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 ▀▀▀▀▀▀▀▀▀▀▀  ▀▀▀▀▀▀▀▀▀▀▀  ▀▀▀▀▀▀▀▀▀▀▀  ▀         ▀  ▀▀▀▀▀▀▀▀▀▀▀  ▀▀▀▀▀▀▀▀▀▀▀                    
                                                                                                 
 ▄▄▄▄▄▄▄▄▄▄▄  ▄▄▄▄▄▄▄▄▄▄▄  ▄▄▄▄▄▄▄▄▄▄   ▄▄▄▄▄▄▄▄▄▄▄                                              
▐░░░░░░░░░░░▌▐░░░░░░░░░░░▌▐░░░░░░░░░░▌ ▐░░░░░░░░░░░▌                                             
▐░█▀▀▀▀▀▀▀▀▀ ▐░█▀▀▀▀▀▀▀█░▌▐░█▀▀▀▀▀▀▀█░▌▐░█▀▀▀▀▀▀▀▀▀                                              
▐░▌          ▐░▌       ▐░▌▐░▌       ▐░▌▐░▌                                                       
▐░▌          ▐░▌       ▐░▌▐░▌       ▐░▌▐░█▄▄▄▄▄▄▄▄▄                                              
▐░▌          ▐░▌       ▐░▌▐░▌       ▐░▌▐░░░░░░░░░░░▌                                             
▐░▌          ▐░▌       ▐░▌▐░▌       ▐░▌▐░█▀▀▀▀▀▀▀▀▀                                              
▐░▌          ▐░▌       ▐░▌▐░▌       ▐░▌▐░▌                                                       
▐░█▄▄▄▄▄▄▄▄▄ ▐░█▄▄▄▄▄▄▄█░▌▐░█▄▄▄▄▄▄▄█░▌▐░█▄▄▄▄▄▄▄▄▄                                              
▐░░░░░░░░░░░▌▐░░░░░░░░░░░▌▐░░░░░░░░░░▌ ▐░░░░░░░░░░░▌                                             
 ▀▀▀▀▀▀▀▀▀▀▀  ▀▀▀▀▀▀▀▀▀▀▀  ▀▀▀▀▀▀▀▀▀▀   ▀▀▀▀▀▀▀▀▀▀▀                                                                                                                                                                                                                          

Copyright 2024 Triunfo Sports LLC DBA Prevelo Bikes

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<head>
  <meta name="follow.it-verification-code" content="JCCerfXwYw89RjM1zPPw"/>

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<!-- Start of Shoplift scripts -->
<!-- 2024-07-02T20:04:09.7416186Z -->
<style>.shoplift-hide { opacity: 0 !important; }</style>
<script type="text/javascript">(function(rootPath, template, themeRole, themeId, isThemePreview){ /* Generated on 2024-11-19T23:30:06.3426243Z */var T=Object.defineProperty;var C=(g,d,h)=>d in g?T(g,d,{enumerable:!0,configurable:!0,writable:!0,value:h}):g[d]=h;var r=(g,d,h)=>C(g,typeof d!="symbol"?d+"":d,h);(function(){"use strict";var g=" daum[ /]| deusu/| yadirectfetcher|(?:^|[^g])news(?!sapphire)|(?<! (?:channel/|google/))google(?!(app|/google| pixel))|(?<! cu)bots?(?:\\b|_)|(?<!(?: ya| yandex|^job|inapp;) ?)search|(?<!(?:lib))http|(?<![hg]m)score|@[a-z][\\w-]+\\.|\\(\\)|\\.com|\\b\\d{13}\\b|^<|^[\\w \\.\\-\\(?:\\):]+(?:/v?\\d+(?:\\.\\d+)?(?:\\.\\d{1,10})*?)?(?:,|$)|^[^ ]{50,}$|^\\d+\\b|^\\w+/[\\w\\(\\)]*$|^active|^ad muncher|^amaya|^avsdevicesdk/|^biglotron|^bot|^bw/|^clamav[ /]|^client/|^cobweb/|^custom|^ddg[_-]android|^discourse|^dispatch/\\d|^downcast/|^duckduckgo|^facebook|^getright/|^gozilla/|^hobbit|^hotzonu|^hwcdn/|^jeode/|^jetty/|^jigsaw|^microsoft bits|^movabletype|^mozilla/\\d\\.\\d \\(compatible;?\\)$|^mozilla/\\d\\.\\d \\w*$|^navermailapp|^netsurf|^offline|^owler|^postman|^python|^rank|^read|^reed|^rest|^rss|^snapchat|^space bison|^svn|^swcd |^taringa|^thumbor/|^track|^valid|^w3c|^webbandit/|^webcopier|^wget|^whatsapp|^wordpress|^xenu link sleuth|^yahoo|^yandex|^zdm/\\d|^zoom marketplace/|^{{.*}}$|admin|analyzer|archive|ask jeeves/teoma|bit\\.ly/|bluecoat 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m{constructor(e,s,i){super();r(this,"type");r(this,"testId");r(this,"hypothesisId");this.type=3,this.testId=e,this.hypothesisId=s,this.timestamp=i}}class S extends m{constructor(e){super();r(this,"type");r(this,"path");this.type=4,this.path=e}}class b extends m{constructor(e){super();r(this,"type");r(this,"cart");this.type=5,this.cart=e}}class f extends Error{constructor(){super();r(this,"isBot");this.isBot=!0}}class k{constructor(t,e,s,i,o,a,n,c,l){r(this,"shop");r(this,"essentialSessionKey","Shoplift_Essential");r(this,"analyticsSessionKey","Shoplift_Analytics");r(this,"legacySessionKey");r(this,"host");r(this,"eventHost");r(this,"cssHideClass");r(this,"testConfigs");r(this,"sendPageView",!1);r(this,"shopliftDebug",!1);r(this,"useGtag",!1);r(this,"getCountryTimeout");r(this,"state");r(this,"shopifyAnalyticsId");r(this,"baseVisitor");r(this,"cookie",document.cookie);r(this,"isSyncing",!1);r(this,"fetch");r(this,"localStorageSet");r(this,"localStorageGet");this.shop=t,this.legacySessionKey=`SHOPLIFT_SESSION_${this.shop}`,this.host=e,this.eventHost=s,this.cssHideClass=i?"shoplift-hide":"",this.testConfigs=l,this.sendPageView=!!o,this.shopliftDebug=a===!0,this.useGtag=n===!0,this.fetch=window.fetch.bind(window),this.localStorageSet=window.localStorage.setItem.bind(window.localStorage),this.localStorageGet=window.localStorage.getItem.bind(window.localStorage),this.state=this.loadState(),this.shopifyAnalyticsId=this.getShopifyAnalyticsId(),this.baseVisitor=this.buildBaseVisitor(),this.testConfigs=l,this.getCountryTimeout=c===1000?1e3:c,this.log("State Loaded",JSON.stringify(this.state))}async init(){try{if(this.log("Shoplift script initializing"),window.Shopify&&window.Shopify.designMode){this.log("Skipping script for design mode");return}if(window.location.href.includes("slScreenshot=true")||window.location.hostname.endsWith(".shopifypreview.com")||window.location.hostname.endsWith(".edgemesh.com")){this.log("Skipping script for screenshot/preview");return}if(window.location.href.includes("isShopliftMerchant")){const s=new URLSearchParams(window.location.search).get("isShopliftMerchant")==="true";this.log("Setting merchant session to %s",s),this.state.essential.isMerchant=s,this.persistEssentialState()}if(w(navigator.userAgent)||(this.shopifyAnalyticsId=this.getShopifyAnalyticsId(),this.monitorConsentChange(),this.checkForThemePreview()))return;if(await this.handleVisitorTest()){this.log("Redirecting for visitor test");return}this.showPage(),await this.finalize(),console.log("SHOPLIFT SCRIPT INITIALIZED!")}catch(t){if(t instanceof f)return;throw t}finally{window.shoplift=!0}}async finalize(){const t=await this.getCartState();t!==null&&this.queueCartUpdate(t),this.saveState(),await this.syncAllEvents()}async handleVisitorTest(){const t=await this.filterTestsByAudience(this.testConfigs,this.state.analytics.visitor||this.baseVisitor,this.state.essential.visitorTests);let e=this.testsForUrl(t);if(e.length>0){this.log("Is on test page");const i=this.getVisitorHypothesis(e);if(i){this.log("Found current visitor test");const n=this.considerRedirect(i);return n&&(this.log("Redirecting for current visitor test"),this.redirect(i)),n}if(this.log("No existing relation for test page"),this.hasThemeAndOtherTestTypes(t)){const n=this.visitorActiveTestType();this.log("Current visitor test type is '%s'",n);let c;switch(n){case"templateOrUrlRedirect":c=l=>l!=="theme";break;case"theme":c=l=>l==="theme";break;case null:c=Math.random()>.5?l=>l==="theme":l=>l!=="theme";break}e=e.filter(l=>l.hypotheses.some(p=>p.isControl&&c(p.type)))}if(e.length===0)return this.log("No tests found"),!1;const o=e[Math.floor(Math.random()*e.length)],a=this.pickHypothesis(o);if(a){this.log("Adding local visitor to test '%s', hypothesis '%s'",o.id,a.id),this.queueAddVisitorToTest(o,a);const n=this.considerRedirect(a);return n&&(this.log("Redirecting for new test"),this.redirect(a)),n}this.log("No hypothesis found")}return!1}considerRedirect(t){if(this.log("Considering redirect for hypothesis '%s'",t.id),t.isControl)return this.log("Skipping redirect for control"),!1;const e=this.state.essential.visitorTests.find(i=>i.hypothesisId===t.id),s=new URL(window.location.toString());if(t.type==="theme"){if(!(t.themeId===themeId)){if(this.log("Theme id '%s' is not hypothesis theme ID '%s'",t.themeId,themeId),e&&e.themeId!==t.themeId&&(e.themeId===themeId||!this.isThemePreview()))this.log("On old theme, redirecting and updating local visitor"),e.themeId=t.themeId;else if(this.isThemePreview())return this.log("On non-test theme, skipping redirect"),!1;return this.log("Hiding page to redirect for theme test"),this.hidePage(),!0}return!1}else if(t.affix!==template.suffix||t.redirectPath&&!s.pathname.endsWith(t.redirectPath))return this.log("Hiding page to redirect for template test"),this.hidePage(),!0;return this.log("Not redirecting"),!1}redirect(t){if(this.log("Redirecting to hypothesis '%s'",t.id),t.isControl)return;const e=new URL(window.location.toString());if(t.redirectPath){const s=RegExp("^(/w{2}-w{2})/").exec(e.pathname);if(s&&s.length>1){const i=s[1];e.pathname=`${i}${t.redirectPath}`}else e.pathname=t.redirectPath}else t.type==="theme"?(e.searchParams.set("_ab","0"),e.searchParams.set("_fd","0"),e.searchParams.set("_sc","1"),e.searchParams.set("preview_theme_id",t.themeId.toString())):t.type!=="urlRedirect"&&e.searchParams.set("view",t.affix);this.queueRedirect(e)}buildBaseVisitor(){const t=this.getDeviceType();return{shopifyAnalyticsId:this.shopifyAnalyticsId,device:t!=="tablet"?t:"mobile",...this.getInitialState()}}getInitialState(){const t=this.getUTMValue("utm_source")??"",e=this.getUTMValue("utm_medium")??"",s=this.getUTMValue("utm_campaign")??"",i=this.getUTMValue("utm_content")??"",o=window.document.referrer;return{createdAt:new Date,utmSource:t,utmMedium:e,utmCampaign:s,utmContent:i,referrer:o}}checkForThemePreview(){if(this.log("Checking for theme preview"),!this.isThemePreview())return this.log("Not on theme preview"),!1;if(this.state.essential.isMerchant)return this.log("Merchant previewing theme"),!0;if(this.state.essential.visitorTests.some(t=>{var e;return t.isThemeTest&&((e=this.getHypothesis(t.hypothesisId))==null?void 0:e.themeId)===themeId}))return this.log("On active theme test"),this.clearThemeBar(),!1;if(this.state.essential.isFirstLoad||this.state.essential.visitorTests.some(t=>t.isThemeTest&&!this.getHypothesis(t.hypothesisId)&&(t.themeId==null||t.themeId===themeId))){this.log("Missing visitor or hypothesis, redirecting to main theme"),this.hidePage();const t=new URL(window.location.toString());return t.searchParams.set("preview_theme_id",""),this.queueRedirect(t),!0}return this.state.essential.visitorTests.some(t=>t.themeId===themeId)?(this.log("Falling back to clearing theme bar"),this.clearThemeBar(),!1):(this.log("No tests on current theme, skipping script"),!0)}testsForUrl(t){const e=new URL(window.location.href),s=this.typeFromTemplate();return t.filter(i=>i.hypotheses.some(o=>o.isControl&&o.type===s&&o.affix===template.suffix||o.type==="theme"||o.isControl&&o.type==="urlRedirect"&&o.redirectPath&&e.pathname.endsWith(o.redirectPath))&&(!e.searchParams.has("view")||i.hypotheses.filter(o=>!o.isControl).map(o=>o.affix).includes(e.searchParams.get("view")??"")))}async filterTestsByAudience(t,e,s){const i=[];for(const o of t){this.log("Checking audience for test '%s'",o.id);const a=this.visitorCreatedDuringTestActive(o.statusHistory);(s.some(c=>c.testId===o.id)||await this.isTargetAudience(o,e,a))&&(this.log("Visitor is in audience for test '%s'",o.id),i.push(o))}return i}async isTargetAudience(t,e,s){let i=null;t.requiresCountry&&(this.log("Hiding page to check geoip"),this.hidePage(),i=await this.makeJsonRequest({method:"get",url:`${this.host}/api/v0/visitors/get-country`,signal:AbortSignal.timeout(this.getCountryTimeout)}).catch(a=>(this.log("Error getting country",a),null)));const o=this.getChannel(e);return(t.device==="all"||t.device===e.device)&&(t.visitorOption==="all"||t.visitorOption==="new"&&s||t.visitorOption==="returning"&&!s)&&(t.targetAudiences.length===0||t.targetAudiences.reduce((a,n)=>a||n.reduce((c,l)=>c&&l(e,s,o,i),!0),!1))}visitorCreatedDuringTestActive(t){let e="";for(const s of t){if(this.state.analytics.visitor!==null&&this.state.analytics.visitor.createdAt<s.createdAt||this.state.essential.initialState.createdAt<s.createdAt)break;e=s.status}return e==="active"}getVisitorHypothesis(t){return t.reduce((e,s)=>e.concat(s.hypotheses),[]).find(e=>this.state.essential.visitorTests.some(s=>s.hypothesisId===e.id))}getHypothesis(t){return this.testConfigs.filter(e=>e.hypotheses.some(s=>s.id===t)).map(e=>e.hypotheses.find(s=>s.id===t))[0]}hasThemeTest(t){return t.some(e=>e.hypotheses.some(s=>s.type==="theme"))}hasTestThatIsNotThemeTest(t){return t.some(e=>e.hypotheses.some(s=>s.type!=="theme"))}hasThemeAndOtherTestTypes(t){return this.hasThemeTest(t)&&this.hasTestThatIsNotThemeTest(t)}visitorActiveTestType(){const t=this.state.essential.visitorTests.filter(e=>this.testConfigs.some(s=>s.hypotheses.some(i=>i.id==e.hypothesisId)));return t.length===0?null:t.some(e=>e.isThemeTest)?"theme":"templateOrUrlRedirect"}pickHypothesis(t){let e=Math.random();const s=t.hypotheses.reduce((o,a)=>o+a.visitorCount,0);return t.hypotheses.sort((o,a)=>o.isControl?a.isControl?0:-1:a.isControl?1:0).reduce((o,a)=>{if(o!==null)return o;const c=t.hypotheses.reduce((l,p)=>l&&p.visitorCount>20,!0)?a.visitorCount/s-a.trafficPercentage:0;return e<=a.trafficPercentage-c?a:(e-=a.trafficPercentage,null)},null)}typeFromTemplate(){switch(template.type){case"collection-list":return"collectionList";case"page":return"landing";case"article":case"blog":case"cart":case"collection":case"index":case"product":case"search":return template.type;default:return null}}queueRedirect(t){this.saveState(),window.setTimeout(()=>window.location.assign(t),0)}async syncAllEvents(){const t=async()=>{if(this.isSyncing){window.setTimeout(()=>void(async()=>await t())(),500);return}try{this.isSyncing=!0,await this.syncEvents(),this.syncGAEvents()}finally{this.isSyncing=!1}};await t()}async syncEvents(){if(!this.state.essential.consentApproved||!this.shopifyAnalyticsId||this.state.analytics.queue.length===0)return;const t=this.state.analytics.queue.length,e=this.state.analytics.queue.splice(0,t);this.log("Syncing %s events",t);try{const s=this.getDeviceType(),i={shop:this.shop,visitorDetails:{shopifyAnalyticsId:this.shopifyAnalyticsId,device:s!=="tablet"?s:"mobile",...this.state.essential.initialState},events:this.state.essential.visitorTests.filter(n=>!n.isInvalid&&!n.isSaved).map(n=>new v(n.testId,n.hypothesisId,n.createdAt)).concat(e)},o=await this.sendEvents(i);let a;({visitorTests:a,...this.state.analytics.visitor}=o);for(const n of this.state.essential.visitorTests){const c=a.find(l=>n.testId==l.testId);c?c.shouldSendToGa=n.shouldSendToGa:(n.isSaved=!0,n.isInvalid=!0,a.push(n))}this.state.essential.visitorTests=a,this.state.analytics.visitor.storedAt=new Date}catch{this.state.analytics.queue.splice(0,0,...e)}finally{this.saveState()}}syncGAEvents(){if(!this.useGtag||!this.state.essential.consentApproved)return;const t=this.state.essential.visitorTests.filter(s=>s.shouldSendToGa);this.log("Syncing %s ga events",length);const e=()=>{try{for(const s of t)this.sendGtagEvent(s.testId,s.hypothesisId),s.shouldSendToGa=!1}catch(s){this.log("Failed sending event to gtag",s)}finally{this.persistEssentialState()}};typeof window.gtag!="function"?(this.log("gtag not found, deferring until load"),document.addEventListener("DOMContentLoaded",e)):(this.log("Calling gtag"),e())}sendGtagEvent(t,e){this.log("Sending gtag event for",t,e);const s={exp_variant_string:`SL-${t}-${e}`};this.shopliftDebug&&Object.assign(s,{debug_mode:!0}),gtag("event","experience_impression",s)}async sendEvents(t){return await this.makeJsonRequest({method:"post",url:`${this.host}/api/v0/events`,data:JSON.stringify(t)})}async getRemoteVisitor(t){return await this.makeJsonRequest({method:"get",url:`${this.host}/api/v0/visitors/${t}`})}async updateShopifyAnalyticsId(t,e){return await this.makeJsonRequest({method:"put",url:`${this.host}/api/v0/visitors/${t}`,data:JSON.stringify({shop:this.shop,shopifyAnalyticsId:e})})}getUTMValue(t){const s=decodeURIComponent(window.location.search.substring(1)).split("&");for(let i=0;i<s.length;i++){const o=s[i].split("=");if(o[0]===t)return o[1]||null}return null}hidePage(){this.log("Hiding page"),this.cssHideClass&&!window.document.documentElement.classList.contains(this.cssHideClass)&&(window.document.documentElement.classList.add(this.cssHideClass),setTimeout(this.removeAsyncHide(this.cssHideClass),2e3))}showPage(){this.cssHideClass&&this.removeAsyncHide(this.cssHideClass)()}getDeviceType(){function t(){let s=!1;return function(i){(/(android|bb\d+|meego).+mobile|avantgo|bada\/|blackberry|blazer|compal|elaine|fennec|hiptop|iemobile|ip(hone|od)|iris|kindle|lge |maemo|midp|mmp|mobile.+firefox|netfront|opera m(ob|in)i|palm( os)?|phone|p(ixi|re)\/|plucker|pocket|psp|series(4|6)0|symbian|treo|up\.(browser|link)|vodafone|wap|windows ce|xda|xiino/i.test(i)||/1207|6310|6590|3gso|4thp|50[1-6]i|770s|802s|a wa|abac|ac(er|oo|s\-)|ai(ko|rn)|al(av|ca|co)|amoi|an(ex|ny|yw)|aptu|ar(ch|go)|as(te|us)|attw|au(di|\-m|r |s )|avan|be(ck|ll|nq)|bi(lb|rd)|bl(ac|az)|br(e|v)w|bumb|bw\-(n|u)|c55\/|capi|ccwa|cdm\-|cell|chtm|cldc|cmd\-|co(mp|nd)|craw|da(it|ll|ng)|dbte|dc\-s|devi|dica|dmob|do(c|p)o|ds(12|\-d)|el(49|ai)|em(l2|ul)|er(ic|k0)|esl8|ez([4-7]0|os|wa|ze)|fetc|fly(\-|_)|g1 u|g560|gene|gf\-5|g\-mo|go(\.w|od)|gr(ad|un)|haie|hcit|hd\-(m|p|t)|hei\-|hi(pt|ta)|hp( i|ip)|hs\-c|ht(c(\-| |_|a|g|p|s|t)|tp)|hu(aw|tc)|i\-(20|go|ma)|i230|iac( |\-|\/)|ibro|idea|ig01|ikom|im1k|inno|ipaq|iris|ja(t|v)a|jbro|jemu|jigs|kddi|keji|kgt( |\/)|klon|kpt |kwc\-|kyo(c|k)|le(no|xi)|lg( g|\/(k|l|u)|50|54|\-[a-w])|libw|lynx|m1\-w|m3ga|m50\/|ma(te|ui|xo)|mc(01|21|ca)|m\-cr|me(rc|ri)|mi(o8|oa|ts)|mmef|mo(01|02|bi|de|do|t(\-| |o|v)|zz)|mt(50|p1|v )|mwbp|mywa|n10[0-2]|n20[2-3]|n30(0|2)|n50(0|2|5)|n7(0(0|1)|10)|ne((c|m)\-|on|tf|wf|wg|wt)|nok(6|i)|nzph|o2im|op(ti|wv)|oran|owg1|p800|pan(a|d|t)|pdxg|pg(13|\-([1-8]|c))|phil|pire|pl(ay|uc)|pn\-2|po(ck|rt|se)|prox|psio|pt\-g|qa\-a|qc(07|12|21|32|60|\-[2-7]|i\-)|qtek|r380|r600|raks|rim9|ro(ve|zo)|s55\/|sa(ge|ma|mm|ms|ny|va)|sc(01|h\-|oo|p\-)|sdk\/|se(c(\-|0|1)|47|mc|nd|ri)|sgh\-|shar|sie(\-|m)|sk\-0|sl(45|id)|sm(al|ar|b3|it|t5)|so(ft|ny)|sp(01|h\-|v\-|v )|sy(01|mb)|t2(18|50)|t6(00|10|18)|ta(gt|lk)|tcl\-|tdg\-|tel(i|m)|tim\-|t\-mo|to(pl|sh)|ts(70|m\-|m3|m5)|tx\-9|up(\.b|g1|si)|utst|v400|v750|veri|vi(rg|te)|vk(40|5[0-3]|\-v)|vm40|voda|vulc|vx(52|53|60|61|70|80|81|83|85|98)|w3c(\-| )|webc|whit|wi(g |nc|nw)|wmlb|wonu|x700|yas\-|your|zeto|zte\-/i.test(i.substr(0,4)))&&(s=!0)}(navigator.userAgent||navigator.vendor),s}function e(){let s=!1;return function(i){(/android|ipad|playbook|silk/i.test(i)||/1207|6310|6590|3gso|4thp|50[1-6]i|770s|802s|a wa|abac|ac(er|oo|s\-)|ai(ko|rn)|al(av|ca|co)|amoi|an(ex|ny|yw)|aptu|ar(ch|go)|as(te|us)|attw|au(di|\-m|r |s )|avan|be(ck|ll|nq)|bi(lb|rd)|bl(ac|az)|br(e|v)w|bumb|bw\-(n|u)|c55\/|capi|ccwa|cdm\-|cell|chtm|cldc|cmd\-|co(mp|nd)|craw|da(it|ll|ng)|dbte|dc\-s|devi|dica|dmob|do(c|p)o|ds(12|\-d)|el(49|ai)|em(l2|ul)|er(ic|k0)|esl8|ez([4-7]0|os|wa|ze)|fetc|fly(\-|_)|g1 u|g560|gene|gf\-5|g\-mo|go(\.w|od)|gr(ad|un)|haie|hcit|hd\-(m|p|t)|hei\-|hi(pt|ta)|hp( i|ip)|hs\-c|ht(c(\-| |_|a|g|p|s|t)|tp)|hu(aw|tc)|i\-(20|go|ma)|i230|iac( |\-|\/)|ibro|idea|ig01|ikom|im1k|inno|ipaq|iris|ja(t|v)a|jbro|jemu|jigs|kddi|keji|kgt( |\/)|klon|kpt |kwc\-|kyo(c|k)|le(no|xi)|lg( g|\/(k|l|u)|50|54|\-[a-w])|libw|lynx|m1\-w|m3ga|m50\/|ma(te|ui|xo)|mc(01|21|ca)|m\-cr|me(rc|ri)|mi(o8|oa|ts)|mmef|mo(01|02|bi|de|do|t(\-| |o|v)|zz)|mt(50|p1|v )|mwbp|mywa|n10[0-2]|n20[2-3]|n30(0|2)|n50(0|2|5)|n7(0(0|1)|10)|ne((c|m)\-|on|tf|wf|wg|wt)|nok(6|i)|nzph|o2im|op(ti|wv)|oran|owg1|p800|pan(a|d|t)|pdxg|pg(13|\-([1-8]|c))|phil|pire|pl(ay|uc)|pn\-2|po(ck|rt|se)|prox|psio|pt\-g|qa\-a|qc(07|12|21|32|60|\-[2-7]|i\-)|qtek|r380|r600|raks|rim9|ro(ve|zo)|s55\/|sa(ge|ma|mm|ms|ny|va)|sc(01|h\-|oo|p\-)|sdk\/|se(c(\-|0|1)|47|mc|nd|ri)|sgh\-|shar|sie(\-|m)|sk\-0|sl(45|id)|sm(al|ar|b3|it|t5)|so(ft|ny)|sp(01|h\-|v\-|v )|sy(01|mb)|t2(18|50)|t6(00|10|18)|ta(gt|lk)|tcl\-|tdg\-|tel(i|m)|tim\-|t\-mo|to(pl|sh)|ts(70|m\-|m3|m5)|tx\-9|up(\.b|g1|si)|utst|v400|v750|veri|vi(rg|te)|vk(40|5[0-3]|\-v)|vm40|voda|vulc|vx(52|53|60|61|70|80|81|83|85|98)|w3c(\-| )|webc|whit|wi(g |nc|nw)|wmlb|wonu|x700|yas\-|your|zeto|zte\-/i.test(i.substr(0,4)))&&(s=!0)}(navigator.userAgent||navigator.vendor),s}return t()?"mobile":e()?"tablet":"desktop"}removeAsyncHide(t){return()=>{t&&window.document.documentElement.classList.remove(t)}}async getCartState(){try{let t=await this.makeJsonRequest({method:"get",url:`${window.location.origin}/cart.js`});return t.note===null&&(t=await this.makeJsonRequest({method:"post",url:`${window.location.origin}/cart/update.js`,data:JSON.stringify({note:""})})),t}catch(t){return this.log("Error sending cart info",t),null}}async makeJsonRequest(t){return(await this.makeRequest(t)).json()}async makeRequest(t){const{url:e,method:s,headers:i,data:o,signal:a}=t,n=new Headers;if(i)for(const l in i)n.append(l,i[l]);(!i||!i.Accept)&&n.append("Accept","application/json"),(!i||!i["Content-Type"])&&n.append("Content-Type","application/json"),(this.host.includes("ngrok.io")||this.host.includes("ngrok-free.app"))&&n.append("ngrok-skip-browser-warning","1234");const c=await this.fetch(e,{method:s,headers:n,body:o,signal:a});if(!c.ok){if(c.status==422){const l=await c.json();if(typeof l<"u"&&l.isBot)throw new f}throw new Error(`Error sending shoplift request ${c.status}`)}return c}queueAddVisitorToTest(t,e){this.state.essential.visitorTests.some(s=>s.testId===t.id)||this.state.essential.visitorTests.push({createdAt:new Date,testId:t.id,hypothesisId:e.id,isThemeTest:e.type==="theme",themeId:e.themeId,isSaved:!1,isInvalid:!1,shouldSendToGa:!0})}queueCartUpdate(t){this.queueEvent(new b(t))}queuePageView(t){this.queueEvent(new S(t))}queueEvent(t){!this.state.essential.consentApproved&&this.state.essential.hasConsentInteraction||this.state.analytics.queue.length>30||this.state.analytics.queue.push(t)}legacyGetLocalStorageVisitor(){const t=this.localStorageGet(this.legacySessionKey);if(t)try{return JSON.parse(t)}catch{}return null}saveState(){this.persistEssentialState(),this.persistAnalyticsState()}loadState(){const t=this.loadAnalyticsState(),e={analytics:t,essential:this.loadEssentialState(t)},s=this.legacyGetLocalStorageVisitor(),i=this.legacyGetCookieVisitor(),o=[s,i].filter(a=>a!==null).sort((a,n)=>+n.storedAt-+a.storedAt)[0];return e.analytics.visitor===null&&o&&({visitorTests:e.essential.visitorTests,...e.analytics.visitor}=o,this.deleteCookie("SHOPLIFT"),this.deleteLocalStorage(this.legacySessionKey)),!e.essential.consentApproved&&e.essential.hasConsentInteraction&&this.deleteLocalStorage(this.analyticsSessionKey),e}loadEssentialState(t){const e=this.loadLocalStorage(this.essentialSessionKey),s=this.loadCookie(this.essentialSessionKey),i=this.getInitialState(),o={timestamp:new Date,consentApproved:!1,hasConsentInteraction:!1,debugMode:!1,initialState:i,visitorTests:[],isMerchant:!1,isFirstLoad:!0},a=[e,s].filter(n=>n!==null).sort((n,c)=>+c.timestamp-+n.timestamp)[0]??o;return a.initialState||(t.visitor!==null?a.initialState=t.visitor:(a.initialState=this.getInitialState(),a.initialState.createdAt=a.timestamp)),a}loadAnalyticsState(){const t=this.loadLocalStorage(this.analyticsSessionKey),e=this.loadCookie(this.analyticsSessionKey),s={timestamp:new 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<script data-source-attribution="shopify.dynamic_checkout.dynamic.init">var Shopify=Shopify||{};Shopify.PaymentButton=Shopify.PaymentButton||{isStorefrontPortableWallets:!0,init:function(){window.Shopify.PaymentButton.init=function(){};var t=document.createElement("script");t.src="https://prevelo.com/cdn/shopifycloud/portable-wallets/latest/portable-wallets.en.js",t.type="module",document.head.appendChild(t)}};
</script>
<script data-source-attribution="shopify.dynamic_checkout.buyer_consent">
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</script>
<script data-source-attribution="shopify.dynamic_checkout.cart.bootstrap">document.addEventListener("DOMContentLoaded",(function(){function t(){return document.querySelector("shopify-accelerated-checkout-cart, shopify-accelerated-checkout")}if(t())Shopify.PaymentButton.init();else{new MutationObserver((function(e,n){t()&&(Shopify.PaymentButton.init(),n.disconnect())})).observe(document.body,{childList:!0,subtree:!0})}}));
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<script id='scb4127' type='text/javascript' async='' src='https://prevelo.com/cdn/shopifycloud/privacy-banner/storefront-banner.js'></script><script id="sections-script" data-sections="header,footer" defer="defer" src="//prevelo.com/cdn/shop/t/215/compiled_assets/scripts.js?29754"></script>


<style id="shopify-accelerated-checkout-cart">
        #dynamic-checkout-cart {
  container-type: inline-size;
  container-name: dcc;
  width: 100%;
}

.wallet-cart-grid {
  --wallet-button-height-horizontal: clamp(
    25px,
    var(
      --shopify-accelerated-checkout-button-inline-size,
      42px
    ),
    55px
  );
  --wallet-button-height-vertical: clamp(
    25px,
    var(
      --shopify-accelerated-checkout-button-block-size,
      54px
    ),
    55px
  );
  --wallet-button-width-horizontal: 150px;
  --wallet-button-width-vertical: 100%;
  --wallet-button-border-radius: var(
    --shopify-accelerated-checkout-button-border-radius,
    4px
  );
  --wallet-grid-margin-horizontal: 0 -5px -5px -5px;
  --wallet-button-container-margin-horizontal: 0 5px 5px;
  --wallet-button-container-margin-vertical: var(--shopify-accelerated-checkout-row-gap, 8px) 0 0;
}

@keyframes acceleratedCheckoutLoadingSkeleton {
  50% {opacity: var(--shopify-accelerated-checkout-skeleton-animation-opacity-start, 1);}
  75% {opacity: var(--shopify-accelerated-checkout-skeleton-animation-opacity-end, 0.5);}
  100% {opacity: var(--shopify-accelerated-checkout-skeleton-animation-opacity-start, 1);}
}

.wallet-cart-button__skeleton {
  animation: acceleratedCheckoutLoadingSkeleton var(--shopify-accelerated-checkout-skeleton-animation-duration, 4s) var(--shopify-accelerated-checkout-skeleton-animation-timing-function, ease) infinite;
  animation-delay: -0.168s;
  background-color: var(--shopify-accelerated-checkout-skeleton-background-color, #dedede);
  box-sizing: border-box;
  text-decoration: none !important;
}

.wallet-cart-grid {
  margin: var(--wallet-grid-margin-horizontal);
  padding: 0;
  display: flex;
  flex-direction: row;
  justify-content: var(--shopify-accelerated-checkout-inline-alignment, start);
  gap: 0 !important;
}

.wallet-cart-grid--skeleton {
  justify-content: var(--shopify-accelerated-checkout-inline-alignment, inherit);
}

.wallet-cart-button-container {
  position: relative;
  margin: var(--wallet-button-container-margin-horizontal);
}

.wallet-cart-button-container,
.wallet-cart-button {
  width: var(--wallet-button-width-horizontal);
  height: var(--wallet-button-height-horizontal);
  border-radius: var(--wallet-button-border-radius);
  list-style-type: none !important;
  text-align: center;
  flex-shrink: 0;
  flex-grow: 0;
}

.additional-checkout-buttons--vertical .wallet-cart-grid {
  justify-content: start;
  flex-direction: column;
  margin: 0;
}
.additional-checkout-buttons--vertical .wallet-cart-grid .wallet-cart-button-container {
  width: var(--wallet-button-width-vertical);
  height: var(--wallet-button-height-vertical);
  margin: var(--wallet-button-container-margin-vertical);
}
.additional-checkout-buttons--vertical .wallet-cart-grid .wallet-cart-button-container:first-child {
  margin-top: 0;
}
.additional-checkout-buttons--vertical .wallet-cart-grid .wallet-cart-button {
  width: var(--wallet-button-width-vertical);
  height: var(--wallet-button-height-vertical);
}

.additional-checkout-buttons--horizontal .wallet-cart-grid .wallet-cart-button-container,
.additional-checkout-buttons--horizontal .wallet-cart-grid .wallet-cart-button {
  width: var(--wallet-button-width-horizontal) !important;
  height: var(--wallet-button-height-horizontal) !important;
  border-radius: var(--wallet-button-border-radius) !important;
}

@container dcc (width >= 150px) and (width <= 500px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(1)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(2))) {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(1)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(2))) .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(1)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(2))) .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(1)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(2))) .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

@container dcc (width <= 310px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(2)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(3))) {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(2)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(3))) .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(2)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(3))) .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(2)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(3))) .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

@container dcc (width <= 470px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(3)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(4))) {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(3)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(4))) .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(3)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(4))) .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(3)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(4))) .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

@container dcc (width <= 630px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(4)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(5))) {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(4)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(5))) .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(4)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(5))) .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(4)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(5))) .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

@container dcc (width <= 790px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(5)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(6))) {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(5)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(6))) .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(5)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(6))) .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(5)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(6))) .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

.wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(6)) {
  justify-content: start;
  flex-direction: column;
  margin: 0;
}
.wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(6)) .wallet-cart-button-container {
  width: var(--wallet-button-width-vertical);
  height: var(--wallet-button-height-vertical);
  margin: var(--wallet-button-container-margin-vertical);
}
.wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(6)) .wallet-cart-button-container:first-child {
  margin-top: 0;
}
.wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(6)) .wallet-cart-button {
  width: var(--wallet-button-width-vertical);
  height: var(--wallet-button-height-vertical);
}

@media screen and (max-width: 750px) {
  .wallet-cart-grid {
    justify-content: start;
    flex-direction: column;
    max-width: none;
    margin: 0;
  }
  .wallet-cart-grid .wallet-cart-button-container {
    max-width: none;
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-grid .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

@supports (not (container-type: inline-size)) or (not (selector(:has(*)))) {
  .wallet-cart-grid {
    justify-content: start;
    flex-direction: column;
    margin: 0;
  }
  .wallet-cart-button-container {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
    margin: var(--wallet-button-container-margin-vertical);
  }
  .wallet-cart-button-container:first-child {
    margin-top: 0;
  }
  .wallet-cart-grid .wallet-cart-button {
    width: var(--wallet-button-width-vertical);
    height: var(--wallet-button-height-vertical);
  }
}

        #shopify-buyer-consent {
  margin-top: 1em;
  display: inline-block;
  width: 100%;
}

#shopify-buyer-consent.hidden {
  display: none;
}

#shopify-subscription-policy-button {
  background: none;
  border: none;
  padding: 0;
  text-decoration: underline;
  font-size: inherit;
  cursor: pointer;
}

#shopify-subscription-policy-button::before {
  box-shadow: none;
}

      </style>

<style id="shopify-accelerated-checkout-cart-grid-with-margin-top">.additional-checkout-buttons--vertical .wallet-cart-grid .wallet-cart-button-container:first-child {
  margin-top: 8px;
}


@container dcc (width >= 150px) and (width <= 500px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(1)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(2))) .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

@container dcc (width <= 310px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(2)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(3))) .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

@container dcc (width <= 470px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(3)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(4))) .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

@container dcc (width <= 630px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(4)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(5))) .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

@container dcc (width <= 790px) {
  .wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(5)).wallet-cart-grid:not(:has(>.wallet-cart-button-container:nth-of-type(6))) .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

.wallet-cart-grid:has(>.wallet-cart-button-container:nth-of-type(6)) .wallet-cart-button-container:first-child {
  margin-top: 8px;
}

@media screen and (max-width: 750px) {
  .wallet-cart-grid .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}

@supports (not (container-type: inline-size)) or (not (selector(:has(*)))) {
  .wallet-cart-button-container:first-child {
    margin-top: 8px;
  }
}
</style>
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<option value="Benin" data-provinces="[]">Benin</option>
<option value="Bermuda" data-provinces="[]">Bermuda</option>
<option value="Bhutan" data-provinces="[]">Bhutan</option>
<option value="Bolivia" data-provinces="[]">Bolivia</option>
<option value="Bosnia And Herzegovina" data-provinces="[]">Bosnia & Herzegovina</option>
<option value="Botswana" data-provinces="[]">Botswana</option>
<option value="Brazil" data-provinces="[[&quot;Acre&quot;,&quot;Acre&quot;],[&quot;Alagoas&quot;,&quot;Alagoas&quot;],[&quot;Amapá&quot;,&quot;Amapá&quot;],[&quot;Amazonas&quot;,&quot;Amazonas&quot;],[&quot;Bahia&quot;,&quot;Bahia&quot;],[&quot;Ceará&quot;,&quot;Ceará&quot;],[&quot;Distrito Federal&quot;,&quot;Federal District&quot;],[&quot;Espírito Santo&quot;,&quot;Espírito Santo&quot;],[&quot;Goiás&quot;,&quot;Goiás&quot;],[&quot;Maranhão&quot;,&quot;Maranhão&quot;],[&quot;Mato Grosso&quot;,&quot;Mato Grosso&quot;],[&quot;Mato Grosso do Sul&quot;,&quot;Mato Grosso do Sul&quot;],[&quot;Minas Gerais&quot;,&quot;Minas Gerais&quot;],[&quot;Paraná&quot;,&quot;Paraná&quot;],[&quot;Paraíba&quot;,&quot;Paraíba&quot;],[&quot;Pará&quot;,&quot;Pará&quot;],[&quot;Pernambuco&quot;,&quot;Pernambuco&quot;],[&quot;Piauí&quot;,&quot;Piauí&quot;],[&quot;Rio Grande do Norte&quot;,&quot;Rio Grande do Norte&quot;],[&quot;Rio Grande do Sul&quot;,&quot;Rio Grande do Sul&quot;],[&quot;Rio de Janeiro&quot;,&quot;Rio de Janeiro&quot;],[&quot;Rondônia&quot;,&quot;Rondônia&quot;],[&quot;Roraima&quot;,&quot;Roraima&quot;],[&quot;Santa Catarina&quot;,&quot;Santa Catarina&quot;],[&quot;Sergipe&quot;,&quot;Sergipe&quot;],[&quot;São Paulo&quot;,&quot;São Paulo&quot;],[&quot;Tocantins&quot;,&quot;Tocantins&quot;]]">Brazil</option>
<option value="British Indian Ocean Territory" data-provinces="[]">British Indian Ocean Territory</option>
<option value="Virgin Islands, British" data-provinces="[]">British Virgin Islands</option>
<option value="Brunei" data-provinces="[]">Brunei</option>
<option value="Bulgaria" data-provinces="[]">Bulgaria</option>
<option value="Burkina Faso" data-provinces="[]">Burkina Faso</option>
<option value="Burundi" data-provinces="[]">Burundi</option>
<option value="Cambodia" data-provinces="[]">Cambodia</option>
<option value="Republic of Cameroon" data-provinces="[]">Cameroon</option>
<option value="Canada" data-provinces="[[&quot;Alberta&quot;,&quot;Alberta&quot;],[&quot;British Columbia&quot;,&quot;British Columbia&quot;],[&quot;Manitoba&quot;,&quot;Manitoba&quot;],[&quot;New Brunswick&quot;,&quot;New Brunswick&quot;],[&quot;Newfoundland and Labrador&quot;,&quot;Newfoundland and Labrador&quot;],[&quot;Northwest Territories&quot;,&quot;Northwest Territories&quot;],[&quot;Nova Scotia&quot;,&quot;Nova Scotia&quot;],[&quot;Nunavut&quot;,&quot;Nunavut&quot;],[&quot;Ontario&quot;,&quot;Ontario&quot;],[&quot;Prince Edward Island&quot;,&quot;Prince Edward Island&quot;],[&quot;Quebec&quot;,&quot;Quebec&quot;],[&quot;Saskatchewan&quot;,&quot;Saskatchewan&quot;],[&quot;Yukon&quot;,&quot;Yukon&quot;]]">Canada</option>
<option value="Cape Verde" data-provinces="[]">Cape Verde</option>
<option value="Caribbean Netherlands" data-provinces="[]">Caribbean Netherlands</option>
<option value="Cayman Islands" data-provinces="[]">Cayman Islands</option>
<option value="Central African Republic" data-provinces="[]">Central African Republic</option>
<option value="Chad" data-provinces="[]">Chad</option>
<option value="Chile" data-provinces="[[&quot;Antofagasta&quot;,&quot;Antofagasta&quot;],[&quot;Araucanía&quot;,&quot;Araucanía&quot;],[&quot;Arica and Parinacota&quot;,&quot;Arica y Parinacota&quot;],[&quot;Atacama&quot;,&quot;Atacama&quot;],[&quot;Aysén&quot;,&quot;Aysén&quot;],[&quot;Biobío&quot;,&quot;Bío Bío&quot;],[&quot;Coquimbo&quot;,&quot;Coquimbo&quot;],[&quot;Los Lagos&quot;,&quot;Los Lagos&quot;],[&quot;Los Ríos&quot;,&quot;Los Ríos&quot;],[&quot;Magallanes&quot;,&quot;Magallanes Region&quot;],[&quot;Maule&quot;,&quot;Maule&quot;],[&quot;O&#39;Higgins&quot;,&quot;Libertador General Bernardo O’Higgins&quot;],[&quot;Santiago&quot;,&quot;Santiago Metropolitan&quot;],[&quot;Tarapacá&quot;,&quot;Tarapacá&quot;],[&quot;Valparaíso&quot;,&quot;Valparaíso&quot;],[&quot;Ñuble&quot;,&quot;Ñuble&quot;]]">Chile</option>
<option value="China" data-provinces="[[&quot;Anhui&quot;,&quot;Anhui&quot;],[&quot;Beijing&quot;,&quot;Beijing&quot;],[&quot;Chongqing&quot;,&quot;Chongqing&quot;],[&quot;Fujian&quot;,&quot;Fujian&quot;],[&quot;Gansu&quot;,&quot;Gansu&quot;],[&quot;Guangdong&quot;,&quot;Guangdong&quot;],[&quot;Guangxi&quot;,&quot;Guangxi&quot;],[&quot;Guizhou&quot;,&quot;Guizhou&quot;],[&quot;Hainan&quot;,&quot;Hainan&quot;],[&quot;Hebei&quot;,&quot;Hebei&quot;],[&quot;Heilongjiang&quot;,&quot;Heilongjiang&quot;],[&quot;Henan&quot;,&quot;Henan&quot;],[&quot;Hubei&quot;,&quot;Hubei&quot;],[&quot;Hunan&quot;,&quot;Hunan&quot;],[&quot;Inner Mongolia&quot;,&quot;Inner Mongolia&quot;],[&quot;Jiangsu&quot;,&quot;Jiangsu&quot;],[&quot;Jiangxi&quot;,&quot;Jiangxi&quot;],[&quot;Jilin&quot;,&quot;Jilin&quot;],[&quot;Liaoning&quot;,&quot;Liaoning&quot;],[&quot;Ningxia&quot;,&quot;Ningxia&quot;],[&quot;Qinghai&quot;,&quot;Qinghai&quot;],[&quot;Shaanxi&quot;,&quot;Shaanxi&quot;],[&quot;Shandong&quot;,&quot;Shandong&quot;],[&quot;Shanghai&quot;,&quot;Shanghai&quot;],[&quot;Shanxi&quot;,&quot;Shanxi&quot;],[&quot;Sichuan&quot;,&quot;Sichuan&quot;],[&quot;Tianjin&quot;,&quot;Tianjin&quot;],[&quot;Xinjiang&quot;,&quot;Xinjiang&quot;],[&quot;Xizang&quot;,&quot;Tibet&quot;],[&quot;Yunnan&quot;,&quot;Yunnan&quot;],[&quot;Zhejiang&quot;,&quot;Zhejiang&quot;]]">China</option>
<option value="Christmas Island" data-provinces="[]">Christmas Island</option>
<option value="Cocos (Keeling) Islands" data-provinces="[]">Cocos (Keeling) Islands</option>
<option value="Colombia" data-provinces="[[&quot;Amazonas&quot;,&quot;Amazonas&quot;],[&quot;Antioquia&quot;,&quot;Antioquia&quot;],[&quot;Arauca&quot;,&quot;Arauca&quot;],[&quot;Atlántico&quot;,&quot;Atlántico&quot;],[&quot;Bogotá, D.C.&quot;,&quot;Capital District&quot;],[&quot;Bolívar&quot;,&quot;Bolívar&quot;],[&quot;Boyacá&quot;,&quot;Boyacá&quot;],[&quot;Caldas&quot;,&quot;Caldas&quot;],[&quot;Caquetá&quot;,&quot;Caquetá&quot;],[&quot;Casanare&quot;,&quot;Casanare&quot;],[&quot;Cauca&quot;,&quot;Cauca&quot;],[&quot;Cesar&quot;,&quot;Cesar&quot;],[&quot;Chocó&quot;,&quot;Chocó&quot;],[&quot;Cundinamarca&quot;,&quot;Cundinamarca&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Guainía&quot;,&quot;Guainía&quot;],[&quot;Guaviare&quot;,&quot;Guaviare&quot;],[&quot;Huila&quot;,&quot;Huila&quot;],[&quot;La Guajira&quot;,&quot;La Guajira&quot;],[&quot;Magdalena&quot;,&quot;Magdalena&quot;],[&quot;Meta&quot;,&quot;Meta&quot;],[&quot;Nariño&quot;,&quot;Nariño&quot;],[&quot;Norte de Santander&quot;,&quot;Norte de Santander&quot;],[&quot;Putumayo&quot;,&quot;Putumayo&quot;],[&quot;Quindío&quot;,&quot;Quindío&quot;],[&quot;Risaralda&quot;,&quot;Risaralda&quot;],[&quot;San Andrés, Providencia y Santa Catalina&quot;,&quot;San Andrés \u0026 Providencia&quot;],[&quot;Santander&quot;,&quot;Santander&quot;],[&quot;Sucre&quot;,&quot;Sucre&quot;],[&quot;Tolima&quot;,&quot;Tolima&quot;],[&quot;Valle del Cauca&quot;,&quot;Valle del Cauca&quot;],[&quot;Vaupés&quot;,&quot;Vaupés&quot;],[&quot;Vichada&quot;,&quot;Vichada&quot;]]">Colombia</option>
<option value="Comoros" data-provinces="[]">Comoros</option>
<option value="Congo" data-provinces="[]">Congo - Brazzaville</option>
<option value="Congo, The Democratic Republic Of The" data-provinces="[]">Congo - Kinshasa</option>
<option value="Cook Islands" data-provinces="[]">Cook Islands</option>
<option value="Costa Rica" data-provinces="[[&quot;Alajuela&quot;,&quot;Alajuela&quot;],[&quot;Cartago&quot;,&quot;Cartago&quot;],[&quot;Guanacaste&quot;,&quot;Guanacaste&quot;],[&quot;Heredia&quot;,&quot;Heredia&quot;],[&quot;Limón&quot;,&quot;Limón&quot;],[&quot;Puntarenas&quot;,&quot;Puntarenas&quot;],[&quot;San José&quot;,&quot;San José&quot;]]">Costa Rica</option>
<option value="Croatia" data-provinces="[]">Croatia</option>
<option value="Curaçao" data-provinces="[]">Curaçao</option>
<option value="Cyprus" data-provinces="[]">Cyprus</option>
<option value="Czech Republic" data-provinces="[]">Czechia</option>
<option value="Côte d'Ivoire" data-provinces="[]">Côte d’Ivoire</option>
<option value="Denmark" data-provinces="[]">Denmark</option>
<option value="Djibouti" data-provinces="[]">Djibouti</option>
<option value="Dominica" data-provinces="[]">Dominica</option>
<option value="Dominican Republic" data-provinces="[]">Dominican Republic</option>
<option value="Ecuador" data-provinces="[]">Ecuador</option>
<option value="Egypt" data-provinces="[[&quot;6th of October&quot;,&quot;6th of October&quot;],[&quot;Al Sharqia&quot;,&quot;Al Sharqia&quot;],[&quot;Alexandria&quot;,&quot;Alexandria&quot;],[&quot;Aswan&quot;,&quot;Aswan&quot;],[&quot;Asyut&quot;,&quot;Asyut&quot;],[&quot;Beheira&quot;,&quot;Beheira&quot;],[&quot;Beni Suef&quot;,&quot;Beni Suef&quot;],[&quot;Cairo&quot;,&quot;Cairo&quot;],[&quot;Dakahlia&quot;,&quot;Dakahlia&quot;],[&quot;Damietta&quot;,&quot;Damietta&quot;],[&quot;Faiyum&quot;,&quot;Faiyum&quot;],[&quot;Gharbia&quot;,&quot;Gharbia&quot;],[&quot;Giza&quot;,&quot;Giza&quot;],[&quot;Helwan&quot;,&quot;Helwan&quot;],[&quot;Ismailia&quot;,&quot;Ismailia&quot;],[&quot;Kafr el-Sheikh&quot;,&quot;Kafr el-Sheikh&quot;],[&quot;Luxor&quot;,&quot;Luxor&quot;],[&quot;Matrouh&quot;,&quot;Matrouh&quot;],[&quot;Minya&quot;,&quot;Minya&quot;],[&quot;Monufia&quot;,&quot;Monufia&quot;],[&quot;New Valley&quot;,&quot;New Valley&quot;],[&quot;North Sinai&quot;,&quot;North Sinai&quot;],[&quot;Port Said&quot;,&quot;Port Said&quot;],[&quot;Qalyubia&quot;,&quot;Qalyubia&quot;],[&quot;Qena&quot;,&quot;Qena&quot;],[&quot;Red Sea&quot;,&quot;Red Sea&quot;],[&quot;Sohag&quot;,&quot;Sohag&quot;],[&quot;South Sinai&quot;,&quot;South Sinai&quot;],[&quot;Suez&quot;,&quot;Suez&quot;]]">Egypt</option>
<option value="El Salvador" data-provinces="[[&quot;Ahuachapán&quot;,&quot;Ahuachapán&quot;],[&quot;Cabañas&quot;,&quot;Cabañas&quot;],[&quot;Chalatenango&quot;,&quot;Chalatenango&quot;],[&quot;Cuscatlán&quot;,&quot;Cuscatlán&quot;],[&quot;La Libertad&quot;,&quot;La Libertad&quot;],[&quot;La Paz&quot;,&quot;La Paz&quot;],[&quot;La Unión&quot;,&quot;La Unión&quot;],[&quot;Morazán&quot;,&quot;Morazán&quot;],[&quot;San Miguel&quot;,&quot;San Miguel&quot;],[&quot;San Salvador&quot;,&quot;San Salvador&quot;],[&quot;San Vicente&quot;,&quot;San Vicente&quot;],[&quot;Santa Ana&quot;,&quot;Santa Ana&quot;],[&quot;Sonsonate&quot;,&quot;Sonsonate&quot;],[&quot;Usulután&quot;,&quot;Usulután&quot;]]">El Salvador</option>
<option value="Equatorial Guinea" data-provinces="[]">Equatorial Guinea</option>
<option value="Eritrea" data-provinces="[]">Eritrea</option>
<option value="Estonia" data-provinces="[]">Estonia</option>
<option value="Eswatini" data-provinces="[]">Eswatini</option>
<option value="Ethiopia" data-provinces="[]">Ethiopia</option>
<option value="Falkland Islands (Malvinas)" data-provinces="[]">Falkland Islands</option>
<option value="Faroe Islands" data-provinces="[]">Faroe Islands</option>
<option value="Fiji" data-provinces="[]">Fiji</option>
<option value="Finland" data-provinces="[]">Finland</option>
<option value="France" data-provinces="[]">France</option>
<option value="French Guiana" data-provinces="[]">French Guiana</option>
<option value="French Polynesia" data-provinces="[]">French Polynesia</option>
<option value="French Southern Territories" data-provinces="[]">French Southern Territories</option>
<option value="Gabon" data-provinces="[]">Gabon</option>
<option value="Gambia" data-provinces="[]">Gambia</option>
<option value="Georgia" data-provinces="[]">Georgia</option>
<option value="Germany" data-provinces="[]">Germany</option>
<option value="Ghana" data-provinces="[]">Ghana</option>
<option value="Gibraltar" data-provinces="[]">Gibraltar</option>
<option value="Greenland" data-provinces="[]">Greenland</option>
<option value="Grenada" data-provinces="[]">Grenada</option>
<option value="Guadeloupe" data-provinces="[]">Guadeloupe</option>
<option value="Guatemala" data-provinces="[[&quot;Alta Verapaz&quot;,&quot;Alta Verapaz&quot;],[&quot;Baja Verapaz&quot;,&quot;Baja Verapaz&quot;],[&quot;Chimaltenango&quot;,&quot;Chimaltenango&quot;],[&quot;Chiquimula&quot;,&quot;Chiquimula&quot;],[&quot;El Progreso&quot;,&quot;El Progreso&quot;],[&quot;Escuintla&quot;,&quot;Escuintla&quot;],[&quot;Guatemala&quot;,&quot;Guatemala&quot;],[&quot;Huehuetenango&quot;,&quot;Huehuetenango&quot;],[&quot;Izabal&quot;,&quot;Izabal&quot;],[&quot;Jalapa&quot;,&quot;Jalapa&quot;],[&quot;Jutiapa&quot;,&quot;Jutiapa&quot;],[&quot;Petén&quot;,&quot;Petén&quot;],[&quot;Quetzaltenango&quot;,&quot;Quetzaltenango&quot;],[&quot;Quiché&quot;,&quot;Quiché&quot;],[&quot;Retalhuleu&quot;,&quot;Retalhuleu&quot;],[&quot;Sacatepéquez&quot;,&quot;Sacatepéquez&quot;],[&quot;San Marcos&quot;,&quot;San Marcos&quot;],[&quot;Santa Rosa&quot;,&quot;Santa Rosa&quot;],[&quot;Sololá&quot;,&quot;Sololá&quot;],[&quot;Suchitepéquez&quot;,&quot;Suchitepéquez&quot;],[&quot;Totonicapán&quot;,&quot;Totonicapán&quot;],[&quot;Zacapa&quot;,&quot;Zacapa&quot;]]">Guatemala</option>
<option value="Guernsey" data-provinces="[]">Guernsey</option>
<option value="Guinea" data-provinces="[]">Guinea</option>
<option value="Guinea Bissau" data-provinces="[]">Guinea-Bissau</option>
<option value="Guyana" data-provinces="[]">Guyana</option>
<option value="Haiti" data-provinces="[]">Haiti</option>
<option value="Honduras" data-provinces="[]">Honduras</option>
<option value="Hong Kong" data-provinces="[[&quot;Hong Kong Island&quot;,&quot;Hong Kong Island&quot;],[&quot;Kowloon&quot;,&quot;Kowloon&quot;],[&quot;New Territories&quot;,&quot;New Territories&quot;]]">Hong Kong SAR</option>
<option value="Hungary" data-provinces="[]">Hungary</option>
<option value="Iceland" data-provinces="[]">Iceland</option>
<option value="India" data-provinces="[[&quot;Andaman and Nicobar Islands&quot;,&quot;Andaman and Nicobar Islands&quot;],[&quot;Andhra Pradesh&quot;,&quot;Andhra Pradesh&quot;],[&quot;Arunachal Pradesh&quot;,&quot;Arunachal Pradesh&quot;],[&quot;Assam&quot;,&quot;Assam&quot;],[&quot;Bihar&quot;,&quot;Bihar&quot;],[&quot;Chandigarh&quot;,&quot;Chandigarh&quot;],[&quot;Chhattisgarh&quot;,&quot;Chhattisgarh&quot;],[&quot;Dadra and Nagar Haveli&quot;,&quot;Dadra and Nagar Haveli&quot;],[&quot;Daman and Diu&quot;,&quot;Daman and Diu&quot;],[&quot;Delhi&quot;,&quot;Delhi&quot;],[&quot;Goa&quot;,&quot;Goa&quot;],[&quot;Gujarat&quot;,&quot;Gujarat&quot;],[&quot;Haryana&quot;,&quot;Haryana&quot;],[&quot;Himachal Pradesh&quot;,&quot;Himachal Pradesh&quot;],[&quot;Jammu and Kashmir&quot;,&quot;Jammu and Kashmir&quot;],[&quot;Jharkhand&quot;,&quot;Jharkhand&quot;],[&quot;Karnataka&quot;,&quot;Karnataka&quot;],[&quot;Kerala&quot;,&quot;Kerala&quot;],[&quot;Ladakh&quot;,&quot;Ladakh&quot;],[&quot;Lakshadweep&quot;,&quot;Lakshadweep&quot;],[&quot;Madhya Pradesh&quot;,&quot;Madhya Pradesh&quot;],[&quot;Maharashtra&quot;,&quot;Maharashtra&quot;],[&quot;Manipur&quot;,&quot;Manipur&quot;],[&quot;Meghalaya&quot;,&quot;Meghalaya&quot;],[&quot;Mizoram&quot;,&quot;Mizoram&quot;],[&quot;Nagaland&quot;,&quot;Nagaland&quot;],[&quot;Odisha&quot;,&quot;Odisha&quot;],[&quot;Puducherry&quot;,&quot;Puducherry&quot;],[&quot;Punjab&quot;,&quot;Punjab&quot;],[&quot;Rajasthan&quot;,&quot;Rajasthan&quot;],[&quot;Sikkim&quot;,&quot;Sikkim&quot;],[&quot;Tamil Nadu&quot;,&quot;Tamil Nadu&quot;],[&quot;Telangana&quot;,&quot;Telangana&quot;],[&quot;Tripura&quot;,&quot;Tripura&quot;],[&quot;Uttar Pradesh&quot;,&quot;Uttar Pradesh&quot;],[&quot;Uttarakhand&quot;,&quot;Uttarakhand&quot;],[&quot;West Bengal&quot;,&quot;West Bengal&quot;]]">India</option>
<option value="Indonesia" data-provinces="[[&quot;Aceh&quot;,&quot;Aceh&quot;],[&quot;Bali&quot;,&quot;Bali&quot;],[&quot;Bangka Belitung&quot;,&quot;Bangka–Belitung Islands&quot;],[&quot;Banten&quot;,&quot;Banten&quot;],[&quot;Bengkulu&quot;,&quot;Bengkulu&quot;],[&quot;Gorontalo&quot;,&quot;Gorontalo&quot;],[&quot;Jakarta&quot;,&quot;Jakarta&quot;],[&quot;Jambi&quot;,&quot;Jambi&quot;],[&quot;Jawa Barat&quot;,&quot;West Java&quot;],[&quot;Jawa Tengah&quot;,&quot;Central Java&quot;],[&quot;Jawa Timur&quot;,&quot;East Java&quot;],[&quot;Kalimantan Barat&quot;,&quot;West Kalimantan&quot;],[&quot;Kalimantan Selatan&quot;,&quot;South Kalimantan&quot;],[&quot;Kalimantan Tengah&quot;,&quot;Central Kalimantan&quot;],[&quot;Kalimantan Timur&quot;,&quot;East Kalimantan&quot;],[&quot;Kalimantan Utara&quot;,&quot;North Kalimantan&quot;],[&quot;Kepulauan Riau&quot;,&quot;Riau Islands&quot;],[&quot;Lampung&quot;,&quot;Lampung&quot;],[&quot;Maluku&quot;,&quot;Maluku&quot;],[&quot;Maluku Utara&quot;,&quot;North Maluku&quot;],[&quot;North Sumatra&quot;,&quot;North Sumatra&quot;],[&quot;Nusa Tenggara Barat&quot;,&quot;West Nusa Tenggara&quot;],[&quot;Nusa Tenggara Timur&quot;,&quot;East Nusa Tenggara&quot;],[&quot;Papua&quot;,&quot;Papua&quot;],[&quot;Papua Barat&quot;,&quot;West Papua&quot;],[&quot;Riau&quot;,&quot;Riau&quot;],[&quot;South Sumatra&quot;,&quot;South Sumatra&quot;],[&quot;Sulawesi Barat&quot;,&quot;West Sulawesi&quot;],[&quot;Sulawesi Selatan&quot;,&quot;South Sulawesi&quot;],[&quot;Sulawesi Tengah&quot;,&quot;Central Sulawesi&quot;],[&quot;Sulawesi Tenggara&quot;,&quot;Southeast Sulawesi&quot;],[&quot;Sulawesi Utara&quot;,&quot;North Sulawesi&quot;],[&quot;West Sumatra&quot;,&quot;West Sumatra&quot;],[&quot;Yogyakarta&quot;,&quot;Yogyakarta&quot;]]">Indonesia</option>
<option value="Iraq" data-provinces="[]">Iraq</option>
<option value="Ireland" data-provinces="[[&quot;Carlow&quot;,&quot;Carlow&quot;],[&quot;Cavan&quot;,&quot;Cavan&quot;],[&quot;Clare&quot;,&quot;Clare&quot;],[&quot;Cork&quot;,&quot;Cork&quot;],[&quot;Donegal&quot;,&quot;Donegal&quot;],[&quot;Dublin&quot;,&quot;Dublin&quot;],[&quot;Galway&quot;,&quot;Galway&quot;],[&quot;Kerry&quot;,&quot;Kerry&quot;],[&quot;Kildare&quot;,&quot;Kildare&quot;],[&quot;Kilkenny&quot;,&quot;Kilkenny&quot;],[&quot;Laois&quot;,&quot;Laois&quot;],[&quot;Leitrim&quot;,&quot;Leitrim&quot;],[&quot;Limerick&quot;,&quot;Limerick&quot;],[&quot;Longford&quot;,&quot;Longford&quot;],[&quot;Louth&quot;,&quot;Louth&quot;],[&quot;Mayo&quot;,&quot;Mayo&quot;],[&quot;Meath&quot;,&quot;Meath&quot;],[&quot;Monaghan&quot;,&quot;Monaghan&quot;],[&quot;Offaly&quot;,&quot;Offaly&quot;],[&quot;Roscommon&quot;,&quot;Roscommon&quot;],[&quot;Sligo&quot;,&quot;Sligo&quot;],[&quot;Tipperary&quot;,&quot;Tipperary&quot;],[&quot;Waterford&quot;,&quot;Waterford&quot;],[&quot;Westmeath&quot;,&quot;Westmeath&quot;],[&quot;Wexford&quot;,&quot;Wexford&quot;],[&quot;Wicklow&quot;,&quot;Wicklow&quot;]]">Ireland</option>
<option value="Isle Of Man" data-provinces="[]">Isle of Man</option>
<option value="Israel" data-provinces="[]">Israel</option>
<option value="Italy" data-provinces="[[&quot;Agrigento&quot;,&quot;Agrigento&quot;],[&quot;Alessandria&quot;,&quot;Alessandria&quot;],[&quot;Ancona&quot;,&quot;Ancona&quot;],[&quot;Aosta&quot;,&quot;Aosta Valley&quot;],[&quot;Arezzo&quot;,&quot;Arezzo&quot;],[&quot;Ascoli Piceno&quot;,&quot;Ascoli Piceno&quot;],[&quot;Asti&quot;,&quot;Asti&quot;],[&quot;Avellino&quot;,&quot;Avellino&quot;],[&quot;Bari&quot;,&quot;Bari&quot;],[&quot;Barletta-Andria-Trani&quot;,&quot;Barletta-Andria-Trani&quot;],[&quot;Belluno&quot;,&quot;Belluno&quot;],[&quot;Benevento&quot;,&quot;Benevento&quot;],[&quot;Bergamo&quot;,&quot;Bergamo&quot;],[&quot;Biella&quot;,&quot;Biella&quot;],[&quot;Bologna&quot;,&quot;Bologna&quot;],[&quot;Bolzano&quot;,&quot;South Tyrol&quot;],[&quot;Brescia&quot;,&quot;Brescia&quot;],[&quot;Brindisi&quot;,&quot;Brindisi&quot;],[&quot;Cagliari&quot;,&quot;Cagliari&quot;],[&quot;Caltanissetta&quot;,&quot;Caltanissetta&quot;],[&quot;Campobasso&quot;,&quot;Campobasso&quot;],[&quot;Carbonia-Iglesias&quot;,&quot;Carbonia-Iglesias&quot;],[&quot;Caserta&quot;,&quot;Caserta&quot;],[&quot;Catania&quot;,&quot;Catania&quot;],[&quot;Catanzaro&quot;,&quot;Catanzaro&quot;],[&quot;Chieti&quot;,&quot;Chieti&quot;],[&quot;Como&quot;,&quot;Como&quot;],[&quot;Cosenza&quot;,&quot;Cosenza&quot;],[&quot;Cremona&quot;,&quot;Cremona&quot;],[&quot;Crotone&quot;,&quot;Crotone&quot;],[&quot;Cuneo&quot;,&quot;Cuneo&quot;],[&quot;Enna&quot;,&quot;Enna&quot;],[&quot;Fermo&quot;,&quot;Fermo&quot;],[&quot;Ferrara&quot;,&quot;Ferrara&quot;],[&quot;Firenze&quot;,&quot;Florence&quot;],[&quot;Foggia&quot;,&quot;Foggia&quot;],[&quot;Forlì-Cesena&quot;,&quot;Forlì-Cesena&quot;],[&quot;Frosinone&quot;,&quot;Frosinone&quot;],[&quot;Genova&quot;,&quot;Genoa&quot;],[&quot;Gorizia&quot;,&quot;Gorizia&quot;],[&quot;Grosseto&quot;,&quot;Grosseto&quot;],[&quot;Imperia&quot;,&quot;Imperia&quot;],[&quot;Isernia&quot;,&quot;Isernia&quot;],[&quot;L&#39;Aquila&quot;,&quot;L’Aquila&quot;],[&quot;La Spezia&quot;,&quot;La Spezia&quot;],[&quot;Latina&quot;,&quot;Latina&quot;],[&quot;Lecce&quot;,&quot;Lecce&quot;],[&quot;Lecco&quot;,&quot;Lecco&quot;],[&quot;Livorno&quot;,&quot;Livorno&quot;],[&quot;Lodi&quot;,&quot;Lodi&quot;],[&quot;Lucca&quot;,&quot;Lucca&quot;],[&quot;Macerata&quot;,&quot;Macerata&quot;],[&quot;Mantova&quot;,&quot;Mantua&quot;],[&quot;Massa-Carrara&quot;,&quot;Massa and Carrara&quot;],[&quot;Matera&quot;,&quot;Matera&quot;],[&quot;Medio Campidano&quot;,&quot;Medio Campidano&quot;],[&quot;Messina&quot;,&quot;Messina&quot;],[&quot;Milano&quot;,&quot;Milan&quot;],[&quot;Modena&quot;,&quot;Modena&quot;],[&quot;Monza e Brianza&quot;,&quot;Monza and Brianza&quot;],[&quot;Napoli&quot;,&quot;Naples&quot;],[&quot;Novara&quot;,&quot;Novara&quot;],[&quot;Nuoro&quot;,&quot;Nuoro&quot;],[&quot;Ogliastra&quot;,&quot;Ogliastra&quot;],[&quot;Olbia-Tempio&quot;,&quot;Olbia-Tempio&quot;],[&quot;Oristano&quot;,&quot;Oristano&quot;],[&quot;Padova&quot;,&quot;Padua&quot;],[&quot;Palermo&quot;,&quot;Palermo&quot;],[&quot;Parma&quot;,&quot;Parma&quot;],[&quot;Pavia&quot;,&quot;Pavia&quot;],[&quot;Perugia&quot;,&quot;Perugia&quot;],[&quot;Pesaro e Urbino&quot;,&quot;Pesaro and Urbino&quot;],[&quot;Pescara&quot;,&quot;Pescara&quot;],[&quot;Piacenza&quot;,&quot;Piacenza&quot;],[&quot;Pisa&quot;,&quot;Pisa&quot;],[&quot;Pistoia&quot;,&quot;Pistoia&quot;],[&quot;Pordenone&quot;,&quot;Pordenone&quot;],[&quot;Potenza&quot;,&quot;Potenza&quot;],[&quot;Prato&quot;,&quot;Prato&quot;],[&quot;Ragusa&quot;,&quot;Ragusa&quot;],[&quot;Ravenna&quot;,&quot;Ravenna&quot;],[&quot;Reggio Calabria&quot;,&quot;Reggio Calabria&quot;],[&quot;Reggio Emilia&quot;,&quot;Reggio Emilia&quot;],[&quot;Rieti&quot;,&quot;Rieti&quot;],[&quot;Rimini&quot;,&quot;Rimini&quot;],[&quot;Roma&quot;,&quot;Rome&quot;],[&quot;Rovigo&quot;,&quot;Rovigo&quot;],[&quot;Salerno&quot;,&quot;Salerno&quot;],[&quot;Sassari&quot;,&quot;Sassari&quot;],[&quot;Savona&quot;,&quot;Savona&quot;],[&quot;Siena&quot;,&quot;Siena&quot;],[&quot;Siracusa&quot;,&quot;Syracuse&quot;],[&quot;Sondrio&quot;,&quot;Sondrio&quot;],[&quot;Taranto&quot;,&quot;Taranto&quot;],[&quot;Teramo&quot;,&quot;Teramo&quot;],[&quot;Terni&quot;,&quot;Terni&quot;],[&quot;Torino&quot;,&quot;Turin&quot;],[&quot;Trapani&quot;,&quot;Trapani&quot;],[&quot;Trento&quot;,&quot;Trentino&quot;],[&quot;Treviso&quot;,&quot;Treviso&quot;],[&quot;Trieste&quot;,&quot;Trieste&quot;],[&quot;Udine&quot;,&quot;Udine&quot;],[&quot;Varese&quot;,&quot;Varese&quot;],[&quot;Venezia&quot;,&quot;Venice&quot;],[&quot;Verbano-Cusio-Ossola&quot;,&quot;Verbano-Cusio-Ossola&quot;],[&quot;Vercelli&quot;,&quot;Vercelli&quot;],[&quot;Verona&quot;,&quot;Verona&quot;],[&quot;Vibo Valentia&quot;,&quot;Vibo Valentia&quot;],[&quot;Vicenza&quot;,&quot;Vicenza&quot;],[&quot;Viterbo&quot;,&quot;Viterbo&quot;]]">Italy</option>
<option value="Jamaica" data-provinces="[]">Jamaica</option>
<option value="Japan" data-provinces="[[&quot;Aichi&quot;,&quot;Aichi&quot;],[&quot;Akita&quot;,&quot;Akita&quot;],[&quot;Aomori&quot;,&quot;Aomori&quot;],[&quot;Chiba&quot;,&quot;Chiba&quot;],[&quot;Ehime&quot;,&quot;Ehime&quot;],[&quot;Fukui&quot;,&quot;Fukui&quot;],[&quot;Fukuoka&quot;,&quot;Fukuoka&quot;],[&quot;Fukushima&quot;,&quot;Fukushima&quot;],[&quot;Gifu&quot;,&quot;Gifu&quot;],[&quot;Gunma&quot;,&quot;Gunma&quot;],[&quot;Hiroshima&quot;,&quot;Hiroshima&quot;],[&quot;Hokkaidō&quot;,&quot;Hokkaido&quot;],[&quot;Hyōgo&quot;,&quot;Hyogo&quot;],[&quot;Ibaraki&quot;,&quot;Ibaraki&quot;],[&quot;Ishikawa&quot;,&quot;Ishikawa&quot;],[&quot;Iwate&quot;,&quot;Iwate&quot;],[&quot;Kagawa&quot;,&quot;Kagawa&quot;],[&quot;Kagoshima&quot;,&quot;Kagoshima&quot;],[&quot;Kanagawa&quot;,&quot;Kanagawa&quot;],[&quot;Kumamoto&quot;,&quot;Kumamoto&quot;],[&quot;Kyōto&quot;,&quot;Kyoto&quot;],[&quot;Kōchi&quot;,&quot;Kochi&quot;],[&quot;Mie&quot;,&quot;Mie&quot;],[&quot;Miyagi&quot;,&quot;Miyagi&quot;],[&quot;Miyazaki&quot;,&quot;Miyazaki&quot;],[&quot;Nagano&quot;,&quot;Nagano&quot;],[&quot;Nagasaki&quot;,&quot;Nagasaki&quot;],[&quot;Nara&quot;,&quot;Nara&quot;],[&quot;Niigata&quot;,&quot;Niigata&quot;],[&quot;Okayama&quot;,&quot;Okayama&quot;],[&quot;Okinawa&quot;,&quot;Okinawa&quot;],[&quot;Saga&quot;,&quot;Saga&quot;],[&quot;Saitama&quot;,&quot;Saitama&quot;],[&quot;Shiga&quot;,&quot;Shiga&quot;],[&quot;Shimane&quot;,&quot;Shimane&quot;],[&quot;Shizuoka&quot;,&quot;Shizuoka&quot;],[&quot;Tochigi&quot;,&quot;Tochigi&quot;],[&quot;Tokushima&quot;,&quot;Tokushima&quot;],[&quot;Tottori&quot;,&quot;Tottori&quot;],[&quot;Toyama&quot;,&quot;Toyama&quot;],[&quot;Tōkyō&quot;,&quot;Tokyo&quot;],[&quot;Wakayama&quot;,&quot;Wakayama&quot;],[&quot;Yamagata&quot;,&quot;Yamagata&quot;],[&quot;Yamaguchi&quot;,&quot;Yamaguchi&quot;],[&quot;Yamanashi&quot;,&quot;Yamanashi&quot;],[&quot;Ōita&quot;,&quot;Oita&quot;],[&quot;Ōsaka&quot;,&quot;Osaka&quot;]]">Japan</option>
<option value="Jersey" data-provinces="[]">Jersey</option>
<option value="Jordan" data-provinces="[]">Jordan</option>
<option value="Kenya" data-provinces="[]">Kenya</option>
<option value="Kiribati" data-provinces="[]">Kiribati</option>
<option value="Kosovo" data-provinces="[]">Kosovo</option>
<option value="Kuwait" data-provinces="[[&quot;Al Ahmadi&quot;,&quot;Al Ahmadi&quot;],[&quot;Al Asimah&quot;,&quot;Al Asimah&quot;],[&quot;Al Farwaniyah&quot;,&quot;Al Farwaniyah&quot;],[&quot;Al Jahra&quot;,&quot;Al Jahra&quot;],[&quot;Hawalli&quot;,&quot;Hawalli&quot;],[&quot;Mubarak Al-Kabeer&quot;,&quot;Mubarak Al-Kabeer&quot;]]">Kuwait</option>
<option value="Lao People's Democratic Republic" data-provinces="[]">Laos</option>
<option value="Latvia" data-provinces="[]">Latvia</option>
<option value="Lebanon" data-provinces="[]">Lebanon</option>
<option value="Lesotho" data-provinces="[]">Lesotho</option>
<option value="Liberia" data-provinces="[]">Liberia</option>
<option value="Libyan Arab Jamahiriya" data-provinces="[]">Libya</option>
<option value="Liechtenstein" data-provinces="[]">Liechtenstein</option>
<option value="Lithuania" data-provinces="[]">Lithuania</option>
<option value="Luxembourg" data-provinces="[]">Luxembourg</option>
<option value="Macao" data-provinces="[]">Macao SAR</option>
<option value="Madagascar" data-provinces="[]">Madagascar</option>
<option value="Malawi" data-provinces="[]">Malawi</option>
<option value="Malaysia" data-provinces="[[&quot;Johor&quot;,&quot;Johor&quot;],[&quot;Kedah&quot;,&quot;Kedah&quot;],[&quot;Kelantan&quot;,&quot;Kelantan&quot;],[&quot;Kuala Lumpur&quot;,&quot;Kuala Lumpur&quot;],[&quot;Labuan&quot;,&quot;Labuan&quot;],[&quot;Melaka&quot;,&quot;Malacca&quot;],[&quot;Negeri Sembilan&quot;,&quot;Negeri Sembilan&quot;],[&quot;Pahang&quot;,&quot;Pahang&quot;],[&quot;Penang&quot;,&quot;Penang&quot;],[&quot;Perak&quot;,&quot;Perak&quot;],[&quot;Perlis&quot;,&quot;Perlis&quot;],[&quot;Putrajaya&quot;,&quot;Putrajaya&quot;],[&quot;Sabah&quot;,&quot;Sabah&quot;],[&quot;Sarawak&quot;,&quot;Sarawak&quot;],[&quot;Selangor&quot;,&quot;Selangor&quot;],[&quot;Terengganu&quot;,&quot;Terengganu&quot;]]">Malaysia</option>
<option value="Maldives" data-provinces="[]">Maldives</option>
<option value="Mali" data-provinces="[]">Mali</option>
<option value="Malta" data-provinces="[]">Malta</option>
<option value="Martinique" data-provinces="[]">Martinique</option>
<option value="Mauritania" data-provinces="[]">Mauritania</option>
<option value="Mauritius" data-provinces="[]">Mauritius</option>
<option value="Mayotte" data-provinces="[]">Mayotte</option>
<option value="Mexico" data-provinces="[[&quot;Aguascalientes&quot;,&quot;Aguascalientes&quot;],[&quot;Baja California&quot;,&quot;Baja California&quot;],[&quot;Baja California Sur&quot;,&quot;Baja California Sur&quot;],[&quot;Campeche&quot;,&quot;Campeche&quot;],[&quot;Chiapas&quot;,&quot;Chiapas&quot;],[&quot;Chihuahua&quot;,&quot;Chihuahua&quot;],[&quot;Ciudad de México&quot;,&quot;Ciudad de Mexico&quot;],[&quot;Coahuila&quot;,&quot;Coahuila&quot;],[&quot;Colima&quot;,&quot;Colima&quot;],[&quot;Durango&quot;,&quot;Durango&quot;],[&quot;Guanajuato&quot;,&quot;Guanajuato&quot;],[&quot;Guerrero&quot;,&quot;Guerrero&quot;],[&quot;Hidalgo&quot;,&quot;Hidalgo&quot;],[&quot;Jalisco&quot;,&quot;Jalisco&quot;],[&quot;Michoacán&quot;,&quot;Michoacán&quot;],[&quot;Morelos&quot;,&quot;Morelos&quot;],[&quot;México&quot;,&quot;Mexico State&quot;],[&quot;Nayarit&quot;,&quot;Nayarit&quot;],[&quot;Nuevo León&quot;,&quot;Nuevo León&quot;],[&quot;Oaxaca&quot;,&quot;Oaxaca&quot;],[&quot;Puebla&quot;,&quot;Puebla&quot;],[&quot;Querétaro&quot;,&quot;Querétaro&quot;],[&quot;Quintana Roo&quot;,&quot;Quintana Roo&quot;],[&quot;San Luis Potosí&quot;,&quot;San Luis Potosí&quot;],[&quot;Sinaloa&quot;,&quot;Sinaloa&quot;],[&quot;Sonora&quot;,&quot;Sonora&quot;],[&quot;Tabasco&quot;,&quot;Tabasco&quot;],[&quot;Tamaulipas&quot;,&quot;Tamaulipas&quot;],[&quot;Tlaxcala&quot;,&quot;Tlaxcala&quot;],[&quot;Veracruz&quot;,&quot;Veracruz&quot;],[&quot;Yucatán&quot;,&quot;Yucatán&quot;],[&quot;Zacatecas&quot;,&quot;Zacatecas&quot;]]">Mexico</option>
<option value="Moldova, Republic of" data-provinces="[]">Moldova</option>
<option value="Monaco" data-provinces="[]">Monaco</option>
<option value="Mongolia" data-provinces="[]">Mongolia</option>
<option value="Montenegro" data-provinces="[]">Montenegro</option>
<option value="Montserrat" data-provinces="[]">Montserrat</option>
<option value="Morocco" data-provinces="[]">Morocco</option>
<option value="Mozambique" data-provinces="[]">Mozambique</option>
<option value="Myanmar" data-provinces="[]">Myanmar (Burma)</option>
<option value="Namibia" data-provinces="[]">Namibia</option>
<option value="Nauru" data-provinces="[]">Nauru</option>
<option value="Nepal" data-provinces="[]">Nepal</option>
<option value="Netherlands" data-provinces="[]">Netherlands</option>
<option value="New Caledonia" data-provinces="[]">New Caledonia</option>
<option value="New Zealand" data-provinces="[[&quot;Auckland&quot;,&quot;Auckland&quot;],[&quot;Bay of Plenty&quot;,&quot;Bay of Plenty&quot;],[&quot;Canterbury&quot;,&quot;Canterbury&quot;],[&quot;Chatham Islands&quot;,&quot;Chatham Islands&quot;],[&quot;Gisborne&quot;,&quot;Gisborne&quot;],[&quot;Hawke&#39;s Bay&quot;,&quot;Hawke’s Bay&quot;],[&quot;Manawatu-Wanganui&quot;,&quot;Manawatū-Whanganui&quot;],[&quot;Marlborough&quot;,&quot;Marlborough&quot;],[&quot;Nelson&quot;,&quot;Nelson&quot;],[&quot;Northland&quot;,&quot;Northland&quot;],[&quot;Otago&quot;,&quot;Otago&quot;],[&quot;Southland&quot;,&quot;Southland&quot;],[&quot;Taranaki&quot;,&quot;Taranaki&quot;],[&quot;Tasman&quot;,&quot;Tasman&quot;],[&quot;Waikato&quot;,&quot;Waikato&quot;],[&quot;Wellington&quot;,&quot;Wellington&quot;],[&quot;West Coast&quot;,&quot;West Coast&quot;]]">New Zealand</option>
<option value="Nicaragua" data-provinces="[]">Nicaragua</option>
<option value="Niger" data-provinces="[]">Niger</option>
<option value="Nigeria" data-provinces="[[&quot;Abia&quot;,&quot;Abia&quot;],[&quot;Abuja Federal Capital Territory&quot;,&quot;Federal Capital Territory&quot;],[&quot;Adamawa&quot;,&quot;Adamawa&quot;],[&quot;Akwa Ibom&quot;,&quot;Akwa Ibom&quot;],[&quot;Anambra&quot;,&quot;Anambra&quot;],[&quot;Bauchi&quot;,&quot;Bauchi&quot;],[&quot;Bayelsa&quot;,&quot;Bayelsa&quot;],[&quot;Benue&quot;,&quot;Benue&quot;],[&quot;Borno&quot;,&quot;Borno&quot;],[&quot;Cross River&quot;,&quot;Cross River&quot;],[&quot;Delta&quot;,&quot;Delta&quot;],[&quot;Ebonyi&quot;,&quot;Ebonyi&quot;],[&quot;Edo&quot;,&quot;Edo&quot;],[&quot;Ekiti&quot;,&quot;Ekiti&quot;],[&quot;Enugu&quot;,&quot;Enugu&quot;],[&quot;Gombe&quot;,&quot;Gombe&quot;],[&quot;Imo&quot;,&quot;Imo&quot;],[&quot;Jigawa&quot;,&quot;Jigawa&quot;],[&quot;Kaduna&quot;,&quot;Kaduna&quot;],[&quot;Kano&quot;,&quot;Kano&quot;],[&quot;Katsina&quot;,&quot;Katsina&quot;],[&quot;Kebbi&quot;,&quot;Kebbi&quot;],[&quot;Kogi&quot;,&quot;Kogi&quot;],[&quot;Kwara&quot;,&quot;Kwara&quot;],[&quot;Lagos&quot;,&quot;Lagos&quot;],[&quot;Nasarawa&quot;,&quot;Nasarawa&quot;],[&quot;Niger&quot;,&quot;Niger&quot;],[&quot;Ogun&quot;,&quot;Ogun&quot;],[&quot;Ondo&quot;,&quot;Ondo&quot;],[&quot;Osun&quot;,&quot;Osun&quot;],[&quot;Oyo&quot;,&quot;Oyo&quot;],[&quot;Plateau&quot;,&quot;Plateau&quot;],[&quot;Rivers&quot;,&quot;Rivers&quot;],[&quot;Sokoto&quot;,&quot;Sokoto&quot;],[&quot;Taraba&quot;,&quot;Taraba&quot;],[&quot;Yobe&quot;,&quot;Yobe&quot;],[&quot;Zamfara&quot;,&quot;Zamfara&quot;]]">Nigeria</option>
<option value="Niue" data-provinces="[]">Niue</option>
<option value="Norfolk Island" data-provinces="[]">Norfolk Island</option>
<option value="North Macedonia" data-provinces="[]">North Macedonia</option>
<option value="Norway" data-provinces="[]">Norway</option>
<option value="Oman" data-provinces="[]">Oman</option>
<option value="Pakistan" data-provinces="[]">Pakistan</option>
<option value="Palestinian Territory, Occupied" data-provinces="[]">Palestinian Territories</option>
<option value="Panama" data-provinces="[[&quot;Bocas del Toro&quot;,&quot;Bocas del Toro&quot;],[&quot;Chiriquí&quot;,&quot;Chiriquí&quot;],[&quot;Coclé&quot;,&quot;Coclé&quot;],[&quot;Colón&quot;,&quot;Colón&quot;],[&quot;Darién&quot;,&quot;Darién&quot;],[&quot;Emberá&quot;,&quot;Emberá&quot;],[&quot;Herrera&quot;,&quot;Herrera&quot;],[&quot;Kuna Yala&quot;,&quot;Guna Yala&quot;],[&quot;Los Santos&quot;,&quot;Los Santos&quot;],[&quot;Ngöbe-Buglé&quot;,&quot;Ngöbe-Buglé&quot;],[&quot;Panamá&quot;,&quot;Panamá&quot;],[&quot;Panamá Oeste&quot;,&quot;West Panamá&quot;],[&quot;Veraguas&quot;,&quot;Veraguas&quot;]]">Panama</option>
<option value="Papua New Guinea" data-provinces="[]">Papua New Guinea</option>
<option value="Paraguay" data-provinces="[]">Paraguay</option>
<option value="Peru" data-provinces="[[&quot;Amazonas&quot;,&quot;Amazonas&quot;],[&quot;Apurímac&quot;,&quot;Apurímac&quot;],[&quot;Arequipa&quot;,&quot;Arequipa&quot;],[&quot;Ayacucho&quot;,&quot;Ayacucho&quot;],[&quot;Cajamarca&quot;,&quot;Cajamarca&quot;],[&quot;Callao&quot;,&quot;El Callao&quot;],[&quot;Cuzco&quot;,&quot;Cusco&quot;],[&quot;Huancavelica&quot;,&quot;Huancavelica&quot;],[&quot;Huánuco&quot;,&quot;Huánuco&quot;],[&quot;Ica&quot;,&quot;Ica&quot;],[&quot;Junín&quot;,&quot;Junín&quot;],[&quot;La Libertad&quot;,&quot;La Libertad&quot;],[&quot;Lambayeque&quot;,&quot;Lambayeque&quot;],[&quot;Lima (departamento)&quot;,&quot;Lima (Department)&quot;],[&quot;Lima (provincia)&quot;,&quot;Lima (Metropolitan)&quot;],[&quot;Loreto&quot;,&quot;Loreto&quot;],[&quot;Madre de Dios&quot;,&quot;Madre de Dios&quot;],[&quot;Moquegua&quot;,&quot;Moquegua&quot;],[&quot;Pasco&quot;,&quot;Pasco&quot;],[&quot;Piura&quot;,&quot;Piura&quot;],[&quot;Puno&quot;,&quot;Puno&quot;],[&quot;San Martín&quot;,&quot;San Martín&quot;],[&quot;Tacna&quot;,&quot;Tacna&quot;],[&quot;Tumbes&quot;,&quot;Tumbes&quot;],[&quot;Ucayali&quot;,&quot;Ucayali&quot;],[&quot;Áncash&quot;,&quot;Ancash&quot;]]">Peru</option>
<option value="Philippines" data-provinces="[[&quot;Abra&quot;,&quot;Abra&quot;],[&quot;Agusan del Norte&quot;,&quot;Agusan del Norte&quot;],[&quot;Agusan del Sur&quot;,&quot;Agusan del Sur&quot;],[&quot;Aklan&quot;,&quot;Aklan&quot;],[&quot;Albay&quot;,&quot;Albay&quot;],[&quot;Antique&quot;,&quot;Antique&quot;],[&quot;Apayao&quot;,&quot;Apayao&quot;],[&quot;Aurora&quot;,&quot;Aurora&quot;],[&quot;Basilan&quot;,&quot;Basilan&quot;],[&quot;Bataan&quot;,&quot;Bataan&quot;],[&quot;Batanes&quot;,&quot;Batanes&quot;],[&quot;Batangas&quot;,&quot;Batangas&quot;],[&quot;Benguet&quot;,&quot;Benguet&quot;],[&quot;Biliran&quot;,&quot;Biliran&quot;],[&quot;Bohol&quot;,&quot;Bohol&quot;],[&quot;Bukidnon&quot;,&quot;Bukidnon&quot;],[&quot;Bulacan&quot;,&quot;Bulacan&quot;],[&quot;Cagayan&quot;,&quot;Cagayan&quot;],[&quot;Camarines Norte&quot;,&quot;Camarines Norte&quot;],[&quot;Camarines Sur&quot;,&quot;Camarines Sur&quot;],[&quot;Camiguin&quot;,&quot;Camiguin&quot;],[&quot;Capiz&quot;,&quot;Capiz&quot;],[&quot;Catanduanes&quot;,&quot;Catanduanes&quot;],[&quot;Cavite&quot;,&quot;Cavite&quot;],[&quot;Cebu&quot;,&quot;Cebu&quot;],[&quot;Cotabato&quot;,&quot;Cotabato&quot;],[&quot;Davao Occidental&quot;,&quot;Davao Occidental&quot;],[&quot;Davao Oriental&quot;,&quot;Davao Oriental&quot;],[&quot;Davao de Oro&quot;,&quot;Compostela Valley&quot;],[&quot;Davao del Norte&quot;,&quot;Davao del Norte&quot;],[&quot;Davao del Sur&quot;,&quot;Davao del Sur&quot;],[&quot;Dinagat Islands&quot;,&quot;Dinagat Islands&quot;],[&quot;Eastern Samar&quot;,&quot;Eastern Samar&quot;],[&quot;Guimaras&quot;,&quot;Guimaras&quot;],[&quot;Ifugao&quot;,&quot;Ifugao&quot;],[&quot;Ilocos Norte&quot;,&quot;Ilocos Norte&quot;],[&quot;Ilocos Sur&quot;,&quot;Ilocos Sur&quot;],[&quot;Iloilo&quot;,&quot;Iloilo&quot;],[&quot;Isabela&quot;,&quot;Isabela&quot;],[&quot;Kalinga&quot;,&quot;Kalinga&quot;],[&quot;La Union&quot;,&quot;La Union&quot;],[&quot;Laguna&quot;,&quot;Laguna&quot;],[&quot;Lanao del Norte&quot;,&quot;Lanao del Norte&quot;],[&quot;Lanao del Sur&quot;,&quot;Lanao del Sur&quot;],[&quot;Leyte&quot;,&quot;Leyte&quot;],[&quot;Maguindanao&quot;,&quot;Maguindanao&quot;],[&quot;Marinduque&quot;,&quot;Marinduque&quot;],[&quot;Masbate&quot;,&quot;Masbate&quot;],[&quot;Metro Manila&quot;,&quot;Metro Manila&quot;],[&quot;Misamis Occidental&quot;,&quot;Misamis Occidental&quot;],[&quot;Misamis Oriental&quot;,&quot;Misamis Oriental&quot;],[&quot;Mountain Province&quot;,&quot;Mountain&quot;],[&quot;Negros Occidental&quot;,&quot;Negros Occidental&quot;],[&quot;Negros Oriental&quot;,&quot;Negros Oriental&quot;],[&quot;Northern Samar&quot;,&quot;Northern Samar&quot;],[&quot;Nueva Ecija&quot;,&quot;Nueva Ecija&quot;],[&quot;Nueva Vizcaya&quot;,&quot;Nueva Vizcaya&quot;],[&quot;Occidental Mindoro&quot;,&quot;Occidental Mindoro&quot;],[&quot;Oriental Mindoro&quot;,&quot;Oriental Mindoro&quot;],[&quot;Palawan&quot;,&quot;Palawan&quot;],[&quot;Pampanga&quot;,&quot;Pampanga&quot;],[&quot;Pangasinan&quot;,&quot;Pangasinan&quot;],[&quot;Quezon&quot;,&quot;Quezon&quot;],[&quot;Quirino&quot;,&quot;Quirino&quot;],[&quot;Rizal&quot;,&quot;Rizal&quot;],[&quot;Romblon&quot;,&quot;Romblon&quot;],[&quot;Samar&quot;,&quot;Samar&quot;],[&quot;Sarangani&quot;,&quot;Sarangani&quot;],[&quot;Siquijor&quot;,&quot;Siquijor&quot;],[&quot;Sorsogon&quot;,&quot;Sorsogon&quot;],[&quot;South Cotabato&quot;,&quot;South Cotabato&quot;],[&quot;Southern Leyte&quot;,&quot;Southern Leyte&quot;],[&quot;Sultan Kudarat&quot;,&quot;Sultan Kudarat&quot;],[&quot;Sulu&quot;,&quot;Sulu&quot;],[&quot;Surigao del Norte&quot;,&quot;Surigao del Norte&quot;],[&quot;Surigao del Sur&quot;,&quot;Surigao del Sur&quot;],[&quot;Tarlac&quot;,&quot;Tarlac&quot;],[&quot;Tawi-Tawi&quot;,&quot;Tawi-Tawi&quot;],[&quot;Zambales&quot;,&quot;Zambales&quot;],[&quot;Zamboanga Sibugay&quot;,&quot;Zamboanga Sibugay&quot;],[&quot;Zamboanga del Norte&quot;,&quot;Zamboanga del Norte&quot;],[&quot;Zamboanga del Sur&quot;,&quot;Zamboanga del Sur&quot;]]">Philippines</option>
<option value="Pitcairn" data-provinces="[]">Pitcairn Islands</option>
<option value="Poland" data-provinces="[]">Poland</option>
<option value="Portugal" data-provinces="[[&quot;Aveiro&quot;,&quot;Aveiro&quot;],[&quot;Açores&quot;,&quot;Azores&quot;],[&quot;Beja&quot;,&quot;Beja&quot;],[&quot;Braga&quot;,&quot;Braga&quot;],[&quot;Bragança&quot;,&quot;Bragança&quot;],[&quot;Castelo Branco&quot;,&quot;Castelo Branco&quot;],[&quot;Coimbra&quot;,&quot;Coimbra&quot;],[&quot;Faro&quot;,&quot;Faro&quot;],[&quot;Guarda&quot;,&quot;Guarda&quot;],[&quot;Leiria&quot;,&quot;Leiria&quot;],[&quot;Lisboa&quot;,&quot;Lisbon&quot;],[&quot;Madeira&quot;,&quot;Madeira&quot;],[&quot;Portalegre&quot;,&quot;Portalegre&quot;],[&quot;Porto&quot;,&quot;Porto&quot;],[&quot;Santarém&quot;,&quot;Santarém&quot;],[&quot;Setúbal&quot;,&quot;Setúbal&quot;],[&quot;Viana do Castelo&quot;,&quot;Viana do Castelo&quot;],[&quot;Vila Real&quot;,&quot;Vila Real&quot;],[&quot;Viseu&quot;,&quot;Viseu&quot;],[&quot;Évora&quot;,&quot;Évora&quot;]]">Portugal</option>
<option value="Qatar" data-provinces="[]">Qatar</option>
<option value="Reunion" data-provinces="[]">Réunion</option>
<option value="Romania" data-provinces="[[&quot;Alba&quot;,&quot;Alba&quot;],[&quot;Arad&quot;,&quot;Arad&quot;],[&quot;Argeș&quot;,&quot;Argeș&quot;],[&quot;Bacău&quot;,&quot;Bacău&quot;],[&quot;Bihor&quot;,&quot;Bihor&quot;],[&quot;Bistrița-Năsăud&quot;,&quot;Bistriţa-Năsăud&quot;],[&quot;Botoșani&quot;,&quot;Botoşani&quot;],[&quot;Brașov&quot;,&quot;Braşov&quot;],[&quot;Brăila&quot;,&quot;Brăila&quot;],[&quot;București&quot;,&quot;Bucharest&quot;],[&quot;Buzău&quot;,&quot;Buzău&quot;],[&quot;Caraș-Severin&quot;,&quot;Caraș-Severin&quot;],[&quot;Cluj&quot;,&quot;Cluj&quot;],[&quot;Constanța&quot;,&quot;Constanța&quot;],[&quot;Covasna&quot;,&quot;Covasna&quot;],[&quot;Călărași&quot;,&quot;Călărași&quot;],[&quot;Dolj&quot;,&quot;Dolj&quot;],[&quot;Dâmbovița&quot;,&quot;Dâmbovița&quot;],[&quot;Galați&quot;,&quot;Galați&quot;],[&quot;Giurgiu&quot;,&quot;Giurgiu&quot;],[&quot;Gorj&quot;,&quot;Gorj&quot;],[&quot;Harghita&quot;,&quot;Harghita&quot;],[&quot;Hunedoara&quot;,&quot;Hunedoara&quot;],[&quot;Ialomița&quot;,&quot;Ialomița&quot;],[&quot;Iași&quot;,&quot;Iași&quot;],[&quot;Ilfov&quot;,&quot;Ilfov&quot;],[&quot;Maramureș&quot;,&quot;Maramureş&quot;],[&quot;Mehedinți&quot;,&quot;Mehedinți&quot;],[&quot;Mureș&quot;,&quot;Mureş&quot;],[&quot;Neamț&quot;,&quot;Neamţ&quot;],[&quot;Olt&quot;,&quot;Olt&quot;],[&quot;Prahova&quot;,&quot;Prahova&quot;],[&quot;Satu Mare&quot;,&quot;Satu Mare&quot;],[&quot;Sibiu&quot;,&quot;Sibiu&quot;],[&quot;Suceava&quot;,&quot;Suceava&quot;],[&quot;Sălaj&quot;,&quot;Sălaj&quot;],[&quot;Teleorman&quot;,&quot;Teleorman&quot;],[&quot;Timiș&quot;,&quot;Timiș&quot;],[&quot;Tulcea&quot;,&quot;Tulcea&quot;],[&quot;Vaslui&quot;,&quot;Vaslui&quot;],[&quot;Vrancea&quot;,&quot;Vrancea&quot;],[&quot;Vâlcea&quot;,&quot;Vâlcea&quot;]]">Romania</option>
<option value="Rwanda" data-provinces="[]">Rwanda</option>
<option value="Samoa" data-provinces="[]">Samoa</option>
<option value="San Marino" data-provinces="[]">San Marino</option>
<option value="Sao Tome And Principe" data-provinces="[]">São Tomé & Príncipe</option>
<option value="Saudi Arabia" data-provinces="[]">Saudi Arabia</option>
<option value="Senegal" data-provinces="[]">Senegal</option>
<option value="Serbia" data-provinces="[]">Serbia</option>
<option value="Seychelles" data-provinces="[]">Seychelles</option>
<option value="Sierra Leone" data-provinces="[]">Sierra Leone</option>
<option value="Singapore" data-provinces="[]">Singapore</option>
<option value="Sint Maarten" data-provinces="[]">Sint Maarten</option>
<option value="Slovakia" data-provinces="[]">Slovakia</option>
<option value="Slovenia" data-provinces="[]">Slovenia</option>
<option value="Solomon Islands" data-provinces="[]">Solomon Islands</option>
<option value="Somalia" data-provinces="[]">Somalia</option>
<option value="South Africa" data-provinces="[[&quot;Eastern Cape&quot;,&quot;Eastern Cape&quot;],[&quot;Free State&quot;,&quot;Free State&quot;],[&quot;Gauteng&quot;,&quot;Gauteng&quot;],[&quot;KwaZulu-Natal&quot;,&quot;KwaZulu-Natal&quot;],[&quot;Limpopo&quot;,&quot;Limpopo&quot;],[&quot;Mpumalanga&quot;,&quot;Mpumalanga&quot;],[&quot;North West&quot;,&quot;North West&quot;],[&quot;Northern Cape&quot;,&quot;Northern Cape&quot;],[&quot;Western Cape&quot;,&quot;Western Cape&quot;]]">South Africa</option>
<option value="South Georgia And The South Sandwich Islands" data-provinces="[]">South Georgia & South Sandwich Islands</option>
<option value="South Korea" data-provinces="[[&quot;Busan&quot;,&quot;Busan&quot;],[&quot;Chungbuk&quot;,&quot;North Chungcheong&quot;],[&quot;Chungnam&quot;,&quot;South Chungcheong&quot;],[&quot;Daegu&quot;,&quot;Daegu&quot;],[&quot;Daejeon&quot;,&quot;Daejeon&quot;],[&quot;Gangwon&quot;,&quot;Gangwon&quot;],[&quot;Gwangju&quot;,&quot;Gwangju City&quot;],[&quot;Gyeongbuk&quot;,&quot;North Gyeongsang&quot;],[&quot;Gyeonggi&quot;,&quot;Gyeonggi&quot;],[&quot;Gyeongnam&quot;,&quot;South Gyeongsang&quot;],[&quot;Incheon&quot;,&quot;Incheon&quot;],[&quot;Jeju&quot;,&quot;Jeju&quot;],[&quot;Jeonbuk&quot;,&quot;North Jeolla&quot;],[&quot;Jeonnam&quot;,&quot;South Jeolla&quot;],[&quot;Sejong&quot;,&quot;Sejong&quot;],[&quot;Seoul&quot;,&quot;Seoul&quot;],[&quot;Ulsan&quot;,&quot;Ulsan&quot;]]">South Korea</option>
<option value="South Sudan" data-provinces="[]">South Sudan</option>
<option value="Spain" data-provinces="[[&quot;A Coruña&quot;,&quot;A Coruña&quot;],[&quot;Albacete&quot;,&quot;Albacete&quot;],[&quot;Alicante&quot;,&quot;Alicante&quot;],[&quot;Almería&quot;,&quot;Almería&quot;],[&quot;Asturias&quot;,&quot;Asturias Province&quot;],[&quot;Badajoz&quot;,&quot;Badajoz&quot;],[&quot;Balears&quot;,&quot;Balears Province&quot;],[&quot;Barcelona&quot;,&quot;Barcelona&quot;],[&quot;Burgos&quot;,&quot;Burgos&quot;],[&quot;Cantabria&quot;,&quot;Cantabria Province&quot;],[&quot;Castellón&quot;,&quot;Castellón&quot;],[&quot;Ceuta&quot;,&quot;Ceuta&quot;],[&quot;Ciudad Real&quot;,&quot;Ciudad Real&quot;],[&quot;Cuenca&quot;,&quot;Cuenca&quot;],[&quot;Cáceres&quot;,&quot;Cáceres&quot;],[&quot;Cádiz&quot;,&quot;Cádiz&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Girona&quot;,&quot;Girona&quot;],[&quot;Granada&quot;,&quot;Granada&quot;],[&quot;Guadalajara&quot;,&quot;Guadalajara&quot;],[&quot;Guipúzcoa&quot;,&quot;Gipuzkoa&quot;],[&quot;Huelva&quot;,&quot;Huelva&quot;],[&quot;Huesca&quot;,&quot;Huesca&quot;],[&quot;Jaén&quot;,&quot;Jaén&quot;],[&quot;La Rioja&quot;,&quot;La Rioja Province&quot;],[&quot;Las Palmas&quot;,&quot;Las Palmas&quot;],[&quot;León&quot;,&quot;León&quot;],[&quot;Lleida&quot;,&quot;Lleida&quot;],[&quot;Lugo&quot;,&quot;Lugo&quot;],[&quot;Madrid&quot;,&quot;Madrid Province&quot;],[&quot;Melilla&quot;,&quot;Melilla&quot;],[&quot;Murcia&quot;,&quot;Murcia&quot;],[&quot;Málaga&quot;,&quot;Málaga&quot;],[&quot;Navarra&quot;,&quot;Navarra&quot;],[&quot;Ourense&quot;,&quot;Ourense&quot;],[&quot;Palencia&quot;,&quot;Palencia&quot;],[&quot;Pontevedra&quot;,&quot;Pontevedra&quot;],[&quot;Salamanca&quot;,&quot;Salamanca&quot;],[&quot;Santa Cruz de Tenerife&quot;,&quot;Santa Cruz de Tenerife&quot;],[&quot;Segovia&quot;,&quot;Segovia&quot;],[&quot;Sevilla&quot;,&quot;Seville&quot;],[&quot;Soria&quot;,&quot;Soria&quot;],[&quot;Tarragona&quot;,&quot;Tarragona&quot;],[&quot;Teruel&quot;,&quot;Teruel&quot;],[&quot;Toledo&quot;,&quot;Toledo&quot;],[&quot;Valencia&quot;,&quot;Valencia&quot;],[&quot;Valladolid&quot;,&quot;Valladolid&quot;],[&quot;Vizcaya&quot;,&quot;Biscay&quot;],[&quot;Zamora&quot;,&quot;Zamora&quot;],[&quot;Zaragoza&quot;,&quot;Zaragoza&quot;],[&quot;Álava&quot;,&quot;Álava&quot;],[&quot;Ávila&quot;,&quot;Ávila&quot;]]">Spain</option>
<option value="Sri Lanka" data-provinces="[]">Sri Lanka</option>
<option value="Saint Barthélemy" data-provinces="[]">St. Barthélemy</option>
<option value="Saint Helena" data-provinces="[]">St. Helena</option>
<option value="Saint Kitts And Nevis" data-provinces="[]">St. Kitts & Nevis</option>
<option value="Saint Lucia" data-provinces="[]">St. Lucia</option>
<option value="Saint Martin" data-provinces="[]">St. Martin</option>
<option value="Saint Pierre And Miquelon" data-provinces="[]">St. Pierre & Miquelon</option>
<option value="St. Vincent" data-provinces="[]">St. Vincent & Grenadines</option>
<option value="Sudan" data-provinces="[]">Sudan</option>
<option value="Suriname" data-provinces="[]">Suriname</option>
<option value="Svalbard And Jan Mayen" data-provinces="[]">Svalbard & Jan Mayen</option>
<option value="Sweden" data-provinces="[]">Sweden</option>
<option value="Switzerland" data-provinces="[]">Switzerland</option>
<option value="Taiwan" data-provinces="[]">Taiwan</option>
<option value="Tajikistan" data-provinces="[]">Tajikistan</option>
<option value="Tanzania, United Republic Of" data-provinces="[]">Tanzania</option>
<option value="Thailand" data-provinces="[[&quot;Amnat Charoen&quot;,&quot;Amnat Charoen&quot;],[&quot;Ang Thong&quot;,&quot;Ang Thong&quot;],[&quot;Bangkok&quot;,&quot;Bangkok&quot;],[&quot;Bueng Kan&quot;,&quot;Bueng Kan&quot;],[&quot;Buriram&quot;,&quot;Buri Ram&quot;],[&quot;Chachoengsao&quot;,&quot;Chachoengsao&quot;],[&quot;Chai Nat&quot;,&quot;Chai Nat&quot;],[&quot;Chaiyaphum&quot;,&quot;Chaiyaphum&quot;],[&quot;Chanthaburi&quot;,&quot;Chanthaburi&quot;],[&quot;Chiang Mai&quot;,&quot;Chiang Mai&quot;],[&quot;Chiang Rai&quot;,&quot;Chiang Rai&quot;],[&quot;Chon Buri&quot;,&quot;Chon Buri&quot;],[&quot;Chumphon&quot;,&quot;Chumphon&quot;],[&quot;Kalasin&quot;,&quot;Kalasin&quot;],[&quot;Kamphaeng Phet&quot;,&quot;Kamphaeng Phet&quot;],[&quot;Kanchanaburi&quot;,&quot;Kanchanaburi&quot;],[&quot;Khon Kaen&quot;,&quot;Khon Kaen&quot;],[&quot;Krabi&quot;,&quot;Krabi&quot;],[&quot;Lampang&quot;,&quot;Lampang&quot;],[&quot;Lamphun&quot;,&quot;Lamphun&quot;],[&quot;Loei&quot;,&quot;Loei&quot;],[&quot;Lopburi&quot;,&quot;Lopburi&quot;],[&quot;Mae Hong Son&quot;,&quot;Mae Hong Son&quot;],[&quot;Maha Sarakham&quot;,&quot;Maha Sarakham&quot;],[&quot;Mukdahan&quot;,&quot;Mukdahan&quot;],[&quot;Nakhon Nayok&quot;,&quot;Nakhon Nayok&quot;],[&quot;Nakhon Pathom&quot;,&quot;Nakhon Pathom&quot;],[&quot;Nakhon Phanom&quot;,&quot;Nakhon Phanom&quot;],[&quot;Nakhon Ratchasima&quot;,&quot;Nakhon Ratchasima&quot;],[&quot;Nakhon Sawan&quot;,&quot;Nakhon Sawan&quot;],[&quot;Nakhon Si Thammarat&quot;,&quot;Nakhon Si Thammarat&quot;],[&quot;Nan&quot;,&quot;Nan&quot;],[&quot;Narathiwat&quot;,&quot;Narathiwat&quot;],[&quot;Nong Bua Lam Phu&quot;,&quot;Nong Bua Lam Phu&quot;],[&quot;Nong Khai&quot;,&quot;Nong Khai&quot;],[&quot;Nonthaburi&quot;,&quot;Nonthaburi&quot;],[&quot;Pathum Thani&quot;,&quot;Pathum Thani&quot;],[&quot;Pattani&quot;,&quot;Pattani&quot;],[&quot;Pattaya&quot;,&quot;Pattaya&quot;],[&quot;Phangnga&quot;,&quot;Phang Nga&quot;],[&quot;Phatthalung&quot;,&quot;Phatthalung&quot;],[&quot;Phayao&quot;,&quot;Phayao&quot;],[&quot;Phetchabun&quot;,&quot;Phetchabun&quot;],[&quot;Phetchaburi&quot;,&quot;Phetchaburi&quot;],[&quot;Phichit&quot;,&quot;Phichit&quot;],[&quot;Phitsanulok&quot;,&quot;Phitsanulok&quot;],[&quot;Phra Nakhon Si Ayutthaya&quot;,&quot;Phra Nakhon Si Ayutthaya&quot;],[&quot;Phrae&quot;,&quot;Phrae&quot;],[&quot;Phuket&quot;,&quot;Phuket&quot;],[&quot;Prachin Buri&quot;,&quot;Prachin Buri&quot;],[&quot;Prachuap Khiri Khan&quot;,&quot;Prachuap Khiri Khan&quot;],[&quot;Ranong&quot;,&quot;Ranong&quot;],[&quot;Ratchaburi&quot;,&quot;Ratchaburi&quot;],[&quot;Rayong&quot;,&quot;Rayong&quot;],[&quot;Roi Et&quot;,&quot;Roi Et&quot;],[&quot;Sa Kaeo&quot;,&quot;Sa Kaeo&quot;],[&quot;Sakon Nakhon&quot;,&quot;Sakon Nakhon&quot;],[&quot;Samut Prakan&quot;,&quot;Samut Prakan&quot;],[&quot;Samut Sakhon&quot;,&quot;Samut Sakhon&quot;],[&quot;Samut Songkhram&quot;,&quot;Samut Songkhram&quot;],[&quot;Saraburi&quot;,&quot;Saraburi&quot;],[&quot;Satun&quot;,&quot;Satun&quot;],[&quot;Sing Buri&quot;,&quot;Sing Buri&quot;],[&quot;Sisaket&quot;,&quot;Si Sa Ket&quot;],[&quot;Songkhla&quot;,&quot;Songkhla&quot;],[&quot;Sukhothai&quot;,&quot;Sukhothai&quot;],[&quot;Suphan Buri&quot;,&quot;Suphanburi&quot;],[&quot;Surat Thani&quot;,&quot;Surat Thani&quot;],[&quot;Surin&quot;,&quot;Surin&quot;],[&quot;Tak&quot;,&quot;Tak&quot;],[&quot;Trang&quot;,&quot;Trang&quot;],[&quot;Trat&quot;,&quot;Trat&quot;],[&quot;Ubon Ratchathani&quot;,&quot;Ubon Ratchathani&quot;],[&quot;Udon Thani&quot;,&quot;Udon Thani&quot;],[&quot;Uthai Thani&quot;,&quot;Uthai Thani&quot;],[&quot;Uttaradit&quot;,&quot;Uttaradit&quot;],[&quot;Yala&quot;,&quot;Yala&quot;],[&quot;Yasothon&quot;,&quot;Yasothon&quot;]]">Thailand</option>
<option value="Timor Leste" data-provinces="[]">Timor-Leste</option>
<option value="Togo" data-provinces="[]">Togo</option>
<option value="Tokelau" data-provinces="[]">Tokelau</option>
<option value="Tonga" data-provinces="[]">Tonga</option>
<option value="Trinidad and Tobago" data-provinces="[]">Trinidad & Tobago</option>
<option value="Tunisia" data-provinces="[]">Tunisia</option>
<option value="Turkey" data-provinces="[]">Türkiye</option>
<option value="Turkmenistan" data-provinces="[]">Turkmenistan</option>
<option value="Turks and Caicos Islands" data-provinces="[]">Turks & Caicos Islands</option>
<option value="Tuvalu" data-provinces="[]">Tuvalu</option>
<option value="United States Minor Outlying Islands" data-provinces="[]">U.S. Outlying Islands</option>
<option value="Uganda" data-provinces="[]">Uganda</option>
<option value="United Arab Emirates" data-provinces="[[&quot;Abu Dhabi&quot;,&quot;Abu Dhabi&quot;],[&quot;Ajman&quot;,&quot;Ajman&quot;],[&quot;Dubai&quot;,&quot;Dubai&quot;],[&quot;Fujairah&quot;,&quot;Fujairah&quot;],[&quot;Ras al-Khaimah&quot;,&quot;Ras al-Khaimah&quot;],[&quot;Sharjah&quot;,&quot;Sharjah&quot;],[&quot;Umm al-Quwain&quot;,&quot;Umm al-Quwain&quot;]]">United Arab Emirates</option>
<option value="United Kingdom" data-provinces="[[&quot;British Forces&quot;,&quot;British Forces&quot;],[&quot;England&quot;,&quot;England&quot;],[&quot;Northern Ireland&quot;,&quot;Northern Ireland&quot;],[&quot;Scotland&quot;,&quot;Scotland&quot;],[&quot;Wales&quot;,&quot;Wales&quot;]]">United Kingdom</option>
<option value="United States" data-provinces="[[&quot;Alabama&quot;,&quot;Alabama&quot;],[&quot;Alaska&quot;,&quot;Alaska&quot;],[&quot;American Samoa&quot;,&quot;American Samoa&quot;],[&quot;Arizona&quot;,&quot;Arizona&quot;],[&quot;Arkansas&quot;,&quot;Arkansas&quot;],[&quot;Armed Forces Americas&quot;,&quot;Armed Forces Americas&quot;],[&quot;Armed Forces Europe&quot;,&quot;Armed Forces Europe&quot;],[&quot;Armed Forces Pacific&quot;,&quot;Armed Forces Pacific&quot;],[&quot;California&quot;,&quot;California&quot;],[&quot;Colorado&quot;,&quot;Colorado&quot;],[&quot;Connecticut&quot;,&quot;Connecticut&quot;],[&quot;Delaware&quot;,&quot;Delaware&quot;],[&quot;District of Columbia&quot;,&quot;Washington DC&quot;],[&quot;Federated States of Micronesia&quot;,&quot;Micronesia&quot;],[&quot;Florida&quot;,&quot;Florida&quot;],[&quot;Georgia&quot;,&quot;Georgia&quot;],[&quot;Guam&quot;,&quot;Guam&quot;],[&quot;Hawaii&quot;,&quot;Hawaii&quot;],[&quot;Idaho&quot;,&quot;Idaho&quot;],[&quot;Illinois&quot;,&quot;Illinois&quot;],[&quot;Indiana&quot;,&quot;Indiana&quot;],[&quot;Iowa&quot;,&quot;Iowa&quot;],[&quot;Kansas&quot;,&quot;Kansas&quot;],[&quot;Kentucky&quot;,&quot;Kentucky&quot;],[&quot;Louisiana&quot;,&quot;Louisiana&quot;],[&quot;Maine&quot;,&quot;Maine&quot;],[&quot;Marshall Islands&quot;,&quot;Marshall Islands&quot;],[&quot;Maryland&quot;,&quot;Maryland&quot;],[&quot;Massachusetts&quot;,&quot;Massachusetts&quot;],[&quot;Michigan&quot;,&quot;Michigan&quot;],[&quot;Minnesota&quot;,&quot;Minnesota&quot;],[&quot;Mississippi&quot;,&quot;Mississippi&quot;],[&quot;Missouri&quot;,&quot;Missouri&quot;],[&quot;Montana&quot;,&quot;Montana&quot;],[&quot;Nebraska&quot;,&quot;Nebraska&quot;],[&quot;Nevada&quot;,&quot;Nevada&quot;],[&quot;New Hampshire&quot;,&quot;New Hampshire&quot;],[&quot;New Jersey&quot;,&quot;New Jersey&quot;],[&quot;New Mexico&quot;,&quot;New Mexico&quot;],[&quot;New York&quot;,&quot;New York&quot;],[&quot;North Carolina&quot;,&quot;North Carolina&quot;],[&quot;North Dakota&quot;,&quot;North Dakota&quot;],[&quot;Northern Mariana Islands&quot;,&quot;Northern Mariana Islands&quot;],[&quot;Ohio&quot;,&quot;Ohio&quot;],[&quot;Oklahoma&quot;,&quot;Oklahoma&quot;],[&quot;Oregon&quot;,&quot;Oregon&quot;],[&quot;Palau&quot;,&quot;Palau&quot;],[&quot;Pennsylvania&quot;,&quot;Pennsylvania&quot;],[&quot;Puerto Rico&quot;,&quot;Puerto Rico&quot;],[&quot;Rhode Island&quot;,&quot;Rhode Island&quot;],[&quot;South Carolina&quot;,&quot;South Carolina&quot;],[&quot;South Dakota&quot;,&quot;South Dakota&quot;],[&quot;Tennessee&quot;,&quot;Tennessee&quot;],[&quot;Texas&quot;,&quot;Texas&quot;],[&quot;Utah&quot;,&quot;Utah&quot;],[&quot;Vermont&quot;,&quot;Vermont&quot;],[&quot;Virgin Islands&quot;,&quot;U.S. Virgin Islands&quot;],[&quot;Virginia&quot;,&quot;Virginia&quot;],[&quot;Washington&quot;,&quot;Washington&quot;],[&quot;West Virginia&quot;,&quot;West Virginia&quot;],[&quot;Wisconsin&quot;,&quot;Wisconsin&quot;],[&quot;Wyoming&quot;,&quot;Wyoming&quot;]]">United States</option>
<option value="Uruguay" data-provinces="[[&quot;Artigas&quot;,&quot;Artigas&quot;],[&quot;Canelones&quot;,&quot;Canelones&quot;],[&quot;Cerro Largo&quot;,&quot;Cerro Largo&quot;],[&quot;Colonia&quot;,&quot;Colonia&quot;],[&quot;Durazno&quot;,&quot;Durazno&quot;],[&quot;Flores&quot;,&quot;Flores&quot;],[&quot;Florida&quot;,&quot;Florida&quot;],[&quot;Lavalleja&quot;,&quot;Lavalleja&quot;],[&quot;Maldonado&quot;,&quot;Maldonado&quot;],[&quot;Montevideo&quot;,&quot;Montevideo&quot;],[&quot;Paysandú&quot;,&quot;Paysandú&quot;],[&quot;Rivera&quot;,&quot;Rivera&quot;],[&quot;Rocha&quot;,&quot;Rocha&quot;],[&quot;Río Negro&quot;,&quot;Río Negro&quot;],[&quot;Salto&quot;,&quot;Salto&quot;],[&quot;San José&quot;,&quot;San José&quot;],[&quot;Soriano&quot;,&quot;Soriano&quot;],[&quot;Tacuarembó&quot;,&quot;Tacuarembó&quot;],[&quot;Treinta y Tres&quot;,&quot;Treinta y Tres&quot;]]">Uruguay</option>
<option value="Uzbekistan" data-provinces="[]">Uzbekistan</option>
<option value="Vanuatu" data-provinces="[]">Vanuatu</option>
<option value="Holy See (Vatican City State)" data-provinces="[]">Vatican City</option>
<option value="Vietnam" data-provinces="[]">Vietnam</option>
<option value="Wallis And Futuna" data-provinces="[]">Wallis & Futuna</option>
<option value="Western Sahara" data-provinces="[]">Western Sahara</option>
<option value="Yemen" data-provinces="[]">Yemen</option>
<option value="Zambia" data-provinces="[]">Zambia</option>
<option value="Zimbabwe" data-provinces="[]">Zimbabwe</option>`;
</script>
<!-- END app snippet -->
<!-- BEGIN app snippet: initialize-forms -->


<script async>
  (() => {
    const devToolsEnabled = false;
    const latestEmbedVersion = "4.16.0";

    const nativeFormContainsErrors = false;
    const $preInitStyles = document.querySelector('#cf-pre-init-styles');

    let mountedTextEntrypoints = false;

    // i.e. ?view=orig, or "email taken" following a form crash
    if (onFallbackTemplate() || nativeFormContainsErrors) {
      // Reveal the original form
      $preInitStyles.parentElement.removeChild($preInitStyles);
      return;
    }

    function start() {
      initializeForms();
      injectHiddenForms();

      // Try for the next 5s to mount any dynamically injected forms.
      const intervalId = setInterval(() => {
        initializeForms();
      }, 100);

      setTimeout(() => {
        clearInterval(intervalId);
      }, 5000);
    }

    // This fires when a CF form has mounted on the page.
    // More reliable than putting this in start(), since developers can manually call
    // CF.initializeForms().
    window.addEventListener('cf:ready', () => {
      injectHiddenForms();
    });

    if (['interactive', 'complete', 'loaded'].includes(document.readyState)) {
      start();
    } else {
      document.addEventListener('DOMContentLoaded', () => start());
    }

    window.CF.initializeForms = initializeForms;

    async function initializeForms() {
      // Semi-hack: Prevents older embed scripts from doing anything.
      // Any embed script before 4.12.0 checks only for the presence of this attribute,
      // not if it strictly equals "true".
      document.documentElement.setAttribute('data-cf-initialized', 'loading');

      // Only mount text entrypoints once. This is expensive and causes render blocking time on mobile.
      if (!mountedTextEntrypoints) {
        mountedTextEntrypoints = true;
        mountTextEntrypoints();
      }

      const reactTarget = `<!-- BEGIN app snippet: react-target-markup --><div class="cf-react-target">
  <div class="cf-preload">
    
      <div class="cf-preload-label cf-preload-item"></div>
      <div class="cf-preload-field cf-preload-item"></div>
    
      <div class="cf-preload-label cf-preload-item"></div>
      <div class="cf-preload-field cf-preload-item"></div>
    
      <div class="cf-preload-label cf-preload-item"></div>
      <div class="cf-preload-field cf-preload-item"></div>
    
      <div class="cf-preload-label cf-preload-item"></div>
      <div class="cf-preload-field cf-preload-item"></div>
    
    
      <span class="cf-preload-button cf-preload-item"></span>
    
      <span class="cf-preload-button cf-preload-item"></span>
    
  </div>
</div><!-- END app snippet -->`;
      const forms = [{"id":"bbtmB8","name":"Authorized Reseller Registration","target":"storefront","version":"4.16.0","updated_at":1735251821}];
      const $forms = Array.from(document.querySelectorAll('form:not([data-cf-state])'));
      const entrypoints = [];

      for (let $form of $forms) {
        if (isIgnored($form)) continue;

        const id = getFormId($form);
        if (!id) continue;

        const formData = forms.find(form => form.id === id);

        if (!formData) {
          console.error(`[Customer Fields] Unable to find form data with id ${id}`);
          setFormState($form, 'failed');
          continue;
        }

        const $originalForm = $form.cloneNode(true);

        // Shopify's captcha script can bind to the form that CF mounted to.
        // Their submit handler eventually calls the submit method after generating
        // the captcha response token, causing native submission behavior to occur.
        // We do not want this, so we override it to a no-op. See #2092
        $form.submit = () => {};

        injectReactTarget($form);
        setFormState($form, 'loading');

        const entrypoint = {
          $form,
          registration: isRegistrationForm($form),
          formId: formData.id,
          updatedAt: formData.updated_at,
          originalForm: $originalForm,
          version: formData.version,
          restore: () => restoreEntrypoint(entrypoint),
        };

        entrypoints.push(entrypoint);

        // Required to be backwards compatible with older versions of the JS Form API, and prevent Shopify captcha
        $form.setAttribute('data-cf-form', formData.id);
        $form.setAttribute('action', '');
      }

      if ($preInitStyles && $preInitStyles.parentElement) {
        $preInitStyles.parentElement.removeChild($preInitStyles);
      }

      if (!entrypoints.length) return;

      
      initializeEmbedScript();

      function initializeEmbedScript() {
        if (!window.CF.requestedEmbedJS) {
          const $script = document.createElement('script');
          $script.src = getAssetUrl('customer-fields.js');

          document.head.appendChild($script);
          window.CF.requestedEmbedJS = true;
        }

        if (!window.CF.requestedEmbedCSS) {
          const $link = document.createElement('link');
          $link.href = getAssetUrl('customer-fields.css');
          $link.rel = 'stylesheet';
          $link.type = 'text/css';

          document.head.appendChild($link);
          window.CF.requestedEmbedCSS = true;
        }
      }
      

      const fullForms = await Promise.all(entrypoints.map(e => getFormData(e.formId, e.updatedAt)));

      fullForms.forEach((fullForm, index) => {
        const entrypoint = entrypoints[index];

        if (!fullForm) {
          // fullForm can be null if the request failed one way or another.
          restoreEntrypoint(entrypoint);
          return;
        }

        const invalidFormTargets = ['customer-account'];
        if (invalidFormTargets.includes(fullForm.form.target)) {
          console.error('[Customer Fields] Invalid form target', fullForm);
          return;
        }

        if (entrypoint.formId !== fullForm.form.id) {
          console.error('[Customer Fields] Entrypoint to form mismatch', form, entrypoint);
          return;
        }

        entrypoint.form = {
          ...fullForm.form,
          currentRevision: fullForm.revision,
        };
      });

      if (window.CF.entrypoints) {
        window.CF.entrypoints.push(...entrypoints);

        if (window.CF.mountForm) {
          entrypoints.forEach(entrypoint => {
            window.CF.mountForm(entrypoint.form);
          });
        }
      } else {
        window.CF.entrypoints = entrypoints;

        // The Core class has some logic that gets invoked as a result of this event
        // that we only want to fire once, so let's not emit this event multiple times.
        document.dispatchEvent(new CustomEvent('cf:entrypoints_ready'));
      }

      function getFormData(formId, updatedAt) {
        return fetch(`https://app.customerfields.com/embed_api/v4/forms/${formId}.json?v=${updatedAt}`, {
          headers: {
            'X-Shopify-Shop-Domain': "prevelo.myshopify.com"
          }
        }).then(response => {
          if (response.ok) return response.json();

          console.error(`[Customer Fields] Received non-OK response from the back-end when fetching form ${formId}`)
          return null;
        }).catch((err) => {
          console.error(`[Customer Fields] Encountered unknown error while fetching form ${formId}`, err);
          return null;
        });
      }

      function restoreEntrypoint(entrypoint) {
        // This has a side effect of removing the Form class' submit handlers.
        // Previously this only replaced the original children within the form, but the submit event
        // was still being handled by our script.
        entrypoint.$form.replaceWith(entrypoint.originalForm);

        // Opacity was set to 0 with the #cf-pre-init-styles element
        entrypoint.$form.style.opacity = 1;

        console.error(`[Customer Fields] Encountered an issue while mounting form, reverting to original form contents.`, entrypoint);

        // Remove from CF.entrypoints so that Core doesn't try to mount to it
        entrypoints.splice(entrypoints.indexOf(entrypoint), 1);
      }

      function getAssetUrl(filename) {
        // We changed this to always get the latest embed assets
        // 4.15.7 included a crucial hotfix for recaptcha, see #2028

        return `https://static.customerfields.com/releases/${latestEmbedVersion}/${filename}`;
      }

      function injectReactTarget($form) {
        const containsReactTarget = !!$form.querySelector('.cf-react-target');
        if (containsReactTarget) return;

        $form.innerHTML = reactTarget;
      }

      function isIgnored($form) {
        return $form.getAttribute('data-cf-ignore') === 'true';
      }

      function isEditAccountForm($form) {
        return $form.getAttribute('data-cf-edit-account') === 'true';
      }

      function isVintageRegistrationForm($form) {
        return (
          window.location.pathname.includes('/account/register')
            && $form.id === 'create_customer'
            && !!$form.getAttribute('data-cf-form')
        );
      }

      function isRegistrationForm($form) {
        try {
          const isWithinAppBlock = !!$form.closest('.cf-form-block');
          if (isWithinAppBlock) return false;

          const formActionUrl = new URL($form.action);
          const matchesShopDomain = formActionUrl.host === window.location.host;
          const hasAccountPath = formActionUrl.pathname.endsWith('/account');
          const hasPostMethod = $form.method.toLowerCase() === 'post';

          const $formTypeInput = $form.querySelector('[name="form_type"]')
          const hasCreateCustomerFormType = $formTypeInput && $formTypeInput.value === 'create_customer';

          return (matchesShopDomain && hasAccountPath && hasPostMethod) || hasCreateCustomerFormType;
        } catch (err) {
          return false;
        }
      }

      function mountTextEntrypoints() {
        const tree = document.createTreeWalker(document.body, NodeFilter.SHOW_TEXT, (node) => {
          if (typeof node.data !== 'string' || !node.data) return NodeFilter.FILTER_REJECT;

          return node.data.includes('data-cf-form="') ? NodeFilter.FILTER_ACCEPT : NodeFilter.FILTER_REJECT;
        });

        /**
         * Walks through every text node on the document that contains 'data-cf-form="' and attempts to
         * splice a form element in place of every shortcode.
         *
         * @type Node[]
         */
        while (tree.nextNode()) {
          let node = tree.currentNode;
          const parser = new DOMParser();

          while (entrypointContent = node.data.match(/<form.*data-cf-form="[a-zA-Z0-9]+".*>.*<\/form>/)) {
            const [match] = entrypointContent;

            const doc = parser.parseFromString(match, 'text/html');
            const $form = doc.body.firstElementChild;

            // Substring is better than split here in case the text node contains multiple forms.
            const beforeText = node.data.substring(0, node.data.indexOf(match));
            const afterText = node.data.substring(node.data.indexOf(match) + match.length);

            node.replaceWith($form);
            node.data = node.data.replace(match, '');

            if (beforeText) $form.insertAdjacentText('beforebegin', beforeText);
            if (afterText) {
              $form.insertAdjacentText('afterend', afterText);

              // Continue scanning the rest of the node text in case there are more forms
              node = $form.nextSibling;
            }
          }
        }
      }

      function getFormId($form) {
        const currentFormId = $form.getAttribute('data-cf-form');

        let id;

        if (isEditAccountForm($form)) {
          id = "";
        } else if (isVintageRegistrationForm($form) || isRegistrationForm($form)) {
          id = "";
        }

        return id || currentFormId;
      }

      function setFormState($form, state) {
        $form.setAttribute('data-cf-state', state);
      }
    }

    function onFallbackTemplate() {
      const params = new URLSearchParams(window.location.search);

      return location.pathname.includes('/account/register') && params.get('view') === 'orig';
    }

    function injectHiddenForms() {
      if (!devToolsEnabled && !CF.entrypoints?.length) return;
      if (document.querySelector('#cf_hidden_forms')) return;

      const container = document.createElement('div');
      
      container.id = "cf_hidden_forms";
      container.style.display = 'none';
      container.setAttribute('aria-hidden', 'true');

      document.body.appendChild(container);

      const loginForm = createLoginForm();
      const recoverForm = createRecoverPasswordForm();

      container.appendChild(loginForm);
      container.appendChild(recoverForm);

      if (window.Shopify.captcha) {
        // Only applicable for grecaptcha shops, but also safe for hcaptcha
        triggerShopifyRecaptchaLoad(container);

        window.Shopify.captcha.protect(loginForm);
        window.Shopify.captcha.protect(recoverForm);
      }
    }

    function triggerShopifyRecaptchaLoad(container) {
      if (document.getElementById('cf-hidden-recaptcha-trigger__create_customer')) return;
      if (document.getElementById('cf-hidden-recaptcha-trigger__contact')) return;

      // Triggering a focus event on a form causes Shopify to load their recaptcha script.
      // This allows our Customer class to handle the copying/injecting of `grecaptcha` so we can
      // handle multiple `grecaptcha` instances. See methods `injectRecaptchaScript`
      // and `captureShopifyGrecaptcha` in `Customer.ts`.
      // Note: We have to try both types, in case the merchant has only one of the two recaptcha
      // options checked
      const $customerRecaptchaForm = createDummyRecaptchaForm('/account', 'create_customer');
      container.appendChild($customerRecaptchaForm);

      const $contactRecaptchaForm = createDummyRecaptchaForm('/contact', 'contact');
      container.appendChild($contactRecaptchaForm);

      triggerFocusEvent($customerRecaptchaForm);
      triggerFocusEvent($contactRecaptchaForm);
    }

    function createDummyRecaptchaForm(action, type) {
      const dummyRecaptchaForm = document.createElement('form');
      
      dummyRecaptchaForm.action = action;
      dummyRecaptchaForm.method = "post";
      dummyRecaptchaForm.id = `cf-hidden-recaptcha-trigger__${type}`;
      dummyRecaptchaForm.setAttribute('data-cf-ignore', 'true');
      dummyRecaptchaForm.setAttribute('aria-hidden', 'true');
      dummyRecaptchaForm.style.display = 'none';

      const formTypeInput = document.createElement('input');

      formTypeInput.name = "form_type"
      formTypeInput.setAttribute('value', type);

      dummyRecaptchaForm.appendChild(formTypeInput);

      return dummyRecaptchaForm;
    }

    function triggerFocusEvent(element) {
      const event = new Event('focusin', { bubbles: true, cancelable: false });
      element.dispatchEvent(event);
    }

    function createLoginForm() {
      const form = createDummyRecaptchaForm('/account/login', 'customer_login');
      const email = document.createElement('input');
      email.name = 'customer[email]';

      const password = document.createElement('input');
      password.name = 'customer[password]';

      const redirect = document.createElement('input');
      redirect.name = 'return_to';

      form.appendChild(email);
      form.appendChild(password);
      form.appendChild(redirect);
      form.setAttribute('aria-hidden', 'true');

      return form;
    }

    function createRecoverPasswordForm() {
      const parser = new DOMParser();
      const result = parser.parseFromString(`<form method="post" action="/account/recover" accept-charset="UTF-8"><input type="hidden" name="form_type" value="recover_customer_password" /><input type="hidden" name="utf8" value="✓" /><input name="email" value="" /><input name="return_to" value="" /></form>`, 'text/html');
      const form = result.querySelector('form');
      
      form.setAttribute('aria-hidden', 'true');
      form.id = "cf_recover_password_form";

      return form;
    }
  })();
</script>

<!-- END app snippet -->
<!-- BEGIN app snippet: theme-data --><script>
  document.addEventListener('DOMContentLoaded', async () => {
    let theme;

    if (window.BOOMR) {
      theme = {
        name: window.BOOMR.themeName,
        version: window.BOOMR.themeVersion,
      }
    }

    if (theme) {
      document.documentElement.setAttribute('data-theme-name', theme.name);
      document.documentElement.setAttribute('data-theme-version', theme.version);
    }
  });
</script><!-- END app snippet -->
<!-- BEGIN app snippet: form-preload-style --><style>
.cf-preload {
  margin-top: 50px;
  opacity: 0.5;
  text-align: left;
}

.cf-preload-item {
  position: relative;
  overflow: hidden;
  background: #e2e2e2;
  border-radius: 4px;
  display: block !important;
}

.cf-preload-item:before {
  content: '';
  position: absolute;
  top: 0;
  left: 0;
  height: 100%;
  width: 100%;
  background: linear-gradient(to right, rgba(255,255,255,0), rgba(255,255,255,0.5), rgba(255,255,255,0.5), rgba(255,255,255,0));
  animation: cf-preload 1s cubic-bezier(0.33, 0.8, 0.85, 0.77) infinite;
  z-index: 1;
}

.cf-preload-label {
  display: inline-block !important;
  width: 50%;
  height: 20px;
  background: #eee;
  margin-bottom: 5px;
}

.cf-preload-field {
  margin-bottom: 25px;
  height: 40px;
}

.cf-preload-button {
  display: inline-block !important;
  width: 120px;
  margin-right: 15px;
  height: 40px;
}

.cf-form-inner {
  animation: cf-fadein 500ms cubic-bezier(0.11, 0.33, 0.24, 1);
}

@keyframes cf-preload {
  from {
    transform: translateX(-100%);
    opacity: 0;
  }
  to {
    transform: translateX(100%);
    opacity: 1;
  }
}

@keyframes cf-fadein {
  from {
    opacity: 0;
    transform: translateY(30px);
  }
  to {
    opacity: 1;
    transform: translateY(0);
  }
}
</style><!-- END app snippet -->
<!-- BEGIN app snippet: inject-edit-link --><!-- END app snippet -->
<!-- BEGIN app snippet: language --><script>
  window.CF.language = window.CF.language || {};
  window.CF.language.editAccountHeading = "Edit account";
  window.CF.language.editAccountBackLinkText = "Back to account";
</script><!-- END app snippet -->

<!-- BEGIN app snippet: developer-tools -->


<script>
  (function() {
    const callbacksHandled = [];

    function handleCallback(callback) {
      if (callbacksHandled.indexOf(callback) > -1) return;

      callback();
      callbacksHandled.push(callback);
    };

    function domIsReady() {
      return /complete|interactive|loaded/.test(document.readyState);
    };

    function customerExistsInWindow() {
      const customerPresent = ('customer' in window.CF);
      if (!customerPresent) return false;

      const hasCaptchaEnabled = document.body.getAttribute('data-cf-captcha-enabled') === 'true';
      if (hasCaptchaEnabled) {
        const captchaReady = document.body.getAttribute('data-cf-captcha-ready') === 'true';
        if (!captchaReady) return false;
      }

      return true;
    };

    function embedFormHasMounted() {
      return !!document.querySelector('.cf-form-inner');
    };

    function customerReady(callback) {
      if (customerExistsInWindow()) {
        handleCallback(callback);
      } else {
        function createListener() {
          document.addEventListener("cf:customer_ready", function() {
            handleCallback(callback);
          });
        };

        if (domIsReady()) {
          createListener();
        } else {
          document.addEventListener("DOMContentLoaded", function() {
            if (customerExistsInWindow()) {
              handleCallback(callback);
            } else {
              createListener();
            }
          });
        }
      }
    }

    function formsReady(callback) {
      if (embedFormHasMounted()) {
        handleCallback(callback);
      } else {
        function createListener() {
          document.addEventListener("cf:ready", function() {
            handleCallback(callback);
          });
        };

        if (domIsReady()) {
          createListener();
        } else {
          document.addEventListener("DOMContentLoaded", function() {
            if (embedFormHasMounted()) {
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<div id="shopify-section-sections--23822699135275__announcement" class="shopify-section shopify-section-group-header-group cc-announcement">
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<style> #shopify-section-sections--23822699135275__announcement .announcement__text {display: flow; text-align: center;} @media screen and (max-width: 700px) {#shopify-section-sections--23822699135275__announcement .announcement__text p {font-size: small; }} </style></div><section id="shopify-section-sections--23822699135275__custom_liquid_yrx3hN" class="shopify-section shopify-section-group-header-group cc-custom-liquid"><div class="section relative section--full-width"><div class="container"><center><table class="pv-eb-tabs"><tr><td  style="background-color:black;"><a href="https://prevelo.com">

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<style> #shopify-section-sections--23822699135275__custom_liquid_yrx3hN .container {background-color: #484848; color: white; text-align: center; max-width: 100%; height: 30px; align-content: center; vertical-align: top;} #shopify-section-sections--23822699135275__custom_liquid_yrx3hN a, #shopify-section-sections--23822699135275__custom_liquid_yrx3hN .link {color: white;} </style></section><div id="shopify-section-sections--23822699135275__header" class="shopify-section shopify-section-group-header-group cc-header">
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                          <a class="main-nav__item main-nav__item--primary main-nav__item-content" href="/collections/bikes">
                            Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
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                                    <svg width="24" height="24" viewBox="0 0 24 24" fill="currentColor" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m6.797 11.625 8.03-8.03 1.06 1.06-6.97 6.97 6.97 6.97-1.06 1.06z"/></svg> Back</div>
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                                <a href="/collections/bikes" class="main-nav__item child-nav__item large-text main-nav__item-header">Bikes</a>
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                                      <details open>
                                        <summary class="child-nav__item--toggle main-nav__item--toggle relative js-no-toggle-md js-sidebar-hover is-visible">
                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/balance-bikes" data-no-instant>Balance Bike<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
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                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-zero"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-zero-speed-silver-516092.jpg?crop=center&height=169&v=1717006522&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Zero"
                                                           height="169"
                                                           width="300">
</div>Alpha Zero</a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/balance-bikes" class="main-nav__item--go">Go to Balance Bike<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
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                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/14-inch-bike" data-no-instant>14-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
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                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-one"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-one-speed-silver-457672.jpg?crop=center&height=169&v=1717006520&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha One"
                                                           height="169"
                                                           width="300">
</div>Alpha One</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/zulu-one"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-zulu-one-speed-silver-769444.jpg?crop=center&height=169&v=1717006554&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu One"
                                                           height="169"
                                                           width="300">
</div>Zulu One</a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/14-inch-bike" class="main-nav__item--go">Go to 14-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                                </a>
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                                    </nav-menu></li><li><nav-menu class="js-mega-nav">
                                      <details open>
                                        <summary class="child-nav__item--toggle main-nav__item--toggle relative js-no-toggle-md js-sidebar-hover">
                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/16-inch-bike" data-no-instant>16-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                            </a>
                                          </div>
                                        </summary>

                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-two"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-two-speed-silver-676316.jpg?crop=center&height=169&v=1717006523&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Two"
                                                           height="169"
                                                           width="300">
</div>Alpha Two</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/zulu-two"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-zulu-two-zulu-two-417447.jpg?crop=center&height=169&v=1717006566&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Two"
                                                           height="169"
                                                           width="300">
</div>Zulu Two</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/bravo-two"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-bravo-two-gravity-gray-246329.jpg?crop=center&height=169&v=1717006520&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Bravo Two"
                                                           height="169"
                                                           width="300">
</div>Bravo Two</a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/16-inch-bike" class="main-nav__item--go">Go to 16-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
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                                      <details open>
                                        <summary class="child-nav__item--toggle main-nav__item--toggle relative js-no-toggle-md js-sidebar-hover">
                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/20-inch-bike" data-no-instant>20-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                            </a>
                                          </div>
                                        </summary>

                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-three"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-three-speed-silver-221501.jpg?crop=center&height=169&v=1717006522&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Three"
                                                           height="169"
                                                           width="300">
</div>Alpha Three</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/zulu-three"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-zulu-three-speed-silver-372256.jpg?crop=center&height=169&v=1717006558&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Three"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Zulu Three</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
                                                    </a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/bravo-three"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-bravo-three-gravity-gray-486639.jpg?crop=center&height=169&v=1717006519&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Bravo Three"
                                                           height="169"
                                                           width="300">
</div>Bravo Three</a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/20-inch-bike" class="main-nav__item--go">Go to 20-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                                </a>
                                              </li></ul>
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                                      </details>
                                    </nav-menu></li><li><nav-menu class="js-mega-nav">
                                      <details open>
                                        <summary class="child-nav__item--toggle main-nav__item--toggle relative js-no-toggle-md js-sidebar-hover">
                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/24-inch-bikes" data-no-instant>24-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                            </a>
                                          </div>
                                        </summary>

                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-four"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-four-speed-silver-224628.jpg?crop=center&height=169&v=1717006514&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Four"
                                                           height="169"
                                                           width="300">
</div>Alpha Four</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/zulu-four"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-zulu-four-speed-silver-534942.jpg?crop=center&height=169&v=1717006552&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Four"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Zulu Four</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
                                                    </a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/bravo-four"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-bravo-four-gravity-gray-828209.jpg?crop=center&height=169&v=1717006518&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Bravo Four"
                                                           height="169"
                                                           width="300">
</div>Bravo Four</a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/24-inch-bikes" class="main-nav__item--go">Go to 24-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                                </a>
                                              </li></ul>
                                        </div>
                                      </details>
                                    </nav-menu></li><li><nav-menu class="js-mega-nav">
                                      <details open>
                                        <summary class="child-nav__item--toggle main-nav__item--toggle relative js-no-toggle-md js-sidebar-hover">
                                          <div class="main-nav__item-content"><a class="child-nav__item main-nav__item main-nav__item-content" href="/collections/26-inch-bikes" data-no-instant>26-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="M20 8.5 12.5 16 5 8.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                            </a>
                                          </div>
                                        </summary>

                                        <div class="disclosure__panel"><ul class="main-nav__grandchild has-motion main-nav__grandchild-grid grid grid-cols-2 gap-theme md:grid md:nav-gap-x-8 md:nav-gap-y-4 md:nav-grid-cols-4" role="list" style="--badge-1-color:0 27 255;"><li><a class="grandchild-nav__item main-nav__item" href="/products/alpha-five"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-alpha-five-speed-silver-734634.jpg?crop=center&height=169&v=1717006513&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Five"
                                                           height="169"
                                                           width="300">
</div>Alpha Five</a>
                                              </li><li><a class="grandchild-nav__item main-nav__item" href="/products/zulu-five"><div class="media relative mb-2 w-full grandchild-nav__image image-blend"style="padding-top: 56.49717514124294%;"><img src="//prevelo.com/cdn/shop/files/prevelo-bikes-zulu-five-speed-silver-314275.jpg?crop=center&height=169&v=1717006551&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Five"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Zulu Five</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
                                                    </a>
                                              </li><li class="col-start-1 col-end-3">
                                                <a href="/collections/26-inch-bikes" class="main-nav__item--go">Go to 26-inch Bikes<svg width="24" height="24" viewBox="0 0 24 24" aria-hidden="true" focusable="false" role="presentation" class="icon"><path d="m9.693 4.5 7.5 7.5-7.5 7.5" stroke="currentColor" stroke-width="1.5" fill="none"/></svg>
                                                </a>
                                              </li></ul>
                                        </div>
                                      </details>
                                    </nav-menu></li><li><a class="main-nav__item child-nav__item js-sidebar-hover"
                                         href="/collections/bikes-compare">Compare Bikes
                                      </a></li><li><a class="main-nav__item child-nav__item js-sidebar-hover"
                                         href="/pages/bike-chooser">Help Me Find a Bike
                                      </a></li></ul></div></div>
                      </details></li><li><a class="main-nav__item main-nav__item--primary" href="/collections/accessories">Parts &amp; Accessories</a></li><li><a class="main-nav__item main-nav__item--primary" href="/pages/outlet-bike-availability">Outlet</a></li></ul>
            </nav><nav aria-label="Secondary" class="secondary-nav-container">
                <ul class="secondary-nav" role="list">
                  
                    <li>
                      <a class="secondary-nav__item" href="/pages/bike-chooser">Bike Chooser</a>
                    </li>
                    <li>
                      <a class="secondary-nav__item" href="/pages/contact-us">Contact</a>
                    </li>
                    <li>
                      <a class="secondary-nav__item" href="https://prevelo.com/apps/help-center">Support</a>
                    </li>
                    <li>
                      <a class="secondary-nav__item" href="/pages/dealer-locator">Dealer Locator</a>
                    </li>
                </ul>
              </nav></div>
        </details>
      </main-menu></header>
</store-header><link rel="stylesheet" href="//prevelo.com/cdn/shop/t/215/assets/navigation-mega-sidebar.css?v=155182831126071426161733438258" media="print" onload="this.media='all'">

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<!-- END sections: header-group --><main id="main-content"><div id="shopify-section-template--23822707491115__main" class="shopify-section cc-main-page section section--template"><link href="//prevelo.com/cdn/shop/t/215/assets/article.css?v=132060912856357506921733438258" rel="stylesheet" type="text/css" media="all" />

<div class="container"><div class="reading-width rte mb-6 md:mb-8 mt-10 md:mt-16 mx-auto">
      <h1 class="page__title lg:mt-8 text-center">Brake Labor Reimbursement Form</h1>
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<div id="shopify-section-sections--23822700052779__cart-drawer" class="shopify-section shopify-section-group-overlay-group cc-cart-drawer"><link rel="stylesheet" href="//prevelo.com/cdn/shop/t/215/assets/cart-items.css?v=39174649510112995471733438258" media="print" onload="this.media='all'">
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<cart-drawer class="drawer drawer--cart fixed top-0 right-0 flex flex-col w-full has-motion" data-name="cart-drawer" id="cart-drawer" role="dialog" aria-label="Your ride cart" aria-modal="true" aria-hidden="true" tabindex="-1" data-shipping-calculator="true">
  <header class="drawer__header flex justify-between items-center">
    <h2 class="h5 mb-0">Your ride cart</h2>
    <div class="flex items-center gap-x-theme"><button type="button" class="drawer__close-btn js-close-drawer">
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<style>
/* Scope styles to cart items only */
.cart-items .Bold-theme-hook-DO-NOT-DELETE {
  display: inline-block !important;
}
.cart-items .price__current {
  display: inline-flex !important;
  gap: 0.25rem !important;
  align-items: center !important;
  flex-direction: row !important;
  flex-wrap: nowrap !important;
}
</style>

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<style>
/* Scope styles to cart drawer only */
.drawer--cart .Bold-theme-hook-DO-NOT-DELETE {
  display: inline-block !important;
}
.drawer--cart .price__current {
  display: inline-flex !important;
  gap: 0.25rem !important;
  align-items: center !important;
  flex-direction: row !important;
  flex-wrap: nowrap !important;
}
</style>

<style> #shopify-section-sections--23822700052779__cart-drawer .drawer__header h2::first-line {font-style: italic;} </style></div><div id="shopify-section-sections--23822700052779__product-compare" class="shopify-section shopify-section-group-overlay-group cc-compare">
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