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Box in U.S., please)</FONT><br> </TD></TR> <tr> <td align=right valign=top><font face="arial" size="-1"><B>Address:</B></td><td align=left><input name="__ShipToAddress1" value="" size="30"><br> <input name="__ShipToAddress2" value="" size="30"></td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>City:</B></td><td align=left valign=top><font face="arial" size="-1"><input name="__ShipToCity" value="" size="15"> <B>State:</B> <select name="__ShipTostate"> <option value="NA" >Not Applicable <option value="AL" >Alabama <option value="AK" >Alaska <option value="AZ" >Arizona <option value="AR" >Arkansas <option value="CA" >California <option value="CO" >Colorado <option value="CT" >Connecticut <option value="DE" >Delaware <option value="DC" >District of Columbia <option value="FL" >Florida <option value="GA" >Georgia <option value="HI" >Hawaii <option value="ID" >Idaho <option value="IL" >Illinois <option value="IN" >Indiana <option value="IA" >Iowa <option value="KS" >Kansas <option value="KY" >Kentucky <option value="LA" >Louisiana <option value="ME" >Maine <option value="MD" >Maryland <option value="MA" >Massachusetts <option value="MI" >Michigan <option value="MN" >Minnesota <option value="MS" >Mississippi <option value="MO" >Missouri <option value="MT" >Montana <option value="NE" >Nebraska <option value="NV" >Nevada <option value="NH" >New Hampshire <option value="NJ" >New Jersey <option value="NM" >New Mexico <option value="NY" >New York <option value="NC" >North Carolina <option value="ND" >North Dakota <option value="OH" >Ohio <option value="OK" >Oklahoma <option value="OR" >Oregon <option value="PA" >Pennsylvania <option value="PR" >Puerto Rico <option value="RI" >Rhode Island <option value="SC" >South Carolina <option value="SD" >South Dakota <option value="TN" >Tennessee <option value="TX" >Texas <option value="UT" >Utah <option value="VT" >Vermont <option value="VA" >Virginia <option value="WA" >Washington <option value="WV" >West Virginia <option value="WI" >Wisconsin <option value="WY" >Wyoming</select> </td></tr> <tr><td></td><td align=left valign=top colspan="2"><font face="arial" size="-1">For New York deliveries, please specify the county. </td> </tr> <tr><td align=right><font face="arial" size="-1"><B>NY County:</B></td> <td align=left valign=top> <font face="arial" size="-1"> <select name="__shiptoNYcounty"> <option value="" selected> <option value="New York State - only" >New York State - only <option value="Albany" >Albany <option value="Allegany" >Allegany <option value="Bronx-(Select New York City)" >Bronx-(Select New York City) <option value="Brooklyn (borough) - (Select New York City)" >Brooklyn (borough) - (Select New York City) <option value="Broome" >Broome <option value="Cattaraugus-except" >Cattaraugus-except <option value="Cattaraugus-Olean" >Cattaraugus-Olean <option value="Cattaraugus-Salamanca" >Cattaraugus-Salamanca <option value="Cayuga-except" >Cayuga-except <option value="Cayuga-Auburn" >Cayuga-Auburn <option value="Chautauqua" >Chautauqua <option value="Chemung" >Chemung <option value="Chenango-except" >Chenango-except <option value="Chenango-Norwich" >Chenango-Norwich <option value="Clinton" >Clinton <option value="Columbia" >Columbia <option value="Cortland" >Cortland <option value="Delaware" >Delaware <option value="Dutchess" >Dutchess <option value="Erie" >Erie <option value="Essex" >Essex <option value="Franklin" >Franklin <option value="Fulton-except" >Fulton-except <option value="Fulton-Gloversville" >Fulton-Gloversville <option value="Fulton-Johnstown" >Fulton-Johnstown <option value="Genesee" >Genesee <option value="Greene" >Greene <option value="Hamilton" >Hamilton <option value="Herkimer" >Herkimer <option value="Jefferson" >Jefferson <option value="Kings (Brooklyn) - (Select New York City)" >Kings (Brooklyn) - (Select New York City) <option value="Lewis" >Lewis <option value="Livingston" >Livingston <option value="Madison-except" >Madison-except <option value="Madison-Oneida" >Madison-Oneida <option value="Manhattan (borough) - (Select New York City)" >Manhattan (borough) - (Select New York City) <option value="Monroe" >Monroe <option value="Montgomery" >Montgomery <option value="Nassau" >Nassau <option value="New York (Manhattan) - (Select New York City)" >New York (Manhattan) - (Select New York City) <option value="New York City" >New York City <option value="Niagara" >Niagara <option value="Oneida-except" >Oneida-except <option value="Oneida-Rome" >Oneida-Rome <option value="Oneida-Sherrill" >Oneida-Sherrill <option value="Oneida-Utica" >Oneida-Utica <option value="Onondaga" >Onondaga <option value="Ontario-except" >Ontario-except <option value="Orange" >Orange <option value="Orleans" >Orleans <option value="Oswego-except" >Oswego-except <option value="Oswego-Fulton" >Oswego-Fulton <option value="Oswego-Oswego" >Oswego-Oswego <option value="Otsego" >Otsego <option value="Putnam" >Putnam <option value="Queens - (Select New York City)" >Queens - (Select New York City) <option value="Rensselaer" >Rensselaer <option value="Richmond (Staten Island) - ( Select New York City)" >Richmond (Staten Island) - ( Select New York City) <option value="Rockland" >Rockland <option value="St. Lawrence" >St. Lawrence <option value="Saratoga" >Saratoga <option value="Schenectady" >Schenectady <option value="Schoharie" >Schoharie <option value="Schuyler" >Schuyler <option value="Seneca" >Seneca <option value="Staten Island (borough) - (Select New York City)" >Staten Island (borough) - (Select New York City) <option value="Steuben-except" >Steuben-except <option value="Steuben-Corning" >Steuben-Corning <option value="Steuben-Hornell" >Steuben-Hornell <option value="Suffolk" >Suffolk <option value="Sullivan" >Sullivan <option value="Tioga" >Tioga <option value="Tompkins-except" >Tompkins-except <option value="Tompkins-Ithaca" >Tompkins-Ithaca <option value="Ulster" >Ulster <option value="Warren-except" >Warren-except <option value="Warren-Glens Falls" >Warren-Glens Falls <option value="Washington" >Washington <option value="Wayne" >Wayne <option value="Westchester-except" >Westchester-except <option value="Westchester-Mount Vernon" >Westchester-Mount Vernon <option value="Westchester-New Rochelle" >Westchester-New Rochelle <option value="Westchester-White Plains" >Westchester-White Plains <option value="Westchester-Yonkers" >Westchester-Yonkers <option value="Wyoming" >Wyoming <option value="Yates" >Yates </select> </td></tr> <tr><td align=right><font face="arial" size="-1"><B>Zip/Postal Code:</B></td><td align=left><input name="__ShipTozip" value="" size="9"></td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>Country:</B></td><td align=left><select name="__ShipToCountry"> <option value="UNITED STATES">UNITED STATES <option value="ABU DAHBI" >ABU DAHBI <option value="ALBANIA" >ALBANIA <option value="ALGERIA" >ALGERIA <option value="ANDORRA" >ANDORRA <option value="ANGOLA" >ANGOLA <option value="ANTIGUA" >ANTIGUA <option value="ARGENTINA" >ARGENTINA <option value="ARMENIA" >ARMENIA <option value="ARUBA" >ARUBA <option value="AUSTRALIA" >AUSTRALIA <option value="AUSTRIA" >AUSTRIA <option value="AZERBAIJAN" >AZERBAIJAN <option value="AZORES" >AZORES <option value="BAHAMAS" >BAHAMAS <option value="BAHRAIN" >BAHRAIN <option value="BANGLADESH" >BANGLADESH <option value="BARBADOS" >BARBADOS <option value="BELARUS" >BELARUS <option value="BELGIUM" >BELGIUM <option value="BELIZE" >BELIZE <option value="BENIN" >BENIN <option value="BERMUDA" >BERMUDA <option value="BHUTAN" >BHUTAN <option value="BOLIVIA" >BOLIVIA <option value="BONAIRE" >BONAIRE <option value="BOSNI-HERZEGOVINA" >BOSNI-HERZEGOVINA <option value="BOTSWANA" >BOTSWANA <option value="BRAZIL " >BRAZIL <option value="BRITISH VIRGIN ISLAND" >BRITISH VIRGIN ISLAND <option value="BRUNEI" >BRUNEI <option value="BULGARIA" >BULGARIA <option value="BURKINA FASO" >BURKINA FASO <option value="BURUNDI" >BURUNDI <option value="CAMBODIA" >CAMBODIA <option value="CAMEROON" >CAMEROON <option value="CANADA" >CANADA <option value="CANARY ISLANDS" >CANARY ISLANDS <option value="CAPE VERDE" >CAPE VERDE <option value="CAYMAN ISLANDS" >CAYMAN ISLANDS <option value="CENTRAL AFRICAN REPUBLIC" >CENTRAL AFRICAN REPUBLIC <option value="CHAD" >CHAD <option value="CHANNEL ISLANDS" >CHANNEL ISLANDS <option value="CHILE" >CHILE <option value="CHINA" >CHINA <option value="COLUMBIA" >COLUMBIA <option value="COMOROS" >COMOROS <option value="CONGO" >CONGO <option value="COOK ISLANDS" >COOK ISLANDS <option value="CORSICA-FRANCE" >CORSICA-FRANCE <option value="COSTA RICA" >COSTA RICA <option value="CROATIA" >CROATIA <option value="CUBA" >CUBA <option value="CURACAO" >CURACAO <option value="CYPRUS" >CYPRUS <option value="CZECH REPUBLIC" >CZECH REPUBLIC <option value="DENMARK" >DENMARK <option value="DJIBOUTI" >DJIBOUTI <option value="DOMINICAN REPUBLIC" >DOMINICAN REPUBLIC <option value="ECUADOR" >ECUADOR <option value="EGYPT" >EGYPT <option value="EL SALVADOR" >EL SALVADOR <option value="ENGLAND" >ENGLAND <option value="EQUATORIAL GUINEA" >EQUATORIAL GUINEA <option value="ERITREA" >ERITREA <option value="ESTONIA" >ESTONIA <option value="ETHIOPIA" >ETHIOPIA <option value="FALKLAND ISLANDS" >FALKLAND ISLANDS <option value="FAROE ISLANDS-DENMARK" >FAROE ISLANDS-DENMARK <option value="FIJI" >FIJI <option value="FINLAND" >FINLAND <option value="FRANCE" >FRANCE <option value="FRENCH GUIANA" >FRENCH GUIANA <option value="GABON" >GABON <option value="GAMBIA" >GAMBIA <option value="GEORGIA REPUBLIC" >GEORGIA REPUBLIC <option value="GERMANY" >GERMANY <option value="GHANA" >GHANA <option value="GIBRALTAR" >GIBRALTAR <option value="GREECE" >GREECE <option value="GREENLAND" >GREENLAND <option value="GRENADA" >GRENADA <option value="GUAM" >GUAM <option value="GUATEMALA" >GUATEMALA <option value="GUINEA-BISSAU" >GUINEA-BISSAU <option value="GUYANA" >GUYANA <option value="HAITI" >HAITI <option value="HONDURAS" >HONDURAS <option value="HONG KONG" >HONG KONG <option value="HUNGARY" >HUNGARY <option value="ICELAND" >ICELAND <option value="INDIA" >INDIA <option value="INDONESIA" >INDONESIA <option value="IRAN" >IRAN <option value="IRAQ" >IRAQ <option value="IRELAND REPUBLIC-SOUTH" >IRELAND REPUBLIC-SOUTH <option value="IRELAND/GREAT BRITAIN-NORTH" >IRELAND/GREAT BRITAIN-NORTH <option value="ISRAEL" >ISRAEL <option value="ITALY" >ITALY <option value="IVORY COAST-COTE D'VOIRE" >IVORY COAST-COTE D'VOIRE <option value="JAMAICA" >JAMAICA <option value="JAPAN" >JAPAN <option value="JORDAN" >JORDAN <option value="KAMPUCHEA" >KAMPUCHEA <option value="KAZAKHSTAN" >KAZAKHSTAN <option value="KENYA" >KENYA <option value="KIRIBATI" >KIRIBATI <option value="KOSOVA" >KOSOVA <option value="KUWAIT" >KUWAIT <option value="KYRGYZSTAN" >KYRGYZSTAN <option value="LAOS" >LAOS <option value="LATVIA" >LATVIA <option value="LEBANON" >LEBANON <option value="LESOTHO" >LESOTHO <option value="LIBERIA" >LIBERIA <option value="LIECHTENSTEIN" >LIECHTENSTEIN <option value="LITHUANIA" >LITHUANIA <option value="LUXEMBOURG" >LUXEMBOURG <option value="MACAO" >MACAO <option value="MACEDONIA" >MACEDONIA <option value="MADAGASCAR" >MADAGASCAR <option value="MADEIRA ISLANDS-PORTUGAL" >MADEIRA ISLANDS-PORTUGAL <option value="MALAWI" >MALAWI <option value="MALAYSIA" >MALAYSIA <option value="MALDIVES" >MALDIVES <option value="MALI" >MALI <option value="MALTA" >MALTA <option value="MARSHALL ISLAND" >MARSHALL ISLAND <option value="MARTINIQUE" >MARTINIQUE <option value="MAURITANIA" >MAURITANIA <option value="MAURITIUS" >MAURITIUS <option value="MEXICO" >MEXICO <option value="MICRONESIA" >MICRONESIA <option value="MOLDOVA" >MOLDOVA <option value="MONACO-FRANCE" >MONACO-FRANCE <option value="MONGOLIA" >MONGOLIA <option value="MONTENEGRO" >MONTENEGRO <option value="MONTSERRAT" >MONTSERRAT <option value="MOROCCO" >MOROCCO <option value="MOZAMBIQUE" >MOZAMBIQUE <option value="NAMIBIA" >NAMIBIA <option value="NAURU" >NAURU <option value="NEPAL" >NEPAL <option value="NETHERLANDS-ANTILLES" >NETHERLANDS-ANTILLES <option value="NETHERLANDS-HOLLAND" >NETHERLANDS-HOLLAND <option value="NEVIS" >NEVIS <option value="NEW CALEDONIA" >NEW CALEDONIA <option value="NEW ZEALAND" >NEW ZEALAND <option value="NICARAGUA" >NICARAGUA <option value="NIGER" >NIGER <option value="NIGERIA" >NIGERIA <option value="NIUE" >NIUE <option value="NORTH KOREA" >NORTH KOREA <option value="NORWAY" >NORWAY <option value="OMAN" >OMAN <option value="PAKISTAN" >PAKISTAN <option value="PALAU" >PALAU <option value="PANAMA" >PANAMA <option value="PAPUA NEW GUINEA" >PAPUA NEW GUINEA <option value="PARAGUAY" >PARAGUAY <option value="PERU" >PERU <option value="PHILIPPINES" >PHILIPPINES <option value="POLAND" >POLAND <option value="PORTUGAL" >PORTUGAL <option value="PUERTO RICO" >PUERTO RICO <option value="QATAR" >QATAR <option value="REUNION ISLAND" >REUNION ISLAND <option value="ROMANIA" >ROMANIA <option value="RUSSIA" >RUSSIA <option value="RWANDA" >RWANDA <option value="SABA" >SABA <option value="SAIPAN" >SAIPAN <option value="SAMOA-AMERICAN" >SAMOA-AMERICAN <option value="SAN MARINO" >SAN MARINO <option value="SAO TOME" >SAO TOME <option value="SAUDI ARABIA" >SAUDI ARABIA <option value="SCOTLAND" >SCOTLAND <option value="SENEGAL" >SENEGAL <option value="SERBIA" >SERBIA <option value="SEYCHELLES" >SEYCHELLES <option value="SIERRA LEONE" >SIERRA LEONE <option value="SINGAPORE" >SINGAPORE <option value="SLOVAKIA-SLOVAK REPUBLIC" >SLOVAKIA-SLOVAK REPUBLIC <option value="SLOVENIA" >SLOVENIA <option value="SOLOMAN ISLANDS" >SOLOMAN ISLANDS <option value="SOMALIA" >SOMALIA <option value="SOUTH AFRICA" >SOUTH AFRICA <option value="SOUTH KOREA-REPUBLIC" >SOUTH KOREA-REPUBLIC <option value="SPAIN" >SPAIN <option value="SPITZBERGEN" >SPITZBERGEN <option value="SRI LANKA" >SRI LANKA <option value="ST. BARTHELEMY" >ST. BARTHELEMY <option value="ST. EUSTATIUS" >ST. EUSTATIUS <option value="ST. KITTS" >ST. KITTS <option value="ST. LUCIA" >ST. LUCIA <option value="ST. MAARTEN" >ST. MAARTEN <option value="ST. VINCENT " >ST. VINCENT <option value="SUDAN" >SUDAN <option value="SURINAME" >SURINAME <option value="SWAZILAND" >SWAZILAND <option value="SWEDEN" >SWEDEN <option value="SWITZERLAND" >SWITZERLAND <option value="SYRIA" >SYRIA <option value="TAHITI" >TAHITI <option value="TAIWAN" >TAIWAN <option value="TAJIKISTAN" >TAJIKISTAN <option value="TANZANIA" >TANZANIA <option value="THAILAND" >THAILAND <option value="TOGO" >TOGO <option value="TONGA" >TONGA <option value="TRINIDAD " >TRINIDAD <option value="TUNISIA" >TUNISIA <option value="TURKEY" >TURKEY <option value="TURKMENISTAN" >TURKMENISTAN <option value="TURKS AND CAICOS ISLANDS" >TURKS AND CAICOS ISLANDS <option value="TUVALU" >TUVALU <option value="UGANDA" >UGANDA <option value="UKRAINE" >UKRAINE <option value="UNITED ARAB EMIRATES" >UNITED ARAB EMIRATES <option value="UNITED KINGDOM" >UNITED KINGDOM <option value="UNITED STATES" >UNITED STATES <option value="URUGUAY" >URUGUAY <option value="UZBEKISTAN" >UZBEKISTAN <option value="VANUATU" >VANUATU <option value="VATICAN CITY" >VATICAN CITY <option value="VENEZUELA" >VENEZUELA <option value="VIETNAM" >VIETNAM <option value="VIRGIN ISLANDS-DOMESTIC" >VIRGIN ISLANDS-DOMESTIC <option value="WAKE ISLAND" >WAKE ISLAND <option value="WALES" >WALES <option value="WESTERN SAMOA" >WESTERN SAMOA <option value="WESTINDIES" >WESTINDIES <option value="YEMEN" >YEMEN <option value="YUGOSLAVIA" >YUGOSLAVIA <option value="ZAIRE" >ZAIRE <option value="ZAMBIA" >ZAMBIA <option value="ZIMBABWE" >ZIMBABWE </select> </td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>Phone:</B></td><td align=left><input name="__ShipToPhone" value="" size="15"></td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>Email:</B></td><td align=left><input name="__ShipToemail" value="" size="30"></td> </tr> <tr><td height=5 colspan=2></td></tr> <tr><td colspan=2 class="cust_banner">Billing Information</td></tr> <tr><td height=5 colspan=2></td></tr> <tr> <td align=right><font face="arial" size="-1"><B>Company (if applicable):</B></td> <td align=left><font face="arial" size="-1"><input name="__Company" value="" size="30" maxlength="30"></td> </tr> <tr> <td align=right valign=top><font face="arial" size="-1"><B>Address:</B></td><td align=left><input name="__Address1" value="" size="30"><br> <input name="__Address2" value="" size="30"></td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>City:</B></td> <td align=left valign=top><font face="arial" size="-1"><input name="__City" value="" size="15"> <B>State:</B> <select name="__state"> <option value="NA" >Not Applicable <option value="AL" >Alabama <option value="AK" >Alaska <option value="AZ" >Arizona <option value="AR" >Arkansas <option value="CA" >California <option value="CO" >Colorado <option value="CT" >Connecticut <option value="DE" >Delaware <option value="DC" >District of Columbia <option value="FL" >Florida <option value="GA" >Georgia <option value="HI" >Hawaii <option value="ID" >Idaho <option value="IL" >Illinois <option value="IN" >Indiana <option value="IA" >Iowa <option value="KS" >Kansas <option value="KY" >Kentucky <option value="LA" >Louisiana <option value="ME" >Maine <option value="MD" >Maryland <option value="MA" >Massachusetts <option value="MI" >Michigan <option value="MN" >Minnesota <option value="MS" >Mississippi <option value="MO" >Missouri <option value="MT" >Montana <option value="NE" >Nebraska <option value="NV" >Nevada <option value="NH" >New Hampshire <option value="NJ" >New Jersey <option value="NM" >New Mexico <option value="NY" >New York <option value="NC" >North Carolina <option value="ND" >North Dakota <option value="OH" >Ohio <option value="OK" >Oklahoma <option value="OR" >Oregon <option value="PA" >Pennsylvania <option value="PR" >Puerto Rico <option value="RI" >Rhode Island <option value="SC" >South Carolina <option value="SD" >South Dakota <option value="TN" >Tennessee <option value="TX" >Texas <option value="UT" >Utah <option value="VT" >Vermont <option value="VA" >Virginia <option value="WA" >Washington <option value="WV" >West Virginia <option value="WI" >Wisconsin <option value="WY" >Wyoming</select> </td></tr> <tr><td align=right><font face="arial" size="-1"><B>Zip/Postal Code:</B></td><td align=left><input name="__zip" value="" size="9"></td> </tr> <tr> <td align=right><font face="arial" size="-1"><B>Country:</B></td><td align=left><select name="__Country"> <option value="UNITED STATES">UNITED STATES <option value="ABU DAHBI" >ABU DAHBI <option value="ALBANIA" >ALBANIA <option value="ALGERIA" >ALGERIA <option value="ANDORRA" >ANDORRA <option value="ANGOLA" >ANGOLA <option value="ANTIGUA" >ANTIGUA <option value="ARGENTINA" >ARGENTINA <option value="ARMENIA" >ARMENIA <option value="ARUBA" >ARUBA <option value="AUSTRALIA" >AUSTRALIA <option value="AUSTRIA" >AUSTRIA <option value="AZERBAIJAN" >AZERBAIJAN <option value="AZORES" >AZORES <option value="BAHAMAS" >BAHAMAS <option value="BAHRAIN" >BAHRAIN <option value="BANGLADESH" >BANGLADESH <option value="BARBADOS" >BARBADOS <option value="BELARUS" >BELARUS <option value="BELGIUM" >BELGIUM <option value="BELIZE" >BELIZE <option value="BENIN" >BENIN <option value="BERMUDA" >BERMUDA <option value="BHUTAN" >BHUTAN <option value="BOLIVIA" >BOLIVIA <option value="BONAIRE" >BONAIRE <option value="BOSNI-HERZEGOVINA" >BOSNI-HERZEGOVINA <option value="BOTSWANA" >BOTSWANA <option value="BRAZIL " >BRAZIL <option value="BRITISH VIRGIN ISLAND" >BRITISH VIRGIN ISLAND <option value="BRUNEI" >BRUNEI <option value="BULGARIA" >BULGARIA <option value="BURKINA FASO" >BURKINA FASO <option value="BURUNDI" >BURUNDI <option value="CAMBODIA" >CAMBODIA <option value="CAMEROON" >CAMEROON <option value="CANADA" >CANADA <option value="CANARY ISLANDS" >CANARY ISLANDS <option value="CAPE VERDE" >CAPE VERDE <option value="CAYMAN ISLANDS" >CAYMAN ISLANDS <option value="CENTRAL AFRICAN REPUBLIC" >CENTRAL AFRICAN REPUBLIC <option value="CHAD" >CHAD <option value="CHANNEL ISLANDS" >CHANNEL ISLANDS <option value="CHILE" >CHILE <option value="CHINA" >CHINA <option value="COLUMBIA" >COLUMBIA <option value="COMOROS" >COMOROS <option value="CONGO" >CONGO <option value="COOK ISLANDS" >COOK ISLANDS <option value="CORSICA-FRANCE" >CORSICA-FRANCE <option value="COSTA RICA" >COSTA RICA <option value="CROATIA" >CROATIA <option value="CUBA" >CUBA <option value="CURACAO" >CURACAO <option value="CYPRUS" >CYPRUS <option value="CZECH REPUBLIC" >CZECH REPUBLIC <option value="DENMARK" >DENMARK <option value="DJIBOUTI" >DJIBOUTI <option value="DOMINICAN REPUBLIC" >DOMINICAN REPUBLIC <option value="ECUADOR" >ECUADOR <option value="EGYPT" >EGYPT <option value="EL SALVADOR" >EL SALVADOR <option value="ENGLAND" >ENGLAND <option value="EQUATORIAL GUINEA" >EQUATORIAL GUINEA <option value="ERITREA" >ERITREA <option value="ESTONIA" >ESTONIA <option value="ETHIOPIA" >ETHIOPIA <option value="FALKLAND ISLANDS" >FALKLAND ISLANDS <option value="FAROE ISLANDS-DENMARK" >FAROE ISLANDS-DENMARK <option value="FIJI" >FIJI <option value="FINLAND" >FINLAND <option value="FRANCE" >FRANCE <option value="FRENCH GUIANA" >FRENCH GUIANA <option value="GABON" >GABON <option value="GAMBIA" >GAMBIA <option value="GEORGIA REPUBLIC" >GEORGIA REPUBLIC <option value="GERMANY" >GERMANY <option value="GHANA" >GHANA <option value="GIBRALTAR" >GIBRALTAR <option value="GREECE" >GREECE <option value="GREENLAND" >GREENLAND <option value="GRENADA" >GRENADA <option value="GUAM" >GUAM <option value="GUATEMALA" >GUATEMALA <option value="GUINEA-BISSAU" >GUINEA-BISSAU <option value="GUYANA" >GUYANA <option value="HAITI" >HAITI <option value="HONDURAS" >HONDURAS <option value="HONG KONG" >HONG KONG <option value="HUNGARY" >HUNGARY <option value="ICELAND" >ICELAND <option value="INDIA" >INDIA <option value="INDONESIA" >INDONESIA <option value="IRAN" >IRAN <option value="IRAQ" >IRAQ <option value="IRELAND REPUBLIC-SOUTH" >IRELAND REPUBLIC-SOUTH <option value="IRELAND/GREAT BRITAIN-NORTH" >IRELAND/GREAT 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