Countries Checkbox by Continent - HTML Form


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There are a lot of snippets if you want countries in a select box (dropdown). I wanted them as check boxes organized by Continent. In my implementation (not represented in this code). I added ajax toggles so that each Continent's countries were hidden until expanded. Made a fun and impressive form.

I wrapped both the label text and the input field within the label tags. Not exactly how w3 suggests but it validates and allows you to format this form nicer. Simple sample CSS included:


Copy this code and paste it in your HTML
  1. <style type="text/css">
  2. label{
  3. display:block;
  4. margin:6px 0;
  5. overflow:hidden;
  6. float:none;
  7. }
  8. .countryHeader{
  9. font-weight:bold;
  10. text-decoration:underline;
  11. display:block;
  12. font-size:1.2em;
  13. }
  14. .countryCheckboxes{
  15. -moz-column-count: 3;
  16. -moz-column-gap: 15px;
  17. -webkit-column-count: 3;
  18. -webkit-column-gap: 15px;
  19. column-count: 3;
  20. column-gap: 15px;
  21. }
  22. </style>
  23. </head>
  24. <form>
  25. <span class="countryHeader">Africa</span>
  26. <div class="countryCheckboxes" id="AfricaCountries" >
  27. <label for="Algeria, Peoples Democratic Republic of" >
  28. <input type="checkbox" name="Algeria, Peoples Democratic Republic of" id="Algeria, Peoples Democratic Republic of"
  29. Algeria, Peoples Democratic Republic of
  30. </label>
  31. <label for="Angola, Republic of" >
  32. <input type="checkbox" name="Angola, Republic of" id="Angola, Republic of"
  33. Angola, Republic of
  34. </label>
  35. <label for="Benin, Republic of" >
  36. <input type="checkbox" name="Benin, Republic of" id="Benin, Republic of"
  37. Benin, Republic of
  38. </label>
  39. <label for="Botswana, Republic of" >
  40. <input type="checkbox" name="Botswana, Republic of" id="Botswana, Republic of"
  41. Botswana, Republic of
  42. </label>
  43. <label for="Burkina Faso" >
  44. <input type="checkbox" name="Burkina Faso" id="Burkina Faso"
  45. Burkina Faso
  46. </label>
  47. <label for="Burundi, Republic of" >
  48. <input type="checkbox" name="Burundi, Republic of" id="Burundi, Republic of"
  49. Burundi, Republic of
  50. </label>
  51. <label for="Cameroon, Republic of" >
  52. <input type="checkbox" name="Cameroon, Republic of" id="Cameroon, Republic of"
  53. Cameroon, Republic of
  54. </label>
  55. <label for="Cape Verde, Republic of" >
  56. <input type="checkbox" name="Cape Verde, Republic of" id="Cape Verde, Republic of"
  57. Cape Verde, Republic of
  58. </label>
  59. <label for="Central African Republic" >
  60. <input type="checkbox" name="Central African Republic" id="Central African Republic"
  61. Central African Republic
  62. </label>
  63. <label for="Chad, Republic of" >
  64. <input type="checkbox" name="Chad, Republic of" id="Chad, Republic of"
  65. Chad, Republic of
  66. </label>
  67. <label for="Comoros, Union of the" >
  68. <input type="checkbox" name="Comoros, Union of the" id="Comoros, Union of the"
  69. Comoros, Union of the
  70. </label>
  71. <label for="Congo, Democratic Republic of the" >
  72. <input type="checkbox" name="Congo, Democratic Republic of the" id="Congo, Democratic Republic of the"
  73. Congo, Democratic Republic of the
  74. </label>
  75. <label for="Congo, Republic of the" >
  76. <input type="checkbox" name="Congo, Republic of the" id="Congo, Republic of the"
  77. Congo, Republic of the
  78. </label>
  79. <label for="Cote dIvoire, Republic of" >
  80. <input type="checkbox" name="Cote dIvoire, Republic of" id="Cote dIvoire, Republic of"
  81. Cote dIvoire, Republic of
  82. </label>
  83. <label for="Djibouti, Republic of" >
  84. <input type="checkbox" name="Djibouti, Republic of" id="Djibouti, Republic of"
  85. Djibouti, Republic of
  86. </label>
  87. <label for="Egypt, Arab Republic of" >
  88. <input type="checkbox" name="Egypt, Arab Republic of" id="Egypt, Arab Republic of"
  89. Egypt, Arab Republic of
  90. </label>
  91. <label for="Equatorial Guinea, Republic of" >
  92. <input type="checkbox" name="Equatorial Guinea, Republic of" id="Equatorial Guinea, Republic of"
  93. Equatorial Guinea, Republic of
  94. </label>
  95. <label for="Eritrea, State of" >
  96. <input type="checkbox" name="Eritrea, State of" id="Eritrea, State of"
  97. Eritrea, State of
  98. </label>
  99. <label for="Ethiopia, Federal Democratic Republic of" >
  100. <input type="checkbox" name="Ethiopia, Federal Democratic Republic of" id="Ethiopia, Federal Democratic Republic of"
  101. Ethiopia, Federal Democratic Republic of
  102. </label>
  103. <label for="Gabon, Gabonese Republic" >
  104. <input type="checkbox" name="Gabon, Gabonese Republic" id="Gabon, Gabonese Republic"
  105. Gabon, Gabonese Republic
  106. </label>
  107. <label for="Gambia, Republic of the" >
  108. <input type="checkbox" name="Gambia, Republic of the" id="Gambia, Republic of the"
  109. Gambia, Republic of the
  110. </label>
  111. <label for="Ghana, Republic of" >
  112. <input type="checkbox" name="Ghana, Republic of" id="Ghana, Republic of"
  113. Ghana, Republic of
  114. </label>
  115. <label for="Guinea-Bissau, Republic of" >
  116. <input type="checkbox" name="Guinea-Bissau, Republic of" id="Guinea-Bissau, Republic of"
  117. Guinea-Bissau, Republic of
  118. </label>
  119. <label for="Guinea, Republic of" >
  120. <input type="checkbox" name="Guinea, Republic of" id="Guinea, Republic of"
  121. Guinea, Republic of
  122. </label>
  123. <label for="Kenya, Republic of" >
  124. <input type="checkbox" name="Kenya, Republic of" id="Kenya, Republic of"
  125. Kenya, Republic of
  126. </label>
  127. <label for="Lesotho, Kingdom of" >
  128. <input type="checkbox" name="Lesotho, Kingdom of" id="Lesotho, Kingdom of"
  129. Lesotho, Kingdom of
  130. </label>
  131. <label for="Liberia, Republic of" >
  132. <input type="checkbox" name="Liberia, Republic of" id="Liberia, Republic of"
  133. Liberia, Republic of
  134. </label>
  135. <label for="Libyan Arab Jamahiriya" >
  136. <input type="checkbox" name="Libyan Arab Jamahiriya" id="Libyan Arab Jamahiriya"
  137. Libyan Arab Jamahiriya
  138. </label>
  139. <label for="Madagascar, Republic of" >
  140. <input type="checkbox" name="Madagascar, Republic of" id="Madagascar, Republic of"
  141. Madagascar, Republic of
  142. </label>
  143. <label for="Malawi, Republic of" >
  144. <input type="checkbox" name="Malawi, Republic of" id="Malawi, Republic of"
  145. Malawi, Republic of
  146. </label>
  147. <label for="Mali, Republic of" >
  148. <input type="checkbox" name="Mali, Republic of" id="Mali, Republic of"
  149. Mali, Republic of
  150. </label>
  151. <label for="Mauritania, Islamic Republic of" >
  152. <input type="checkbox" name="Mauritania, Islamic Republic of" id="Mauritania, Islamic Republic of"
  153. Mauritania, Islamic Republic of
  154. </label>
  155. <label for="Mauritius, Republic of" >
  156. <input type="checkbox" name="Mauritius, Republic of" id="Mauritius, Republic of"
  157. Mauritius, Republic of
  158. </label>
  159. <label for="Mayotte" >
  160. <input type="checkbox" name="Mayotte" id="Mayotte"
  161. Mayotte
  162. </label>
  163. <label for="Morocco, Kingdom of" >
  164. <input type="checkbox" name="Morocco, Kingdom of" id="Morocco, Kingdom of"
  165. Morocco, Kingdom of
  166. </label>
  167. <label for="Mozambique, Republic of" >
  168. <input type="checkbox" name="Mozambique, Republic of" id="Mozambique, Republic of"
  169. Mozambique, Republic of
  170. </label>
  171. <label for="Namibia, Republic of" >
  172. <input type="checkbox" name="Namibia, Republic of" id="Namibia, Republic of"
  173. Namibia, Republic of
  174. </label>
  175. <label for="Niger, Republic of" >
  176. <input type="checkbox" name="Niger, Republic of" id="Niger, Republic of"
  177. Niger, Republic of
  178. </label>
  179. <label for="Nigeria, Federal Republic of" >
  180. <input type="checkbox" name="Nigeria, Federal Republic of" id="Nigeria, Federal Republic of"
  181. Nigeria, Federal Republic of
  182. </label>
  183. <label for="Reunion" >
  184. <input type="checkbox" name="Reunion" id="Reunion"
  185. Reunion
  186. </label>
  187. <label for="Rwanda, Republic of" >
  188. <input type="checkbox" name="Rwanda, Republic of" id="Rwanda, Republic of"
  189. Rwanda, Republic of
  190. </label>
  191. <label for="Saint Helena" >
  192. <input type="checkbox" name="Saint Helena" id="Saint Helena"
  193. Saint Helena
  194. </label>
  195. <label for="Sao Tome and Principe, Democratic Republic of " >
  196. <input type="checkbox" name="Sao Tome and Principe, Democratic Republic of " id="Sao Tome and Principe, Democratic Republic of "
  197. Sao Tome and Principe, Democratic Republic of
  198. </label>
  199. <label for="Senegal, Republic of" >
  200. <input type="checkbox" name="Senegal, Republic of" id="Senegal, Republic of"
  201. Senegal, Republic of
  202. </label>
  203. <label for="Seychelles, Republic of" >
  204. <input type="checkbox" name="Seychelles, Republic of" id="Seychelles, Republic of"
  205. Seychelles, Republic of
  206. </label>
  207. <label for="Sierra Leone, Republic of" >
  208. <input type="checkbox" name="Sierra Leone, Republic of" id="Sierra Leone, Republic of"
  209. Sierra Leone, Republic of
  210. </label>
  211. <label for="Somalia, Somali Republic" >
  212. <input type="checkbox" name="Somalia, Somali Republic" id="Somalia, Somali Republic"
  213. Somalia, Somali Republic
  214. </label>
  215. <label for="South Africa, Republic of" >
  216. <input type="checkbox" name="South Africa, Republic of" id="South Africa, Republic of"
  217. South Africa, Republic of
  218. </label>
  219. <label for="Sudan, Republic of" >
  220. <input type="checkbox" name="Sudan, Republic of" id="Sudan, Republic of"
  221. Sudan, Republic of
  222. </label>
  223. <label for="Swaziland, Kingdom of" >
  224. <input type="checkbox" name="Swaziland, Kingdom of" id="Swaziland, Kingdom of"
  225. Swaziland, Kingdom of
  226. </label>
  227. <label for="Tanzania, United Republic of" >
  228. <input type="checkbox" name="Tanzania, United Republic of" id="Tanzania, United Republic of"
  229. Tanzania, United Republic of
  230. </label>
  231. <label for="Togo, Togolese Republic" >
  232. <input type="checkbox" name="Togo, Togolese Republic" id="Togo, Togolese Republic"
  233. Togo, Togolese Republic
  234. </label>
  235. <label for="Tunisia, Tunisian Republic" >
  236. <input type="checkbox" name="Tunisia, Tunisian Republic" id="Tunisia, Tunisian Republic"
  237. Tunisia, Tunisian Republic
  238. </label>
  239. <label for="Uganda, Republic of" >
  240. <input type="checkbox" name="Uganda, Republic of" id="Uganda, Republic of"
  241. Uganda, Republic of
  242. </label>
  243. <label for="Western Sahara" >
  244. <input type="checkbox" name="Western Sahara" id="Western Sahara"
  245. Western Sahara
  246. </label>
  247. <label for="Zambia, Republic of" >
  248. <input type="checkbox" name="Zambia, Republic of" id="Zambia, Republic of"
  249. Zambia, Republic of
  250. </label>
  251. <label for="Zimbabwe, Republic of" >
  252. <input type="checkbox" name="Zimbabwe, Republic of" id="Zimbabwe, Republic of"
  253. Zimbabwe, Republic of
  254. </label>
  255. </div>
  256.  
  257. <span class="countryHeader">Antarctica</span>
  258. <div class="countryCheckboxes" id="AntarcticaCountries" >
  259. <label for="Antarctica (the territory South of 60 deg S)" >
  260. <input type="checkbox" name="Antarctica (the territory South of 60 deg S)" id="Antarctica (the territory South of 60 deg S)"
  261. Antarctica (the territory South of 60 deg S)
  262. </label>
  263. <label for="Bouvet Island (Bouvetoya)" >
  264. <input type="checkbox" name="Bouvet Island (Bouvetoya)" id="Bouvet Island (Bouvetoya)"
  265. Bouvet Island (Bouvetoya)
  266. </label>
  267. <label for="French Southern Territories" >
  268. <input type="checkbox" name="French Southern Territories" id="French Southern Territories"
  269. French Southern Territories
  270. </label>
  271. <label for="Heard Island and McDonald Islands" >
  272. <input type="checkbox" name="Heard Island and McDonald Islands" id="Heard Island and McDonald Islands"
  273. Heard Island and McDonald Islands
  274. </label>
  275. <label for="South Georgia and the South Sandwich Islands " >
  276. <input type="checkbox" name="South Georgia and the South Sandwich Islands " id="South Georgia and the South Sandwich Islands "
  277. South Georgia and the South Sandwich Islands
  278. </label>
  279. </div>
  280.  
  281. <span class="countryHeader">Asia</span>
  282. <div class="countryCheckboxes" id="AsiaCountries">
  283. <label for="Afghanistan, Islamic Republic of" >
  284. <input type="checkbox" name="Afghanistan, Islamic Republic of" id="Afghanistan, Islamic Republic of"
  285. Afghanistan, Islamic Republic of
  286. </label>
  287. <label for="Armenia, Republic of" >
  288. <input type="checkbox" name="Armenia, Republic of" id="Armenia, Republic of"
  289. Armenia, Republic of
  290. </label>
  291. <label for="Azerbaijan, Republic of" >
  292. <input type="checkbox" name="Azerbaijan, Republic of" id="Azerbaijan, Republic of"
  293. Azerbaijan, Republic of
  294. </label>
  295. <label for="Bahrain, Kingdom of" >
  296. <input type="checkbox" name="Bahrain, Kingdom of" id="Bahrain, Kingdom of"
  297. Bahrain, Kingdom of
  298. </label>
  299. <label for="Bangladesh, Peoples Republic of" >
  300. <input type="checkbox" name="Bangladesh, Peoples Republic of" id="Bangladesh, Peoples Republic of"
  301. Bangladesh, Peoples Republic of
  302. </label>
  303. <label for="Bhutan, Kingdom of" >
  304. <input type="checkbox" name="Bhutan, Kingdom of" id="Bhutan, Kingdom of"
  305. Bhutan, Kingdom of
  306. </label>
  307. <label for="British Indian Ocean Territory (Chagos Archipelago)" >
  308. <input type="checkbox" name="British Indian Ocean Territory (Chagos Archipelago)" id="British Indian Ocean Territory (Chagos Archipelago)"
  309. British Indian Ocean Territory (Chagos Archipelago)
  310. </label>
  311. <label for="Brunei Darussalam" >
  312. <input type="checkbox" name="Brunei Darussalam" id="Brunei Darussalam"
  313. Brunei Darussalam
  314. </label>
  315. <label for="Cambodia, Kingdom of" >
  316. <input type="checkbox" name="Cambodia, Kingdom of" id="Cambodia, Kingdom of"
  317. Cambodia, Kingdom of
  318. </label>
  319. <label for="China, Peoples Republic of" >
  320. <input type="checkbox" name="China, Peoples Republic of" id="China, Peoples Republic of"
  321. China, Peoples Republic of
  322. </label>
  323. <label for="Christmas Island" >
  324. <input type="checkbox" name="Christmas Island" id="Christmas Island"
  325. Christmas Island
  326. </label>
  327. <label for="Cocos (Keeling) Islands" >
  328. <input type="checkbox" name="Cocos (Keeling) Islands" id="Cocos (Keeling) Islands"
  329. Cocos (Keeling) Islands
  330. </label>
  331. <label for="Cyprus, Republic of" >
  332. <input type="checkbox" name="Cyprus, Republic of" id="Cyprus, Republic of"
  333. Cyprus, Republic of
  334. </label>
  335. <label for="Georgia" >
  336. <input type="checkbox" name="Georgia" id="Georgia"
  337. Georgia
  338. </label>
  339. <label for="Hong Kong, Special Administrative Region of China " >
  340. <input type="checkbox" name="Hong Kong, Special Administrative Region of China " id="Hong Kong, Special Administrative Region of China "
  341. Hong Kong, Special Administrative Region of China
  342. </label>
  343. <label for="India, Republic of" >
  344. <input type="checkbox" name="India, Republic of" id="India, Republic of"
  345. India, Republic of
  346. </label>
  347. <label for="Indonesia, Republic of" >
  348. <input type="checkbox" name="Indonesia, Republic of" id="Indonesia, Republic of"
  349. Indonesia, Republic of
  350. </label>
  351. <label for="Iran, Islamic Republic of" >
  352. <input type="checkbox" name="Iran, Islamic Republic of" id="Iran, Islamic Republic of"
  353. Iran, Islamic Republic of
  354. </label>
  355. <label for="Iraq, Republic of" >
  356. <input type="checkbox" name="Iraq, Republic of" id="Iraq, Republic of"
  357. Iraq, Republic of
  358. </label>
  359. <label for="Israel, State of" >
  360. <input type="checkbox" name="Israel, State of" id="Israel, State of"
  361. Israel, State of
  362. </label>
  363. <label for="Japan" >
  364. <input type="checkbox" name="Japan" id="Japan"
  365. Japan
  366. </label>
  367. <label for="Jordan, Hashemite Kingdom of" >
  368. <input type="checkbox" name="Jordan, Hashemite Kingdom of" id="Jordan, Hashemite Kingdom of"
  369. Jordan, Hashemite Kingdom of
  370. </label>
  371. <label for="Kazakhstan, Republic of" >
  372. <input type="checkbox" name="Kazakhstan, Republic of" id="Kazakhstan, Republic of"
  373. Kazakhstan, Republic of
  374. </label>
  375. <label for="Korea, Democratic Peoples Republic of" >
  376. <input type="checkbox" name="Korea, Democratic Peoples Republic of" id="Korea, Democratic Peoples Republic of"
  377. Korea, Democratic Peoples Republic of
  378. </label>
  379. <label for="Korea, Republic of" >
  380. <input type="checkbox" name="Korea, Republic of" id="Korea, Republic of"
  381. Korea, Republic of
  382. </label>
  383. <label for="Kuwait, State of" >
  384. <input type="checkbox" name="Kuwait, State of" id="Kuwait, State of"
  385. Kuwait, State of
  386. </label>
  387. <label for="Kyrgyz Republic" >
  388. <input type="checkbox" name="Kyrgyz Republic" id="Kyrgyz Republic"
  389. Kyrgyz Republic
  390. </label>
  391. <label for="Lao Peoples Democratic Republic" >
  392. <input type="checkbox" name="Lao Peoples Democratic Republic" id="Lao Peoples Democratic Republic"
  393. Lao Peoples Democratic Republic
  394. </label>
  395. <label for="Lebanon, Lebanese Republic" >
  396. <input type="checkbox" name="Lebanon, Lebanese Republic" id="Lebanon, Lebanese Republic"
  397. Lebanon, Lebanese Republic
  398. </label>
  399. <label for="Macao, Special Administrative Region of China" >
  400. <input type="checkbox" name="Macao, Special Administrative Region of China" id="Macao, Special Administrative Region of China"
  401. Macao, Special Administrative Region of China
  402. </label>
  403. <label for="Malaysia" >
  404. <input type="checkbox" name="Malaysia" id="Malaysia"
  405. Malaysia
  406. </label>
  407. <label for="Maldives, Republic of" >
  408. <input type="checkbox" name="Maldives, Republic of" id="Maldives, Republic of"
  409. Maldives, Republic of
  410. </label>
  411. <label for="Mongolia" >
  412. <input type="checkbox" name="Mongolia" id="Mongolia"
  413. Mongolia
  414. </label>
  415. <label for="Myanmar, Union of" >
  416. <input type="checkbox" name="Myanmar, Union of" id="Myanmar, Union of"
  417. Myanmar, Union of
  418. </label>
  419. <label for="Nepal, State of" >
  420. <input type="checkbox" name="Nepal, State of" id="Nepal, State of"
  421. Nepal, State of
  422. </label>
  423. <label for="Oman, Sultanate of" >
  424. <input type="checkbox" name="Oman, Sultanate of" id="Oman, Sultanate of"
  425. Oman, Sultanate of
  426. </label>
  427. <label for="Pakistan, Islamic Republic of" >
  428. <input type="checkbox" name="Pakistan, Islamic Republic of" id="Pakistan, Islamic Republic of"
  429. Pakistan, Islamic Republic of
  430. </label>
  431. <label for="Palestinian Territory, Occupied" >
  432. <input type="checkbox" name="Palestinian Territory, Occupied" id="Palestinian Territory, Occupied"
  433. Palestinian Territory, Occupied
  434. </label>
  435. <label for="Philippines, Republic of the" >
  436. <input type="checkbox" name="Philippines, Republic of the" id="Philippines, Republic of the"
  437. Philippines, Republic of the
  438. </label>
  439. <label for="Qatar, State of" >
  440. <input type="checkbox" name="Qatar, State of" id="Qatar, State of"
  441. Qatar, State of
  442. </label>
  443. <label for="Saudi Arabia, Kingdom of" >
  444. <input type="checkbox" name="Saudi Arabia, Kingdom of" id="Saudi Arabia, Kingdom of"
  445. Saudi Arabia, Kingdom of
  446. </label>
  447. <label for="Singapore, Republic of" >
  448. <input type="checkbox" name="Singapore, Republic of" id="Singapore, Republic of"
  449. Singapore, Republic of
  450. </label>
  451. <label for="Sri Lanka, Democratic Socialist Republic of" >
  452. <input type="checkbox" name="Sri Lanka, Democratic Socialist Republic of" id="Sri Lanka, Democratic Socialist Republic of"
  453. Sri Lanka, Democratic Socialist Republic of
  454. </label>
  455. <label for="Syrian Arab Republic" >
  456. <input type="checkbox" name="Syrian Arab Republic" id="Syrian Arab Republic"
  457. Syrian Arab Republic
  458. </label>
  459. <label for="Taiwan" >
  460. <input type="checkbox" name="Taiwan" id="Taiwan"
  461. Taiwan
  462. </label>
  463. <label for="Tajikistan, Republic of" >
  464. <input type="checkbox" name="Tajikistan, Republic of" id="Tajikistan, Republic of"
  465. Tajikistan, Republic of
  466. </label>
  467. <label for="Thailand, Kingdom of" >
  468. <input type="checkbox" name="Thailand, Kingdom of" id="Thailand, Kingdom of"
  469. Thailand, Kingdom of
  470. </label>
  471. <label for="Timor-Leste, Democratic Republic of" >
  472. <input type="checkbox" name="Timor-Leste, Democratic Republic of" id="Timor-Leste, Democratic Republic of"
  473. Timor-Leste, Democratic Republic of
  474. </label>
  475. <label for="Turkey, Republic of" >
  476. <input type="checkbox" name="Turkey, Republic of" id="Turkey, Republic of"
  477. Turkey, Republic of
  478. </label>
  479. <label for="Turkmenistan" >
  480. <input type="checkbox" name="Turkmenistan" id="Turkmenistan"
  481. Turkmenistan
  482. </label>
  483. <label for="United Arab Emirates" >
  484. <input type="checkbox" name="United Arab Emirates" id="United Arab Emirates"
  485. United Arab Emirates
  486. </label>
  487. <label for="Uzbekistan, Republic of" >
  488. <input type="checkbox" name="Uzbekistan, Republic of" id="Uzbekistan, Republic of"
  489. Uzbekistan, Republic of
  490. </label>
  491. <label for="Vietnam, Socialist Republic of" >
  492. <input type="checkbox" name="Vietnam, Socialist Republic of" id="Vietnam, Socialist Republic of"
  493. Vietnam, Socialist Republic of
  494. </label>
  495. <label for="Yemen" >
  496. <input type="checkbox" name="Yemen" id="Yemen"
  497. Yemen
  498. </label>
  499. </div>
  500.  
  501. <span class="countryHeader">Europe</span>
  502. <div class="countryCheckboxes" id="EuropeCountries" >
  503. <label for="��land Islands" >
  504. <input type="checkbox" name="��land Islands" id="��land Islands"
  505. ��land Islands
  506. </label>
  507. <label for="Albania, Republic of" >
  508. <input type="checkbox" name="Albania, Republic of" id="Albania, Republic of"
  509. Albania, Republic of
  510. </label>
  511. <label for="Andorra, Principality of" >
  512. <input type="checkbox" name="Andorra, Principality of" id="Andorra, Principality of"
  513. Andorra, Principality of
  514. </label>
  515. <label for="Austria, Republic of" >
  516. <input type="checkbox" name="Austria, Republic of" id="Austria, Republic of"
  517. Austria, Republic of
  518. </label>
  519. <label for="Belarus, Republic of" >
  520. <input type="checkbox" name="Belarus, Republic of" id="Belarus, Republic of"
  521. Belarus, Republic of
  522. </label>
  523. <label for="Belgium, Kingdom of" >
  524. <input type="checkbox" name="Belgium, Kingdom of" id="Belgium, Kingdom of"
  525. Belgium, Kingdom of
  526. </label>
  527. <label for="Bosnia and Herzegovina" >
  528. <input type="checkbox" name="Bosnia and Herzegovina" id="Bosnia and Herzegovina"
  529. Bosnia and Herzegovina
  530. </label>
  531. <label for="Bulgaria, Republic of" >
  532. <input type="checkbox" name="Bulgaria, Republic of" id="Bulgaria, Republic of"
  533. Bulgaria, Republic of
  534. </label>
  535. <label for="Croatia, Republic of" >
  536. <input type="checkbox" name="Croatia, Republic of" id="Croatia, Republic of"
  537. Croatia, Republic of
  538. </label>
  539. <label for="Czech Republic" >
  540. <input type="checkbox" name="Czech Republic" id="Czech Republic"
  541. Czech Republic
  542. </label>
  543. <label for="Denmark, Kingdom of" >
  544. <input type="checkbox" name="Denmark, Kingdom of" id="Denmark, Kingdom of"
  545. Denmark, Kingdom of
  546. </label>
  547. <label for="Estonia, Republic of" >
  548. <input type="checkbox" name="Estonia, Republic of" id="Estonia, Republic of"
  549. Estonia, Republic of
  550. </label>
  551. <label for="Faroe Islands" >
  552. <input type="checkbox" name="Faroe Islands" id="Faroe Islands"
  553. Faroe Islands
  554. </label>
  555. <label for="Finland, Republic of" >
  556. <input type="checkbox" name="Finland, Republic of" id="Finland, Republic of"
  557. Finland, Republic of
  558. </label>
  559. <label for="France, French Republic" >
  560. <input type="checkbox" name="France, French Republic" id="France, French Republic"
  561. France, French Republic
  562. </label>
  563. <label for="Germany, Federal Republic of" >
  564. <input type="checkbox" name="Germany, Federal Republic of" id="Germany, Federal Republic of"
  565. Germany, Federal Republic of
  566. </label>
  567. <label for="Gibraltar" >
  568. <input type="checkbox" name="Gibraltar" id="Gibraltar"
  569. Gibraltar
  570. </label>
  571. <label for="Greece, Hellenic Republic" >
  572. <input type="checkbox" name="Greece, Hellenic Republic" id="Greece, Hellenic Republic"
  573. Greece, Hellenic Republic
  574. </label>
  575. <label for="Guernsey, Bailiwick of" >
  576. <input type="checkbox" name="Guernsey, Bailiwick of" id="Guernsey, Bailiwick of"
  577. Guernsey, Bailiwick of
  578. </label>
  579. <label for="Holy See (Vatican City State)" >
  580. <input type="checkbox" name="Holy See (Vatican City State)" id="Holy See (Vatican City State)"
  581. Holy See (Vatican City State)
  582. </label>
  583. <label for="Hungary, Republic of" >
  584. <input type="checkbox" name="Hungary, Republic of" id="Hungary, Republic of"
  585. Hungary, Republic of
  586. </label>
  587. <label for="Iceland, Republic of" >
  588. <input type="checkbox" name="Iceland, Republic of" id="Iceland, Republic of"
  589. Iceland, Republic of
  590. </label>
  591. <label for="Ireland" >
  592. <input type="checkbox" name="Ireland" id="Ireland"
  593. Ireland
  594. </label>
  595. <label for="Isle of Man" >
  596. <input type="checkbox" name="Isle of Man" id="Isle of Man"
  597. Isle of Man
  598. </label>
  599. <label for="Italy, Italian Republic" >
  600. <input type="checkbox" name="Italy, Italian Republic" id="Italy, Italian Republic"
  601. Italy, Italian Republic
  602. </label>
  603. <label for="Jersey, Bailiwick of" >
  604. <input type="checkbox" name="Jersey, Bailiwick of" id="Jersey, Bailiwick of"
  605. Jersey, Bailiwick of
  606. </label>
  607. <label for="Latvia, Republic of" >
  608. <input type="checkbox" name="Latvia, Republic of" id="Latvia, Republic of"
  609. Latvia, Republic of
  610. </label>
  611. <label for="Liechtenstein, Principality of" >
  612. <input type="checkbox" name="Liechtenstein, Principality of" id="Liechtenstein, Principality of"
  613. Liechtenstein, Principality of
  614. </label>
  615. <label for="Lithuania, Republic of" >
  616. <input type="checkbox" name="Lithuania, Republic of" id="Lithuania, Republic of"
  617. Lithuania, Republic of
  618. </label>
  619. <label for="Luxembourg, Grand Duchy of" >
  620. <input type="checkbox" name="Luxembourg, Grand Duchy of" id="Luxembourg, Grand Duchy of"
  621. Luxembourg, Grand Duchy of
  622. </label>
  623. <label for="Macedonia, Republic of" >
  624. <input type="checkbox" name="Macedonia, Republic of" id="Macedonia, Republic of"
  625. Macedonia, Republic of
  626. </label>
  627. <label for="Malta, Republic of" >
  628. <input type="checkbox" name="Malta, Republic of" id="Malta, Republic of"
  629. Malta, Republic of
  630. </label>
  631. <label for="Moldova, Republic of" >
  632. <input type="checkbox" name="Moldova, Republic of" id="Moldova, Republic of"
  633. Moldova, Republic of
  634. </label>
  635. <label for="Monaco, Principality of" >
  636. <input type="checkbox" name="Monaco, Principality of" id="Monaco, Principality of"
  637. Monaco, Principality of
  638. </label>
  639. <label for="Montenegro, Republic of" >
  640. <input type="checkbox" name="Montenegro, Republic of" id="Montenegro, Republic of"
  641. Montenegro, Republic of
  642. </label>
  643. <label for="Netherlands, Kingdom of the" >
  644. <input type="checkbox" name="Netherlands, Kingdom of the" id="Netherlands, Kingdom of the"
  645. Netherlands, Kingdom of the
  646. </label>
  647. <label for="Norway, Kingdom of" >
  648. <input type="checkbox" name="Norway, Kingdom of" id="Norway, Kingdom of"
  649. Norway, Kingdom of
  650. </label>
  651. <label for="Poland, Republic of" >
  652. <input type="checkbox" name="Poland, Republic of" id="Poland, Republic of"
  653. Poland, Republic of
  654. </label>
  655. <label for="Portugal, Portuguese Republic" >
  656. <input type="checkbox" name="Portugal, Portuguese Republic" id="Portugal, Portuguese Republic"
  657. Portugal, Portuguese Republic
  658. </label>
  659. <label for="Romania" >
  660. <input type="checkbox" name="Romania" id="Romania"
  661. Romania
  662. </label>
  663. <label for="Russian Federation" >
  664. <input type="checkbox" name="Russian Federation" id="Russian Federation"
  665. Russian Federation
  666. </label>
  667. <label for="San Marino, Republic of" >
  668. <input type="checkbox" name="San Marino, Republic of" id="San Marino, Republic of"
  669. San Marino, Republic of
  670. </label>
  671. <label for="Serbia, Republic of" >
  672. <input type="checkbox" name="Serbia, Republic of" id="Serbia, Republic of"
  673. Serbia, Republic of
  674. </label>
  675. <label for="Slovakia (Slovak Republic)" >
  676. <input type="checkbox" name="Slovakia (Slovak Republic)" id="Slovakia (Slovak Republic)"
  677. Slovakia (Slovak Republic)
  678. </label>
  679. <label for="Slovenia, Republic of" >
  680. <input type="checkbox" name="Slovenia, Republic of" id="Slovenia, Republic of"
  681. Slovenia, Republic of
  682. </label>
  683. <label for="Spain, Kingdom of" >
  684. <input type="checkbox" name="Spain, Kingdom of" id="Spain, Kingdom of"
  685. Spain, Kingdom of
  686. </label>
  687. <label for="Svalbard & Jan Mayen Islands" >
  688. <input type="checkbox" name="Svalbard & Jan Mayen Islands" id="Svalbard & Jan Mayen Islands"
  689. Svalbard & Jan Mayen Islands
  690. </label>
  691. <label for="Sweden, Kingdom of" >
  692. <input type="checkbox" name="Sweden, Kingdom of" id="Sweden, Kingdom of"
  693. Sweden, Kingdom of
  694. </label>
  695. <label for="Switzerland, Swiss Confederation" >
  696. <input type="checkbox" name="Switzerland, Swiss Confederation" id="Switzerland, Swiss Confederation"
  697. Switzerland, Swiss Confederation
  698. </label>
  699. <label for="Ukraine" >
  700. <input type="checkbox" name="Ukraine" id="Ukraine"
  701. Ukraine
  702. </label>
  703. <label for="United Kingdom of Great Britain & Northern Ireland" >
  704. <input type="checkbox" name="United Kingdom of Great Britain & Northern Ireland" id="United Kingdom of Great Britain & Northern Ireland"
  705. United Kingdom of Great Britain & Northern Ireland
  706. </label>
  707. </div>
  708.  
  709. <span class="countryHeader">North America</span>
  710. <div class="countryCheckboxes" id="NorthAmericaCountries">
  711. <label for="Anguilla" >
  712. <input type="checkbox" name="Anguilla" id="Anguilla"
  713. Anguilla
  714. </label>
  715. <label for="Antigua and Barbuda" >
  716. <input type="checkbox" name="Antigua and Barbuda" id="Antigua and Barbuda"
  717. Antigua and Barbuda
  718. </label>
  719. <label for="Aruba" >
  720. <input type="checkbox" name="Aruba" id="Aruba"
  721. Aruba
  722. </label>
  723. <label for="Bahamas, Commonwealth of the" >
  724. <input type="checkbox" name="Bahamas, Commonwealth of the" id="Bahamas, Commonwealth of the"
  725. Bahamas, Commonwealth of the
  726. </label>
  727. <label for="Barbados" >
  728. <input type="checkbox" name="Barbados" id="Barbados"
  729. Barbados
  730. </label>
  731. <label for="Belize" >
  732. <input type="checkbox" name="Belize" id="Belize"
  733. Belize
  734. </label>
  735. <label for="Bermuda" >
  736. <input type="checkbox" name="Bermuda" id="Bermuda"
  737. Bermuda
  738. </label>
  739. <label for="British Virgin Islands" >
  740. <input type="checkbox" name="British Virgin Islands" id="British Virgin Islands"
  741. British Virgin Islands
  742. </label>
  743. <label for="Canada" >
  744. <input type="checkbox" name="Canada" id="Canada"
  745. Canada
  746. </label>
  747. <label for="Cayman Islands" >
  748. <input type="checkbox" name="Cayman Islands" id="Cayman Islands"
  749. Cayman Islands
  750. </label>
  751. <label for="Costa Rica, Republic of" >
  752. <input type="checkbox" name="Costa Rica, Republic of" id="Costa Rica, Republic of"
  753. Costa Rica, Republic of
  754. </label>
  755. <label for="Cuba, Republic of" >
  756. <input type="checkbox" name="Cuba, Republic of" id="Cuba, Republic of"
  757. Cuba, Republic of
  758. </label>
  759. <label for="Dominica, Commonwealth of" >
  760. <input type="checkbox" name="Dominica, Commonwealth of" id="Dominica, Commonwealth of"
  761. Dominica, Commonwealth of
  762. </label>
  763. <label for="Dominican Republic" >
  764. <input type="checkbox" name="Dominican Republic" id="Dominican Republic"
  765. Dominican Republic
  766. </label>
  767. <label for="El Salvador, Republic of" >
  768. <input type="checkbox" name="El Salvador, Republic of" id="El Salvador, Republic of"
  769. El Salvador, Republic of
  770. </label>
  771. <label for="Greenland" >
  772. <input type="checkbox" name="Greenland" id="Greenland"
  773. Greenland
  774. </label>
  775. <label for="Grenada" >
  776. <input type="checkbox" name="Grenada" id="Grenada"
  777. Grenada
  778. </label>
  779. <label for="Guadeloupe" >
  780. <input type="checkbox" name="Guadeloupe" id="Guadeloupe"
  781. Guadeloupe
  782. </label>
  783. <label for="Guatemala, Republic of" >
  784. <input type="checkbox" name="Guatemala, Republic of" id="Guatemala, Republic of"
  785. Guatemala, Republic of
  786. </label>
  787. <label for="Haiti, Republic of" >
  788. <input type="checkbox" name="Haiti, Republic of" id="Haiti, Republic of"
  789. Haiti, Republic of
  790. </label>
  791. <label for="Honduras, Republic of" >
  792. <input type="checkbox" name="Honduras, Republic of" id="Honduras, Republic of"
  793. Honduras, Republic of
  794. </label>
  795. <label for="Jamaica" >
  796. <input type="checkbox" name="Jamaica" id="Jamaica"
  797. Jamaica
  798. </label>
  799. <label for="Martinique" >
  800. <input type="checkbox" name="Martinique" id="Martinique"
  801. Martinique
  802. </label>
  803. <label for="Mexico, United Mexican States" >
  804. <input type="checkbox" name="Mexico, United Mexican States" id="Mexico, United Mexican States"
  805. Mexico, United Mexican States
  806. </label>
  807. <label for="Montserrat" >
  808. <input type="checkbox" name="Montserrat" id="Montserrat"
  809. Montserrat
  810. </label>
  811. <label for="Netherlands Antilles" >
  812. <input type="checkbox" name="Netherlands Antilles" id="Netherlands Antilles"
  813. Netherlands Antilles
  814. </label>
  815. <label for="Nicaragua, Republic of" >
  816. <input type="checkbox" name="Nicaragua, Republic of" id="Nicaragua, Republic of"
  817. Nicaragua, Republic of
  818. </label>
  819. <label for="Panama, Republic of" >
  820. <input type="checkbox" name="Panama, Republic of" id="Panama, Republic of"
  821. Panama, Republic of
  822. </label>
  823. <label for="Puerto Rico, Commonwealth of" >
  824. <input type="checkbox" name="Puerto Rico, Commonwealth of" id="Puerto Rico, Commonwealth of"
  825. Puerto Rico, Commonwealth of
  826. </label>
  827. <label for="Saint Barthelemy" >
  828. <input type="checkbox" name="Saint Barthelemy" id="Saint Barthelemy"
  829. Saint Barthelemy
  830. </label>
  831. <label for="Saint Kitts and Nevis, Federation of" >
  832. <input type="checkbox" name="Saint Kitts and Nevis, Federation of" id="Saint Kitts and Nevis, Federation of"
  833. Saint Kitts and Nevis, Federation of
  834. </label>
  835. <label for="Saint Lucia" >
  836. <input type="checkbox" name="Saint Lucia" id="Saint Lucia"
  837. Saint Lucia
  838. </label>
  839. <label for="Saint Martin" >
  840. <input type="checkbox" name="Saint Martin" id="Saint Martin"
  841. Saint Martin
  842. </label>
  843. <label for="Saint Pierre and Miquelon" >
  844. <input type="checkbox" name="Saint Pierre and Miquelon" id="Saint Pierre and Miquelon"
  845. Saint Pierre and Miquelon
  846. </label>
  847. <label for="Saint Vincent and the Grenadines" >
  848. <input type="checkbox" name="Saint Vincent and the Grenadines" id="Saint Vincent and the Grenadines"
  849. Saint Vincent and the Grenadines
  850. </label>
  851. <label for="Trinidad and Tobago, Republic of" >
  852. <input type="checkbox" name="Trinidad and Tobago, Republic of" id="Trinidad and Tobago, Republic of"
  853. Trinidad and Tobago, Republic of
  854. </label>
  855. <label for="Turks and Caicos Islands" >
  856. <input type="checkbox" name="Turks and Caicos Islands" id="Turks and Caicos Islands"
  857. Turks and Caicos Islands
  858. </label>
  859. <label for="United States of America" >
  860. <input type="checkbox" name="United States of America" id="United States of America"
  861. United States of America
  862. </label>
  863. <label for="United States Virgin Islands" >
  864. <input type="checkbox" name="United States Virgin Islands" id="United States Virgin Islands"
  865. United States Virgin Islands
  866. </label>
  867. </div>
  868.  
  869. <span class="countryHeader">Oceania</span>
  870. <div class="countryCheckboxes" id="OceaniaCountries">
  871. <label for="American Samoa" >
  872. <input type="checkbox" name="American Samoa" id="American Samoa"
  873. American Samoa
  874. </label>
  875. <label for="Australia, Commonwealth of" >
  876. <input type="checkbox" name="Australia, Commonwealth of" id="Australia, Commonwealth of"
  877. Australia, Commonwealth of
  878. </label>
  879. <label for="Cook Islands" >
  880. <input type="checkbox" name="Cook Islands" id="Cook Islands"
  881. Cook Islands
  882. </label>
  883. <label for="Fiji, Republic of the Fiji Islands" >
  884. <input type="checkbox" name="Fiji, Republic of the Fiji Islands" id="Fiji, Republic of the Fiji Islands"
  885. Fiji, Republic of the Fiji Islands
  886. </label>
  887. <label for="French Polynesia" >
  888. <input type="checkbox" name="French Polynesia" id="French Polynesia"
  889. French Polynesia
  890. </label>
  891. <label for="Guam" >
  892. <input type="checkbox" name="Guam" id="Guam"
  893. Guam
  894. </label>
  895. <label for="Kiribati, Republic of" >
  896. <input type="checkbox" name="Kiribati, Republic of" id="Kiribati, Republic of"
  897. Kiribati, Republic of
  898. </label>
  899. <label for="Marshall Islands, Republic of the" >
  900. <input type="checkbox" name="Marshall Islands, Republic of the" id="Marshall Islands, Republic of the"
  901. Marshall Islands, Republic of the
  902. </label>
  903. <label for="Micronesia, Federated States of" >
  904. <input type="checkbox" name="Micronesia, Federated States of" id="Micronesia, Federated States of"
  905. Micronesia, Federated States of
  906. </label>
  907. <label for="Nauru, Republic of" >
  908. <input type="checkbox" name="Nauru, Republic of" id="Nauru, Republic of"
  909. Nauru, Republic of
  910. </label>
  911. <label for="New Caledonia" >
  912. <input type="checkbox" name="New Caledonia" id="New Caledonia"
  913. New Caledonia
  914. </label>
  915. <label for="New Zealand" >
  916. <input type="checkbox" name="New Zealand" id="New Zealand"
  917. New Zealand
  918. </label>
  919. <label for="Niue" >
  920. <input type="checkbox" name="Niue" id="Niue"
  921. Niue
  922. </label>
  923. <label for="Norfolk Island" >
  924. <input type="checkbox" name="Norfolk Island" id="Norfolk Island"
  925. Norfolk Island
  926. </label>
  927. <label for="Northern Mariana Islands, Commonwealth of the" >
  928. <input type="checkbox" name="Northern Mariana Islands, Commonwealth of the" id="Northern Mariana Islands, Commonwealth of the"
  929. Northern Mariana Islands, Commonwealth of the
  930. </label>
  931. <label for="Palau, Republic of" >
  932. <input type="checkbox" name="Palau, Republic of" id="Palau, Republic of"
  933. Palau, Republic of
  934. </label>
  935. <label for="Papua New Guinea, Independent State of" >
  936. <input type="checkbox" name="Papua New Guinea, Independent State of" id="Papua New Guinea, Independent State of"
  937. Papua New Guinea, Independent State of
  938. </label>
  939. <label for="Pitcairn Islands" >
  940. <input type="checkbox" name="Pitcairn Islands" id="Pitcairn Islands"
  941. Pitcairn Islands
  942. </label>
  943. <label for="Samoa, Independent State of" >
  944. <input type="checkbox" name="Samoa, Independent State of" id="Samoa, Independent State of"
  945. Samoa, Independent State of
  946. </label>
  947. <label for="Solomon Islands" >
  948. <input type="checkbox" name="Solomon Islands" id="Solomon Islands"
  949. Solomon Islands
  950. </label>
  951. <label for="Tokelau" >
  952. <input type="checkbox" name="Tokelau" id="Tokelau"
  953. Tokelau
  954. </label>
  955. <label for="Tonga, Kingdom of" >
  956. <input type="checkbox" name="Tonga, Kingdom of" id="Tonga, Kingdom of"
  957. Tonga, Kingdom of
  958. </label>
  959. <label for="Tuvalu" >
  960. <input type="checkbox" name="Tuvalu" id="Tuvalu"
  961. Tuvalu
  962. </label>
  963. <label for="United States Minor Outlying Islands" >
  964. <input type="checkbox" name="United States Minor Outlying Islands" id="United States Minor Outlying Islands"
  965. United States Minor Outlying Islands
  966. </label>
  967. <label for="Vanuatu, Republic of" >
  968. <input type="checkbox" name="Vanuatu, Republic of" id="Vanuatu, Republic of"
  969. Vanuatu, Republic of
  970. </label>
  971. <label for="Wallis and Futuna" >
  972. <input type="checkbox" name="Wallis and Futuna" id="Wallis and Futuna"
  973. Wallis and Futuna
  974. </label>
  975. </div>
  976.  
  977. <span class="countryHeader">South America</span>
  978. <div class="countryCheckboxes" id="SouthAmericaCountries">
  979. <label for="Argentina, Argentine Republic" >
  980. <input type="checkbox" name="Argentina, Argentine Republic" id="Argentina, Argentine Republic"
  981. Argentina, Argentine Republic
  982. </label>
  983. <label for="Bolivia, Republic of" >
  984. <input type="checkbox" name="Bolivia, Republic of" id="Bolivia, Republic of"
  985. Bolivia, Republic of
  986. </label>
  987. <label for="Brazil, Federative Republic of" >
  988. <input type="checkbox" name="Brazil, Federative Republic of" id="Brazil, Federative Republic of"
  989. Brazil, Federative Republic of
  990. </label>
  991. <label for="Chile, Republic of" >
  992. <input type="checkbox" name="Chile, Republic of" id="Chile, Republic of"
  993. Chile, Republic of
  994. </label>
  995. <label for="Colombia, Republic of" >
  996. <input type="checkbox" name="Colombia, Republic of" id="Colombia, Republic of"
  997. Colombia, Republic of
  998. </label>
  999. <label for="Ecuador, Republic of" >
  1000. <input type="checkbox" name="Ecuador, Republic of" id="Ecuador, Republic of"
  1001. Ecuador, Republic of
  1002. </label>
  1003. <label for="Falkland Islands (Malvinas)" >
  1004. <input type="checkbox" name="Falkland Islands (Malvinas)" id="Falkland Islands (Malvinas)"
  1005. Falkland Islands (Malvinas)
  1006. </label>
  1007. <label for="French Guiana" >
  1008. <input type="checkbox" name="French Guiana" id="French Guiana"
  1009. French Guiana
  1010. </label>
  1011. <label for="Guyana, Co-operative Republic of" >
  1012. <input type="checkbox" name="Guyana, Co-operative Republic of" id="Guyana, Co-operative Republic of"
  1013. Guyana, Co-operative Republic of
  1014. </label>
  1015. <label for="Paraguay, Republic of" >
  1016. <input type="checkbox" name="Paraguay, Republic of" id="Paraguay, Republic of"
  1017. Paraguay, Republic of
  1018. </label>
  1019. <label for="Peru, Republic of" >
  1020. <input type="checkbox" name="Peru, Republic of" id="Peru, Republic of"
  1021. Peru, Republic of
  1022. </label>
  1023. <label for="Suriname, Republic of" >
  1024. <input type="checkbox" name="Suriname, Republic of" id="Suriname, Republic of"
  1025. Suriname, Republic of
  1026. </label>
  1027. <label for="Uruguay, Eastern Republic of" >
  1028. <input type="checkbox" name="Uruguay, Eastern Republic of" id="Uruguay, Eastern Republic of"
  1029. Uruguay, Eastern Republic of
  1030. </label>
  1031. <label for="Venezuela, Bolivarian Republic of" >
  1032. <input type="checkbox" name="Venezuela, Bolivarian Republic of" id="Venezuela, Bolivarian Republic of"
  1033. Venezuela, Bolivarian Republic of
  1034. </label>
  1035. </div>
  1036. </form>
  1037. </body>

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