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

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<option value="---" data-provinces="[]">---</option>
<option value="Afghanistan" data-provinces="[]">Afghanistan</option>
<option value="Aland Islands" data-provinces="[]">Åland Islands</option>
<option value="Albania" data-provinces="[]">Albania</option>
<option value="Algeria" data-provinces="[]">Algeria</option>
<option value="Andorra" data-provinces="[]">Andorra</option>
<option value="Angola" data-provinces="[]">Angola</option>
<option value="Anguilla" data-provinces="[]">Anguilla</option>
<option value="Antigua And Barbuda" data-provinces="[]">Antigua & Barbuda</option>
<option value="Argentina" data-provinces="[[&quot;Buenos Aires&quot;,&quot;Buenos Aires Province&quot;],[&quot;Catamarca&quot;,&quot;Catamarca&quot;],[&quot;Chaco&quot;,&quot;Chaco&quot;],[&quot;Chubut&quot;,&quot;Chubut&quot;],[&quot;Ciudad Autónoma de Buenos Aires&quot;,&quot;Buenos Aires (Autonomous City)&quot;],[&quot;Corrientes&quot;,&quot;Corrientes&quot;],[&quot;Córdoba&quot;,&quot;Córdoba&quot;],[&quot;Entre Ríos&quot;,&quot;Entre Ríos&quot;],[&quot;Formosa&quot;,&quot;Formosa&quot;],[&quot;Jujuy&quot;,&quot;Jujuy&quot;],[&quot;La Pampa&quot;,&quot;La Pampa&quot;],[&quot;La Rioja&quot;,&quot;La Rioja&quot;],[&quot;Mendoza&quot;,&quot;Mendoza&quot;],[&quot;Misiones&quot;,&quot;Misiones&quot;],[&quot;Neuquén&quot;,&quot;Neuquén&quot;],[&quot;Río Negro&quot;,&quot;Río Negro&quot;],[&quot;Salta&quot;,&quot;Salta&quot;],[&quot;San Juan&quot;,&quot;San Juan&quot;],[&quot;San Luis&quot;,&quot;San Luis&quot;],[&quot;Santa Cruz&quot;,&quot;Santa Cruz&quot;],[&quot;Santa Fe&quot;,&quot;Santa Fe&quot;],[&quot;Santiago Del Estero&quot;,&quot;Santiago del Estero&quot;],[&quot;Tierra Del Fuego&quot;,&quot;Tierra del Fuego&quot;],[&quot;Tucumán&quot;,&quot;Tucumán&quot;]]">Argentina</option>
<option value="Armenia" data-provinces="[]">Armenia</option>
<option value="Aruba" data-provinces="[]">Aruba</option>
<option value="Australia" data-provinces="[[&quot;Australian Capital Territory&quot;,&quot;Australian Capital Territory&quot;],[&quot;New South Wales&quot;,&quot;New South Wales&quot;],[&quot;Northern Territory&quot;,&quot;Northern Territory&quot;],[&quot;Queensland&quot;,&quot;Queensland&quot;],[&quot;South Australia&quot;,&quot;South Australia&quot;],[&quot;Tasmania&quot;,&quot;Tasmania&quot;],[&quot;Victoria&quot;,&quot;Victoria&quot;],[&quot;Western Australia&quot;,&quot;Western Australia&quot;]]">Australia</option>
<option value="Austria" data-provinces="[]">Austria</option>
<option value="Azerbaijan" data-provinces="[]">Azerbaijan</option>
<option value="Bahamas" data-provinces="[]">Bahamas</option>
<option value="Bahrain" data-provinces="[]">Bahrain</option>
<option value="Bangladesh" data-provinces="[]">Bangladesh</option>
<option value="Barbados" data-provinces="[]">Barbados</option>
<option value="Belarus" data-provinces="[]">Belarus</option>
<option value="Belgium" data-provinces="[]">Belgium</option>
<option value="Belize" data-provinces="[]">Belize</option>
<option value="Benin" data-provinces="[]">Benin</option>
<option value="Bermuda" data-provinces="[]">Bermuda</option>
<option value="Bhutan" data-provinces="[]">Bhutan</option>
<option value="Bolivia" data-provinces="[]">Bolivia</option>
<option value="Bosnia And Herzegovina" data-provinces="[]">Bosnia & 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 FORM_DATA_TIMEOUT = 10000;

    const devToolsEnabled = false;
    const latestEmbedVersion = "4.16.5";

    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;
    const forms = [{"id":"bbtmB8","name":"Authorized Reseller Registration","target":"storefront","version":"4.16.0","updated_at":1735251821}];

    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 = 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;
        }

        // Do not try to mount the same form element more than once,
        // otherwise failures are much harder to handle.
        if (isDetected($form)) continue;
        markAsDetected($form);

        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 uniqueEntrypoints = entrypoints.reduce((acc, entrypoint) => {
        if (acc.some(e => e.formId === entrypoint.formId)) return acc;
        acc.push(entrypoint);

        return acc;
      }, []);

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

      fullForms.forEach((fullForm, index) => {
        // Could be a failed request.
        if (!fullForm) return;

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

        entrypoints
          .filter(e => e.formId === fullForm.form.id)
          .forEach(entrypoint => {
            entrypoint.form = {
              ...fullForm.form,
              currentRevision: fullForm.revision,
            };
          })
      });

      entrypoints.forEach(e => {
        if (!e.form) {
          // Form can be null if the request failed one way or another.
          restoreEntrypoint(e);
          return;
        }
      })

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

        if (window.CF.mountForm) {
          entrypoints.forEach(entrypoint => {
            if (!entrypoint.form) return;
            
            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 new Promise(resolve => {
          const controller = new AbortController();
          const timeoutId = setTimeout(() => controller.abort(), FORM_DATA_TIMEOUT);
          const maxAttempts = 3;
          let attempts = 0;

          const attemptFetch = () => {
            if (controller.signal.aborted) {
              resolve(null);
              return;
            }

            attempts++;

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

              if (response.ok) {
                response.json().then(resolve);
                return;
              }

              if (attempts < maxAttempts) {
                pause(2000).then(() => attemptFetch());
                return;
              }

              console.error(`[Customer Fields] Received non-OK response from the back-end when fetching form ${formId}`)
              resolve(null);
            }).catch((err) => {
              if (controller.signal.aborted) {
                resolve(null);
                return;
              }

              if (attempts < maxAttempts) {
                pause(2000).then(() => attemptFetch());
                return;
              }

              console.error(`[Customer Fields] Encountered unknown error while fetching form ${formId}`, err);
              resolve(null);
            });
          };

          attemptFetch();
        });
      }

      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);

        // After a form has been restored, make sure we don't touch it again.
        // Otherwise we might treat it as an "async mounted" entrypoint and try to mount it again
        entrypoint.originalForm.setAttribute('data-cf-ignore', 'true');

        // 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);
      }

      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 isDetected($form) {
        return $form.__cfDetected === true;
      }

      function markAsDetected($form) {
        $form.__cfDetected = 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 action = $form.getAttribute('action');
          if (!action) return false;

          const formActionUrl = new URL(action, window.location.origin);
          const hasAccountPath = formActionUrl.pathname.endsWith('/account');
          const matchesShopDomain = formActionUrl.host === window.location.host;

          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);
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    function triggerShopifyRecaptchaLoad(container) {
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      // Triggering a focus event on a form causes Shopify to load their recaptcha script.
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      // 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);
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    function createDummyRecaptchaForm(action, type) {
      const dummyRecaptchaForm = document.createElement('form');
      
      dummyRecaptchaForm.action = action;
      dummyRecaptchaForm.method = "post";
      dummyRecaptchaForm.id = `cf-hidden-recaptcha-trigger__${type}`;
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      dummyRecaptchaForm.setAttribute('aria-hidden', 'true');
      dummyRecaptchaForm.style.display = 'none';

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      formTypeInput.name = "form_type"
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    function createLoginForm() {
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      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');

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    function createRecoverPasswordForm() {
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      const form = result.querySelector('form');
      
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    function pause(ms) {
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</script>

<!-- END app snippet -->
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</script><!-- END app snippet -->
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.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 {
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  top: 0;
  left: 0;
  height: 100%;
  width: 100%;
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}

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

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

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

.cf-form-inner {
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}

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

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

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


<script>
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    function handleCallback(callback) {
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    function domIsReady() {
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    function customerReady(callback) {
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        if (domIsReady()) {
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    window.CF.customerReady = customerReady;
    window.CF.ready = formsReady;

    
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      }
    

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      window.CF.requestedAPI = true;

      const $script = document.createElement('script');
      $script.src = getAssetUrl('cf-api.js');

      document.head.appendChild($script);
    }

    function getAssetUrl(filename) {
      return `https://static.customerfields.com/releases/4.16.5/${filename}`;
    }
  })();
</script>


<!-- END app snippet -->

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<style> #shopify-section-sections--24792724504875__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--24792724504875__custom_liquid_yrx3hN a, #shopify-section-sections--24792724504875__custom_liquid_yrx3hN .link {color: white;} </style></section><div id="shopify-section-sections--24792724504875__header" class="shopify-section shopify-section-group-header-group cc-header">
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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-755178.jpg?crop=center&height=169&v=1750694199&width=300"
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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-478891.jpg?crop=center&height=169&v=1750694199&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha One"
                                                           height="169"
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</div><span class="md:mr-2">Alpha One</span>
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                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu One"
                                                           height="169"
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</div>Zulu One</a>
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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-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-418705.jpg?crop=center&height=169&v=1750694199&width=300"
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                                                           loading="lazy"
                                                           alt="Alpha Two"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Alpha Two</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
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                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Two"
                                                           height="169"
                                                           width="300">
</div>Zulu Two</a>
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                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Bravo Two"
                                                           height="169"
                                                           width="300">
</div>Bravo Two</a>
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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-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-347044.jpg?crop=center&height=169&v=1750694197&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Three"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Alpha Three</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
                                                    </a>
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                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Three"
                                                           height="169"
                                                           width="300">
</div>Zulu Three</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>
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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-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-705011.jpg?crop=center&height=169&v=1750694199&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Four"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Alpha Four</span>
                                                      <span class="badge main-nav__badge main-nav__badge--1">NEW</span>
                                                    </a>
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                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Zulu Four"
                                                           height="169"
                                                           width="300">
</div>Zulu Four</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>
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                                                <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>
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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-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-alpha-five-mkiii-1.jpg?crop=center&height=169&v=1750717236&width=300"
                                                           class="img-fit"
                                                           loading="lazy"
                                                           alt="Alpha Five"
                                                           height="169"
                                                           width="300">
</div><span class="md:mr-2">Alpha Five</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/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>Zulu Five</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>
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                                         href="/pages/bike-chooser">Help Me Find a Bike
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