<select name="country">
<option value="">Select a country</option>
<option value="AFGHANISTAN">AFGHANISTAN</option>
<option value="&Aring;LAND ISLANDS">&Aring;LAND ISLANDS</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="ANGUILLA">ANGUILLA</option>
<option value="ANTARCTICA">ANTARCTICA</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="BOUVET ISLAND">BOUVET ISLAND</option>
<option value="BRAZIL">BRAZIL</option>
<option value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
<option value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</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="CAPE VERDE">CAPE VERDE</option>
<option value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
<option value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
<option value="CHAD">CHAD</option>
<option value="CHILE">CHILE</option>
<option value="CHINA">CHINA</option>
<option value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
<option value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
<option value="COLOMBIA">COLOMBIA</option>
<option value="COMOROS">COMOROS</option>
<option value="CONGO">CONGO</option>
<option value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
<option value="COOK ISLANDS">COOK ISLANDS</option>
<option value="COSTA RICA">COSTA RICA</option>
<option value="C&Ocirc;TE D'IVOIRE">C&Ocirc;TE D'IVOIRE</option>
<option value="CROATIA">CROATIA</option>
<option value="CUBA">CUBA</option>
<option value="CYPRUS">CYPRUS</option>
<option value="CZECH REPUBLIC">CZECH REPUBLIC</option>
<option value="DENMARK">DENMARK</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="ETHIOPIA">ETHIOPIA</option>
<option value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
<option value="FAROE ISLANDS">FAROE 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="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</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="HEARD ISLAND AND MCDONALD ISLANDS">HEARD ISLAND AND MCDONALD ISLANDS</option>
<option value="HOLY SEE (VATICAN CITY STATE)">HOLY SEE (VATICAN CITY STATE)</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, ISLAMIC REPUBLIC OF">IRAN, ISLAMIC REPUBLIC OF</option>
<option value="IRAQ">IRAQ</option>
<option value="IRELAND">IRELAND</option>
<option value="ISLE OF MAN">ISLE OF MAN</option>
<option value="ISRAEL">ISRAEL</option>
<option value="ITALY">ITALY</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, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
<option value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
<option value="KUWAIT">KUWAIT</option>
<option value="KYRGYZSTAN">KYRGYZSTAN</option>
<option value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
<option value="LATVIA">LATVIA</option>
<option value="LEBANON">LEBANON</option>
<option value="LESOTHO">LESOTHO</option>
<option value="LIBERIA">LIBERIA</option>
<option value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
<option value="LIECHTENSTEIN">LIECHTENSTEIN</option>
<option value="LITHUANIA">LITHUANIA</option>
<option value="LUXEMBOURG">LUXEMBOURG</option>
<option value="MACAO">MACAO</option>
<option value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF</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="MAYOTTE">MAYOTTE</option>
<option value="MEXICO">MEXICO</option>
<option value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
<option value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
<option value="MONACO">MONACO</option>
<option value="MONGOLIA">MONGOLIA</option>
<option value="MONTENEGRO">MONTENEGRO</option>
<option value="MONTSERRAT">MONTSERRAT</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 CALEDONIA">NEW CALEDONIA</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="NIUE">NIUE</option>
<option value="NORFOLK ISLAND">NORFOLK ISLAND</option>
<option value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
<option value="NORWAY">NORWAY</option>
<option value="OMAN">OMAN</option>
<option value="PAKISTAN">PAKISTAN</option>
<option value="PALAU">PALAU</option>
<option value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</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="PITCAIRN">PITCAIRN</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="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
<option value="RWANDA">RWANDA</option>
<option value="SAINT BARTH&Eacute;LEMY">SAINT BARTH&Eacute;LEMY</option>
<option value="SAINT HELENA">SAINT HELENA</option>
<option value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
<option value="SAINT LUCIA">SAINT LUCIA</option>
<option value="SAINT MARTIN">SAINT MARTIN</option>
<option value="SAINT PIERRE AND MIQUELON">SAINT PIERRE AND MIQUELON</option>
<option value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
<option value="SAMOA">SAMOA</option>
<option value="SAN MARINO">SAN MARINO</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 GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
<option value="SPAIN">SPAIN</option>
<option value="SRI LANKA">SRI LANKA</option>
<option value="SUDAN">SUDAN</option>
<option value="SURINAME">SURINAME</option>
<option value="SVALBARD AND JAN MAYEN">SVALBARD AND JAN MAYEN</option>
<option value="SWAZILAND">SWAZILAND</option>
<option value="SWEDEN">SWEDEN</option>
<option value="SWITZERLAND">SWITZERLAND</option>
<option value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
<option value="TAIWAN, PROVINCE OF CHINA">TAIWAN, PROVINCE OF CHINA</option>
<option value="TAJIKISTAN">TAJIKISTAN</option>
<option value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
<option value="THAILAND">THAILAND</option>
<option value="TIMOR-LESTE">TIMOR-LESTE</option>
<option value="TOGO">TOGO</option>
<option value="TOKELAU">TOKELAU</option>
<option value="TONGA">TONGA</option>
<option value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
<option value="TUNISIA">TUNISIA</option>
<option value="TURKEY">TURKEY</option>
<option value="TURKMENISTAN">TURKMENISTAN</option>
<option value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
<option value="TUVALU">TUVALU</option>
<option value="UGANDA">UGANDA</option>
<option value="UKRAINE">UKRAINE</option>
<option value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
<option value="UNITED KINGDOM">UNITED KINGDOM</option>
<option value="UNITED STATES">UNITED STATES</option>
<option value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
<option value="URUGUAY">URUGUAY</option>
<option value="UZBEKISTAN">UZBEKISTAN</option>
<option value="VANUATU">VANUATU</option>
<option value="VENEZUELA">VENEZUELA</option>
<option value="VIET NAM">VIET NAM</option>
<option value="VIRGIN ISLANDS, BRITISH">VIRGIN ISLANDS, BRITISH</option>
<option value="VIRGIN ISLANDS, U.S.">VIRGIN ISLANDS, U.S.</option>
<option value="WALLIS AND FUTUNA">WALLIS AND FUTUNA</option>
<option value="WESTERN SAHARA">WESTERN SAHARA</option>
<option value="YEMEN">YEMEN</option>
<option value="ZAMBIA">ZAMBIA</option>
<option value="ZIMBABWE">ZIMBABWE</option>
</select>