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absolute;cursor: pointer;top: 0;left: 0;right: 0;bottom: 0;background-color: #ccc; -webkit-transition: .4s;transition: .4s;}#user-form-template-118 .slider:before {position: absolute;content: \"\";height: 21px;width: 21px;left: 0px;top: -2px;background-color: white; -webkit-transition: .4s;transition: .4s;box-shadow: rgb(151, 145, 145) 0px 2px 8px 0px;}#user-form-template-118 input:checked +  .slider {background-color: #2196F3;}#user-form-template-118 input:focus +  .slider {box-shadow: 0 0 1px #2196F3;}#user-form-template-118 .slider.round {border-radius: 34px;}#user-form-template-118 input:checked + .slider:before { -webkit-transform: translateX(26px); -ms-transform: translateX(26px);transform: translateX(26px);}#user-form-template-118 div, button:focus {outline: none;}</style><style>#user-form-template-118 .form-row{width:100%; display: flex; flex-direction: row; flex-wrap: wrap}#user-form-template-118 .user-form-body{width:100%}#user-form-template-118 .hidden-field{display:none}#user-form-template-118 .layout-row{flex-direction:row;display:flex}#user-form-template-118 .layout-wrap{flex-wrap:wrap;}#user-form-template-118 .layout-column{flex-direction:column;display:flex}#user-form-template-118 .label-left-right{align-items: center; justify-content: flex-start; flex-direction: row; display: flex}#user-form-template-118 .label-top-bottom{align-items: flex-start; justify-content: center; flex-direction: column; display: flex}#user-form-template-118 .radio-check{align-items: flex-start; justify-content: flex-start; flex-direction: row; display: flex; margin: 5px;}#user-form-template-118 .phone-area-code{width: 50px;}.phone-line-code{width: 80px;}.phone-dash{margin-right: 5px; display:flex; align-items:center}#user-form-template-118 .date-range-text{margin-top: auto; margin-bottom: auto}#user-form-template-118 .date-margin{margin-right: 5px !important;}#user-form-template-118 .date-margin-to{margin-right: 5px !important; margin-left: 5px !important;}@media (min-width: 960px) {.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field0{width:100%}#user-form-template-118 #field0 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;padding-left:15px;text-align:left;color:rgba(0,0,0,1);font-weight:normal;box-sizing:border-box;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200, 200, 200, 1);font-style:normal;width:100%;border-style:solid;padding-right:0px;padding-bottom:0px;height:30px;padding-top:0px;border-radius:0px 0px 0px 0px;margin-left:0px;}#user-form-template-118 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field0 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field1{width:100%}#user-form-template-118 #field1 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-weight:normal;padding-left:0px;background-color:rgba(20,38,56,1);font-size:13px;padding-top:0px;font-style:normal;width:200px;border-style:solid;padding-right:0px;border-width:1px;padding-bottom:0px;submit_box:undefined;height:40px;border-radius:3px 3px 3px 3px;margin-left:0px;}#user-form-template-118 #field1 .component-container{margin-top:25px;margin-bottom:25px;margin-right:25px;margin-left:25px;}#user-form-template-118 #field1 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field3{width:50%}#user-form-template-118 #field3 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field3 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field3 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field4{width:50%}#user-form-template-118 #field4 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field4 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field4 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field5{width:50%}#user-form-template-118 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:;font-family:Roboto;font-weight:normal;font-size:20px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(0, 0, 0, 0);border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;}#user-form-template-118 #field5 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;padding-top:0px;padding-bottom:0px;padding-left:0px;padding-right:0px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field6{width:50%}#user-form-template-118 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:inherit;border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;checkbox:undefined;}#user-form-template-118 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field6 input[type=\"checkbox\"]:checked + .checkbox:before, input[type=\"checkbox\"]:checked + .checkbox:after{background-color:#000000}#user-form-template-118 #field6 .checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 .radio-check-label{margin-left:10px;margin-right:10px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field7{width:100%}#user-form-template-118 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field11{width:100%}#user-form-template-118 #field11 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field11 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field11 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field12{width:100%}#user-form-template-118 #field12 .element-container{display:none;}#user-form-template-118 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118{max-width:500px;background-color:rgba(237,237,237,1);margin:auto;padding-top:25px;padding-bottom:25px;padding-left:25px;padding-right:25px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;opacity:1;border-radius:3px 3px 3px 3px;box-shadow:none;border-width:1px;border-style:solid;border-color:#C8C8C8;overflow:hidden;}} @media (max-width: 959px){.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field0{width:100%}#user-form-template-118 #field0 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;padding-left:15px;text-align:left;color:rgba(0,0,0,1);font-weight:normal;box-sizing:border-box;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200, 200, 200, 1);font-style:normal;width:100%;border-style:solid;padding-right:0px;padding-bottom:0px;height:30px;padding-top:0px;border-radius:0px 0px 0px 0px;margin-left:0px;}#user-form-template-118 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field0 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field1{width:100%}#user-form-template-118 #field1 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-weight:normal;padding-left:0px;background-color:rgba(20,38,56,1);font-size:13px;padding-top:0px;font-style:normal;width:200px;border-style:solid;padding-right:0px;border-width:1px;padding-bottom:0px;submit_box:undefined;height:40px;border-radius:3px 3px 3px 3px;margin-left:0px;}#user-form-template-118 #field1 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field1 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field3{width:100%}#user-form-template-118 #field3 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field3 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field3 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field4{width:100%}#user-form-template-118 #field4 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field4 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field4 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field5{width:100%}#user-form-template-118 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:;font-family:Roboto;font-weight:normal;font-size:20px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(0, 0, 0, 0);border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;}#user-form-template-118 #field5 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;padding-top:0px;padding-bottom:0px;padding-left:0px;padding-right:0px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field6{width:100%}#user-form-template-118 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:inherit;border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;checkbox:undefined;}#user-form-template-118 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field6 input[type=\"checkbox\"]:checked + .checkbox:before, input[type=\"checkbox\"]:checked + .checkbox:after{background-color:#000000}#user-form-template-118 #field6 .checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 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1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 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1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field11 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field11 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field12{width:100%}#user-form-template-118 #field12 .element-container{display:none;}#user-form-template-118 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118{max-width:500px;background-color:rgba(237,237,237,1);margin:auto;padding-top:25px;padding-bottom:25px;padding-left:25px;padding-right:25px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;border-radius:3px 3px 3px 3px;box-shadow:none;border-width:1px;border-style:solid;border-color:#C8C8C8;overflow:hidden;opacity:1;}.g-recaptcha{transform:scale(0.5);-webkit-transform:scale(0.5);}}</style>\n\n<!-- CSS ends here -->\n\n<!-- Form HTML begins here-->\n\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n<form class=\"user-form-template\" id=\"user-form-template-118\" action=\"https://emails.studyinsweden.se/api/forms/submit\" method=\"POST\">\n<div class=\"user-form-body\">\n<input type=\"hidden\" name=\"customer\" value=\"ch000097586eArad\">\n<input type=\"hidden\" name=\"rurl\" value=\"https://sharingsweden.se/newsletter/registration\">\n<input type=\"hidden\" name=\"dialogid\" value=\"694\">\n<input type=\"hidden\" name=\"cke\" value=\"1\">\n<input type=\"hidden\" name=\"crmtype\" value=\"Contact\" field-map-id=\"9\" class=\"element-container\"><input type=\"hidden\" name=\"contact_info_c\" value=\"Sharing\" field-map-id=\"10\" class=\"element-container\"><input type=\"hidden\" name=\"leadsource\" value=\"Newsletter\" field-map-id=\"12\" class=\"element-container\"><div class=\"form-row\">\n<div id=\"field3\" field_map_id=\"3\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">First Name:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input type=\"text\" name=\"firstname\" value=\"\" class=\"element-container\" maxlength=\"\" placeholder=\"First Name\" required=\"required\"></div>\n</div>\n<div id=\"field4\" field_map_id=\"4\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">Last Name:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input type=\"text\" name=\"lastname\" value=\"\" class=\"element-container\" maxlength=\"\" placeholder=\"Last Name\" required=\"required\"></div>\n</div>\n</div>\n<div class=\"form-row\">\n<div id=\"field0\" field_map_id=\"0\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">E-Mail:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input name=\"email\" value=\"\" class=\"element-container\"  type=\"email\"  pattern=\"[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+.[a-zA-Z]{2,3}$\" placeholder=\"E-Mail\" required=\"required\"></div>\n</div>\n</div>\n<div class=\"form-row\">\n<div id=\"field11\" field_map_id=\"11\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">Company/Organisation:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input type=\"text\" name=\"company\" value=\"\" class=\"element-container\" maxlength=\"\" placeholder=\"Company/Organisation\" required=\"required\"></div>\n</div>\n</div>\n<div class=\"form-row\">\n<div id=\"field7\" field_map_id=\"7\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">Country:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><select name=\"country_of_residence_c\" class=\"element-container\"  required=\"required\"><option value=\"AFGHANISTAN\" >AFGHANISTAN</option><option value=\"ALBANIA\" >ALBANIA</option><option value=\"ALGERIA\" >ALGERIA</option><option value=\"AMERICAN SAMOA\" >AMERICAN SAMOA</option><option value=\"ANDORRA\" >ANDORRA</option><option value=\"ANGOLA\" >ANGOLA</option><option value=\"ANTIGUA AND BARBUDA\" >ANTIGUA AND BARBUDA</option><option value=\"ARGENTINA\" >ARGENTINA</option><option value=\"ARMENIA\" >ARMENIA</option><option value=\"ARUBA\" >ARUBA</option><option value=\"AUSTRALIA\" >AUSTRALIA</option><option value=\"AUSTRIA\" >AUSTRIA</option><option value=\"AZERBAIJAN\" >AZERBAIJAN</option><option value=\"BAHAMAS\" >BAHAMAS</option><option value=\"BAHRAIN\" >BAHRAIN</option><option value=\"BANGLADESH\" >BANGLADESH</option><option value=\"BARBADOS\" >BARBADOS</option><option value=\"BELARUS\" >BELARUS</option><option value=\"BELGIUM\" >BELGIUM</option><option value=\"BELIZE\" >BELIZE</option><option value=\"BENIN\" >BENIN</option><option value=\"BERMUDA\" >BERMUDA</option><option value=\"BHUTAN\" >BHUTAN</option><option value=\"BOLIVIA\" >BOLIVIA</option><option value=\"BOSNIA AND HERZEGOVINA\" >BOSNIA AND HERZEGOVINA</option><option value=\"BOTSWANA\" >BOTSWANA</option><option value=\"BRAZIL\" >BRAZIL</option><option value=\"BRITISH INDIAN OCEAN TERRITORY\" >BRITISH INDIAN OCEAN TERRITORY</option><option value=\"BRITISH VIRGIN ISLANDS\" >BRITISH VIRGIN ISLANDS</option><option value=\"BRITISH WEST INDIES\" >BRITISH WEST INDIES</option><option value=\"BRUNEI\" >BRUNEI</option><option value=\"BULGARIA\" >BULGARIA</option><option value=\"BURKINA FASO\" >BURKINA FASO</option><option value=\"BURUNDI\" >BURUNDI</option><option value=\"CAMBODIA\" >CAMBODIA</option><option value=\"CAMEROON\" >CAMEROON</option><option value=\"CANADA\" >CANADA</option><option value=\"CAYMAN ISLANDS\" >CAYMAN ISLANDS</option><option value=\"CABO VERDE\" >CABO VERDE</option><option value=\"CENTRAL AFRICAN REPUBLIC\" >CENTRAL AFRICAN REPUBLIC</option><option value=\"CHAD\" >CHAD</option><option value=\"CHANNEL ISLAND UK\" >CHANNEL ISLAND UK</option><option value=\"CHILE\" >CHILE</option><option value=\"CHINA\" >CHINA</option><option value=\"CHRISTMAS ISLAND\" >CHRISTMAS ISLAND</option><option value=\"COCOS (KEELING) ISLAND\" >COCOS (KEELING) ISLAND</option><option value=\"COLOMBIA\" >COLOMBIA</option><option value=\"COMORO ISLANDS\" >COMORO ISLANDS</option><option value=\"CONGO\" >CONGO</option><option value=\"COOK ISLANDS\" >COOK ISLANDS</option><option value=\"COSTA RICA\" >COSTA RICA</option><option value=\"CROATIA\" >CROATIA</option><option value=\"CUBA\" >CUBA</option><option value=\"CURACAO\" >CURACAO</option><option value=\"CYPRUS\" >CYPRUS</option><option value=\"CZECH REPUBLIC\" >CZECH REPUBLIC</option><option value=\"DENMARK\" >DENMARK</option><option value=\"DEMOCRATIC REPUBLIC OF THE CONGO\" >DEMOCRATIC REPUBLIC OF THE CONGO</option><option value=\"DJIBOUTI\" >DJIBOUTI</option><option value=\"DOMINICA\" >DOMINICA</option><option value=\"DOMINICAN REPUBLIC\" >DOMINICAN REPUBLIC</option><option value=\"ECUADOR\" >ECUADOR</option><option value=\"EGYPT\" >EGYPT</option><option value=\"EL SALVADOR\" >EL SALVADOR</option><option value=\"EQUATORIAL GUINEA\" >EQUATORIAL GUINEA</option><option value=\"ERITREA\" >ERITREA</option><option value=\"ESTONIA\" >ESTONIA</option><option value=\"ESWATINI\" >ESWATINI</option><option value=\"ETHIOPIA\" >ETHIOPIA</option><option value=\"FAROE ISLANDS\" >FAROE ISLANDS</option><option value=\"FALKLAND ISLANDS\" >FALKLAND ISLANDS</option><option value=\"FIJI\" >FIJI</option><option value=\"FINLAND\" >FINLAND</option><option value=\"FRANCE\" >FRANCE</option><option value=\"FRENCH GUIANA\" >FRENCH GUIANA</option><option value=\"FRENCH POLYNESIA\" >FRENCH POLYNESIA</option><option value=\"GABON\" >GABON</option><option value=\"GAMBIA\" >GAMBIA</option><option value=\"GEORGIA\" >GEORGIA</option><option value=\"GERMANY\" >GERMANY</option><option value=\"GHANA\" >GHANA</option><option value=\"GIBRALTAR\" >GIBRALTAR</option><option value=\"GREECE\" >GREECE</option><option value=\"GREENLAND\" >GREENLAND</option><option value=\"GRENADA\" >GRENADA</option><option value=\"GUADELOUPE\" >GUADELOUPE</option><option value=\"GUAM\" >GUAM</option><option value=\"GUATEMALA\" >GUATEMALA</option><option value=\"GUERNSEY\" >GUERNSEY</option><option value=\"GUINEA\" >GUINEA</option><option value=\"GUINEA BISSAU\" >GUINEA BISSAU</option><option value=\"GUYANA\" >GUYANA</option><option value=\"HAITI\" >HAITI</option><option value=\"HONDURAS\" >HONDURAS</option><option value=\"HONG KONG\" >HONG KONG</option><option value=\"HUNGARY\" >HUNGARY</option><option value=\"ICELAND\" >ICELAND</option><option value=\"INDIA\" >INDIA</option><option value=\"INDONESIA\" >INDONESIA</option><option value=\"IRAN\" >IRAN</option><option value=\"IRAQ\" >IRAQ</option><option value=\"IRELAND\" >IRELAND</option><option value=\"ISRAEL\" >ISRAEL</option><option value=\"ITALY\" >ITALY</option><option value=\"IVORY COAST\" >IVORY COAST</option><option value=\"JAMAICA\" >JAMAICA</option><option value=\"JAPAN\" >JAPAN</option><option value=\"JERSEY\" >JERSEY</option><option value=\"JORDAN\" >JORDAN</option><option value=\"KAZAKHSTAN\" >KAZAKHSTAN</option><option value=\"KENYA\" >KENYA</option><option value=\"KIRIBATI\" >KIRIBATI</option><option value=\"KOREA\" >KOREA</option><option value=\"KOSOVO\" >KOSOVO</option><option value=\"KUWAIT\" >KUWAIT</option><option value=\"KYRGYZSTAN\" >KYRGYZSTAN</option><option value=\"LAOS\" >LAOS</option><option value=\"LATVIA\" >LATVIA</option><option value=\"LEBANON\" >LEBANON</option><option value=\"LESOTHO\" >LESOTHO</option><option value=\"LIBERIA\" >LIBERIA</option><option value=\"LIBYA\" >LIBYA</option><option value=\"LIECHTENSTEIN\" >LIECHTENSTEIN</option><option value=\"LITHUANIA\" >LITHUANIA</option><option value=\"LUXEMBOURG\" >LUXEMBOURG</option><option value=\"MACAO\" >MACAO</option><option value=\"MADAGASCAR\" >MADAGASCAR</option><option value=\"MALAWI\" >MALAWI</option><option value=\"MALAYSIA\" >MALAYSIA</option><option value=\"MALDIVES\" >MALDIVES</option><option value=\"MALI\" >MALI</option><option value=\"MALTA\" >MALTA</option><option value=\"MARSHALL ISLANDS\" >MARSHALL ISLANDS</option><option value=\"MARTINIQUE\" >MARTINIQUE</option><option value=\"MAURITANIA\" >MAURITANIA</option><option value=\"MAURITIUS\" >MAURITIUS</option><option value=\"MEXICO\" >MEXICO</option><option value=\"MICRONESIA\" >MICRONESIA</option><option value=\"MOLDOVA\" >MOLDOVA</option><option value=\"MONACO\" >MONACO</option><option value=\"MONGOLIA\" >MONGOLIA</option><option value=\"MONTENEGRO\" >MONTENEGRO</option><option value=\"MOROCCO\" >MOROCCO</option><option value=\"MOZAMBIQUE\" >MOZAMBIQUE</option><option value=\"MYANMAR\" >MYANMAR</option><option value=\"NAMIBIA\" >NAMIBIA</option><option value=\"NAURU\" >NAURU</option><option value=\"NEPAL\" >NEPAL</option><option value=\"NETHERLANDS\" >NETHERLANDS</option><option value=\"NETHERLANDS ANTILLES\" >NETHERLANDS ANTILLES</option><option value=\"NEW CALADONIA\" >NEW CALADONIA</option><option value=\"NEW ZEALAND\" >NEW ZEALAND</option><option value=\"NICARAGUA\" >NICARAGUA</option><option value=\"NIGER\" >NIGER</option><option value=\"NIGERIA\" >NIGERIA</option><option value=\"NORFOLK ISLAND\" >NORFOLK ISLAND</option><option value=\"NORTH KOREA\" >NORTH KOREA</option><option value=\"NORTH MACEDONIA\" >NORTH MACEDONIA</option><option value=\"NORWAY\" >NORWAY</option><option value=\"OMAN\" >OMAN</option><option value=\"PAKISTAN\" >PAKISTAN</option><option value=\"PALAU\" >PALAU</option><option value=\"PALESTINE\" >PALESTINE</option><option value=\"PANAMA\" >PANAMA</option><option value=\"PAPUA NEW GUINEA\" >PAPUA NEW GUINEA</option><option value=\"PARAGUAY\" >PARAGUAY</option><option value=\"PERU\" >PERU</option><option value=\"PHILIPPINES\" >PHILIPPINES</option><option value=\"POLAND\" >POLAND</option><option value=\"PORTUGAL\" >PORTUGAL</option><option value=\"PUERTO RICO\" >PUERTO RICO</option><option value=\"QATAR\" >QATAR</option><option value=\"REUNION\" >REUNION</option><option value=\"ROMANIA\" >ROMANIA</option><option value=\"RUSSIA\" >RUSSIA</option><option value=\"RWANDA\" >RWANDA</option><option value=\"SAMOA\" >SAMOA</option><option value=\"SAO TOME AND PRINCIPE\" >SAO TOME AND PRINCIPE</option><option value=\"SAUDI ARABIA\" >SAUDI ARABIA</option><option value=\"SENEGAL\" >SENEGAL</option><option value=\"SERBIA\" >SERBIA</option><option value=\"SEYCHELLES\" >SEYCHELLES</option><option value=\"SIERRA LEONE\" >SIERRA LEONE</option><option value=\"SINGAPORE\" >SINGAPORE</option><option value=\"SLOVAKIA\" >SLOVAKIA</option><option value=\"SLOVENIA\" >SLOVENIA</option><option value=\"SOLOMON ISLANDS\" >SOLOMON ISLANDS</option><option value=\"SOMALIA\" >SOMALIA</option><option value=\"SOUTH AFRICA\" >SOUTH AFRICA</option><option value=\"SOUTH SUDAN\" >SOUTH SUDAN</option><option value=\"SPAIN\" >SPAIN</option><option value=\"SRI LANKA\" >SRI LANKA</option><option value=\"ST. 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Your data will only be used for sending you the newsletter. You can unsubscribe at any time by clicking \"Unsubscribe\" in one of our emails or by sending an email to si@si.se. Read more how we process your data in our <a href=\"https://cms.studyinsweden.se/app/uploads/2020/05/SI_Privacy_Policy.pdf\">privacy policy</a>.&nbsp;</span></div></div>\n</div>\n<div id=\"field6\" field_map_id=\"6\" >\n<div class=\"component-container\">\n<div class=\"layout-row flex-end\"><div class=\"field-label\"></div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><div class=\"element-container layout-row layout-wrap\"><div class=\"label-left-right\"><div class=\"radio-check\"><input type=\"checkbox\" id=\"opt-in confirmation0\"  name=\"opt-in confirmation\" value=\"Yes\" required=\"required\" ><label for=\"opt-in confirmation0\" class=\"checkbox\"></label></div><label class=\"radio-check-label\">I agree</label></div></div></div>\n</div>\n</div>\n<div class=\"form-row\">\n<div id=\"field1\" field_map_id=\"1\" >\n<div class=\"component-container\">\n<div class=\"submit-box-container\"><input class=\"element-container\" type=\"submit\" value=\"Register\"/></div></div>\n</div>\n</div>\n</div>\n</form>\n\n<!-- Form HTML ends here -->\n\n<!-- Script begins here -->\n\n<script>\ncheckFields = function () {var inputs = document.getElementById(\"user-form-template-118\").getElementsByTagName(\"input\");var textareas = document.getElementById(\"user-form-template-118\").getElementsByTagName(\"textarea\");var selects = document.getElementById(\"user-form-template-118\").getElementsByTagName(\"select\");for(var i = 0; i < inputs.length; i++){if(!inputs[i].checkValidity() && !inputs[i].classList.contains(\"invalid\")){inputs[i].classList.add(\"invalid\");if(inputs[i].type === \"radio\" || inputs[i].type === \"checkbox\"){if(inputs[i].nextSibling.localName === \"label\" && !inputs[i].nextSibling.classList.contains(\"invalid\")){inputs[i].nextSibling.classList.add(\"invalid\");}}} else if (inputs[i].checkValidity() && inputs[i].classList.contains(\"invalid\")){inputs[i].classList.remove(\"invalid\");if(inputs[i].type === \"radio\" || inputs[i].type === \"checkbox\"){if(inputs[i].nextSibling.localName === \"label\"){inputs[i].nextSibling.classList.remove(\"invalid\");}}}}for(var j = 0; j < textareas.length; j++){if(!textareas[j].checkValidity() && !textareas[j].classList.contains(\"invalid\")){textareas[j].classList.add(\"invalid\");} else if (textareas[j].checkValidity() && textareas[j].classList.contains(\"invalid\")){textareas[j].classList.remove(\"invalid\");}}for(var k = 0; k < selects.length; k++){if(!selects[k].checkValidity() && !selects[k].classList.contains(\"invalid\")){selects[k].classList.add(\"invalid\");} else if (selects[k].checkValidity() && !selects[k].classList.contains(\"invalid\")){selects[k].classList.remove(\"invalid\");}}};var userFormTemplate = document.getElementById(\"user-form-template-118\");userFormTemplate.addEventListener(\"submit\", function (event) {if(!event.target.checkValidity()){checkFields();}if (!event.target.checkValidity()) {event.preventDefault();}}, false);\ngetRequiredCheckboxes=function(){for(var a=document.getElementById(\"user-form-template-118\").getElementsByTagName(\"input\"),b=[],c=0;c<a.length;c++)\"checkbox\"===a[c].type&&!0===a[c].required&&b.push(a[c]);return b},setAllCheckboxesRequiredOrNot=function(a,b){for(var c=document.getElementById(\"user-form-template-118\").getElementsByTagName(\"input\"),d=0;d<c.length;d++)\"checkbox\"===c[d].type&&c[d].name===b&&(a?c[d].removeAttribute(\"required\"):c[d].setAttribute(\"required\",\"required\"))},checkIfCheckboxesAreChecked=function(a){for(var b=[],c=document.getElementsByTagName(\"input\"),d=0;d<c.length;d++)\"checkbox\"===c[d].type&&c[d].name===a&&b.push(c[d]);return b.filter(function(a){return!0===a.checked}).length>0},checkRequiredCheckboxes=function(a){if(a.length>0)for(var b=0;b<a.length;b++)a[b].addEventListener(\"change\",function(a){var b=a.target;checkIfCheckboxesAreChecked(b.name)?setAllCheckboxesRequiredOrNot(!0,b.name):setAllCheckboxesRequiredOrNot(!1,b.name)})};var requiredCheckboxes=getRequiredCheckboxes();checkRequiredCheckboxes(requiredCheckboxes);</script>\n\n<!-- Script ends here -->"
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.checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 .radio-check-label{margin-left:10px;margin-right:10px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field7{width:100%}#user-form-template-118 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field11{width:100%}#user-form-template-118 #field11 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field11 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field11 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field12{width:100%}#user-form-template-118 #field12 .element-container{display:none;}#user-form-template-118 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118{max-width:500px;background-color:rgba(237,237,237,1);margin:auto;padding-top:25px;padding-bottom:25px;padding-left:25px;padding-right:25px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;opacity:1;border-radius:3px 3px 3px 3px;box-shadow:none;border-width:1px;border-style:solid;border-color:#C8C8C8;overflow:hidden;}} @media (max-width: 959px){.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field0{width:100%}#user-form-template-118 #field0 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;padding-left:15px;text-align:left;color:rgba(0,0,0,1);font-weight:normal;box-sizing:border-box;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200, 200, 200, 1);font-style:normal;width:100%;border-style:solid;padding-right:0px;padding-bottom:0px;height:30px;padding-top:0px;border-radius:0px 0px 0px 0px;margin-left:0px;}#user-form-template-118 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field0 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field1{width:100%}#user-form-template-118 #field1 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-weight:normal;padding-left:0px;background-color:rgba(20,38,56,1);font-size:13px;padding-top:0px;font-style:normal;width:200px;border-style:solid;padding-right:0px;border-width:1px;padding-bottom:0px;submit_box:undefined;height:40px;border-radius:3px 3px 3px 3px;margin-left:0px;}#user-form-template-118 #field1 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field1 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field3{width:100%}#user-form-template-118 #field3 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field3 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field3 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field4{width:100%}#user-form-template-118 #field4 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field4 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field4 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field5{width:100%}#user-form-template-118 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:;font-family:Roboto;font-weight:normal;font-size:20px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(0, 0, 0, 0);border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;}#user-form-template-118 #field5 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;padding-top:0px;padding-bottom:0px;padding-left:0px;padding-right:0px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field6{width:100%}#user-form-template-118 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:inherit;border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;checkbox:undefined;}#user-form-template-118 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field6 input[type=\"checkbox\"]:checked + .checkbox:before, input[type=\"checkbox\"]:checked + .checkbox:after{background-color:#000000}#user-form-template-118 #field6 .checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 .radio-check-label{margin-left:10px;margin-right:10px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field7{width:100%}#user-form-template-118 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field11{width:100%}#user-form-template-118 #field11 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field11 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field11 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field12{width:100%}#user-form-template-118 #field12 .element-container{display:none;}#user-form-template-118 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118{max-width:500px;background-color:rgba(237,237,237,1);margin:auto;padding-top:25px;padding-bottom:25px;padding-left:25px;padding-right:25px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;border-radius:3px 3px 3px 3px;box-shadow:none;border-width:1px;border-style:solid;border-color:#C8C8C8;overflow:hidden;opacity:1;}.g-recaptcha{transform:scale(0.5);-webkit-transform:scale(0.5);}}</style>\n\n<!-- CSS ends here -->\n\n<!-- Form HTML begins here-->\n\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0\">\n<form class=\"user-form-template\" id=\"user-form-template-118\" action=\"https://emails.studyinsweden.se/api/forms/submit\" method=\"POST\">\n<div class=\"user-form-body\">\n<input type=\"hidden\" name=\"customer\" value=\"ch000097586eArad\">\n<input type=\"hidden\" name=\"rurl\" value=\"https://sharingsweden.se/newsletter/registration\">\n<input type=\"hidden\" name=\"dialogid\" value=\"694\">\n<input type=\"hidden\" name=\"cke\" value=\"1\">\n<input type=\"hidden\" name=\"crmtype\" value=\"Contact\" field-map-id=\"9\" class=\"element-container\"><input type=\"hidden\" name=\"contact_info_c\" value=\"Sharing\" field-map-id=\"10\" class=\"element-container\"><input type=\"hidden\" name=\"leadsource\" value=\"Newsletter\" field-map-id=\"12\" class=\"element-container\"><div class=\"form-row\">\n<div id=\"field3\" field_map_id=\"3\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">First Name:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input type=\"text\" name=\"firstname\" value=\"\" class=\"element-container\" maxlength=\"\" placeholder=\"First Name\" required=\"required\"></div>\n</div>\n<div id=\"field4\" field_map_id=\"4\" >\n<div class=\"component-container\">\n<div class=\"layout-row space-between\"><div class=\"field-label\">Last Name:</div>\n<div class=\"required-field\" style=\"color:rgba(255,0,0,1);font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:right;type:asterisk;value:✽;margin-right:0px;margin-left:0px;margin-bottom:0px;\">✽</div>\n</div><input type=\"text\" name=\"lastname\" value=\"\" class=\"element-container\" maxlength=\"\" placeholder=\"Last Name\" required=\"required\"></div>\n</div>\n</div>\n<div class=\"form-row\">\n<div id=\"field0\" 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UK</option><option value=\"CHILE\" >CHILE</option><option value=\"CHINA\" >CHINA</option><option value=\"CHRISTMAS ISLAND\" >CHRISTMAS ISLAND</option><option value=\"COCOS (KEELING) ISLAND\" >COCOS (KEELING) ISLAND</option><option value=\"COLOMBIA\" >COLOMBIA</option><option value=\"COMORO ISLANDS\" >COMORO ISLANDS</option><option value=\"CONGO\" >CONGO</option><option value=\"COOK ISLANDS\" >COOK ISLANDS</option><option value=\"COSTA RICA\" >COSTA RICA</option><option value=\"CROATIA\" >CROATIA</option><option value=\"CUBA\" >CUBA</option><option value=\"CURACAO\" >CURACAO</option><option value=\"CYPRUS\" >CYPRUS</option><option value=\"CZECH REPUBLIC\" >CZECH REPUBLIC</option><option value=\"DENMARK\" >DENMARK</option><option value=\"DEMOCRATIC REPUBLIC OF THE CONGO\" >DEMOCRATIC REPUBLIC OF THE CONGO</option><option value=\"DJIBOUTI\" >DJIBOUTI</option><option value=\"DOMINICA\" >DOMINICA</option><option value=\"DOMINICAN REPUBLIC\" >DOMINICAN REPUBLIC</option><option value=\"ECUADOR\" >ECUADOR</option><option value=\"EGYPT\" >EGYPT</option><option value=\"EL SALVADOR\" >EL SALVADOR</option><option value=\"EQUATORIAL GUINEA\" >EQUATORIAL GUINEA</option><option value=\"ERITREA\" >ERITREA</option><option value=\"ESTONIA\" >ESTONIA</option><option value=\"ESWATINI\" >ESWATINI</option><option value=\"ETHIOPIA\" >ETHIOPIA</option><option value=\"FAROE ISLANDS\" >FAROE ISLANDS</option><option value=\"FALKLAND ISLANDS\" >FALKLAND ISLANDS</option><option value=\"FIJI\" >FIJI</option><option value=\"FINLAND\" >FINLAND</option><option value=\"FRANCE\" >FRANCE</option><option value=\"FRENCH GUIANA\" >FRENCH GUIANA</option><option value=\"FRENCH POLYNESIA\" >FRENCH POLYNESIA</option><option value=\"GABON\" >GABON</option><option value=\"GAMBIA\" >GAMBIA</option><option value=\"GEORGIA\" >GEORGIA</option><option value=\"GERMANY\" >GERMANY</option><option value=\"GHANA\" >GHANA</option><option value=\"GIBRALTAR\" >GIBRALTAR</option><option value=\"GREECE\" 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value=\"NEW CALADONIA\" >NEW CALADONIA</option><option value=\"NEW ZEALAND\" >NEW ZEALAND</option><option value=\"NICARAGUA\" >NICARAGUA</option><option value=\"NIGER\" >NIGER</option><option value=\"NIGERIA\" >NIGERIA</option><option value=\"NORFOLK ISLAND\" >NORFOLK ISLAND</option><option value=\"NORTH KOREA\" >NORTH KOREA</option><option value=\"NORTH MACEDONIA\" >NORTH MACEDONIA</option><option value=\"NORWAY\" >NORWAY</option><option value=\"OMAN\" >OMAN</option><option value=\"PAKISTAN\" >PAKISTAN</option><option value=\"PALAU\" >PALAU</option><option value=\"PALESTINE\" >PALESTINE</option><option value=\"PANAMA\" >PANAMA</option><option value=\"PAPUA NEW GUINEA\" >PAPUA NEW GUINEA</option><option value=\"PARAGUAY\" >PARAGUAY</option><option value=\"PERU\" >PERU</option><option value=\"PHILIPPINES\" >PHILIPPINES</option><option value=\"POLAND\" >POLAND</option><option value=\"PORTUGAL\" >PORTUGAL</option><option value=\"PUERTO RICO\" >PUERTO RICO</option><option value=\"QATAR\" 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!important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field6{width:50%}#user-form-template-118 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:inherit;border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;checkbox:undefined;}#user-form-template-118 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field6 input[type=\"checkbox\"]:checked + .checkbox:before, input[type=\"checkbox\"]:checked + .checkbox:after{background-color:#000000}#user-form-template-118 #field6 .checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 .radio-check-label{margin-left:10px;margin-right:10px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field7{width:100%}#user-form-template-118 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field11{width:100%}#user-form-template-118 #field11 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field11 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field11 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field12{width:100%}#user-form-template-118 #field12 .element-container{display:none;}#user-form-template-118 #field12 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118{max-width:500px;background-color:rgba(237,237,237,1);margin:auto;padding-top:25px;padding-bottom:25px;padding-left:25px;padding-right:25px;align-items:flex-start;justify-content:space-between;flex-direction:column;box-sizing:border-box;display:flex;opacity:1;border-radius:3px 3px 3px 3px;box-shadow:none;border-width:1px;border-style:solid;border-color:#C8C8C8;overflow:hidden;}} @media (max-width: 959px){.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field0{width:100%}#user-form-template-118 #field0 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;padding-left:15px;text-align:left;color:rgba(0,0,0,1);font-weight:normal;box-sizing:border-box;background-color:rgba(255,255,255,1);font-size:13px;border-width:1px;placeholderColor:rgba(200, 200, 200, 1);font-style:normal;width:100%;border-style:solid;padding-right:0px;padding-bottom:0px;height:30px;padding-top:0px;border-radius:0px 0px 0px 0px;margin-left:0px;}#user-form-template-118 #field0 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field0 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field1{width:100%}#user-form-template-118 #field1 .element-container{opacity:1;margin-bottom:0px;margin-right:0px;border-color:#C8C8C8;box-shadow:none;font-family:Roboto;margin-top:0px;text-align:center;color:rgba(255,255,255,1);font-weight:normal;padding-left:0px;background-color:rgba(20,38,56,1);font-size:13px;padding-top:0px;font-style:normal;width:200px;border-style:solid;padding-right:0px;border-width:1px;padding-bottom:0px;submit_box:undefined;height:40px;border-radius:3px 3px 3px 3px;margin-left:0px;}#user-form-template-118 #field1 .component-container{margin-top:5px;margin-bottom:5px;margin-right:5px;margin-left:5px;}#user-form-template-118 #field1 .submit-box-container{flex-direction:row;justify-content:center;display:flex;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field3{width:100%}#user-form-template-118 #field3 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field3 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field3 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field4{width:100%}#user-form-template-118 #field4 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;placeholderColor:rgba(200, 200, 200, 1);}#user-form-template-118 #field4 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field4 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field5{width:100%}#user-form-template-118 #field5 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:;font-family:Roboto;font-weight:normal;font-size:20px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(0, 0, 0, 0);border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;box-sizing:border-box;}#user-form-template-118 #field5 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;padding-top:0px;padding-bottom:0px;padding-left:0px;padding-right:0px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field6{width:100%}#user-form-template-118 #field6 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:inherit;border-width:1px;border-style:none;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;checkbox:undefined;}#user-form-template-118 #field6 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field6 input[type=\"checkbox\"]:checked + .checkbox:before, input[type=\"checkbox\"]:checked + .checkbox:after{background-color:#000000}#user-form-template-118 #field6 .checkbox{border-color:#C8C8C8}#user-form-template-118 #field6 .radio-check-label{margin-left:10px;margin-right:10px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field7{width:100%}#user-form-template-118 #field7 .element-container{width:100%;opacity:1;box-shadow:none;padding-right:0px;padding-left:0px;padding-top:0px;padding-bottom:0px;margin-right:0px;margin-left:0px;margin-top:0px;margin-bottom:0px;height:30px;font-family:Roboto;font-weight:normal;font-size:13px;font-style:normal;color:rgba(0, 0, 0, 1);background-color:rgba(255, 255, 255, 1);border-width:1px;border-style:solid;border-color:#C8C8C8;border-radius:0px 0px 0px 0px;text-align:left;placeholderColor:rgba(200, 200, 200, 1);box-sizing:border-box;}#user-form-template-118 #field7 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}#user-form-template-118 #field7 input::-webkit-input-placeholder {color: rgba(200, 200, 200, 1);}::-moz-placeholder {color: rgba(200, 200, 200, 1);}:-ms-input-placeholder {color: rgba(200, 200, 200, 1);}:-moz-placeholder {color: rgba(200, 200, 200, 1)}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field9{width:100%}#user-form-template-118 #field9 .element-container{display:none;}#user-form-template-118 #field9 .component-container{margin-right:5px;margin-left:5px;margin-top:5px;margin-bottom:5px;}.field-label{color:rgba(0,0,0,1);margin-bottom:10px;margin-top:30px;margin-left:0px;margin-right:0px;font-size:13px;font-family:Roboto;font-weight:normal;font-style:normal;opacity:1;text-align:left;}.required-field{margin-top:30px !important;margin-bottom:10px !important;margin-left:0px !important;margin-right:0px !important;box-sizing: border-box;align-items: flex-end;justify-content: flex-end;flex-direction: row;display:flex;}#user-form-template-118 #field10{width:100%}#user-form-template-118 #field10 .element-container{display:none;}#user-form-template-118 #field10 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UK</option><option value=\"CHILE\" >CHILE</option><option value=\"CHINA\" >CHINA</option><option value=\"CHRISTMAS ISLAND\" >CHRISTMAS ISLAND</option><option value=\"COCOS (KEELING) ISLAND\" >COCOS (KEELING) ISLAND</option><option value=\"COLOMBIA\" >COLOMBIA</option><option value=\"COMORO ISLANDS\" >COMORO ISLANDS</option><option value=\"CONGO\" >CONGO</option><option value=\"COOK ISLANDS\" >COOK ISLANDS</option><option value=\"COSTA RICA\" >COSTA RICA</option><option value=\"CROATIA\" >CROATIA</option><option value=\"CUBA\" >CUBA</option><option value=\"CURACAO\" >CURACAO</option><option value=\"CYPRUS\" >CYPRUS</option><option value=\"CZECH REPUBLIC\" >CZECH REPUBLIC</option><option value=\"DENMARK\" >DENMARK</option><option value=\"DEMOCRATIC REPUBLIC OF THE CONGO\" >DEMOCRATIC REPUBLIC OF THE CONGO</option><option value=\"DJIBOUTI\" >DJIBOUTI</option><option value=\"DOMINICA\" >DOMINICA</option><option value=\"DOMINICAN REPUBLIC\" >DOMINICAN REPUBLIC</option><option value=\"ECUADOR\" >ECUADOR</option><option value=\"EGYPT\" >EGYPT</option><option value=\"EL SALVADOR\" >EL SALVADOR</option><option value=\"EQUATORIAL GUINEA\" >EQUATORIAL GUINEA</option><option value=\"ERITREA\" >ERITREA</option><option value=\"ESTONIA\" >ESTONIA</option><option value=\"ESWATINI\" >ESWATINI</option><option value=\"ETHIOPIA\" >ETHIOPIA</option><option value=\"FAROE ISLANDS\" >FAROE ISLANDS</option><option value=\"FALKLAND ISLANDS\" >FALKLAND ISLANDS</option><option value=\"FIJI\" >FIJI</option><option value=\"FINLAND\" >FINLAND</option><option value=\"FRANCE\" >FRANCE</option><option value=\"FRENCH GUIANA\" >FRENCH GUIANA</option><option value=\"FRENCH POLYNESIA\" >FRENCH POLYNESIA</option><option value=\"GABON\" >GABON</option><option value=\"GAMBIA\" >GAMBIA</option><option value=\"GEORGIA\" >GEORGIA</option><option value=\"GERMANY\" >GERMANY</option><option value=\"GHANA\" >GHANA</option><option value=\"GIBRALTAR\" >GIBRALTAR</option><option value=\"GREECE\" 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value=\"NEW CALADONIA\" >NEW CALADONIA</option><option value=\"NEW ZEALAND\" >NEW ZEALAND</option><option value=\"NICARAGUA\" >NICARAGUA</option><option value=\"NIGER\" >NIGER</option><option value=\"NIGERIA\" >NIGERIA</option><option value=\"NORFOLK ISLAND\" >NORFOLK ISLAND</option><option value=\"NORTH KOREA\" >NORTH KOREA</option><option value=\"NORTH MACEDONIA\" >NORTH MACEDONIA</option><option value=\"NORWAY\" >NORWAY</option><option value=\"OMAN\" >OMAN</option><option value=\"PAKISTAN\" >PAKISTAN</option><option value=\"PALAU\" >PALAU</option><option value=\"PALESTINE\" >PALESTINE</option><option value=\"PANAMA\" >PANAMA</option><option value=\"PAPUA NEW GUINEA\" >PAPUA NEW GUINEA</option><option value=\"PARAGUAY\" >PARAGUAY</option><option value=\"PERU\" >PERU</option><option value=\"PHILIPPINES\" >PHILIPPINES</option><option value=\"POLAND\" >POLAND</option><option value=\"PORTUGAL\" >PORTUGAL</option><option value=\"PUERTO RICO\" >PUERTO RICO</option><option value=\"QATAR\" 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