CINXE.COM

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<h1>Screening Inquiry</h1> <div class="region region-content"> <section id="block-system-main" class="block block-system clearfix"> <p>To receive a complete list of compounds in the Tocriscreen(s) of your choice, or for general inquiries about our <a href="/product-type/tocriscreen-compound-libraries">Tocriscreen Compound Libraries</a>, please complete the form below and we will contact you shortly.</p><form class="tocris-webforms" action="/support/screening-inquiry" method="post" id="screening-enquiry-form" accept-charset="UTF-8"><div><input type="hidden" name="fid" value="" /> <input type="hidden" name="emailTo_list" value="" /> <input type="hidden" name="honeypot_time" value="1739776423|TNU1JOtBTWp_MeE5eeoPvLzASJxno_Rcw4bNe40iQiA" /> <input type="hidden" name="form_name" value="screening enquiry" /> <input type="hidden" name="form_build_id" value="form-wBrA2Yg1fiTla3sxs12sBHVqdf0pt7kZY99VVMD2q08" /> <input type="hidden" name="form_id" value="screening_enquiry_form" /> <div class="form-item form-item-interest form-type-checkboxes form-group"> <label class="control-label" for="edit-interest">Tocriscreen(s) of Interest</label> <div id="edit-interest" class="form-checkboxes"><div class="form-item form-item-interest-7150 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7150"><input type="checkbox" id="edit-interest-7150" name="interest[7150]" value="7150" class="form-checkbox" />2.0 Max</label> </div><div class="form-item form-item-interest-7844 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7844"><input type="checkbox" id="edit-interest-7844" name="interest[7844]" value="7844" class="form-checkbox" />Kinase Inhibitor Library</label> </div><div class="form-item form-item-interest-7151 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7151"><input type="checkbox" id="edit-interest-7151" name="interest[7151]" value="7151" class="form-checkbox" />2.0 Mini</label> </div><div class="form-item form-item-interest-7340 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7340"><input type="checkbox" id="edit-interest-7340" name="interest[7340]" value="7340" class="form-checkbox" />Stem Cell Library</label> </div><div class="form-item form-item-interest-7152 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7152"><input type="checkbox" id="edit-interest-7152" name="interest[7152]" value="7152" class="form-checkbox" />2.0 Micro</label> </div><div class="form-item form-item-interest-7200 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7200"><input type="checkbox" id="edit-interest-7200" name="interest[7200]" value="7200" class="form-checkbox" />FDA-Approved Drugs</label> </div><div class="form-item form-item-interest-7578 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7578"><input type="checkbox" id="edit-interest-7578" name="interest[7578]" value="7578" class="form-checkbox" />Epigenetics Library</label> </div><div class="form-item form-item-interest-8100 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-8100"><input type="checkbox" id="edit-interest-8100" name="interest[8100]" value="8100" class="form-checkbox" />GPCR Library</label> </div><div class="form-item form-item-interest-7350 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-7350"><input type="checkbox" id="edit-interest-7350" name="interest[7350]" value="7350" class="form-checkbox" />Antiviral Library</label> </div><div class="form-item form-item-interest-1000 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-1000"><input type="checkbox" id="edit-interest-1000" name="interest[1000]" value="1000" class="form-checkbox" />Custom Compound Library</label> </div></div></div><div class="form-item form-item-interest-comp-options form-type-checkboxes form-group"> <label class="control-label" for="edit-interest-comp-options">Compound Options</label> <div id="edit-interest-comp-options" class="form-checkboxes"><div class="form-item form-item-interest-comp-options-compound-add-library1 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-comp-options-compound-add-library1"><input type="checkbox" id="edit-interest-comp-options-compound-add-library1" name="interest_comp_options[compound_add_library1]" value="compound_add_library1" class="form-checkbox" />COVID-19 Library</label> </div><div class="form-item form-item-interest-comp-options-compound-add-library2 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-comp-options-compound-add-library2"><input type="checkbox" id="edit-interest-comp-options-compound-add-library2" name="interest_comp_options[compound_add_library2]" value="compound_add_library2" class="form-checkbox" />Additional New Products*</label> </div><div class="form-item form-item-interest-comp-options-compound-add-library3 form-type-checkbox checkbox"> <label class="control-label" for="edit-interest-comp-options-compound-add-library3"><input type="checkbox" id="edit-interest-comp-options-compound-add-library3" name="interest_comp_options[compound_add_library3]" value="compound_add_library3" class="form-checkbox" />Any Custom Library</label> </div></div><div class="help-block">* Designed for customers that have previously purchased a Tocriscreen Plus, Plus Mini or Plus Micro, this list provides compounds recently added to the Tocriscreen 2.0 compound library (10 mM DMSO, minimum volume of 250 碌L).</div></div><div class="clearfixScreening"></div><hr><div class="custom_compound_options clearfixScreening"><div class="form-item form-item-compound-format form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-format">What format would you like the compounds in? (required)</label> <div id="edit-compound-format" class="form-checkboxes"><div class="form-item form-item-compound-format-compound-format-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-format-compound-format-opt1"><input type="checkbox" id="edit-compound-format-compound-format-opt1" name="compound_format[compound_format_opt1]" value="compound_format_opt1" class="form-checkbox" />Dry Powder</label> </div><div class="form-item form-item-compound-format-compound-format-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-format-compound-format-opt2"><input type="checkbox" id="edit-compound-format-compound-format-opt2" name="compound_format[compound_format_opt2]" value="compound_format_opt2" class="form-checkbox" />In Solution (10 mM in DMSO)</label> </div><div class="form-item form-item-compound-format-compound-format-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-format-compound-format-opt3"><input type="checkbox" id="edit-compound-format-compound-format-opt3" name="compound_format[compound_format_opt3]" value="compound_format_opt3" class="form-checkbox" />Don't know</label> </div></div></div><fieldset class="panel panel-default form-wrapper" id="edit-compound-quantity-fieldset"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">What volume/weight do you require per compound? (required)</span> </legend> <div class="panel-body" id="edit-compound-quantity-fieldset-body"> <div class="form-item form-item-compound-quantity-solution form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-quantity-solution">In Solution: </label> <div id="edit-compound-quantity-solution" class="form-checkboxes"><div class="form-item form-item-compound-quantity-solution-compound-quantity-solution-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-solution-compound-quantity-solution-opt1"><input type="checkbox" id="edit-compound-quantity-solution-compound-quantity-solution-opt1" name="compound_quantity_solution[compound_quantity_solution_opt1]" value="compound_quantity_solution_opt1" class="form-checkbox" />50 碌L</label> </div><div class="form-item form-item-compound-quantity-solution-compound-quantity-solution-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-solution-compound-quantity-solution-opt2"><input type="checkbox" id="edit-compound-quantity-solution-compound-quantity-solution-opt2" name="compound_quantity_solution[compound_quantity_solution_opt2]" value="compound_quantity_solution_opt2" class="form-checkbox" />100 碌L</label> </div><div class="form-item form-item-compound-quantity-solution-compound-quantity-solution-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-solution-compound-quantity-solution-opt3"><input type="checkbox" id="edit-compound-quantity-solution-compound-quantity-solution-opt3" name="compound_quantity_solution[compound_quantity_solution_opt3]" value="compound_quantity_solution_opt3" class="form-checkbox" />250 碌L</label> </div><div class="form-item form-item-compound-quantity-solution-compound-quantity-solution-opt4 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-solution-compound-quantity-solution-opt4"><input type="checkbox" id="edit-compound-quantity-solution-compound-quantity-solution-opt4" name="compound_quantity_solution[compound_quantity_solution_opt4]" value="compound_quantity_solution_opt4" class="form-checkbox" />Don't know</label> </div></div></div><div class="form-item form-item-compound-quantity-powder form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-quantity-powder">Dry Powder: </label> <div id="edit-compound-quantity-powder" class="form-checkboxes"><div class="form-item form-item-compound-quantity-powder-compound-quantity-powder-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-powder-compound-quantity-powder-opt1"><input type="checkbox" id="edit-compound-quantity-powder-compound-quantity-powder-opt1" name="compound_quantity_powder[compound_quantity_powder_opt1]" value="compound_quantity_powder_opt1" class="form-checkbox" />2 mg</label> </div><div class="form-item form-item-compound-quantity-powder-compound-quantity-powder-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-powder-compound-quantity-powder-opt2"><input type="checkbox" id="edit-compound-quantity-powder-compound-quantity-powder-opt2" name="compound_quantity_powder[compound_quantity_powder_opt2]" value="compound_quantity_powder_opt2" class="form-checkbox" />5 mg</label> </div><div class="form-item form-item-compound-quantity-powder-compound-quantity-powder-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-powder-compound-quantity-powder-opt3"><input type="checkbox" id="edit-compound-quantity-powder-compound-quantity-powder-opt3" name="compound_quantity_powder[compound_quantity_powder_opt3]" value="compound_quantity_powder_opt3" class="form-checkbox" />10 mg</label> </div><div class="form-item form-item-compound-quantity-powder-compound-quantity-powder-opt4 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-quantity-powder-compound-quantity-powder-opt4"><input type="checkbox" id="edit-compound-quantity-powder-compound-quantity-powder-opt4" name="compound_quantity_powder[compound_quantity_powder_opt4]" value="compound_quantity_powder_opt4" class="form-checkbox" />Don't know</label> </div></div></div> </div> </fieldset> <div class="form-item form-item-compound-tubes form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-tubes">Who should supply the compound tubes? (required)</label> <div id="edit-compound-tubes" class="form-checkboxes"><div class="form-item form-item-compound-tubes-compound-tubes-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-tubes-compound-tubes-opt1"><input type="checkbox" id="edit-compound-tubes-compound-tubes-opt1" name="compound_tubes[compound_tubes_opt1]" value="compound_tubes_opt1" class="form-checkbox" />Tocris</label> </div><div class="form-item form-item-compound-tubes-compound-tubes-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-tubes-compound-tubes-opt2"><input type="checkbox" id="edit-compound-tubes-compound-tubes-opt2" name="compound_tubes[compound_tubes_opt2]" value="compound_tubes_opt2" class="form-checkbox" />I will supply tubes</label> </div><div class="form-item form-item-compound-tubes-compound-tubes-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-tubes-compound-tubes-opt3"><input type="checkbox" id="edit-compound-tubes-compound-tubes-opt3" name="compound_tubes[compound_tubes_opt3]" value="compound_tubes_opt3" class="form-checkbox" />Don't know</label> </div></div></div><div class="form-item form-item-compound-pharmacological-areas form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-pharmacological-areas">Which pharmacological target areas are you interested in? (optional)</label> <div id="edit-compound-pharmacological-areas" class="form-checkboxes"><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt1"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt1" name="compound_pharmacological_areas[compound_pharmacologica_opt1]" value="compound_pharmacologica_opt1" class="form-checkbox" />7-TM Receptors</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt2"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt2" name="compound_pharmacological_areas[compound_pharmacologica_opt2]" value="compound_pharmacologica_opt2" class="form-checkbox" />Enzymes</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt3"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt3" name="compound_pharmacological_areas[compound_pharmacologica_opt3]" value="compound_pharmacologica_opt3" class="form-checkbox" />Cell Biology</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt4 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt4"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt4" name="compound_pharmacological_areas[compound_pharmacologica_opt4]" value="compound_pharmacologica_opt4" class="form-checkbox" />Ion Channels</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt5 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt5"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt5" name="compound_pharmacological_areas[compound_pharmacologica_opt5]" value="compound_pharmacologica_opt5" class="form-checkbox" />Enzyme-linked Receptors</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt6 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt6"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt6" name="compound_pharmacological_areas[compound_pharmacologica_opt6]" value="compound_pharmacologica_opt6" class="form-checkbox" />Transporters</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt7 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt7"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt7" name="compound_pharmacological_areas[compound_pharmacologica_opt7]" value="compound_pharmacologica_opt7" class="form-checkbox" />Nuclear Receptors</label> </div><div class="form-item form-item-compound-pharmacological-areas-compound-pharmacologica-opt8 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-pharmacological-areas-compound-pharmacologica-opt8"><input type="checkbox" id="edit-compound-pharmacological-areas-compound-pharmacologica-opt8" name="compound_pharmacological_areas[compound_pharmacologica_opt8]" value="compound_pharmacologica_opt8" class="form-checkbox" />Other Pharmacology</label> </div></div></div><div class="form-item form-item-compound-research-areas form-type-checkboxes form-group"> <label class="control-label" for="edit-compound-research-areas">Which research areas are you interested in? (optional)</label> <div id="edit-compound-research-areas" class="form-checkboxes"><div class="form-item form-item-compound-research-areas-compound-research-opt1 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt1"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt1" name="compound_research_areas[compound_research_opt1]" value="compound_research_opt1" class="form-checkbox" />Cancer</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt2 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt2"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt2" name="compound_research_areas[compound_research_opt2]" value="compound_research_opt2" class="form-checkbox" />Epigenetics</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt3 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt3"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt3" name="compound_research_areas[compound_research_opt3]" value="compound_research_opt3" class="form-checkbox" />Stem Cells</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt4 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt4"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt4" name="compound_research_areas[compound_research_opt4]" value="compound_research_opt4" class="form-checkbox" />Cardiovascular</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt5 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt5"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt5" name="compound_research_areas[compound_research_opt5]" value="compound_research_opt5" class="form-checkbox" />Immunology</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt6 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt6"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt6" name="compound_research_areas[compound_research_opt6]" value="compound_research_opt6" class="form-checkbox" />Endocrinology</label> </div><div class="form-item form-item-compound-research-areas-compound-research-opt7 form-type-checkbox checkbox"> <label class="control-label" for="edit-compound-research-areas-compound-research-opt7"><input type="checkbox" id="edit-compound-research-areas-compound-research-opt7" name="compound_research_areas[compound_research_opt7]" value="compound_research_opt7" class="form-checkbox" />Neuroscience</label> </div></div></div><fieldset class="panel panel-default form-wrapper" id="edit-compound-add-info-fieldset"> <legend class="panel-heading"> <span class="panel-title fieldset-legend">Additional Information</span> </legend> <div class="panel-body" id="edit-compound-add-info-fieldset-body"> <div class="help-block">Please provide any additional information to help us with your inquiry, e.g. specific protein targets you are interested in, specific compounds you may be interested in, number of compounds, research areas.</div> <div class="form-item form-item-additional-information form-type-textarea form-group"> <label class="control-label" for="edit-additional-information">Additional Information</label> <div class="form-textarea-wrapper"><textarea class="form-control form-textarea" id="edit-additional-information" name="additional_information" cols="60" rows="5"></textarea></div></div> </div> </fieldset> </div><div class="form-item form-item-salutation form-type-select form-group"> <label class="control-label" for="edit-salutation">Title</label> <div class="select_wrapper"><select class="form-control form-select" id="edit-salutation" name="salutation"><option value="" selected="selected">- Select Title -</option><option value="Dr.">Dr.</option><option value="Miss">Miss</option><option value="Mr.">Mr.</option><option value="Mrs.">Mrs.</option><option value="Ms.">Ms.</option><option value="Professor">Professor</option></select></div></div><div class="form-item form-item-firstname form-type-textfield form-group"> <label class="control-label" for="edit-firstname">First Name <span class="form-required" title="This field is required.">*</span></label> <input class="form-control form-text required" type="text" id="edit-firstname" name="firstname" value="" size="60" maxlength="255" /></div><div class="form-item form-item-lastname form-type-textfield form-group"> <label class="control-label" for="edit-lastname">Last Name <span class="form-required" title="This field is required.">*</span></label> <input class="form-control form-text required" type="text" id="edit-lastname" name="lastname" value="" size="60" maxlength="255" /></div><div class="form-item form-item-job-title form-type-select form-group"> <label class="control-label" for="edit-job-title">Role or Position</label> <div class="select_wrapper"><select class="form-control form-select" id="edit-job-title" name="job_title"><option value="0">- Select (Optional) -</option><option value="CEO/Director/President">CEO/Director/President</option><option value="Department Head">Department Head</option><option value="Grad Student">Grad Student</option><option value="Group Leader">Group Leader</option><option value="Lab Manager">Lab Manager</option><option value="Lecturer">Lecturer</option><option value="Medic">Medic</option><option value="MTA/Technician">MTA/Technician</option><option value="Other">Other</option><option value="Post Doc">Post Doc</option><option value="Professor/Associate Professor">Professor/Associate Professor</option><option value="Purchaser">Purchaser</option><option value="Research Assistant">Research Assistant</option><option value="Sales/Marketing">Sales/Marketing</option><option value="Secretary/Administrator">Secretary/Administrator</option><option value="Staff/Senior Scientist">Staff/Senior Scientist</option></select></div></div><div class="form-item form-item-institution-company form-type-textfield form-group"> <label class="control-label" for="edit-institution-company">Institution / Company <span class="form-required" title="This field is required.">*</span></label> <input class="form-control form-text required" type="text" id="edit-institution-company" name="institution_company" value="" size="60" maxlength="255" /></div><div class="form-item form-item-country form-type-select form-group"> <label class="control-label" for="edit-country">Country <span class="form-required" title="This field is required.">*</span></label> <div class="select_wrapper"><select class="form-control form-select required" id="edit-country" name="country"><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BO">Bolivia</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BR">Brazil</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CO">Colombia</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="PF">French Polynesia</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HN">Honduras</option><option value="HK">Hong Kong S.A.R., China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="CI">Ivory Coast</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MK">Macedonia</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MR">Mauritania</option><option value="MX">Mexico</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RO">Romania</option><option value="RW">Rwanda</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="WS">Samoa</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="ZA">South Africa</option><option value="KR">South Korea</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SR">Suriname</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option 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