var selectmenu;
var selectmenu2;
selectmenu = '<select name="stateProvince" class="formjump" style="width: 165; color: BLACK; font-family: Arial; font-size: 12px; border: 1px solid #000000">';
selectmenu += '<option value="  ">Select a State/Province ';
selectmenu += '<option value="AL">Alabama ';
selectmenu += '                                        <option value="AK">Alaska';
selectmenu += '                                        <option value="AZ">Arizona';
selectmenu += '                                        <option value="AR">Arkansas';
selectmenu += '                                        <option value="CA">California';
selectmenu += '                                        <option value="CO">Colorado';
selectmenu += '                                        <option value="CT">Connecticut'; 
selectmenu += '                                        <option value="DE">Delaware';
selectmenu += '                                        <option value="DC">District of Columbia';
selectmenu += '                                        <option value="FL">Florida';
selectmenu += '                                        <option value="GA">Georgia';
selectmenu += '                                        <option value="HI">Hawaii';
selectmenu += '                                        <option value="ID">Idaho';
selectmenu += '                                        <option value="IL">Illinois';
selectmenu += '                                        <option value="IN">Indiana';
selectmenu += '                                        <option value="IA">Iowa';
selectmenu += '                                        <option value="KS">Kansas';
selectmenu += '                                        <option value="KY">Kentucky';
selectmenu += '                                        <option value="LA">Louisiana';
selectmenu += '                                        <option value="ME">Maine';
selectmenu += '                                        <option value="MD">Maryland';
selectmenu += '                                        <option value="MA">Massachusetts';
selectmenu += '                                        <option value="MI">Michigan';
selectmenu += '                                        <option value="MN">Minnesota';
selectmenu += '                                        <option value="MS">Mississippi';
selectmenu += '                                        <option value="MO">Missouri';
selectmenu += '                                        <option value="MT">Montana';
selectmenu += '                                        <option value="NE">Nebraska';
selectmenu += '                                        <option value="NV">Nevada';
selectmenu += '                                        <option value="NH">New Hampshire';
selectmenu += '                                        <option value="NJ">New Jersey';
selectmenu += '                                        <option value="NM">New Mexico';
selectmenu += '                                        <option value="NY">New York';
selectmenu += '                                        <option value="NC">North Carolina';
selectmenu += '                                        <option value="ND">North Dakota';
selectmenu += '                                        <option value="OH">Ohio';
selectmenu += '                                        <option value="OK">Oklahoma';
selectmenu += '                                        <option value="OR">Oregon';
selectmenu += '                                        <option value="PA">Pennsylvania';
selectmenu += '                                        <option value="RI">Rhode Island';
selectmenu += '                                        <option value="SC">South Carolina';
selectmenu += '                                        <option value="SD">South Dakota';
selectmenu += '                                        <option value="TN">Tennessee';
selectmenu += '                                        <option value="TX">Texas';
selectmenu += '                                        <option value="UT">Utah';
selectmenu += '                                        <option value="VT">Vermont';
selectmenu += '                                        <option value="VA">Virginia';
selectmenu += '                                        <option value="WA">Washington';
selectmenu += '                                        <option value="WV">West Virginia';
selectmenu += '                                        <option value="WI">Wisconsin';
selectmenu += '                                        <option value="WY">Wyoming';
selectmenu += '                                        <option value="  "> ';
selectmenu += '                                        <option value="AB">Alberta';
selectmenu += '                                        <option value="BC">British Columbia';
selectmenu += '                                        <option value="MB">Manitoba';
selectmenu += '                                        <option value="NB">New Brunswick';
selectmenu += '                                        <option value="NF">Newfoundland';
selectmenu += '                                        <option value="NT">Northwest Territory';
selectmenu += '                                        <option value="NS">Nova Scotia';
selectmenu += '                                        <option value="ON">Ontario';
selectmenu += '                                        <option value="PE">Prince Edward Island';
selectmenu += '                                        <option value="PQ">Quebec';
selectmenu += '                                        <option value="SP">St. Pierre & Miguelon';
selectmenu += '                                        <option value="SK">Saskatchewan';
selectmenu += '                                        <option value="YU">Yukon Territory';
selectmenu += '                                        <option value="  "> ';
selectmenu += '                                        <option value="AC">Australian Capital';
selectmenu += '                                        <option value="NW">New South Wales';
selectmenu += '                                        <option value="NO">Northern Territory';
selectmenu += '                                        <option value="QL">Queensland';
selectmenu += '                                        <option value="SA">South Australia';
selectmenu += '                                        <option value="TS">Tasmania';
selectmenu += '                                        <option value="VC">Victoria';
selectmenu += '                                        <option value="WT">Western Australia';
selectmenu += '                                      </select>';


selectmenu2 = '<select name="country" class="formjump" style="width: 205; color: BLACK; font-family: Arial; font-size: 12px; border: 1px solid #000000">';
selectmenu2 += '                                        <option value="Andorra" >Andorra';
selectmenu2 += '                                        <option value="United Arab Emirates" >United Arab Emirates';
selectmenu2 += '                                        <option value="Afghanistan" >Afghanistan';
selectmenu2 += '                                        <option value="Antigua And Barbuda" >Antigua And Barbuda';
selectmenu2 += '                                        <option value="Anguilla" >Anguilla';
selectmenu2 += '                                        <option value="Albania" >Albania';
selectmenu2 += '                                        <option value="Armenia" >Armenia';
selectmenu2 += '                                        <option value="Netherlands Antilles" >Netherlands Antilles';
selectmenu2 += '                                        <option value="Angola" >Angola';
selectmenu2 += '                                        <option value="Antarctica" >Antarctica';
selectmenu2 += '                                        <option value="Argentina" >Argentina';
selectmenu2 += '                                        <option value="American Samoa" >American Samoa';
selectmenu2 += '                                        <option value="Austria" >Austria';
selectmenu2 += '                                        <option value="Australia" >Australia';
selectmenu2 += '                                        <option value="Aruba" >Aruba';
selectmenu2 += '                                        <option value="Azerbaijan" >Azerbaijan';
selectmenu2 += '                                        <option value="Bosnia And Herzegovinia" >Bosnia And Herzegovinia';
selectmenu2 += '                                        <option value="Barbados" >Barbados';
selectmenu2 += '                                        <option value="Bangladesh" >Bangladesh';
selectmenu2 += '                                        <option value="Belgium" >Belgium'; 
selectmenu2 += '                                        <option value="Burkina Faso" >Burkina Faso';
selectmenu2 += '                                        <option value="Bulgaria" >Bulgaria';
selectmenu2 += '                                        <option value="Bahrain" >Bahrain';
selectmenu2 += '                                        <option value="Burundi" >Burundi';
selectmenu2 += '                                        <option value="Benin" >Benin';
selectmenu2 += '                                        <option value="Bermuda" >Bermuda';
selectmenu2 += '                                        <option value="Brunei Darussalam" >Brunei Darussalam';
selectmenu2 += '                                        <option value="Bolivia" >Bolivia';
selectmenu2 += '                                        <option value="Brazil" >Brazil';
selectmenu2 += '                                        <option value="Bahamas" >Bahamas';
selectmenu2 += '                                        <option value="Bhutan" >Bhutan';
selectmenu2 += '                                        <option value="Bouvet Island" >Bouvet Island';
selectmenu2 += '                                        <option value="Botswana" >Botswana';
selectmenu2 += '                                        <option value="Belarus" >Belarus';
selectmenu2 += '                                        <option value="Belize" >Belize';
selectmenu2 += '                                        <option value="Canada" >Canada';
selectmenu2 += '                                        <option value="Cocos (Keeling) Islands" >Cocos (Keeling) Islands';
selectmenu2 += '                                        <option value="Congo, DR Of The" >Congo, DR Of The';
selectmenu2 += '                                        <option value="Central African Republic" >Central African Republic';
selectmenu2 += '                                        <option value="Congo" >Congo';
selectmenu2 += '                                        <option value="Switzerland" >Switzerland';
selectmenu2 += '                                        <option value="Cook Islands" >Cook Islands';
selectmenu2 += '                                        <option value="Chile" >Chile';
selectmenu2 += '                                        <option value="Cameroon" >Cameroon';
selectmenu2 += '                                        <option value="China" >China';
selectmenu2 += '                                        <option value="Colombia" >Colombia';
selectmenu2 += '                                        <option value="Costa Rica" >Costa Rica';
selectmenu2 += '                                        <option value="Cuba" >Cuba';
selectmenu2 += '                                        <option value="Cape Verde" >Cape Verde';
selectmenu2 += '                                        <option value="Christmas Island" >Christmas Island';
selectmenu2 += '                                        <option value="Cyprus" >Cyprus';
selectmenu2 += '                                        <option value="Czech Republic" >Czech Republic';
selectmenu2 += '                                        <option value="Germany" >Germany';
selectmenu2 += '                                        <option value="Djibouti" >Djibouti';
selectmenu2 += '                                        <option value="Denmark" >Denmark';
selectmenu2 += '                                        <option value="Dominica" >Dominica';
selectmenu2 += '                                        <option value="Dominican Republic" >Dominican Republic';
selectmenu2 += '                                        <option value="Algeria" >Algeria';
selectmenu2 += '                                        <option value="Ecuador" >Ecuador';
selectmenu2 += '                                        <option value="Estonia" >Estonia';
selectmenu2 += '                                        <option value="Egypt" >Egypt';
selectmenu2 += '                                        <option value="Western Sahara" >Western Sahara';
selectmenu2 += '                                        <option value="Eritrea" >Eritrea';
selectmenu2 += '                                        <option value="Spain" >Spain';
selectmenu2 += '                                        <option value="Ethiopia" >Ethiopia';
selectmenu2 += '                                        <option value="Finland" >Finland';
selectmenu2 += '                                        <option value="Fiji" >Fiji';
selectmenu2 += '                                        <option value="Falkland Islands" >Falkland Islands';
selectmenu2 += '                                        <option value="Micronesia, FS Of" >Micronesia, FS Of';
selectmenu2 += '                                        <option value="Faroe Islands" >Faroe Islands';
selectmenu2 += '                                        <option value="France" >France';
selectmenu2 += '                                        <option value="France, Metropolitan" >France, Metropolitan';
selectmenu2 += '                                        <option value="Gabon" >Gabon';
selectmenu2 += '                                        <option value="United Kingdom" >United Kingdom';
selectmenu2 += '                                        <option value="Grenada" >Grenada';
selectmenu2 += '                                        <option value="Georgia" >Georgia';
selectmenu2 += '                                        <option value="French Guiana" >French Guiana';
selectmenu2 += '                                        <option value="Ghana" >Ghana';
selectmenu2 += '                                        <option value="Gibraltar" >Gibraltar';
selectmenu2 += '                                        <option value="Greenland" >Greenland';
selectmenu2 += '                                        <option value="Gambia" >Gambia';
selectmenu2 += '                                        <option value="Guinea" >Guinea';
selectmenu2 += '                                        <option value="Guadeloupe" >Guadeloupe';
selectmenu2 += '                                        <option value="Equatorial Guinea" >Equatorial Guinea';
selectmenu2 += '                                        <option value="Greece" >Greece';
selectmenu2 += '                                        <option value="South Georgia" >South Georgia';
selectmenu2 += '                                        <option value="Guatemala" >Guatemala';
selectmenu2 += '                                        <option value="Guam" >Guam';
selectmenu2 += '                                        <option value="Guinea-Bissau" >Guinea-Bissau';
selectmenu2 += '                                        <option value="Guyana" >Guyana';
selectmenu2 += '                                        <option value="Hong Kong" >Hong Kong';
selectmenu2 += '                                        <option value="Heard And Mcdonald Islands" >Heard And Mcdonald Islands';
selectmenu2 += '                                        <option value="Honduras" >Honduras';
selectmenu2 += '                                        <option value="Croatia" >Croatia';
selectmenu2 += '                                        <option value="Haiti" >Haiti';
selectmenu2 += '                                        <option value="Hungary" >Hungary';
selectmenu2 += '                                        <option value="Indonesia" >Indonesia';
selectmenu2 += '                                        <option value="Ireland" >Ireland';
selectmenu2 += '                                        <option value="Israel" >Israel';
selectmenu2 += '                                        <option value="India" >India';
selectmenu2 += '                                        <option value="British Indian Ocean Territory" >British Indian Ocean Territory';
selectmenu2 += '                                        <option value="Iraq" >Iraq';
selectmenu2 += '                                        <option value="Iran" >Iran';
selectmenu2 += '                                        <option value="Iceland" >Iceland';
selectmenu2 += '                                        <option value="Italy" >Italy';
selectmenu2 += '                                        <option value="Jamaica" >Jamaica';
selectmenu2 += '                                        <option value="Jordan" >Jordan';
selectmenu2 += '                                        <option value="Japan" >Japan';
selectmenu2 += '                                        <option value="Kenya" >Kenya';
selectmenu2 += '                                        <option value="Kyrgyzstan" >Kyrgyzstan';
selectmenu2 += '                                        <option value="Cambodia" >Cambodia';
selectmenu2 += '                                        <option value="Kiribati" >Kiribati';
selectmenu2 += '                                        <option value="Comoros" >Comoros';
selectmenu2 += '                                        <option value="Saint Kitts And Nevis" >Saint Kitts And Nevis';
selectmenu2 += '                                        <option value="Korea, DPR Of" >Korea, DPR Of';
selectmenu2 += '                                        <option value="Korea, Republic Of" >Korea, Republic Of';
selectmenu2 += '                                        <option value="Kuwait" >Kuwait';
selectmenu2 += '                                        <option value="Cayman Islands" >Cayman Islands';
selectmenu2 += '                                        <option value="Kazakhstan" >Kazakhstan';
selectmenu2 += '                                        <option value="Laos" >Laos';
selectmenu2 += '                                        <option value="Lebanon" >Lebanon';
selectmenu2 += '                                        <option value="Saint Lucia" >Saint Lucia';
selectmenu2 += '                                        <option value="Liechtenstein" >Liechtenstein';
selectmenu2 += '                                        <option value="Sri Lanka" >Sri Lanka';
selectmenu2 += '                                        <option value="Liberia" >Liberia';
selectmenu2 += '                                        <option value="Lesotho" >Lesotho'; 
selectmenu2 += '                                        <option value="Lithuania" >Lithuania';
selectmenu2 += '                                        <option value="Luxembourg" >Luxembourg';
selectmenu2 += '                                        <option value="Latvia" >Latvia';
selectmenu2 += '                                        <option value="Libyan Arab Jamahiriya" >Libyan Arab Jamahiriya';
selectmenu2 += '                                        <option value="Morocco" >Morocco';
selectmenu2 += '                                        <option value="Monaco" >Monaco';
selectmenu2 += '                                        <option value="Moldova, Republic Of" >Moldova, Republic Of';
selectmenu2 += '                                        <option value="Madagascar" >Madagascar';
selectmenu2 += '                                        <option value="Marshall Islands" >Marshall Islands';
selectmenu2 += '                                        <option value="Macedonia, FYR Of" >Macedonia, FYR Of';
selectmenu2 += '                                        <option value="Mali" >Mali';
selectmenu2 += '                                        <option value="Myanmar" >Myanmar';
selectmenu2 += '                                        <option value="Mongolia" >Mongolia';
selectmenu2 += '                                        <option value="Macau" >Macau';
selectmenu2 += '                                        <option value="Northern Mariana Islands" >Northern Mariana Islands';
selectmenu2 += '                                        <option value="Martinique" >Martinique';
selectmenu2 += '                                        <option value="Mauritania" >Mauritania'; 
selectmenu2 += '                                        <option value="Montserrat" >Montserrat'; 
selectmenu2 += '                                        <option value="Malta" >Malta'; 
selectmenu2 += '                                        <option value="Mauritius" >Mauritius'; 
selectmenu2 += '                                        <option value="Maldives" >Maldives'; 
selectmenu2 += '                                        <option value="Malawi" >Malawi'; 
selectmenu2 += '                                        <option value="Mexico" >Mexico'; 
selectmenu2 += '                                        <option value="Malaysia" >Malaysia'; 
selectmenu2 += '                                        <option value="Mozambique" >Mozambique'; 
selectmenu2 += '                                        <option value="Namibia" >Namibia'; 
selectmenu2 += '                                        <option value="New Caledonia" >New Caledonia'; 
selectmenu2 += '                                        <option value="Niger" >Niger'; 
selectmenu2 += '                                        <option value="Norfolk Island" >Norfolk Island'; 
selectmenu2 += '                                        <option value="Nigeria" >Nigeria'; 
selectmenu2 += '                                        <option value="Nicaragua" >Nicaragua'; 
selectmenu2 += '                                        <option value="Netherlands" >Netherlands'; 
selectmenu2 += '                                        <option value="Norway" >Norway'; 
selectmenu2 += '                                        <option value="Nepal" >Nepal'; 
selectmenu2 += '                                        <option value="Nauru" >Nauru'; 
selectmenu2 += '                                        <option value="Niue" >Niue'; 
selectmenu2 += '                                        <option value="New Zealand" >New Zealand'; 
selectmenu2 += '                                        <option value="Oman" >Oman'; 
selectmenu2 += '                                        <option value="Panama" >Panama'; 
selectmenu2 += '                                        <option value="Peru" >Peru'; 
selectmenu2 += '                                        <option value="French Polynesia" >French Polynesia'; 
selectmenu2 += '                                        <option value="Papua New Guinea" >Papua New Guinea'; 
selectmenu2 += '                                        <option value="Philippines" >Philippines'; 
selectmenu2 += '                                        <option value="Pakistan" >Pakistan';
selectmenu2 += '                                        <option value="Poland" >Poland';
selectmenu2 += '                                        <option value="St. Pierre And Miquelon" >St. Pierre And Miquelon';
selectmenu2 += '                                        <option value="Pitcairn" >Pitcairn';
selectmenu2 += '                                        <option value="Puerto Rico" >Puerto Rico';
selectmenu2 += '                                        <option value="Portugal" >Portugal';
selectmenu2 += '                                        <option value="Palau" >Palau';
selectmenu2 += '                                        <option value="Paraguay" >Paraguay';
selectmenu2 += '                                        <option value="Qatar" >Qatar';
selectmenu2 += '                                        <option value="Reunion" >Reunion';
selectmenu2 += '                                        <option value="Romania" >Romania';
selectmenu2 += '                                        <option value="Russian Federation" >Russian Federation';
selectmenu2 += '                                        <option value="Rwanda" >Rwanda';
selectmenu2 += '                                        <option value="Saudi Arabia" >Saudi Arabia';
selectmenu2 += '                                        <option value="Solomon Islands" >Solomon Islands';
selectmenu2 += '                                        <option value="Seychelles" >Seychelles';
selectmenu2 += '                                        <option value="Sudan" >Sudan';
selectmenu2 += '                                        <option value="Sweden" >Sweden';
selectmenu2 += '                                        <option value="Singapore" >Singapore';
selectmenu2 += '                                        <option value="St. Helena" >St. Helena';
selectmenu2 += '                                        <option value="Slovenia" >Slovenia';
selectmenu2 += '                                        <option value="Svalbard And Jan Mayen Islands" >Svalbard And Jan Mayen Islands';
selectmenu2 += '                                        <option value="Slovakia (Slovak Republic)" >Slovakia (Slovak Republic)';
selectmenu2 += '                                        <option value="Sierra Leone" >Sierra Leone';
selectmenu2 += '                                        <option value="San Marino" >San Marino';
selectmenu2 += '                                        <option value="Senegal" >Senegal';
selectmenu2 += '                                        <option value="Somalia" >Somalia';
selectmenu2 += '                                        <option value="Suriname" >Suriname';
selectmenu2 += '                                        <option value="Sao Tome And Principe" >Sao Tome And Principe';
selectmenu2 += '                                        <option value="El Salvador" >El Salvador';
selectmenu2 += '                                        <option value="Syrian Arab Republic" >Syrian Arab Republic';
selectmenu2 += '                                        <option value="Swaziland" >Swaziland';
selectmenu2 += '                                        <option value="Turks And Caicos Islands" >Turks And Caicos Islands';
selectmenu2 += '                                        <option value="Chad" >Chad';
selectmenu2 += '                                        <option value="French Southern Territories" >French Southern Territories';
selectmenu2 += '                                        <option value="Togo" >Togo';
selectmenu2 += '                                        <option value="Thailand" >Thailand';
selectmenu2 += '                                        <option value="Tajikistan" >Tajikistan';
selectmenu2 += '                                        <option value="Tokelau" >Tokelau';
selectmenu2 += '                                        <option value="Turkmenistan" >Turkmenistan';
selectmenu2 += '                                        <option value="Tunisia" >Tunisia';
selectmenu2 += '                                        <option value="Tonga" >Tonga';
selectmenu2 += '                                        <option value="East Timor" >East Timor'; 
selectmenu2 += '                                        <option value="Turkey" >Turkey'; 
selectmenu2 += '                                        <option value="Trinidad And Tobago" >Trinidad And Tobago'; 
selectmenu2 += '                                        <option value="Tuvalu" >Tuvalu'; 
selectmenu2 += '                                        <option value="Taiwan" >Taiwan'; 
selectmenu2 += '                                        <option value="Tanzania" >Tanzania'; 
selectmenu2 += '                                        <option value="Ukraine" >Ukraine'; 
selectmenu2 += '                                        <option value="Uganda" >Uganda'; 
selectmenu2 += '                                        <option value="US Minor Outlying Islands" >US Minor Outlying Islands'; 
selectmenu2 += '                                        <option value="United States" Selected>United States'; 
selectmenu2 += '                                        <option value="Uruguay" >Uruguay'; 
selectmenu2 += '                                        <option value="Uzbekistan" >Uzbekistan'; 
selectmenu2 += '                                        <option value="Vatican City State" >Vatican City State'; 
selectmenu2 += '                                        <option value="St Vincent And The Grenadines" >St Vincent And The Grenadines'; 
selectmenu2 += '                                        <option value="Venezuela" >Venezuela'; 
selectmenu2 += '                                        <option value="Virgin Islands - British" >Virgin Islands - British'; 
selectmenu2 += '                                        <option value="Virgin Islands - U.S." >Virgin Islands - U.S.'; 
selectmenu2 += '                                        <option value="Viet Nam" >Viet Nam'; 
selectmenu2 += '                                        <option value="Vanuatu" >Vanuatu'; 
selectmenu2 += '                                        <option value="Wallis And Futuna Islands" >Wallis And Futuna Islands'; 
selectmenu2 += '                                        <option value="Samoa" >Samoa'; 
selectmenu2 += '                                        <option value="Yemen" >Yemen'; 
selectmenu2 += '                                        <option value="Mayotte" >Mayotte'; 
selectmenu2 += '                                        <option value="Yugoslavia" >Yugoslavia'; 
selectmenu2 += '                                        <option value="South Africa" >South Africa'; 
selectmenu2 += '                                        <option value="Zambia" >Zambia';
selectmenu2 += '                                        <option value="Zimbabwe" >Zimbabwe';
selectmenu2 += '                                      </select>';