document.write('<select name="Country">'); 
document.write('<OPTION value="" selected>Select a Country');  
document.write('<OPTION VALUE="Afghanistan">Afghanistan');  
document.write('<OPTION VALUE="Albania">Albania');  
document.write('<OPTION VALUE="Algeria">Algeria');  
document.write('<OPTION VALUE="American Samoa">American Samoa');  
document.write('<OPTION VALUE="Andorra">Andorra');  
document.write('<OPTION VALUE="Angola">Angola');  
document.write('<OPTION VALUE="Anguilla">Anguilla');  
document.write('<OPTION VALUE="Antarctica">Antarctica');  
document.write('<OPTION VALUE="Antigua And Barbuda">Antigua And Barbuda');  
document.write('<OPTION VALUE="Argentina">Argentina');  
document.write('<OPTION VALUE="Armenia">Armenia');  
document.write('<OPTION VALUE="Aruba">Aruba');  
document.write('<OPTION VALUE="Australia">Australia');  
document.write('<OPTION VALUE="Austria">Austria');  
document.write('<OPTION VALUE="Azerbaijan">Azerbaijan');  
document.write('<OPTION VALUE="Bahamas">Bahamas');  
document.write('<OPTION VALUE="Bahrain">Bahrain');  
document.write('<OPTION VALUE="Bangladesh">Bangladesh');  
document.write('<OPTION VALUE="Barbados">Barbados');  
document.write('<OPTION VALUE="Belarus">Belarus');  
document.write('<OPTION VALUE="Belgium">Belgium');  
document.write('<OPTION VALUE="Belize">Belize');  
document.write('<OPTION VALUE="Benin">Benin');  
document.write('<OPTION VALUE="Bermuda">Bermuda');  
document.write('<OPTION VALUE="Bhutan">Bhutan');  
document.write('<OPTION VALUE="Bolivia">Bolivia');  
document.write('<OPTION VALUE="Bosnia and Herzegowina">Bosnia and Herzegowina');  
document.write('<OPTION VALUE="Botswana">Botswana');  
document.write('<OPTION VALUE="Bouvet Island">Bouvet Island');  
document.write('<OPTION VALUE="Brazil">Brazil');  
document.write('<OPTION VALUE="British Indian Ocean Terr.">British Indian Ocean Terr.');  
document.write('<OPTION VALUE="Brunei Darussalam">Brunei Darussalam');  
document.write('<OPTION VALUE="Bulgaria">Bulgaria');  
document.write('<OPTION VALUE="Burkina Faso">Burkina Faso');  
document.write('<OPTION VALUE="Burma">Burma');  
document.write('<OPTION VALUE="Burundi">Burundi');  
document.write('<OPTION VALUE="Cambodia">Cambodia');  
document.write('<OPTION VALUE="Cameroon">Cameroon');  
document.write('<OPTION VALUE="Canada">Canada');  
document.write('<OPTION VALUE="Cape Verde">Cape Verde');  
document.write('<OPTION VALUE="Cayman Islands">Cayman Islands');  
document.write('<OPTION VALUE="Central African Republic">Central African Republic');  
document.write('<OPTION VALUE="Chad">Chad');  
document.write('<OPTION VALUE="Chile">Chile');  
document.write('<OPTION VALUE="China">China');  
document.write('<OPTION VALUE="Christmas Island">Christmas Island');  
document.write('<OPTION VALUE="Cocos (Keeling) Islands">Cocos (Keeling) Islands');  
document.write('<OPTION VALUE="Colombia">Colombia');  
document.write('<OPTION VALUE="Comoros">Comoros');  
document.write('<OPTION VALUE="Congo">Congo');  
document.write('<OPTION VALUE="Congo, the Dem. Rep.">Congo,the Dem. Rep.');  
document.write('<OPTION VALUE="Cook Islands">Cook Islands');  
document.write('<OPTION VALUE="Costa Rica">Costa Rica');  
//document.write('<OPTION VALUE="Cote dIvoire">Cote d''Ivoirexxxxxxxxxxxxxxxx');  
document.write('<OPTION VALUE="Croatia">Croatia');  
document.write('<OPTION VALUE="Cyprus">Cyprus');  
document.write('<OPTION VALUE="Czech Republic">Czech Republic');  
document.write('<OPTION VALUE="Denmark">Denmark');  
document.write('<OPTION VALUE="Djibouti">Djibouti');  
document.write('<OPTION VALUE="Dominica">Dominica');  
document.write('<OPTION VALUE="Dominican Republic">Dominican Republic');  
document.write('<OPTION VALUE="East Timor">East Timor');  
document.write('<OPTION VALUE="Ecuador">Ecuador');  
document.write('<OPTION VALUE="Egypt">Egypt');  
document.write('<OPTION VALUE="El Salvador">El Salvador');  
document.write('<OPTION VALUE="England">England');  
document.write('<OPTION VALUE="Equatorial Guinea">Equatorial Guinea');  
document.write('<OPTION VALUE="Eritrea">Eritrea');  
document.write('<OPTION VALUE="Espana">Espana');  
document.write('<OPTION VALUE="Estonia">Estonia');  
document.write('<OPTION VALUE="Ethiopia">Ethiopia');  
document.write('<OPTION VALUE="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)');  
document.write('<OPTION VALUE="Faroe Islands">Faroe Islands');  
document.write('<OPTION VALUE="Fiji">Fiji');  
document.write('<OPTION VALUE="Finland">Finland');  
document.write('<OPTION VALUE="France">France');  
document.write('<OPTION VALUE="French Guiana">French Guiana');  
document.write('<OPTION VALUE="French Polynesia">French Polynesia');  
document.write('<OPTION VALUE="French Southern Territories">French Southern Territories');  
document.write('<OPTION VALUE="Gabon">Gabon');  
document.write('<OPTION VALUE="Gambia">Gambia');  
document.write('<OPTION VALUE="Georgia">Georgia');  
document.write('<OPTION VALUE="Germany">Germany');  
document.write('<OPTION VALUE="Ghana">Ghana');  
document.write('<OPTION VALUE="Gibraltar">Gibraltar');  
document.write('<OPTION VALUE="Great Britain">Great Britain');  
document.write('<OPTION VALUE="Greece">Greece');  
document.write('<OPTION VALUE="Greenland">Greenland');  
document.write('<OPTION VALUE="Grenada">Grenada');  
document.write('<OPTION VALUE="Guadeloupe">Guadeloupe');  
document.write('<OPTION VALUE="Guam">Guam');  
document.write('<OPTION VALUE="Guatemala">Guatemala');  
document.write('<OPTION VALUE="Guinea">Guinea');  
document.write('<OPTION VALUE="Guinea-Bissau">Guinea-Bissau');  
document.write('<OPTION VALUE="Guyana">Guyana');  
document.write('<OPTION VALUE="Haiti">Haiti');  
document.write('<OPTION VALUE="Heard/McDonald Is.">Heard/McDonald Is.');  
document.write('<OPTION VALUE="Holy See (Vatican)">Holy See (Vatican)');  
document.write('<OPTION VALUE="Honduras">Honduras '); 
document.write('<OPTION VALUE="Hong Kong">Hong Kong');  
document.write('<OPTION VALUE="Hungary">Hungary');  
document.write('<OPTION VALUE="Iceland">Iceland');  
document.write('<OPTION VALUE="India">India');  
document.write('<OPTION VALUE="Indonesia">Indonesia');  
document.write('<OPTION VALUE="Ireland">Ireland');  
document.write('<OPTION VALUE="Israel">Israel');  
document.write('<OPTION VALUE="Italy">Italy');  
document.write('<OPTION VALUE="Jamaica">Jamaica');  
document.write('<OPTION VALUE="Japan">Japan');  
document.write('<OPTION VALUE="Jordan">Jordan');  
document.write('<OPTION VALUE="Kazakhstan">Kazakhstan');  
document.write('<OPTION VALUE="Kenya">Kenya');  
document.write('<OPTION VALUE="Kiribati">Kiribati');  
document.write('<OPTION VALUE="Korea (South)">Korea (South)');  
document.write('<OPTION VALUE="Korea, Republic of">Korea, Republic of');  
document.write('<OPTION VALUE="Kuwait">Kuwait');  
document.write('<OPTION VALUE="Kyrgyzstan">Kyrgyzstan');  
document.write('<OPTION VALUE="Lao">Lao');  
document.write('<OPTION VALUE="Latvia">Latvia');  
document.write('<OPTION VALUE="Lebanon">Lebanon');  
document.write('<OPTION VALUE="Lesotho">Lesotho');  
document.write('<OPTION VALUE="Liberia">Liberia');  
document.write('<OPTION VALUE="Liechtenstein">Liechtenstein');  
document.write('<OPTION VALUE="Lithuania">Lithuania');  
document.write('<OPTION VALUE="Luxembourg">Luxembourg');  
document.write('<OPTION VALUE="Macau">Macau');  
document.write('<OPTION VALUE="Macedonia">Macedonia');  
document.write('<OPTION VALUE="Madagascar">Madagascar');  
document.write('<OPTION VALUE="Malawi">Malawi');  
document.write('<OPTION VALUE="Malaysia">Malaysia');  
document.write('<OPTION VALUE="Maldives">Maldives');  
document.write('<OPTION VALUE="Mali">Mali');  
document.write('<OPTION VALUE="Malta">Malta');  
document.write('<OPTION VALUE="Marshall Islands">Marshall Islands');  
document.write('<OPTION VALUE="Martinique">Martinique');  
document.write('<OPTION VALUE="Mauritania">Mauritania');  
document.write('<OPTION VALUE="Mauritius">Mauritius');  
document.write('<OPTION VALUE="Mayotte">Mayotte');  
document.write('<OPTION VALUE="Mexico">Mexico');  
document.write('<OPTION VALUE="Micronesia">Micronesia');  
document.write('<OPTION VALUE="Moldova">Moldova');  
document.write('<OPTION VALUE="Monaco">Monaco');  
document.write('<OPTION VALUE="Mongolia">Mongolia');  
document.write('<OPTION VALUE="Montserrat">Montserrat');  
document.write('<OPTION VALUE="Morocco">Morocco');  
document.write('<OPTION VALUE="Mozambique">Mozambique');  
document.write('<OPTION VALUE="Myanmar">Myanmar');  
document.write('<OPTION VALUE="Namibia">Namibia');  
document.write('<OPTION VALUE="Nauru">Nauru');  
document.write('<OPTION VALUE="Nepal">Nepal');  
document.write('<OPTION VALUE="Netherlands">Netherlands');  
document.write('<OPTION VALUE="Netherlands Antilles">Netherlands Antilles');  
document.write('<OPTION VALUE="New Caledonia">New Caledonia');  
document.write('<OPTION VALUE="New Zealand">New Zealand');  
document.write('<OPTION VALUE="Nicaragua">Nicaragua');  
document.write('<OPTION VALUE="Niger">Niger');  
document.write('<OPTION VALUE="Nigeria">Nigeria');  
document.write('<OPTION VALUE="Niue">Niue');  
document.write('<OPTION VALUE="Norfolk Island">Norfolk Island');  
document.write('<OPTION VALUE="Northern Ireland">Northern Ireland');  
document.write('<OPTION VALUE="Northern Mariana Islands">Northern Mariana Islands');  
document.write('<OPTION VALUE="Norway">Norway');  
document.write('<OPTION VALUE="Oman">Oman');  
document.write('<OPTION VALUE="Pakistan">Pakistan');  
document.write('<OPTION VALUE="Palau">Palau');  
document.write('<OPTION VALUE="Panama">Panama');  
document.write('<OPTION VALUE="Papua New Guinea">Papua new Guinea');  
document.write('<OPTION VALUE="Paraguay">Paraguay');  
document.write('<OPTION VALUE="Peru">Peru');  
document.write('<OPTION VALUE="Philippines">Philippines');  
document.write('<OPTION VALUE="Pitcairn">Pitcairn');  
document.write('<OPTION VALUE="Poland">Poland');  
document.write('<OPTION VALUE="Portugal">Portugal');  
document.write('<OPTION VALUE="Puerto Rico">Puerto Rico');  
document.write('<OPTION VALUE="Qatar">Qatar');  
document.write('<OPTION VALUE="Reunion">Reunion');  
document.write('<OPTION VALUE="Romania">Romania');  
document.write('<OPTION VALUE="Russia">Russia');  
document.write('<OPTION VALUE="Russian Federation">Russian Federation');  
document.write('<OPTION VALUE="Rwanda">Rwanda');  
document.write('<OPTION VALUE="St. Kitts and Nevis">St. Kitts and Nevis');  
document.write('<OPTION VALUE="St. Lucia">St. Lucia');  
document.write('<OPTION VALUE="St. Vincent/Grenadines">St. Vincent/Grenadines');  
document.write('<OPTION VALUE="Samoa">Samoa');  
document.write('<OPTION VALUE="San Marino">San Marino');  
document.write('<OPTION VALUE="Sao Tome and Principe">Sao Tome and Principe');  
document.write('<OPTION VALUE="Saudi Arabia">Saudi Arabia');  
document.write('<OPTION VALUE="Scotland">Scotland');  
document.write('<OPTION VALUE="Senegal">Senegal');  
document.write('<OPTION VALUE="Seychelles">Seychelles');  
document.write('<OPTION VALUE="Sierra Leone">Sierra Leone');  
document.write('<OPTION VALUE="Singapore">Singapore');  
document.write('<OPTION VALUE="Slovakia">Slovakia');  
document.write('<OPTION VALUE="Slovenia">Slovenia');  
document.write('<OPTION VALUE="Solomon Islands">Solomon Islands');  
document.write('<OPTION VALUE="Somalia">Somalia');  
document.write('<OPTION VALUE="South Africa">South Africa');  
document.write('<OPTION VALUE="S. Georgia/S. Sandwich Is.">S. Georgia/S. Sandwich Is.');  
document.write('<OPTION VALUE="South Korea">South Korea');  
document.write('<OPTION VALUE="Spain">Spain');  
document.write('<OPTION VALUE="Sri Lanka">Sri Lanka');  
document.write('<OPTION VALUE="St. Helena">St. Helena');  
document.write('<OPTION VALUE="St. Pierre and Miquelon">St. Pierre and Miquelon');  
document.write('<OPTION VALUE="Suriname">Suriname');  
document.write('<OPTION VALUE="Svalbard/Jan Mayen Is.">Svalbard/Jan Mayen Is.');  
document.write('<OPTION VALUE="Swaziland">Swaziland');  
document.write('<OPTION VALUE="Sweden">Sweden');  
document.write('<OPTION VALUE="Switzerland">Switzerland');  
document.write('<OPTION VALUE="Taiwan">Taiwan');  
document.write('<OPTION VALUE="Tajikistan">Tajikistan');  
document.write('<OPTION VALUE="Tanzania">Tanzania');  
document.write('<OPTION VALUE="Thailand">Thailand');  
document.write('<OPTION VALUE="Togo">Togo');  
document.write('<OPTION VALUE="Tokelau">Tokelau');  
document.write('<OPTION VALUE="Tonga">Tonga');  
document.write('<OPTION VALUE="Trinidad">Trinidad');  
document.write('<OPTION VALUE="Trinidad and Tobago">Trinidad and Tobago');  
document.write('<OPTION VALUE="Tunisia">Tunisia');  
document.write('<OPTION VALUE="Turkey">Turkey');  
document.write('<OPTION VALUE="Turkmenistan">Turkmenistan');  
document.write('<OPTION VALUE="Turks and Caicos Islands">Turks and Caicos Islands');  
document.write('<OPTION VALUE="Tuvalu">Tuvalu');  
document.write('<OPTION VALUE="Uganda">Uganda');  
document.write('<OPTION VALUE="Ukraine">Ukraine');  
document.write('<OPTION VALUE="United Arab Emirates">United Arab Emirates');  
document.write('<OPTION VALUE="United Kingdom">United Kingdom');  
document.write('<OPTION VALUE="USA">United States');  
document.write('<OPTION VALUE="US Minor Outlying Is.">US Minor Outlying Is.');  
document.write('<OPTION VALUE="Uruguay">Uruguay '); 
document.write('<OPTION VALUE="Uzbekistan">Uzbekistan');  
document.write('<OPTION VALUE="Vanuatu">Vanuatu');  
document.write('<OPTION VALUE="Venezuela">Venezuela');  
document.write('<OPTION VALUE="Viet Nam">Viet Nam');  
document.write('<OPTION VALUE="Virgin Islands (British)">Virgin Islands (British)');  
document.write('<OPTION VALUE="Virgin Islands (U.S.)">Virgin Islands (U.S.)');  
document.write('<OPTION VALUE="Wales">Wales');  
document.write('<OPTION VALUE="Wallis and Futuna Islands">Wallis and Futuna Islands');  
document.write('<OPTION VALUE="Western Sahara">Western Sahara');  
document.write('<OPTION VALUE="Yemen">Yemen');  
document.write('<OPTION VALUE="Yugoslavia">Yugoslavia');  
document.write('<OPTION VALUE="Zambia">Zambia');  
document.write('<OPTION VALUE="Zimbabwe">Zimbabwe'); 
document.write('<OPTION VALUE="">==============================='); 
document.write('<OPTION VALUE="Other">Other: Use Comments area of form');  
document.write('</select>');