quot;ESP&quot;}">ES</option>
      <option value="Sri Lanka" data-val="{&quot;id&quot;:200,&quot;country&quot;:&quot;Sri Lanka&quot;,&quot;country_iso2&quot;:&quot;LK&quot;,&quot;country_iso3&quot;:&quot;LKA&quot;}">LK</option>
      <option value="Sudan" data-val="{&quot;id&quot;:201,&quot;country&quot;:&quot;Sudan&quot;,&quot;country_iso2&quot;:&quot;SD&quot;,&quot;country_iso3&quot;:&quot;SDN&quot;}">SD</option>
      <option value="Suriname" data-val="{&quot;id&quot;:202,&quot;country&quot;:&quot;Suriname&quot;,&quot;country_iso2&quot;:&quot;SR&quot;,&quot;country_iso3&quot;:&quot;SUR&quot;}">SR</option>
      <option value="Svalbard and Jan Mayen" data-val="{&quot;id&quot;:203,&quot;country&quot;:&quot;Svalbard and Jan Mayen&quot;,&quot;country_iso2&quot;:&quot;SJ&quot;,&quot;country_iso3&quot;:&quot;SJM&quot;}">SJ</option>
      <option value="Swaziland" data-val="{&quot;id&quot;:204,&quot;country&quot;:&quot;Swaziland&quot;,&quot;country_iso2&quot;:&quot;SZ&quot;,&quot;country_iso3&quot;:&quot;SWZ&quot;}">SZ</option>
      <option value="Sweden" data-val="{&quot;id&quot;:205,&quot;country&quot;:&quot;Sweden&quot;,&quot;country_iso2&quot;:&quot;SE&quot;,&quot;country_iso3&quot;:&quot;SWE&quot;}">SE</option>
      <option value="Switzerland" data-val="{&quot;id&quot;:206,&quot;country&quot;:&quot;Switzerland&quot;,&quot;country_iso2&quot;:&quot;CH&quot;,&quot;country_iso3&quot;:&quot;CHE&quot;}">CH</option>
      <option value="Taiwan" data-val="{&quot;id&quot;:208,&quot;country&quot;:&quot;Taiwan&quot;,&quot;country_iso2&quot;:&quot;TW&quot;,&quot;country_iso3&quot;:&quot;TWN&quot;}">TW</option>
      <option value="Tajikistan" data-val="{&quot;id&quot;:209,&quot;country&quot;:&quot;Tajikistan&quot;,&quot;country_iso2&quot;:&quot;TJ&quot;,&quot;country_iso3&quot;:&quot;TJK&quot;}">TJ</option>
      <option value="Tanzania, United Republic of" data-val="{&quot;id&quot;:210,&quot;country&quot;:&quot;Tanzania, United Republic of&quot;,&quot;country_iso2&quot;:&quot;TZ&quot;,&quot;country_iso3&quot;:&quot;TZA&quot;}">TZ</option>
      <option value="Thailand" data-val="{&quot;id&quot;:211,&quot;country&quot;:&quot;Thailand&quot;,&quot;country_iso2&quot;:&quot;TH&quot;,&quot;country_iso3&quot;:&quot;THA&quot;}">TH</option>
      <option value="Timor-Leste" data-val="{&quot;id&quot;:212,&quot;country&quot;:&quot;Timor-Leste&quot;,&quot;country_iso2&quot;:&quot;TL&quot;,&quot;country_iso3&quot;:&quot;TLS&quot;}">TL</option>
      <option value="Togo" data-val="{&quot;id&quot;:213,&quot;country&quot;:&quot;Togo&quot;,&quot;country_iso2&quot;:&quot;TG&quot;,&quot;country_iso3&quot;:&quot;TGO&quot;}">TG</option>
      <option value="Tokelau" data-val="{&quot;id&quot;:214,&quot;country&quot;:&quot;Tokelau&quot;,&quot;country_iso2&quot;:&quot;TK&quot;,&quot;country_iso3&quot;:&quot;TKL&quot;}">TK</option>
      <option value="Tonga" data-val="{&quot;id&quot;:215,&quot;country&quot;:&quot;Tonga&quot;,&quot;country_iso2&quot;:&quot;TO&quot;,&quot;country_iso3&quot;:&quot;TON&quot;}">TO</option>
      <option value="Trinidad and Tobago" data-val="{&quot;id&quot;:216,&quot;country&quot;:&quot;Trinidad and Tobago&quot;,&quot;country_iso2&quot;:&quot;TT&quot;,&quot;country_iso3&quot;:&quot;TTO&quot;}">TT</option>
      <option value="Tunisia" data-val="{&quot;id&quot;:217,&quot;country&quot;:&quot;Tunisia&quot;,&quot;country_iso2&quot;:&quot;TN&quot;,&quot;country_iso3&quot;:&quot;TUN&quot;}">TN</option>
      <option value="Turkey" data-val="{&quot;id&quot;:218,&quot;country&quot;:&quot;Turkey&quot;,&quot;country_iso2&quot;:&quot;TR&quot;,&quot;country_iso3&quot;:&quot;TUR&quot;}">TR</option>
      <option value="Turkmenistan" data-val="{&quot;id&quot;:219,&quot;country&quot;:&quot;Turkmenistan&quot;,&quot;country_iso2&quot;:&quot;TM&quot;,&quot;country_iso3&quot;:&quot;TKM&quot;}">TM</option>
      <option value="Turks and Caicos Islands" data-val="{&quot;id&quot;:220,&quot;country&quot;:&quot;Turks and Caicos Islands&quot;,&quot;country_iso2&quot;:&quot;TC&quot;,&quot;country_iso3&quot;:&quot;TCA&quot;}">TC</option>
      <option value="Tuvalu" data-val="{&quot;id&quot;:221,&quot;country&quot;:&quot;Tuvalu&quot;,&quot;country_iso2&quot;:&quot;TV&quot;,&quot;country_iso3&quot;:&quot;TUV&quot;}">TV</option>
      <option value="Uganda" data-val="{&quot;id&quot;:222,&quot;country&quot;:&quot;Uganda&quot;,&quot;country_iso2&quot;:&quot;UG&quot;,&quot;country_iso3&quot;:&quot;UGA&quot;}">UG</option>
      <option value="Ukraine" data-val="{&quot;id&quot;:223,&quot;country&quot;:&quot;Ukraine&quot;,&quot;country_iso2&quot;:&quot;UA&quot;,&quot;country_iso3&quot;:&quot;UKR&quot;}">UA</option>
      <option value="United Arab Emirates" data-val="{&quot;id&quot;:224,&quot;country&quot;:&quot;United Arab Emirates&quot;,&quot;country_iso2&quot;:&quot;AE&quot;,&quot;country_iso3&quot;:&quot;ARE&quot;}">AE</option>
      <option value="United Kingdom" data-val="{&quot;id&quot;:225,&quot;country&quot;:&quot;United Kingdom&quot;,&quot;country_iso2&quot;:&quot;GB&quot;,&quot;country_iso3&quot;:&quot;GBR&quot;}">GB</option>
      <option value="United States" data-val="{&quot;id&quot;:226,&quot;country&quot;:&quot;United States&quot;,&quot;country_iso2&quot;:&quot;US&quot;,&quot;country_iso3&quot;:&quot;USA&quot;}">US</option>
      <option value="United States Minor Outlying Islands" data-val="{&quot;id&quot;:227,&quot;country&quot;:&quot;United States Minor Outlying Islands&quot;,&quot;country_iso2&quot;:&quot;UM&quot;,&quot;country_iso3&quot;:&quot;&quot;}">UM</option>
      <option value="Uruguay" data-val="{&quot;id&quot;:228,&quot;country&quot;:&quot;Uruguay&quot;,&quot;country_iso2&quot;:&quot;UY&quot;,&quot;country_iso3&quot;:&quot;URY&quot;}">UY</option>
      <option value="Uzbekistan" data-val="{&quot;id&quot;:229,&quot;country&quot;:&quot;Uzbekistan&quot;,&quot;country_iso2&quot;:&quot;UZ&quot;,&quot;country_iso3&quot;:&quot;UZB&quot;}">UZ</option>
      <option value="Vanuatu" data-val="{&quot;id&quot;:230,&quot;country&quot;:&quot;Vanuatu&quot;,&quot;country_iso2&quot;:&quot;VU&quot;,&quot;country_iso3&quot;:&quot;VUT&quot;}">VU</option>
      <option value="Venezuela" data-val="{&quot;id&quot;:231,&quot;country&quot;:&quot;Venezuela&quot;,&quot;country_iso2&quot;:&quot;VE&quot;,&quot;country_iso3&quot;:&quot;VEN&quot;}">VE</option>
      <option value="Viet Nam" data-val="{&quot;id&quot;:232,&quot;country&quot;:&quot;Viet Nam&quot;,&quot;country_iso2&quot;:&quot;VN&quot;,&quot;country_iso3&quot;:&quot;VNM&quot;}">VN</option>
      <option value="Virgin Islands, British" data-val="{&quot;id&quot;:233,&quot;country&quot;:&quot;Virgin Islands, British&quot;,&quot;country_iso2&quot;:&quot;VG&quot;,&quot;country_iso3&quot;:&quot;VGB&quot;}">VG</option>
      <option value="Virgin Islands, U.S." data-val="{&quot;id&quot;:234,&quot;country&quot;:&quot;Virgin Islands, U.S.&quot;,&quot;country_iso2&quot;:&quot;VI&quot;,&quot;country_iso3&quot;:&quot;VIR&quot;}">VI</option>
      <option value="Wallis and Futuna" data-val="{&quot;id&quot;:235,&quot;country&quot;:&quot;Wallis and Futuna&quot;,&quot;country_iso2&quot;:&quot;WF&quot;,&quot;country_iso3&quot;:&quot;WLF&quot;}">WF</option>
      <option value="Western Sahara" data-val="{&quot;id&quot;:236,&quot;country&quot;:&quot;Western Sahara&quot;,&quot;country_iso2&quot;:&quot;EH&quot;,&quot;country_iso3&quot;:&quot;ESH&quot;}">EH</option>
      <option value="Yemen" data-val="{&quot;id&quot;:237,&quot;country&quot;:&quot;Yemen&quot;,&quot;country_iso2&quot;:&quot;YE&quot;,&quot;country_iso3&quot;:&quot;YEM&quot;}">YE</option>
      <option value="Zambia" data-val="{&quot;id&quot;:238,&quot;country&quot;:&quot;Zambia&quot;,&quot;country_iso2&quot;:&quot;ZM&quot;,&quot;country_iso3&quot;:&quot;ZMB&quot;}">ZM</option>
      <option value="Zimbabwe" data-val="{&quot;id&quot;:239,&quot;country&quot;:&quot;Zimbabwe&quot;,&quot;country_iso2&quot;:&quot;ZW&quot;,&quot;country_iso3&quot;:&quot;ZWE&quot;}">ZW</option>
      <option value="Isle of Man" data-val="{&quot;id&quot;:240,&quot;country&quot;:&quot;Isle of Man&quot;,&quot;country_iso2&quot;:&quot;IM&quot;,&quot;country_iso3&quot;:&quot;IMN&quot;}">IM</option>
      <option value="Jersey" data-val="{&quot;id&quot;:241,&quot;country&quot;:&quot;Jersey&quot;,&quot;country_iso2&quot;:&quot;JE&quot;,&quot;country_iso3&quot;:&quot;JEY&quot;}">JE</option>
      <option value="Guernsey" data-val="{&quot;id&quot;:242,&quot;country&quot;:&quot;Guernsey&quot;,&quot;country_iso2&quot;:&quot;GG&quot;,&quot;country_iso3&quot;:&quot;GGY&quot;}">GG</option>
      <option value="Lao People" s="" democratic="" republic'="" data-val="{&quot;id&quot;:243,&quot;country&quot;:&quot;Lao People" republic","country_iso2":"la","country_iso3":"lao"}'="">LA</option>
      <option value="Montenegro" data-val="{&quot;id&quot;:245,&quot;country&quot;:&quot;Montenegro&quot;,&quot;country_iso2&quot;:&quot;ME&quot;,&quot;country_iso3&quot;:&quot;MNE&quot;}">ME</option>
      <option value="Cote d" ivoire'="" data-val="{&quot;id&quot;:246,&quot;country&quot;:&quot;Cote d" ivoire","country_iso2":"ci","country_iso3":"civ"}'="">CI</option>
      <option value="Bonaire, Sint Eustatius and Saba" data-val="{&quot;id&quot;:247,&quot;country&quot;:&quot;Bonaire, Sint Eustatius and Saba&quot;,&quot;country_iso2&quot;:&quot;BQ&quot;,&quot;country_iso3&quot;:&quot;BES&quot;}">BQ</option>
      <option value="Republic of Kosovo" data-val="{&quot;id&quot;:248,&quot;country&quot;:&quot;Republic of Kosovo&quot;,&quot;country_iso2&quot;:&quot;XK&quot;,&quot;country_iso3&quot;:&quot;UNK&quot;}">XK</option>
      <option value="Sint Maarten" data-val="{&quot;id&quot;:249,&quot;country&quot;:&quot;Sint Maarten&quot;,&quot;country_iso2&quot;:&quot;SX&quot;,&quot;country_iso3&quot;:&quot;SXM&quot;}">SX</option>
      <option value="Curaçao" data-val="{&quot;id&quot;:250,&quot;country&quot;:&quot;Curaçao&quot;,&quot;country_iso2&quot;:&quot;CW&quot;,&quot;country_iso3&quot;:&quot;CUW&quot;}">CW</option>
      <option value="Saint Martin (France)" data-val="{&quot;id&quot;:251,&quot;country&quot;:&quot;Saint Martin (France)&quot;,&quot;country_iso2&quot;:&quot;MF&quot;,&quot;country_iso3&quot;:&quot;MAF&quot;}">MF</option>
    </datalist><input type="text" autocomplete="off" list="statesData" onchange="qtl.checkFromList(this,'statesData');" name="qtl-state/province" data-field="State/Province" id="qtl-state/province" class="qtl-input" placeholder="State/Province "
      tabindex="3" data-required="0" maxlength="30"> <datalist id="statesData"></datalist><input type="text" name="qtl-city" data-field="City" id="qtl-city" class="qtl-input" placeholder="City " tabindex="3" data-required="0" maxlength="30"> <input
      type="text" name="qtl-zip-code" data-field="Zip Code" id="qtl-zip-code" class="qtl-input" placeholder="Zip Code " tabindex="3" data-required="0" maxlength="30"> <textarea placeholder="Message " name="qtl-message" data-field="Message"
      id="qtl-message" class="qtl-textarea" rows="6" tabindex="5" data-required="0" maxlength="100"></textarea> <input type="hidden" name="qtl-cart-data" id="qtl-cart-data" class="qtl-input">
    <div style="text-align: center;"><button type="button" name="qtl-button" class="qtl-button" tabindex="6" value="Request"><span id="qtl-button-text"> Request Now</span> </button></div>
  </div>
</form>

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MARINE BATTERIES

Keeping every trip to the water positive

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POWERSPORTS BATTERIES

Freedom on the Road or Trail

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MOBILITY BATTERIES

Where power should never be a concern

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Keeping every trip to the water positive

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FEATURED PRODUCTS

Quick view

Pro-Series Deep Cycle AGM

PSD 12-105 BATTERY (GRP27)

Our PSD 12-105 is a 12 Volt 105ah battery is a true deep cycle battery,
constructed using absor

MSRP:
Was:
Now: $249.50
Add to Cart
Quick view

Full River DC Series

DC250-6 (GRP GC2) BATTERY

The DC250-6 by FullRiver Battery is designed to provide extreme performance and
long service life to

MSRP:
Was:
Now: $373.50
Add to Cart
Quick view

Striker Performance AGM

STX12 BATTERY

This 12 Volt 10 Ah AGM Striker motorcycle battery is an absorbed glass mat (AGM)
battery.  Stri

MSRP:
Was:
Now: $44.99
Add to Cart
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Pro-Series Deep Cycle AGM

PSD 12-215 BATTERY (J185)

Our PSD 12-215 is a 12 Volt 215Ah battery is a true deep cycle battery,
constructed using absor

MSRP:
Was:
Now: $579.50
Add to Cart
Quick view

Pro-Series Deep Cycle AGM

PSD 12-150 BATTERY (GC12)

Our PSD 12-150 is a 12 Volt 150Ah battery is a true deep cycle battery,
constructed using absor

MSRP:
Was:
Now: $369.50
Add to Cart
Quick view

Pro-Series Deep Cycle AGM

PSD 12-115 BATTERY (GRP31)

Our PSD 12-115 is a 12 Volt 115ah battery is a true deep cycle battery,
constructed using absor

MSRP:
Was:
Now: $279.50
Add to Cart
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Pro-Series Deep Cycle AGM

PSD 8-212 BATTERY (GC8)

Our PSD 8-212 is a 8 Volt 212 ah battery is a true deep cycle battery,
constructed using absorbed gl

MSRP:
Was:
Now: $389.50
Add to Cart
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Pro-Series Deep Cycle AGM

PSD 6-424 BATTERY (L16)

Our PSD 6-424 is a 6 Volt 424Ah battery is a true deep cycle battery,
constructed using absorbe

MSRP:
Was:
Now: $489.50
Add to Cart
Quick view

Pro-Series Deep Cycle AGM

PSD 6-355 BATTERY (J305)

Our PSD 6-355 is a 6 Volt 355Ah battery is a true deep cycle battery,
constructed using absorbe

MSRP:
Was:
Now: $439.50
Add to Cart
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Pro-Series Deep Cycle AGM

PSD 6-238 BATTERY (GC2)

Our PSD 6-238 is a 6 Volt 238Ah battery is a true deep cycle battery,
constructed using absorbe

MSRP:
Was:
Now: $289.50
Add to Cart
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Pro-Series Deep Cycle AGM

PSD 6-230 BATTERY (GRP27)

Our PSD 6-230 is a 6 Volt 230Ah battery is a true deep cycle battery,
constructed using absorbe

MSRP:
Was:
Now: $269.50
Add to Cart
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--------------------------------------------------------------------------------









--------------------------------------------------------------------------------

 

Finding the right battery replacement can be difficult.

 

 We know not all batteries are created equal and are here to make sure you get
the right battery at the right price.

 

Not sure what you need?

 


MOST POPULAR PRODUCTS

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Pro-Series Medical Mobility AGM

PSM 12-55 BATTERY (GRP 22NF)

Our PSM12-55 is a 12 Volt 55ah,  valve-regulated lead-acid (VRLA) battery.  It
is construc

MSRP:
Was:
Now: $115.25
Add to Cart
Quick view

Pro-Series AGM

PSM 12-35 BATTERY (GRP U1)

Our PSM12-35 is a 12 volt 35ah, valve-regulated lead-acid (VRLA) battery.  It
comes standard wi

MSRP:
Was:
Now: $75.25
Options
Quick view

Juice Box DC

6 VOLT 4.5 AH BATTERY

6 Volt 4.5 Ah Replacement Battery Why does it say "Replacement"?  When The
Battery Dude says "r

MSRP:
Was:
Now: $3.95
Add to Cart
Quick view

Pro-Series VRLA (PSV)

12 VOLT 2.9 AH BATTERY

Our PSV 1229 is a 12 Volt 2.9Ah,  valve-regulated lead-acid (VRLA) battery.  It
is constru

MSRP:
Was:
Now: $13.50
Add to Cart
Quick view

Full River DC Series

DC224-6 (GRP GC2) BATTERY

The DC224-6 by FullRiver Battery is designed to provide extreme performance and
long service life to

MSRP:
Was:
Now: $323.50
Add to Cart
Quick view

Full River DC Series

DC400-6 (GRP L16) BATTERY

The DC400-6 by FullRiver Battery is designed to provide extreme performance and
long service life to

MSRP:
Was:
Now: $647.50
Add to Cart
Quick view

Pro-Series Deep Cycle AGM

PSD 6-424 BATTERY (L16)

Our PSD 6-424 is a 6 Volt 424Ah battery is a true deep cycle battery,
constructed using absorbe

MSRP:
Was:
Now: $489.50
Add to Cart
Quick view

Pro-Series Medical Mobility AGM

PSM 12-22 BATTERY

Our PSM12-22 is a 12 Volt 22Ah,  valve-regulated lead-acid (VRLA) battery.  It
is construc

MSRP:
Was:
Now: $45.50
Add to Cart
Quick view

Pro-Series High Rate Discharge AGM

PSHR 12-22W BATTERY

Our PSHR 12-22W is a true high rate discharge battery.  It is 12Volts 22Watts
Per Cell at a 15m

MSRP:
Was:
Now: $15.25
Add to Cart
Quick view

Pro-Series Medical Mobility AGM

PSM 12-80 BATTERY (GRP24)

Our PSM12-80 is a 12 Volt 80Ah,  valve-regulated lead-acid (VRLA) battery.  It
is construc

MSRP:
Was:
Now: $150.75
Add to Cart
Quick view

Pro-Series VRLA (PSV)

SP6-1.2 SIGMASTEK BATTERY (REPLACEMENT)

Our PSV 613 is a 6 Volt 1.3Ah,  valve-regulated lead-acid (VRLA) battery.  It is
construct

MSRP:
Was:
Now: $3.95
Add to Cart
Quick view

Full River DC Series

DC200-8 (GRP GC8H) BATTERY

The DC200-8 by FullRiver Battery is designed to provide extreme performance and
long service life to

MSRP:
Was:
Now: $469.50
Add to Cart
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Contact Us                                      

--------------------------------------------------------------------------------


NEW PRODUCTS

Quick view

US Battery

T-125 TROJAN BATTERY (REPLACEMENT)

T-125 Trojan Battery (Replacement) Why does it say "Replacement"?  When The
Battery Dude says "

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

Juice Box

RB121000 JASCO BATTERY (REPLACEMENT)

RB121000 Jasco Battery (Replacement) Why does it say "Replacement"?  When The
Battery Dude says

MSRP:
Was:
Now: $128.50
Add to Cart
Quick view

Juice Box

DURDC 12-100P DURACELL BATTERY (REPLACEMENT)

DURDC 12-100P Duracell Battery (Replacement) Why does it say "Replacement"?
 When The Battery D

MSRP:
Was:
Now: $128.50
Add to Cart
Quick view

Juice Box

WKDC12-100P BATTERIES PLUS BATTERY (REPLACEMENT)

WKDC12-100P Batteries Plus Battery (Replacement) Why does it say "Replacement"?
 When The Batte

MSRP:
Was:
Now: $128.50
Add to Cart
Quick view

Juice Box

DCM0100 INTERSTATE BATTERY (REPLACEMENT)

DCM0100 Interstate Battery (Replacement) Why does it say "Replacement"?  When
The Battery Dude

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

Juice Box

SLA1199 INTERSTATE BATTERY (REPLACEMENT)

SLA1199 Interstate Battery (Replacement) Why does it say "Replacement"?  When
The Battery Dude

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

Juice Box

UB121100 (D5751) UPG BATTERY (REPLACEMENT)

UB121100 (D5751) UPG Battery (Replacement) Why does it say "Replacement"?  When
The Battery Dud

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

Juice Box

BW110-12 BRIGHTWAY BATTERY (REPLACEMENT)

BW110-12 Brightway Battery (Replacement) Why does it say "Replacement"?  When
The Battery Dude

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

Juice Box

ML110-12 MIGHTY MAX BATTERY (REPLACEMENT)

ML110-12 Mighty Max Battery (Replacement) Why does it say "Replacement"?  When
The Battery Dude

MSRP:
Was:
Now: $149.50
Add to Cart
Quick view

US Battery

US 185HC XC2 FLOODED BATTERY

US 185HC XC2 Flooded Battery Manufacturers Data Sheet US Battery Deep Cycle User
Manual

MSRP:
Was:
Now: $369.50
Add to Cart
Quick view

US Battery

US 185E XC2 FLOODED BATTERY

US 185E XC2 Flooded Battery Manufacturers Data Sheet US Battery Deep Cycle User
Manual U.S. Batt

MSRP:
Was:
Now: $329.50
Add to Cart
Quick view

US Battery

US 8VGC XC2 FLOODED BATTERY

US 8VGC XC2 Flooded Battery Manufacturers Data Sheet US Battery Deep Cycle User
Manual U

MSRP:
Was:
Now: $169.50
Add to Cart
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LET CUSTOMERS SPEAK FOR US


from 367 reviews

Great product / Great service and prompt shipping. Does not get any better than
this. Thanks to you and your crew.

Tony Allen
05/15/2024
HC1400-BLU/REV Kinetik Battery Replacement

Set of 2 - Hoveround MPV5 Batteries

Conrad Bailey
05/10/2024
Set of 2 - Hoveround MPV5 Batteries

Great customer service and prompt responses! Will buy from you guys again!

Darin Honodel
05/07/2024
FT410 Battery

DC224-6 (Grp GC2) Battery

Timothy Fulton
05/07/2024
DC224-6 (Grp GC2) Battery

FAST DELIVERY

PACKAGED GREAT, GREAT PRODUCT, CAME COMPLETE CHARGED, VERY NICE HARDWARE, WORKED
LIKE A CHARM.

ROBERT RAGSDALE
05/06/2024
FT965-27F (Grp 27F) Battery
Battery

Great price and service

Rodolfo Quiva
04/30/2024
DC220-6 (6 Volt - Grp 27) Battery
Perfect battery

Yes thank you I received my battery for my dad’s electric scooter sat for 8
years put the batteries in works perfect thank you for all your help

Jody Amour
04/26/2024
Set of 2 - Shoprider Mobility Sunrunner Deluxe Batteries

Set of 2 - Permobil F3 Corpus Batteries - Free Shipping

Jonathan Nash
04/24/2024
Set of 2 - Permobil F3 Corpus Batteries - Free Shipping

No problems so far. Satisfied with batteries.

Dane Pope
04/22/2024
Set of 2 - Pride Celebrity Batteries
BEST PRICE and VERY FAST SHIPPING

I recently ordered 2 DC250-6 Full River batteries for my RV from The Battery
Dude, and I couldn't be happier with my purchase. Not only did the shipping
surpass my expectations in terms of speed, but it also turned out to be much
more cost-effective compared to buying from my local battery supplier. The
convenience of having them delivered straight to my doorstep, especially
considering each battery weighs 77lbs, was a huge plus. What's more, there were
no additional charges for core or shipping.
While there was a very minor hiccup in not receiving a tracking number
initially, the customer service team promptly responded to my inquiry and
provided the information I needed. Overall, I'm thoroughly impressed with my
experience with The Battery Dude, and I wouldn't hesitate to recommend them.
They'll certainly be my first stop for any future battery needs. Thanks!

Greg Pyke
04/22/2024
DC250-6 (Grp GC2) Battery


Set of 2 - Drive Medical Denali Batteries

William Kieberger
04/21/2024
Set of 2 - Drive Medical Denali Batteries

Fast delivery, I like the brass threaded post over conventional lead w/slot for
nut. As far as performance, so far no issues

Steven balthazard
04/19/2024
2016 Harley Davidson FLHXS Street Glide Special Battery
The fire department on Madison said to me that the batteries of this wheelchair
are 55 amps and I...

Try to get my batteries installed at the fire department of Madison it wouldn't
put them in the car super 55 amps and we're confused why the batteries are 35
amps are they supposed to be 55 amps or they're supposed to be 35

David Tufano
04/18/2024
Set of 2 - Pride Jazzy Select Elite Batteries

2020 Harley Davidson XL883N Iron 883 Battery

Felix Cruz
04/17/2024
2020 Harley Davidson XL883N Iron 883 Battery
So far so good

Battery arrived on time and fully charged. The case varied slightly from the OEM
battery so the bracket doesn’t fit perfectly. Gonna have to bend it.

Dennis Wong DDS
04/15/2024
2021 Argo Aurora 950 SX Hunt Master 8x8 Battery



RECENT POSTS

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2nd Nov 2022


WHAT CAUSES A CAR BATTERY TO DIE?

What causes a Car battery to die?IntroductionI've had my share of problems with
dead batteries, so I …

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2nd Sep 2022


CAN YOU LEAVE A BATTERY MAINTAINER PLUGGED IN ALL THE TIME?

A common question at the counter of a battery shop is "Can I leave this
maintainer on the battery al …

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19th Apr 2022


THE ULTIMATE GUIDE TO MAINTAINING YOUR ELECTRIC WHEELCHAIR

The majority of people who own an electric wheelchair charge their vehicle every
night, but many peo …

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© 2024 The Battery Dude. | We score out of 5 based on 367 reviews.


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367 reviews
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T
05/15/2024 HC1400-BLU/REV Kinetik Battery Replacement

Tony Allen

Great product / Great service and prompt shipping. Does not get any better than
this. Thanks to you and your crew.





C
05/10/2024 Set of 2 - Hoveround MPV5 Batteries

Conrad Bailey

Set of 2 - Hoveround MPV5 Batteries





D
05/07/2024 FT410 Battery

Darin Honodel

Great customer service and prompt responses! Will buy from you guys again!





T
05/07/2024 DC224-6 (Grp GC2) Battery

Timothy Fulton

DC224-6 (Grp GC2) Battery





R
05/06/2024 FT965-27F (Grp 27F) Battery

ROBERT RAGSDALE

FAST DELIVERY

PACKAGED GREAT, GREAT PRODUCT, CAME COMPLETE CHARGED, VERY NICE HARDWARE, WORKED
LIKE A CHARM.






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