document.writeln('              <select class="input" name="country">\n                    <option value="Afganistan">Afganistan<\/option>\n                    <option value="Albania">Albania<\/option>\n                    <option value="Algeria">Algeria<\/option>\n                    <option value="American samoa">American Samoa<\/option>\n                    <option value="Andorra">Andorra<\/option>\n                    <option value="Angola">Angola<\/option>\n                    <option value="Anguilla">Anguilla<\/option>\n                    <option value="Antarctica">Antarctica<\/option>\n                    <option value="Antiqua">Antiqua<\/option>\n                    <option value="Argentina">Argentina<\/option>\n                    <option value="Armenia">Armenia<\/option>\n                    <option value="Aruba">Aruba<\/option>\n                    <option value="Australia">Australia<\/option>\n                    <option value="Austria">Austria<\/option>\n                    <option value="Azerbaijan">Azerbaijan<\/option>\n                    <option value="Bahamas">Bahamas<\/option>\n                    <option value="Bahrain">Bahrain<\/option>\n                    <option value="Bangladesh">Bangladesh<\/option>\n                    <option value="Barbados">Barbados<\/option>\n                    <option value="Belarus">Belarus<\/option>\n                    <option value="Belgium">Belgium<\/option>\n                    <option value="Belize">Belize<\/option>\n                    <option value="Benin">Benin<\/option>\n                    <option value="Bermuda">Bermuda<\/option>\n                    <option value="Bhutan">Bhutan<\/option>\n                    <option value="Bolivia">Bolivia<\/option>\n                    <option value="Bosnia and herzegovina">Bosnia and Herzegovina<\/option>\n                    <option value="Botswana">Botswana<\/option>\n                    <option value="Brazil">Brazil<\/option>\n                    <option value="British virgin">British Virgin<\/option>\n                    <option value="Brunei">Brunei<\/option>\n                    <option value="Buenos aries">Buenos Aries<\/option>\n                    <option value="Bulgaria">Bulgaria<\/option>\n                    <option value="Burkina faso">Burkina Faso<\/option>\n                    <option value="Burundi">Burundi<\/option>\n                    <option value="Cambodia">Cambodia<\/option>\n                    <option value="Cameroon">Cameroon<\/option>\n                    <option value="Canada">Canada<\/option>\n                    <option value="Cape verde island">Cape Verde Island<\/option>\n                    <option value="Cayman islands">Cayman Islands<\/option>\n                    <option value="Central african">Central African<\/option>\n                    <option value="Chad">Chad<\/option>\n                    <option value="Chile">Chile<\/option>\n                    <option value="China">China<\/option>\n                    <option value="Christmas island">Christmas Island<\/option>\n                    <option value="Cocos islands">Cocos Islands<\/option>\n                    <option value="Colombia">Colombia<\/option>\n                    <option value="Comoros">Comoros<\/option>\n                    <option value="Cook islands">Cook Islands<\/option>\n                    <option value="Costa rica">Costa Rica<\/option>\n                    <option value="Croatia">Croatia<\/option>\n                    <option value="Cuba">Cuba<\/option>\n                    <option value="Cyprus">Cyprus<\/option>\n                    <option value="Czech republic">Czech Republic<\/option>\n                    <option value="Denmark">Denmark<\/option>\n                    <option value="Djibouti">Djibouti<\/option>\n                    <option value="Dominica">Dominica<\/option>\n                    <option value="Dominican republic">Dominican Republic<\/option>\n                    <option value="Ecuador">Ecuador<\/option>\n                    <option value="Egypt">Egypt<\/option>\n                    <option value="El salvador">El Salvador<\/option>\n                    <option value="value">England, Great Britain, UK<\/option>\n                    <option value="Equat. guinea">Equat. Guinea<\/option>\n                    <option value="Eritrea">Eritrea<\/option>\n                    <option value="Estonia">Estonia<\/option>\n                    <option value="Ethiopia">Ethiopia<\/option>\n                    <option value="Faeroe island">Faeroe Island<\/option>\n                    <option value="Falkland">Falkland<\/option>\n                    <option value="Fiji islands">Fiji Islands<\/option>\n                    <option value="Finland">Finland<\/option>\n                    <option value="France">France<\/option>\n                    <option value="French antilles">French Antilles<\/option>\n                    <option value="French guiana">French Guiana<\/option>\n                    <option value="Gabon republic">Gabon Republic<\/option>\n                    <option value="Gambia">Gambia<\/option>\n                    <option value="Georgia rep.">Georgia Rep.<\/option>\n                    <option value="Germany">Germany<\/option>\n                    <option value="Ghana">Ghana<\/option>\n                    <option value="Gibraltar">Gibraltar<\/option>\n                    <option value="Greece">Greece<\/option>\n                    <option value="Greenland">Greenland<\/option>\n                    <option value="Grenada">Grenada<\/option>\n                    <option value="Guadaloupe">Guadaloupe<\/option>\n                    <option value="Guam">Guam<\/option>\n                    <option value="Guatemala">Guatemala<\/option>\n                    <option value="Guinea">Guinea<\/option>\n                    <option value="Guinea-Bissau">Guinea-Bissau<\/option>\n                    <option value="Guyana">Guyana<\/option>\n                    <option value="Haiti">Haiti<\/option>\n                    <option value="Honduras">Honduras<\/option>\n                    <option value="Hong kong">Hong Kong<\/option>\n                    <option value="Hungary">Hungary<\/option>\n                    <option value="Iceland">Iceland<\/option>\n                    <option value="India" selected="selected">India<\/option>\n                    <option value="Indonesia">Indonesia<\/option>\n                    <option value="Iran">Iran<\/option>\n                    <option value="Iraq">Iraq<\/option>\n                    <option value="Ireland">Ireland<\/option>\n                    <option value="Israel">Israel<\/option>\n                    <option value="Italy">Italy<\/option>\n                    <option value="Ivory coast">Ivory Coast<\/option>\n                    <option value="Jamaica">Jamaica<\/option>\n                    <option value="Japan">Japan<\/option>\n                    <option value="Jordan">Jordan<\/option>\n                    <option value="Kazakhstan">Kazakhstan<\/option>\n                    <option value="Kenya">Kenya<\/option>\n                    <option value="Kiribati">Kiribati<\/option>\n                    <option value="Korea North">Korea North<\/option>\n                    <option value="Korea South">Korea South<\/option>\n                    <option value="Kuwait">Kuwait<\/option>\n                    <option value="Kyrgystan">Kyrgystan<\/option>\n                    <option value="Laos">Laos<\/option>\n                    <option value="Latvia">Latvia<\/option>\n                    <option value="Lebanon">Lebanon<\/option>\n                    <option value="Lesotho">Lesotho<\/option>\n                    <option value="Liberia">Liberia<\/option>\n                    <option value="Libya">Libya<\/option>\n                    <option value="Liechtenstein">Liechtenstein<\/option>\n                    <option value="Lithuania">Lithuania<\/option>\n                    <option value="Luxembourg">Luxembourg<\/option>\n                    <option value="Macao">Macao<\/option>\n                    <option value="Macedonia">Macedonia<\/option>\n                    <option value="Madagascar">Madagascar<\/option>\n                    <option value="Malawi">Malawi<\/option>\n                    <option value="Malaysia">Malaysia<\/option>\n                    <option value="Maldives">Maldives<\/option>\n                    <option value="Mali">Mali<\/option>\n                    <option value="Malta">Malta<\/option>\n                    <option value="Maracaibo">Maracaibo<\/option>\n                    <option value="Marshall island">Marshall Island<\/option>\n                    <option value="Mauritania">Mauritania<\/option>\n                    <option value="Mauritius">Mauritius<\/option>\n                    <option value="Mexico">Mexico<\/option>\n                    <option value="Micronesia">Micronesia<\/option>\n                    <option value="Moldova">Moldova<\/option>\n                    <option value="Monaco">Monaco<\/option>\n                    <option value="Mongolia">Mongolia<\/option>\n                    <option value="Montserrat">Montserrat<\/option>\n                    <option value="Morocco">Morocco<\/option>\n                    <option value="Mozambique">Mozambique<\/option>\n                    <option value="Myanmar (burma)">Myanmar (Burma)<\/option>\n                    <option value="Naur">Naur<\/option>\n                    <option value="Nepal">Nepal<\/option>\n                    <option value="Netherlands">Netherlands<\/option>\n                    <option value="Netherlands ant">Netherlands Ant<\/option>\n                    <option value="Nevis">Nevis<\/option>\n                    <option value="New zealand">New Zealand<\/option>\n                    <option value="Nicaragua">Nicaragua<\/option>\n                    <option value="Niger">Niger<\/option>\n                    <option value="Nigeria">Nigeria<\/option>\n                    <option value="Niue">Niue<\/option>\n                    <option value="Norfolk island">Norfolk Island<\/option>\n                    <option value="Norway">Norway<\/option>\n                    <option value="Pakistan">Pakistan<\/option>\n                    <option value="Palau">Palau<\/option>\n                    <option value="Panama">Panama<\/option>\n                    <option value="Papau guinea new">Papau New Guinea<\/option>\n                    <option value="Paraguay">Paraguay<\/option>\n                    <option value="Peru">Peru<\/option>\n                    <option value="Philippenes">Philippenes<\/option>\n                    <option value="Poland">Poland<\/option>\n                    <option value="Portugal">Portugal<\/option>\n                    <option value="Puerto rico">Puerto Rico<\/option>\n                    <option value="Qatar">Qatar<\/option>\n                    <option value="Reunion island">Reunion Island<\/option>\n                    <option value="Romania">Romania<\/option>\n                    <option value="Russia">Russia<\/option>\n                    <option value="Rwanda">Rwanda<\/option>\n                    <option value="Saipan">Saipan<\/option>\n                    <option value="San marino">San Marino<\/option>\n                    <option value="Sao tome">Sao Tome<\/option>\n                    <option value="Saudi arabia">Saudi Arabia<\/option>\n                    <option value="Senegal republic">Senegal Republic<\/option>\n                    <option value="Seychelles island">Seychelles Island<\/option>\n                    <option value="Sierra leone">Sierra Leone<\/option>\n                    <option value="Singapore">Singapore<\/option>\n                    <option value="Slovakia">Slovakia<\/option>\n                    <option value="Slovenia">Slovenia<\/option>\n                    <option value="Solomon islands">Solomon Islands<\/option>\n                    <option value="Somalia">Somalia<\/option>\n                    <option value="South africa">South Africa<\/option>\n                    <option value="Spain">Spain<\/option>\n                    <option value="Sri lanka">Sri Lanka<\/option>\n                    <option value="St. helena">St. Helena<\/option>\n                    <option value="St. kitts">St. Kitts<\/option>\n                    <option value="St. lucia">St. Lucia<\/option>\n                    <option value="St. vincent">St. Vincent<\/option>\n                    <option value="Sudan">Sudan<\/option>\n                    <option value="Suriname">Suriname<\/option>\n                    <option value="Sweden">Sweden<\/option>\n                    <option value="Switzerland">Switzerland<\/option>\n                    <option value="Syria">Syria<\/option>\n                    <option value="Taiwan">Taiwan<\/option>\n                    <option value="Tajikstan">Tajikstan<\/option>\n                    <option value="Tanzania">Tanzania<\/option>\n                    <option value="Thailand">Thailand<\/option>\n                    <option value="Togo">Togo<\/option>\n                    <option value="Tonga islands">Tonga Islands<\/option>\n                    <option value="Trinidad &amp; tobago">Trinidad &amp; Tobago<\/option>\n                    <option value="Tunisia">Tunisia<\/option>\n                    <option value="Turkey">Turkey<\/option>\n                    <option value="Turkmenistan">Turkmenistan<\/option>\n                    <option value="Turks &amp; caicos">Turks &amp; Caicos<\/option>\n                    <option value="Tuvalu">Tuvalu<\/option>\n                    <option value="Uganda">Uganda<\/option>\n                    <option value="Ukraine">Ukraine<\/option>\n                    <option value="United arab emirates">United Arab Emirates<\/option>\n                    <option value="United Kingdom">United Kingdom\n                    <\/option><option value="Uruguay">Uruguay<\/option>\n                      <option value="United states">United States<\/option>\n                      <option value="Uzbekistan">Uzbekistan<\/option>\n                      <option value="Vanuatu republic">Vanuatu Republic<\/option>\n                      <option value="Vatican city">Vatican City<\/option>\n                      <option value="Venezuela">Venezuela<\/option>\n                      <option value="Vietnam">Vietnam<\/option>\n                      <option value="Virgin islandsst. croix john">Virgin Islands St. Croix, St. John<\/option>\n                      <option value="Wallis &amp; futuna">Wallis &amp; Futuna<\/option>\n                      <option value="Western samoa">Western Samoa<\/option>\n                      <option value="Yemen">Yemen<\/option>\n                      <option value="Yugoslavia">Yugoslavia<\/option>\n                      <option value="Zaire">Zaire<\/option>\n                      <option value="Zambia">Zambia<\/option>\n                      <option value="Zimbabwe">Zimbabwe<\/option>\n                <\/select>');