{"id":1966,"date":"2021-12-26T22:38:47","date_gmt":"2021-12-26T22:38:47","guid":{"rendered":"https:\/\/www.univest.us\/?page_id=1966"},"modified":"2021-12-27T01:07:45","modified_gmt":"2021-12-27T01:07:45","slug":"%e4%bc%81%e4%b8%9a%e8%b4%a6%e6%88%b7%e5%bc%80%e6%88%b7","status":"publish","type":"page","link":"https:\/\/www.univest.us\/zh-hans\/%e4%bc%81%e4%b8%9a%e8%b4%a6%e6%88%b7%e5%bc%80%e6%88%b7\/","title":{"rendered":"\u4f01\u4e1a\u8d26\u6237\u5f00\u6237"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row el_class=&#8221;cover&#8221;][vc_column]<\/p>\n\n\t\t\t<!-- START Our Leadership REVOLUTION SLIDER 6.7.18 --><p class=\"rs-p-wp-fix\"><\/p>\n\t\t\t<rs-module-wrap id=\"rev_slider_8_1_wrapper\" data-source=\"gallery\" style=\"visibility:hidden;background:transparent;padding:0;margin:0px auto;margin-top:0;margin-bottom:0;\">\n\t\t\t\t<rs-module id=\"rev_slider_8_1\" style=\"\" data-version=\"6.7.18\">\n\t\t\t\t\t<rs-slides style=\"overflow: hidden; position: absolute;\">\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-8\" data-title=\"Slide\" data-anim=\"adpr:false;\" data-mediafilter=\"rise\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"\/\/www.univest.us\/wp-content\/plugins\/revslider\/sr6\/assets\/assets\/dummy.png\" alt=\"\" title=\"\u4f01\u4e1a\u8d26\u6237\u5f00\u6237\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/www.univest.us\/wp-content\/uploads\/2020\/01\/wm_img02-1.png\" data-no-retina>\n<!--\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-8-slide-8-layer-1\" 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window.RS_MODULES.modules!==undefined && window.RS_MODULES.modules[\"revslider81\"]!==undefined) {window.RS_MODULES.modules[\"revslider81\"].once = false;window.revapi8 = undefined;if (window.RS_MODULES.checkMinimal!==undefined) window.RS_MODULES.checkMinimal()}\n\t\t\t\t<\/script>\n\t\t\t<\/rs-module-wrap>\n\t\t\t<!-- END REVOLUTION SLIDER -->\n\n<p>[\/vc_column][\/vc_row][vc_row el_class=&#8221;uni-section pb-0&#8243;][vc_column el_class=&#8221;container&#8221;][vc_row_inner][vc_column_inner el_class=&#8221;col-sm-12 col-md-6 offset-md-3 text-center&#8221;][vc_column_text]<\/p>\n<h1>\u4f01\u4e1a\u8d26\u6237\u5f00\u6237<\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row el_class=&#8221;py-5&#8243;][vc_column el_class=&#8221;container&#8221;][vc_column_text]<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1964 forminator-design--flat  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1964\" data-uid=\"69ff654158bcd\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1964\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1964 forminator-design--flat  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1964\"\n\t\t\t\t data-color-option=\"default\" data-design=\"flat\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69ff654158bcd\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-1964__field--select-1_69ff654158bcd\" id=\"forminator-form-1964__field--select-1_69ff654158bcd-label\" class=\"forminator-label\">Select Your Registered Representative (Broker) <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-1964__field--select-1_69ff654158bcd\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Select Your Registered Representative (Broker)\" data-search=\"false\" data-search-placeholder=\"Select Your Registered Representative (Broker)\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1964__field--select-1_69ff654158bcd-label\"><option value=\"\"  >Select Your Registered Representative (Broker)<\/option><option value=\"#83-Hua-Li\"  data-calculation=\"0\">#83 Hua Li<\/option><option value=\"#85-Charles-Poulin\"  data-calculation=\"0\">#85 Charles Poulin<\/option><option value=\"#86-Scott-Madison\"  data-calculation=\"0\">#86 Scott Madison<\/option><option value=\"#87-Bradley-Richmond\"  data-calculation=\"0\">#87 Bradley Richmond<\/option><option value=\"#88-Xinyue-(Scarlett)-Fan\"  data-calculation=\"0\">#88 Xinyue (Scarlett) Fan<\/option><option value=\"#93-Mengwei-Peng\"  data-calculation=\"0\">#93 Mengwei Peng<\/option><option value=\"#95-Sherry-Su\"  data-calculation=\"0\">#95 Sherry Su<\/option><option value=\"#99-Ying-Cui\"  data-calculation=\"0\">#99 Ying Cui<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u8d26\u6237\u4fe1\u606f\u6536\u96c6<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-1-69ff654158bcd-label\" class=\"forminator-label\">\u8d26\u6237\u7c7b\u578b <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"C\u516c\u53f8\"><input type=\"radio\" name=\"radio-1\" value=\"C\u516c\u53f8\" id=\"forminator-field-radio-1-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">C\u516c\u53f8<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"S\u516c\u53f8\"><input type=\"radio\" name=\"radio-1\" value=\"S\u516c\u53f8\" id=\"forminator-field-radio-1-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">S\u516c\u53f8<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5916\u56fd\u673a\u6784**\"><input type=\"radio\" name=\"radio-1\" value=\"\u5916\u56fd\u673a\u6784**\" id=\"forminator-field-radio-1-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5916\u56fd\u673a\u6784**<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6709\u9650\u8d23\u4efb\u516c\u53f8\"><input type=\"radio\" name=\"radio-1\" value=\"\u6709\u9650\u8d23\u4efb\u516c\u53f8\" id=\"forminator-field-radio-1-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6709\u9650\u8d23\u4efb\u516c\u53f8<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5408\u4f19\u4f01\u4e1a\"><input type=\"radio\" name=\"radio-1\" value=\"\u5408\u4f19\u4f01\u4e1a\" id=\"forminator-field-radio-1-5-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5408\u4f19\u4f01\u4e1a<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u975e\u516c\u53f8\u673a\u6784\"><input type=\"radio\" name=\"radio-1\" value=\"\u975e\u516c\u53f8\u673a\u6784\" id=\"forminator-field-radio-1-6-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u975e\u516c\u53f8\u673a\u6784<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-17\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-17-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-17-69ff654158bcd-label\" class=\"forminator-label\">\u4fe1\u6258: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-17-label-1\" for=\"forminator-field-radio-17-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6839\u636e\u534f\u8bae - \u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258\"><input type=\"radio\" name=\"radio-17\" value=\"\u6839\u636e\u534f\u8bae---\u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258\" id=\"forminator-field-radio-17-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-17-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6839\u636e\u534f\u8bae - \u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258<\/span><\/label><label id=\"forminator-field-radio-17-label-2\" for=\"forminator-field-radio-17-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6839\u636e\u534f\u8bae - \u4e0d\u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258\"><input type=\"radio\" name=\"radio-17\" value=\"\u6839\u636e\u534f\u8bae---\u4e0d\u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258\" id=\"forminator-field-radio-17-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-17-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6839\u636e\u534f\u8bae - \u4e0d\u53ef\u64a4\u9500\u751f\u524d\u4fe1\u6258<\/span><\/label><label id=\"forminator-field-radio-17-label-3\" for=\"forminator-field-radio-17-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u9057\u5631\u4fe1\u6258\"><input type=\"radio\" name=\"radio-17\" value=\"\u9057\u5631\u4fe1\u6258\" id=\"forminator-field-radio-17-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-17-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u9057\u5631\u4fe1\u6258<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-18\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-18-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-18-69ff654158bcd-label\" class=\"forminator-label\">Optional Features <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-18-label-1\" for=\"forminator-field-radio-18-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Cash\"><input type=\"radio\" name=\"radio-18\" value=\"Cash\" id=\"forminator-field-radio-18-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-18-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cash<\/span><\/label><label id=\"forminator-field-radio-18-label-2\" for=\"forminator-field-radio-18-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Margin\"><input type=\"radio\" name=\"radio-18\" value=\"Margin\" id=\"forminator-field-radio-18-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-18-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Margin<\/span><\/label><label id=\"forminator-field-radio-18-label-3\" for=\"forminator-field-radio-18-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Options\"><input type=\"radio\" name=\"radio-18\" value=\"Options\" id=\"forminator-field-radio-18-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-18-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Options<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-19\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-19-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-19-69ff654158bcd-label\" class=\"forminator-label\">\u8be5\u5b9e\u4f53\u662f\u5916\u56fd\u91d1\u878d\u673a\u6784\u5417\uff1f(\u5916\u56fd\u91d1\u878d\u673a\u6784 \u5305\u62ec\u4f46\u4e0d\u9650\u4e8e\u94f6\u884c\uff0c\u7ecf\u7eaa\u5546\uff0c\u671f\u8d27\u4f63\u91d1\u5546 \u4eba\uff0c\u4ecb\u7ecd\u7ecf\u7eaa\u4eba\uff0c\u5171\u540c\u57fa\u91d1\uff0c\u6c47\u6b3e\u4eba\u548c\u8d27 \u5e01\u5151\u6362) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-19-label-1\" for=\"forminator-field-radio-19-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Yes\"><input type=\"radio\" name=\"radio-19\" value=\"Yes\" id=\"forminator-field-radio-19-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-19-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-19-label-2\" for=\"forminator-field-radio-19-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-19\" value=\"No\" id=\"forminator-field-radio-19-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-19-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69ff654158bcd\" id=\"forminator-field-text-1_69ff654158bcd-label\" class=\"forminator-label\">\u8d26\u6237\u540d\u79f0 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-12\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-20\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-20\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u516c\u53f8\u57fa\u672c\u4fe1\u606f<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_69ff654158bcd\" id=\"forminator-field-text-20_69ff654158bcd-label\" class=\"forminator-label\">\u516c\u53f8\u540d\u79f0 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"\" id=\"forminator-field-text-20_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_69ff654158bcd\" id=\"forminator-field-text-21_69ff654158bcd-label\" class=\"forminator-label\">\u62a5\u7a0e\u53f7\u7801 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"\" id=\"forminator-field-text-21_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6 \"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-1964__field--address-1-country_69ff654158bcd\" id=\"forminator-field-1964__field--address-1-country_69ff654158bcd-label\" class=\"forminator-label\">\u516c\u53f8\u6ce8\u518c\u56fd<\/label><select name=\"address-1-country\" id=\"forminator-field-1964__field--address-1-country_69ff654158bcd\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"\u9009\u62e9\u56fd\u5bb6\/\u5730\u533a\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"\u4e0d\u4e39\" data-country-code=\"BT\" >\u4e0d\u4e39<\/option><option value=\"\u4e1c\u5e1d\u6c76\" data-country-code=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"CN\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e\" data-country-code=\"TW\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e<\/option><option value=\"\u4e2d\u975e\u5171\u548c\u56fd\" data-country-code=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"\u4e39\u9ea6\" data-country-code=\"DK\" >\u4e39\u9ea6<\/option><option value=\"\u4e4c\u514b\u5170\" data-country-code=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"\u4e4c\u5179\u522b\u514b\u65af\u5766\" data-country-code=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"\u4e4c\u5e72\u8fbe\" data-country-code=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"\u4e4c\u62c9\u572d\" data-country-code=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"\u4e4d\u5f97\" data-country-code=\"TD\" >\u4e4d\u5f97<\/option><option value=\"\u4e5f\u95e8\" data-country-code=\"YE\" >\u4e5f\u95e8<\/option><option value=\"\u4e9a\u7f8e\u5c3c\u4e9a\" data-country-code=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"\u4ee5\u8272\u5217\" data-country-code=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"\u4f0a\u62c9\u514b\" data-country-code=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"\u4f0a\u6717\" data-country-code=\"IR\" >\u4f0a\u6717<\/option><option value=\"\u4f2f\u5229\u5179\" data-country-code=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"\u4f5b\u5f97\u89d2\" data-country-code=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"\u4fc4\u7f57\u65af\" data-country-code=\"RU\" >\u4fc4\u7f57\u65af<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9a\" data-country-code=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"\u514b\u7f57\u5730\u4e9a\" data-country-code=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"\u5173\u5c9b\" data-country-code=\"GU\" >\u5173\u5c9b<\/option><option value=\"\u5188\u6bd4\u4e9a\" data-country-code=\"GM\" >\u5188\u6bd4\u4e9a<\/option><option value=\"\u51b0\u5c9b\" data-country-code=\"IS\" >\u51b0\u5c9b<\/option><option value=\"\u51e0\u5185\u4e9a\" data-country-code=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"\u51e0\u5185\u4e9a\u6bd4\u7ecd\" data-country-code=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"\u5217\u652f\u6566\u58eb\u767b\" data-country-code=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"\u521a\u679c\u5171\u548c\u56fd\u7684\" data-country-code=\"CG\" >\u521a\u679c\u5171\u548c\u56fd\u7684<\/option><option value=\"\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"CD\" >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u5229\u6bd4\u4e9a\" data-country-code=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"\u5229\u6bd4\u91cc\u4e9a\" data-country-code=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"\u52a0\u62ff\u5927\" data-country-code=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"\u52a0\u7eb3\" data-country-code=\"GH\" >\u52a0\u7eb3<\/option><option value=\"\u52a0\u84ec\" data-country-code=\"GA\" >\u52a0\u84ec<\/option><option value=\"\u5308\u7259\u5229\" data-country-code=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"\u5317\u9a6c\u5176\u987f\" data-country-code=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b\" data-country-code=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb\" data-country-code=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb<\/option><option value=\"\u5357\u6781\u6d32\" data-country-code=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"\u5357\u975e\" data-country-code=\"ZA\" >\u5357\u975e<\/option><option value=\"\u535a\u8328\u74e6\u7eb3\" data-country-code=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"\u5361\u5854\u5c14\" data-country-code=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"\u5362\u65fa\u8fbe\" data-country-code=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"\u5362\u68ee\u5821\" data-country-code=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"\u5370\u5ea6\" data-country-code=\"IN\" >\u5370\u5ea6<\/option><option value=\"\u5370\u5ea6\u5c3c\u897f\u4e9a\" data-country-code=\"ID\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"\u5371\u5730\u9a6c\u62c9\" data-country-code=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"\u5384\u74dc\u591a\u5c14\" data-country-code=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"\u5384\u7acb\u7279\u91cc\u4e9a\" data-country-code=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"\u53d9\u5229\u4e9a\" data-country-code=\"SY\" >\u53d9\u5229\u4e9a<\/option><option value=\"\u53e4\u5df4\" data-country-code=\"CU\" >\u53e4\u5df4<\/option><option value=\"\u5409\u5c14\u5409\u65af\u65af\u5766\" data-country-code=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"\u5409\u5e03\u63d0\" data-country-code=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"\u54c8\u8428\u514b\u65af\u5766\" data-country-code=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"\u54e5\u4f26\u6bd4\u4e9a\" data-country-code=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"\u54e5\u65af\u8fbe\u9ece\u52a0\" data-country-code=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"\u5580\u9ea6\u9686\" data-country-code=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"\u56fe\u74e6\u5362\" data-country-code=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"\u571f\u5e93\u66fc\u65af\u5766\" data-country-code=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"\u571f\u8033\u5176\" data-country-code=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"\u5723\u5362\u897f\u4e9a\" data-country-code=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af\" data-country-code=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4\" data-country-code=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af\" data-country-code=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"\u5723\u8bde\u5c9b\" data-country-code=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"\u5723\u8d6b\u52d2\u62ff\" data-country-code=\"SH\" >\u5723\u8d6b\u52d2\u62ff<\/option><option value=\"\u5723\u9a6c\u4e01\u5c9b\" data-country-code=\"MF\" >\u5723\u9a6c\u4e01\u5c9b<\/option><option value=\"\u5723\u9a6c\u529b\u8bfa\" data-country-code=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"\u572d\u4e9a\u90a3\" data-country-code=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"\u5766\u6851\u5c3c\u4e9a\" data-country-code=\"TZ\" >\u5766\u6851\u5c3c\u4e9a<\/option><option value=\"\u57c3\u53ca\" data-country-code=\"EG\" >\u57c3\u53ca<\/option><option value=\"\u57c3\u585e\u4fc4\u6bd4\u4e9a\" data-country-code=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"\u57fa\u91cc\u5df4\u65af\" data-country-code=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"\u5854\u5409\u514b\u65af\u5766\" data-country-code=\"TJ\" >\u5854\u5409\u514b\u65af\u5766<\/option><option value=\"\u585e\u5185\u52a0\u5c14\" data-country-code=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"\u585e\u5c14\u7ef4\u4e9a\" data-country-code=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"\u585e\u62c9\u5229\u6602\" data-country-code=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"\u585e\u6d66\u8def\u65af\" data-country-code=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"\u585e\u820c\u5c14\" data-country-code=\"SC\" >\u585e\u820c\u5c14<\/option><option value=\"\u58a8\u897f\u54e5\" data-country-code=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"\u591a\u54e5\" data-country-code=\"TG\" >\u591a\u54e5<\/option><option value=\"\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd\" data-country-code=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"\u591a\u7c73\u5c3c\u52a0\" data-country-code=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"\u5965\u5730\u5229\" data-country-code=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"\u59d4\u5185\u745e\u62c9\" data-country-code=\"VE\" >\u59d4\u5185\u745e\u62c9<\/option><option value=\"\u5b5f\u52a0\u62c9\u56fd\" data-country-code=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"\u5b89\u54e5\u62c9\" data-country-code=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"\u5b89\u572d\u62c9\" data-country-code=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe\" data-country-code=\"AG\" >\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"\u5b89\u9053\u5c14\" data-country-code=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\" data-country-code=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value=\"\u5c3c\u52a0\u62c9\u74dc\" data-country-code=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"\u5c3c\u65e5\u5229\u4e9a\" data-country-code=\"NG\" >\u5c3c\u65e5\u5229\u4e9a<\/option><option value=\"\u5c3c\u65e5\u5c14\" data-country-code=\"NE\" >\u5c3c\u65e5\u5c14<\/option><option value=\"\u5c3c\u6cca\u5c14\" data-country-code=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"\u5df4\u52d2\u65af\u5766\" data-country-code=\"PS\" >\u5df4\u52d2\u65af\u5766<\/option><option value=\"\u5df4\u54c8\u9a6c\" data-country-code=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"\u5df4\u57fa\u65af\u5766\" data-country-code=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"\u5df4\u5df4\u591a\u65af\" data-country-code=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a\" data-country-code=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"\u5df4\u62c9\u572d\" data-country-code=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"\u5df4\u62ff\u9a6c\" data-country-code=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"\u5df4\u6797\" data-country-code=\"BH\" >\u5df4\u6797<\/option><option value=\"\u5df4\u897f\" data-country-code=\"BR\" >\u5df4\u897f<\/option><option value=\"\u5e03\u57fa\u7eb3\u6cd5\u7d22\" data-country-code=\"BF\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option><option value=\"\u5e03\u7ef4\u5c9b\" data-country-code=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"\u5e03\u9686\u8fea\" data-country-code=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"\u5e0c\u814a\" data-country-code=\"GR\" >\u5e0c\u814a<\/option><option value=\"\u5e15\u52b3\" data-country-code=\"PW\" >\u5e15\u52b3<\/option><option value=\"\u5e93\u514b\u7fa4\u5c9b\" data-country-code=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"\u5e93\u62c9\u7d22\" data-country-code=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"\u5f00\u66fc\u7fa4\u5c9b\" data-country-code=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"\u5fb7\u56fd\" data-country-code=\"DE\" >\u5fb7\u56fd<\/option><option value=\"\u610f\u5927\u5229\" data-country-code=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"\u6240\u7f57\u95e8\u7fa4\u5c9b\" data-country-code=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"\u6258\u514b\u52b3\" data-country-code=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"\u62c9\u8131\u7ef4\u4e9a\" data-country-code=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"\u632a\u5a01\" data-country-code=\"NO\" >\u632a\u5a01<\/option><option value=\"\u6377\u514b\u5171\u548c\u56fd\" data-country-code=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"\u6469\u5c14\u591a\u74e6\" data-country-code=\"MD\" >\u6469\u5c14\u591a\u74e6<\/option><option value=\"\u6469\u6d1b\u54e5\" data-country-code=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"\u6469\u7eb3\u54e5\" data-country-code=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"\u6587\u83b1\" data-country-code=\"BN\" >\u6587\u83b1<\/option><option value=\"\u6590\u6d4e\" data-country-code=\"FJ\" >\u6590\u6d4e<\/option><option value=\"\u65af\u5a01\u58eb\u5170\" data-country-code=\"SZ\" >\u65af\u5a01\u58eb\u5170<\/option><option value=\"\u65af\u6d1b\u4f10\u514b\" data-country-code=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"\u65af\u6d1b\u6587\u5c3c\u4e9a\" data-country-code=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6\" data-country-code=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6<\/option><option value=\"\u65af\u91cc\u5170\u5361\" data-country-code=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"\u65b0\u52a0\u5761\" data-country-code=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a\" data-country-code=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"\u65b0\u897f\u5170\" data-country-code=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"\u65e0\u56fd\u7c4d\u4eba\" data-country-code=\"XX\" >\u65e0\u56fd\u7c4d\u4eba<\/option><option value=\"\u65e5\u672c\" data-country-code=\"JP\" >\u65e5\u672c<\/option><option value=\"\u667a\u5229\" data-country-code=\"CL\" >\u667a\u5229<\/option><option value=\"\u67ec\u57d4\u5be8\" data-country-code=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"\u6839\u897f\u5c9b\" data-country-code=\"GG\" >\u6839\u897f\u5c9b<\/option><option value=\"\u683c\u6797\u7eb3\u8fbe\" data-country-code=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"\u683c\u9675\u5170\" data-country-code=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"\u68b5\u8482\u5188\u57ce\" data-country-code=\"VA\" >\u68b5\u8482\u5188\u57ce<\/option><option value=\"\u6bd4\u5229\u65f6\" data-country-code=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"\u6bdb\u91cc\u5854\u5c3c\u4e9a\" data-country-code=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"\u6bdb\u91cc\u6c42\u65af\" data-country-code=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"\u6c64\u52a0\" data-country-code=\"TO\" >\u6c64\u52a0<\/option><option value=\"\u6c99\u7279\u963f\u62c9\u4f2f\" data-country-code=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"\u6cd5\u56fd\" data-country-code=\"FR\" >\u6cd5\u56fd<\/option><option value=\"\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a\" data-country-code=\"FX\" >\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a<\/option><option value=\"\u6cd5\u5c5e\u5357\u9886\u5730\" data-country-code=\"TF\" >\u6cd5\u5c5e\u5357\u9886\u5730<\/option><option value=\"\u6cd5\u5c5e\u572d\u4e9a\u90a3\" data-country-code=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a\" data-country-code=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"\u6cd5\u7f57\u7fa4\u5c9b\" data-country-code=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"\u6ce2\u5170\" data-country-code=\"PL\" >\u6ce2\u5170<\/option><option value=\"\u6ce2\u591a\u9ece\u5404\" data-country-code=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3\" data-country-code=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"\u6cf0\u56fd\" data-country-code=\"TH\" >\u6cf0\u56fd<\/option><option value=\"\u6cfd\u897f\" data-country-code=\"JE\" >\u6cfd\u897f<\/option><option value=\"\u6d25\u5df4\u5e03\u97e6\" data-country-code=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"\u6d2a\u90fd\u62c9\u65af\" data-country-code=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"\u6d77\u5730\" data-country-code=\"HT\" >\u6d77\u5730<\/option><option value=\"\u6fb3\u5927\u5229\u4e9a\" data-country-code=\"AU\" >\u6fb3\u5927\u5229\u4e9a<\/option><option value=\"\u6fb3\u95e8\" data-country-code=\"MO\" >\u6fb3\u95e8<\/option><option value=\"\u7231\u5c14\u5170\" data-country-code=\"IE\" >\u7231\u5c14\u5170<\/option><option value=\"\u7231\u6c99\u5c3c\u4e9a\" data-country-code=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"\u7259\u4e70\u52a0\" data-country-code=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5\" data-country-code=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"\u73bb\u5229\u7ef4\u4e9a\" data-country-code=\"BO\" >\u73bb\u5229\u7ef4\u4e9a<\/option><option value=\"\u7459\u9c81\" data-country-code=\"NR\" >\u7459\u9c81<\/option><option value=\"\u745e\u5178\" data-country-code=\"SE\" >\u745e\u5178<\/option><option value=\"\u745e\u58eb\" data-country-code=\"CH\" >\u745e\u58eb<\/option><option value=\"\u74dc\u5fb7\u7f57\u666e\u5c9b\" data-country-code=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b\" data-country-code=\"WF\" >\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u74e6\u52aa\u963f\u56fe\" data-country-code=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"\u7559\u5c3c\u6c6a\u5c9b\" data-country-code=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"\u767d\u4fc4\u7f57\u65af\" data-country-code=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"\u767e\u6155\u5927\" data-country-code=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b\" data-country-code=\"PN\" >\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b<\/option><option value=\"\u76f4\u5e03\u7f57\u9640\" data-country-code=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"\u798f\u514b\u5170\u7fa4\u5c9b\" data-country-code=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"\u79d1\u5a01\u7279\" data-country-code=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"\u79d1\u6469\u7f57\" data-country-code=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"\u79d1\u7279\u8fea\u74e6\" data-country-code=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"\u79d1\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"CC\" >\u79d1\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u79d1\u7d22\u6c83\" data-country-code=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"\u79d8\u9c81\" data-country-code=\"PE\" >\u79d8\u9c81<\/option><option value=\"\u7a81\u5c3c\u65af\" data-country-code=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"\u7acb\u9676\u5b9b\" data-country-code=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"\u7d22\u9a6c\u91cc\" data-country-code=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"\u7ea6\u65e6\" data-country-code=\"JO\" >\u7ea6\u65e6<\/option><option value=\"\u7ea6\u7ff0\u65af\u987f\u5c9b\" data-country-code=\"JT\" >\u7ea6\u7ff0\u65af\u987f\u5c9b<\/option><option value=\"\u7eb3\u7c73\u6bd4\u4e9a\" data-country-code=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"\u7ebd\u57c3\" data-country-code=\"NU\" >\u7ebd\u57c3<\/option><option value=\"\u7f05\u7538\" data-country-code=\"MM\" >\u7f05\u7538<\/option><option value=\"\u7f57\u9a6c\u5c3c\u4e9a\" data-country-code=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09\" data-country-code=\"US\" >\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09<\/option><option value=\"\u7f8e\u56fd\u6d77\u5916\u9886\u5730\" data-country-code=\"UM\" >\u7f8e\u56fd\u6d77\u5916\u9886\u5730<\/option><option value=\"\u7f8e\u5c5e\u8428\u6469\u4e9a\" data-country-code=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6\" data-country-code=\"PM\" >\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6<\/option><option value=\"\u80af\u5c3c\u4e9a\" data-country-code=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"\u82ac\u5170\" data-country-code=\"FI\" >\u82ac\u5170<\/option><option value=\"\u82cf\u4e39\" data-country-code=\"SD\" >\u82cf\u4e39<\/option><option value=\"\u82cf\u4e39\uff0c\u5357\u90e8\" data-country-code=\"SS\" >\u82cf\u4e39\uff0c\u5357\u90e8<\/option><option value=\"\u82cf\u91cc\u5357\" data-country-code=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"\u82f1\u56fd\" data-country-code=\"GB\" >\u82f1\u56fd<\/option><option value=\"\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730\" data-country-code=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b\" data-country-code=\"VG\" >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value=\"\u8377\u5170\" data-country-code=\"NL\" >\u8377\u5170<\/option><option value=\"\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b\" data-country-code=\"AN\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option><option value=\"\u83ab\u6851\u6bd4\u514b\" data-country-code=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"\u83b1\u7d22\u6258\" data-country-code=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"\u83f2\u5f8b\u5bbe\" data-country-code=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"\u8428\u5c14\u74e6\u591a\" data-country-code=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"\u8428\u6469\u4e9a\" data-country-code=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"\u8461\u8404\u7259\" data-country-code=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"\u8499\u53e4\" data-country-code=\"MN\" >\u8499\u53e4<\/option><option value=\"\u8499\u7279\u585e\u62c9\u7279\" data-country-code=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"\u897f\u6492\u54c8\u62c9\" data-country-code=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"\u897f\u73ed\u7259\" data-country-code=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"\u8bfa\u798f\u514b\u5c9b\" data-country-code=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"\u8d1d\u5b81\" data-country-code=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"\u8d5e\u6bd4\u4e9a\" data-country-code=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"\u8d64\u9053\u51e0\u5185\u4e9a\" data-country-code=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b\" data-country-code=\"HM\" >\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u8d8a\u5357\" data-country-code=\"VN\" >\u8d8a\u5357<\/option><option value=\"\u963f\u585e\u62dc\u7586\" data-country-code=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"\u963f\u5bcc\u6c57\" data-country-code=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"\u963f\u5c14\u53ca\u5229\u4e9a\" data-country-code=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"\u963f\u5c14\u5df4\u5c3c\u4e9a\" data-country-code=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd\" data-country-code=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"\u963f\u66fc\" data-country-code=\"OM\" >\u963f\u66fc<\/option><option value=\"\u963f\u6839\u5ef7\" data-country-code=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"\u963f\u9c81\u5df4\" data-country-code=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"\u97e9\u56fd\u5171\u548c\u56fd\" data-country-code=\"KR\" >\u97e9\u56fd\u5171\u548c\u56fd<\/option><option value=\"\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"KP\" >\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u9999\u6e2f\" data-country-code=\"HK\" >\u9999\u6e2f<\/option><option value=\"\u9a6c\u5c14\u4ee3\u592b\" data-country-code=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"\u9a6c\u62c9\u7ef4\" data-country-code=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"\u9a6c\u63d0\u5c3c\u514b\" data-country-code=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"\u9a6c\u6765\u897f\u4e9a\" data-country-code=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"\u9a6c\u7ea6\u7279\" data-country-code=\"YT\" >\u9a6c\u7ea6\u7279<\/option><option value=\"\u9a6c\u7ecd\u5c14\u7fa4\u5c9b\" data-country-code=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"\u9a6c\u8033\u4ed6\" data-country-code=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"\u9a6c\u8fbe\u52a0\u65af\u52a0\" data-country-code=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"\u9a6c\u91cc\" data-country-code=\"ML\" >\u9a6c\u91cc<\/option><option value=\"\u9ece\u5df4\u5ae9\" data-country-code=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"\u9ed1\u5c71\" data-country-code=\"ME\" >\u9ed1\u5c71<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_69ff654158bcd\" id=\"forminator-field-text-22_69ff654158bcd-label\" class=\"forminator-label\">\u62a5\u7a0e\u56fd <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"\" id=\"forminator-field-text-22_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><label for=\"forminator-field-date-1\" id=\"forminator-field-date-1-label\" class=\"forminator-label\">\u4fe1\u6258\u65e5\u671f(\u4ec5\u4f9b\u4fe1\u6258\u57fa\u91d1\u586b\u5199) <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-1-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-1-month\" value=\"\" placeholder=\"\u6708\u6708\" id=\"forminator-field-date-1-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-1-day\" value=\"\" placeholder=\"\u65e5\u65e5\" id=\"forminator-field-date-1-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><div id=\"date-1-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-1-year\" placeholder=\"\u5e74\u5e74\u5e74\u5e74\" id=\"forminator-field-date-1-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-1\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_69ff654158bcd\" id=\"forminator-field-text-23_69ff654158bcd-label\" class=\"forminator-label\">\u516c\u53f8ID\u6750\u6599\u540d\u79f0 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"\" id=\"forminator-field-text-23_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_69ff654158bcd\" id=\"forminator-field-text-24_69ff654158bcd-label\" class=\"forminator-label\">\u6750\u6599\u7b7e\u53d1\u56fd\u5bb6 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"\" id=\"forminator-field-text-24_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><p style=\"margin-bottom: -20px;color: #233333;font-weight: bold;font-size: 15px\">\u516c\u53f8\u6ce8\u518c\u5730\u5740<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-4\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-4-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-street_address_69ff654158bcd\" id=\"forminator-field-address-4-street_address_69ff654158bcd-label\" class=\"forminator-label\">\u8857\u9053\u5730\u5740 (\u4e0d\u53ef\u4ee5\u4f7f\u7528\u90ae\u653f\u4fe1\u7bb1) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-4-street_address\" placeholder=\"\" id=\"forminator-field-address-4-street_address_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-4-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-city_69ff654158bcd\" id=\"forminator-field-address-4-city_69ff654158bcd-label\" class=\"forminator-label\">\u57ce\u5e02 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-4-city\" placeholder=\"\" id=\"forminator-field-address-4-city_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-4-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-state_69ff654158bcd\" id=\"forminator-field-address-4-state_69ff654158bcd-label\" class=\"forminator-label\">\u5dde\/\u7701\u4f1a <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-4-state\" placeholder=\"\" id=\"forminator-field-address-4-state_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-4-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-4-zip_69ff654158bcd\" id=\"forminator-field-address-4-zip_69ff654158bcd-label\" class=\"forminator-label\">\u90ae\u653f\u7f16\u7801 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-4-zip\" placeholder=\"\" id=\"forminator-field-address-4-zip_69ff654158bcd\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-4-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-1964__field--address-4-country_69ff654158bcd\" id=\"forminator-field-1964__field--address-4-country_69ff654158bcd-label\" class=\"forminator-label\">\u7a0e\u52a1\u5c45\u4f4f\u56fd<\/label><select name=\"address-4-country\" id=\"forminator-field-1964__field--address-4-country_69ff654158bcd\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"\u9009\u62e9\u56fd\u5bb6\/\u5730\u533a\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"\u4e0d\u4e39\" data-country-code=\"BT\" >\u4e0d\u4e39<\/option><option value=\"\u4e1c\u5e1d\u6c76\" data-country-code=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"CN\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e\" data-country-code=\"TW\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e<\/option><option value=\"\u4e2d\u975e\u5171\u548c\u56fd\" data-country-code=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"\u4e39\u9ea6\" data-country-code=\"DK\" >\u4e39\u9ea6<\/option><option value=\"\u4e4c\u514b\u5170\" data-country-code=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"\u4e4c\u5179\u522b\u514b\u65af\u5766\" data-country-code=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"\u4e4c\u5e72\u8fbe\" data-country-code=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"\u4e4c\u62c9\u572d\" data-country-code=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"\u4e4d\u5f97\" data-country-code=\"TD\" >\u4e4d\u5f97<\/option><option value=\"\u4e5f\u95e8\" data-country-code=\"YE\" >\u4e5f\u95e8<\/option><option value=\"\u4e9a\u7f8e\u5c3c\u4e9a\" data-country-code=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"\u4ee5\u8272\u5217\" data-country-code=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"\u4f0a\u62c9\u514b\" data-country-code=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"\u4f0a\u6717\" data-country-code=\"IR\" >\u4f0a\u6717<\/option><option value=\"\u4f2f\u5229\u5179\" data-country-code=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"\u4f5b\u5f97\u89d2\" data-country-code=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"\u4fc4\u7f57\u65af\" data-country-code=\"RU\" >\u4fc4\u7f57\u65af<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9a\" data-country-code=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"\u514b\u7f57\u5730\u4e9a\" data-country-code=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"\u5173\u5c9b\" data-country-code=\"GU\" >\u5173\u5c9b<\/option><option value=\"\u5188\u6bd4\u4e9a\" data-country-code=\"GM\" >\u5188\u6bd4\u4e9a<\/option><option value=\"\u51b0\u5c9b\" data-country-code=\"IS\" >\u51b0\u5c9b<\/option><option value=\"\u51e0\u5185\u4e9a\" data-country-code=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"\u51e0\u5185\u4e9a\u6bd4\u7ecd\" data-country-code=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"\u5217\u652f\u6566\u58eb\u767b\" data-country-code=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"\u521a\u679c\u5171\u548c\u56fd\u7684\" data-country-code=\"CG\" >\u521a\u679c\u5171\u548c\u56fd\u7684<\/option><option value=\"\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"CD\" >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u5229\u6bd4\u4e9a\" data-country-code=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"\u5229\u6bd4\u91cc\u4e9a\" data-country-code=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"\u52a0\u62ff\u5927\" data-country-code=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"\u52a0\u7eb3\" data-country-code=\"GH\" >\u52a0\u7eb3<\/option><option value=\"\u52a0\u84ec\" data-country-code=\"GA\" >\u52a0\u84ec<\/option><option value=\"\u5308\u7259\u5229\" data-country-code=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"\u5317\u9a6c\u5176\u987f\" data-country-code=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b\" data-country-code=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb\" data-country-code=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb<\/option><option value=\"\u5357\u6781\u6d32\" data-country-code=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"\u5357\u975e\" data-country-code=\"ZA\" >\u5357\u975e<\/option><option value=\"\u535a\u8328\u74e6\u7eb3\" data-country-code=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"\u5361\u5854\u5c14\" data-country-code=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"\u5362\u65fa\u8fbe\" data-country-code=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"\u5362\u68ee\u5821\" data-country-code=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"\u5370\u5ea6\" data-country-code=\"IN\" >\u5370\u5ea6<\/option><option value=\"\u5370\u5ea6\u5c3c\u897f\u4e9a\" data-country-code=\"ID\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"\u5371\u5730\u9a6c\u62c9\" data-country-code=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"\u5384\u74dc\u591a\u5c14\" data-country-code=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"\u5384\u7acb\u7279\u91cc\u4e9a\" data-country-code=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"\u53d9\u5229\u4e9a\" data-country-code=\"SY\" >\u53d9\u5229\u4e9a<\/option><option value=\"\u53e4\u5df4\" data-country-code=\"CU\" >\u53e4\u5df4<\/option><option value=\"\u5409\u5c14\u5409\u65af\u65af\u5766\" data-country-code=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"\u5409\u5e03\u63d0\" data-country-code=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"\u54c8\u8428\u514b\u65af\u5766\" data-country-code=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"\u54e5\u4f26\u6bd4\u4e9a\" data-country-code=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"\u54e5\u65af\u8fbe\u9ece\u52a0\" data-country-code=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"\u5580\u9ea6\u9686\" data-country-code=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"\u56fe\u74e6\u5362\" data-country-code=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"\u571f\u5e93\u66fc\u65af\u5766\" data-country-code=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"\u571f\u8033\u5176\" data-country-code=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"\u5723\u5362\u897f\u4e9a\" data-country-code=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af\" data-country-code=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4\" data-country-code=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af\" data-country-code=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"\u5723\u8bde\u5c9b\" data-country-code=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"\u5723\u8d6b\u52d2\u62ff\" data-country-code=\"SH\" >\u5723\u8d6b\u52d2\u62ff<\/option><option value=\"\u5723\u9a6c\u4e01\u5c9b\" data-country-code=\"MF\" >\u5723\u9a6c\u4e01\u5c9b<\/option><option value=\"\u5723\u9a6c\u529b\u8bfa\" data-country-code=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"\u572d\u4e9a\u90a3\" data-country-code=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"\u5766\u6851\u5c3c\u4e9a\" data-country-code=\"TZ\" >\u5766\u6851\u5c3c\u4e9a<\/option><option value=\"\u57c3\u53ca\" data-country-code=\"EG\" >\u57c3\u53ca<\/option><option value=\"\u57c3\u585e\u4fc4\u6bd4\u4e9a\" data-country-code=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"\u57fa\u91cc\u5df4\u65af\" data-country-code=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"\u5854\u5409\u514b\u65af\u5766\" data-country-code=\"TJ\" >\u5854\u5409\u514b\u65af\u5766<\/option><option value=\"\u585e\u5185\u52a0\u5c14\" data-country-code=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"\u585e\u5c14\u7ef4\u4e9a\" data-country-code=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"\u585e\u62c9\u5229\u6602\" data-country-code=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"\u585e\u6d66\u8def\u65af\" data-country-code=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"\u585e\u820c\u5c14\" data-country-code=\"SC\" >\u585e\u820c\u5c14<\/option><option value=\"\u58a8\u897f\u54e5\" data-country-code=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"\u591a\u54e5\" data-country-code=\"TG\" >\u591a\u54e5<\/option><option value=\"\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd\" data-country-code=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"\u591a\u7c73\u5c3c\u52a0\" data-country-code=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"\u5965\u5730\u5229\" data-country-code=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"\u59d4\u5185\u745e\u62c9\" data-country-code=\"VE\" >\u59d4\u5185\u745e\u62c9<\/option><option value=\"\u5b5f\u52a0\u62c9\u56fd\" data-country-code=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"\u5b89\u54e5\u62c9\" data-country-code=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"\u5b89\u572d\u62c9\" data-country-code=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe\" data-country-code=\"AG\" >\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"\u5b89\u9053\u5c14\" data-country-code=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\" data-country-code=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value=\"\u5c3c\u52a0\u62c9\u74dc\" data-country-code=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"\u5c3c\u65e5\u5229\u4e9a\" data-country-code=\"NG\" >\u5c3c\u65e5\u5229\u4e9a<\/option><option value=\"\u5c3c\u65e5\u5c14\" data-country-code=\"NE\" >\u5c3c\u65e5\u5c14<\/option><option value=\"\u5c3c\u6cca\u5c14\" data-country-code=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"\u5df4\u52d2\u65af\u5766\" data-country-code=\"PS\" >\u5df4\u52d2\u65af\u5766<\/option><option value=\"\u5df4\u54c8\u9a6c\" data-country-code=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"\u5df4\u57fa\u65af\u5766\" data-country-code=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"\u5df4\u5df4\u591a\u65af\" data-country-code=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a\" data-country-code=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"\u5df4\u62c9\u572d\" data-country-code=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"\u5df4\u62ff\u9a6c\" data-country-code=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"\u5df4\u6797\" data-country-code=\"BH\" >\u5df4\u6797<\/option><option value=\"\u5df4\u897f\" data-country-code=\"BR\" >\u5df4\u897f<\/option><option value=\"\u5e03\u57fa\u7eb3\u6cd5\u7d22\" data-country-code=\"BF\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option><option value=\"\u5e03\u7ef4\u5c9b\" data-country-code=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"\u5e03\u9686\u8fea\" data-country-code=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"\u5e0c\u814a\" data-country-code=\"GR\" >\u5e0c\u814a<\/option><option value=\"\u5e15\u52b3\" data-country-code=\"PW\" >\u5e15\u52b3<\/option><option value=\"\u5e93\u514b\u7fa4\u5c9b\" data-country-code=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"\u5e93\u62c9\u7d22\" data-country-code=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"\u5f00\u66fc\u7fa4\u5c9b\" data-country-code=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"\u5fb7\u56fd\" data-country-code=\"DE\" >\u5fb7\u56fd<\/option><option value=\"\u610f\u5927\u5229\" data-country-code=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"\u6240\u7f57\u95e8\u7fa4\u5c9b\" data-country-code=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"\u6258\u514b\u52b3\" data-country-code=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"\u62c9\u8131\u7ef4\u4e9a\" data-country-code=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"\u632a\u5a01\" data-country-code=\"NO\" >\u632a\u5a01<\/option><option value=\"\u6377\u514b\u5171\u548c\u56fd\" data-country-code=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"\u6469\u5c14\u591a\u74e6\" data-country-code=\"MD\" >\u6469\u5c14\u591a\u74e6<\/option><option value=\"\u6469\u6d1b\u54e5\" data-country-code=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"\u6469\u7eb3\u54e5\" data-country-code=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"\u6587\u83b1\" data-country-code=\"BN\" >\u6587\u83b1<\/option><option value=\"\u6590\u6d4e\" data-country-code=\"FJ\" >\u6590\u6d4e<\/option><option value=\"\u65af\u5a01\u58eb\u5170\" data-country-code=\"SZ\" >\u65af\u5a01\u58eb\u5170<\/option><option value=\"\u65af\u6d1b\u4f10\u514b\" data-country-code=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"\u65af\u6d1b\u6587\u5c3c\u4e9a\" data-country-code=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6\" data-country-code=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6<\/option><option value=\"\u65af\u91cc\u5170\u5361\" data-country-code=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"\u65b0\u52a0\u5761\" data-country-code=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a\" data-country-code=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"\u65b0\u897f\u5170\" data-country-code=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"\u65e0\u56fd\u7c4d\u4eba\" data-country-code=\"XX\" >\u65e0\u56fd\u7c4d\u4eba<\/option><option value=\"\u65e5\u672c\" data-country-code=\"JP\" >\u65e5\u672c<\/option><option value=\"\u667a\u5229\" data-country-code=\"CL\" >\u667a\u5229<\/option><option value=\"\u67ec\u57d4\u5be8\" data-country-code=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"\u6839\u897f\u5c9b\" data-country-code=\"GG\" >\u6839\u897f\u5c9b<\/option><option value=\"\u683c\u6797\u7eb3\u8fbe\" data-country-code=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"\u683c\u9675\u5170\" data-country-code=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"\u68b5\u8482\u5188\u57ce\" data-country-code=\"VA\" >\u68b5\u8482\u5188\u57ce<\/option><option value=\"\u6bd4\u5229\u65f6\" data-country-code=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"\u6bdb\u91cc\u5854\u5c3c\u4e9a\" data-country-code=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"\u6bdb\u91cc\u6c42\u65af\" data-country-code=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"\u6c64\u52a0\" data-country-code=\"TO\" >\u6c64\u52a0<\/option><option value=\"\u6c99\u7279\u963f\u62c9\u4f2f\" data-country-code=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"\u6cd5\u56fd\" data-country-code=\"FR\" >\u6cd5\u56fd<\/option><option value=\"\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a\" data-country-code=\"FX\" >\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a<\/option><option value=\"\u6cd5\u5c5e\u5357\u9886\u5730\" data-country-code=\"TF\" >\u6cd5\u5c5e\u5357\u9886\u5730<\/option><option value=\"\u6cd5\u5c5e\u572d\u4e9a\u90a3\" data-country-code=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a\" data-country-code=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"\u6cd5\u7f57\u7fa4\u5c9b\" data-country-code=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"\u6ce2\u5170\" data-country-code=\"PL\" >\u6ce2\u5170<\/option><option value=\"\u6ce2\u591a\u9ece\u5404\" data-country-code=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3\" data-country-code=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"\u6cf0\u56fd\" data-country-code=\"TH\" >\u6cf0\u56fd<\/option><option value=\"\u6cfd\u897f\" data-country-code=\"JE\" >\u6cfd\u897f<\/option><option value=\"\u6d25\u5df4\u5e03\u97e6\" data-country-code=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"\u6d2a\u90fd\u62c9\u65af\" data-country-code=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"\u6d77\u5730\" data-country-code=\"HT\" >\u6d77\u5730<\/option><option value=\"\u6fb3\u5927\u5229\u4e9a\" data-country-code=\"AU\" >\u6fb3\u5927\u5229\u4e9a<\/option><option value=\"\u6fb3\u95e8\" data-country-code=\"MO\" >\u6fb3\u95e8<\/option><option value=\"\u7231\u5c14\u5170\" data-country-code=\"IE\" >\u7231\u5c14\u5170<\/option><option value=\"\u7231\u6c99\u5c3c\u4e9a\" data-country-code=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"\u7259\u4e70\u52a0\" data-country-code=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5\" data-country-code=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"\u73bb\u5229\u7ef4\u4e9a\" data-country-code=\"BO\" >\u73bb\u5229\u7ef4\u4e9a<\/option><option value=\"\u7459\u9c81\" data-country-code=\"NR\" >\u7459\u9c81<\/option><option value=\"\u745e\u5178\" data-country-code=\"SE\" >\u745e\u5178<\/option><option value=\"\u745e\u58eb\" data-country-code=\"CH\" >\u745e\u58eb<\/option><option value=\"\u74dc\u5fb7\u7f57\u666e\u5c9b\" data-country-code=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b\" data-country-code=\"WF\" >\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u74e6\u52aa\u963f\u56fe\" data-country-code=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"\u7559\u5c3c\u6c6a\u5c9b\" data-country-code=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"\u767d\u4fc4\u7f57\u65af\" data-country-code=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"\u767e\u6155\u5927\" data-country-code=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b\" data-country-code=\"PN\" >\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b<\/option><option value=\"\u76f4\u5e03\u7f57\u9640\" data-country-code=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"\u798f\u514b\u5170\u7fa4\u5c9b\" data-country-code=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"\u79d1\u5a01\u7279\" data-country-code=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"\u79d1\u6469\u7f57\" data-country-code=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"\u79d1\u7279\u8fea\u74e6\" data-country-code=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"\u79d1\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"CC\" >\u79d1\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u79d1\u7d22\u6c83\" data-country-code=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"\u79d8\u9c81\" data-country-code=\"PE\" >\u79d8\u9c81<\/option><option value=\"\u7a81\u5c3c\u65af\" data-country-code=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"\u7acb\u9676\u5b9b\" data-country-code=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"\u7d22\u9a6c\u91cc\" data-country-code=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"\u7ea6\u65e6\" data-country-code=\"JO\" >\u7ea6\u65e6<\/option><option value=\"\u7ea6\u7ff0\u65af\u987f\u5c9b\" data-country-code=\"JT\" >\u7ea6\u7ff0\u65af\u987f\u5c9b<\/option><option value=\"\u7eb3\u7c73\u6bd4\u4e9a\" data-country-code=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"\u7ebd\u57c3\" data-country-code=\"NU\" >\u7ebd\u57c3<\/option><option value=\"\u7f05\u7538\" data-country-code=\"MM\" >\u7f05\u7538<\/option><option value=\"\u7f57\u9a6c\u5c3c\u4e9a\" data-country-code=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09\" data-country-code=\"US\" >\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09<\/option><option value=\"\u7f8e\u56fd\u6d77\u5916\u9886\u5730\" data-country-code=\"UM\" >\u7f8e\u56fd\u6d77\u5916\u9886\u5730<\/option><option value=\"\u7f8e\u5c5e\u8428\u6469\u4e9a\" data-country-code=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6\" data-country-code=\"PM\" >\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6<\/option><option value=\"\u80af\u5c3c\u4e9a\" data-country-code=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"\u82ac\u5170\" data-country-code=\"FI\" >\u82ac\u5170<\/option><option value=\"\u82cf\u4e39\" data-country-code=\"SD\" >\u82cf\u4e39<\/option><option value=\"\u82cf\u4e39\uff0c\u5357\u90e8\" data-country-code=\"SS\" >\u82cf\u4e39\uff0c\u5357\u90e8<\/option><option value=\"\u82cf\u91cc\u5357\" data-country-code=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"\u82f1\u56fd\" data-country-code=\"GB\" >\u82f1\u56fd<\/option><option value=\"\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730\" data-country-code=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b\" data-country-code=\"VG\" >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value=\"\u8377\u5170\" data-country-code=\"NL\" >\u8377\u5170<\/option><option value=\"\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b\" data-country-code=\"AN\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option><option value=\"\u83ab\u6851\u6bd4\u514b\" data-country-code=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"\u83b1\u7d22\u6258\" data-country-code=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"\u83f2\u5f8b\u5bbe\" data-country-code=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"\u8428\u5c14\u74e6\u591a\" data-country-code=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"\u8428\u6469\u4e9a\" data-country-code=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"\u8461\u8404\u7259\" data-country-code=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"\u8499\u53e4\" data-country-code=\"MN\" >\u8499\u53e4<\/option><option value=\"\u8499\u7279\u585e\u62c9\u7279\" data-country-code=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"\u897f\u6492\u54c8\u62c9\" data-country-code=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"\u897f\u73ed\u7259\" data-country-code=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"\u8bfa\u798f\u514b\u5c9b\" data-country-code=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"\u8d1d\u5b81\" data-country-code=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"\u8d5e\u6bd4\u4e9a\" data-country-code=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"\u8d64\u9053\u51e0\u5185\u4e9a\" data-country-code=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b\" data-country-code=\"HM\" >\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u8d8a\u5357\" data-country-code=\"VN\" >\u8d8a\u5357<\/option><option value=\"\u963f\u585e\u62dc\u7586\" data-country-code=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"\u963f\u5bcc\u6c57\" data-country-code=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"\u963f\u5c14\u53ca\u5229\u4e9a\" data-country-code=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"\u963f\u5c14\u5df4\u5c3c\u4e9a\" data-country-code=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd\" data-country-code=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"\u963f\u66fc\" data-country-code=\"OM\" >\u963f\u66fc<\/option><option value=\"\u963f\u6839\u5ef7\" data-country-code=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"\u963f\u9c81\u5df4\" data-country-code=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"\u97e9\u56fd\u5171\u548c\u56fd\" data-country-code=\"KR\" >\u97e9\u56fd\u5171\u548c\u56fd<\/option><option value=\"\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"KP\" >\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u9999\u6e2f\" data-country-code=\"HK\" >\u9999\u6e2f<\/option><option value=\"\u9a6c\u5c14\u4ee3\u592b\" data-country-code=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"\u9a6c\u62c9\u7ef4\" data-country-code=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"\u9a6c\u63d0\u5c3c\u514b\" data-country-code=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"\u9a6c\u6765\u897f\u4e9a\" data-country-code=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"\u9a6c\u7ea6\u7279\" data-country-code=\"YT\" >\u9a6c\u7ea6\u7279<\/option><option value=\"\u9a6c\u7ecd\u5c14\u7fa4\u5c9b\" data-country-code=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"\u9a6c\u8033\u4ed6\" data-country-code=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"\u9a6c\u8fbe\u52a0\u65af\u52a0\" data-country-code=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"\u9a6c\u91cc\" data-country-code=\"ML\" >\u9a6c\u91cc<\/option><option value=\"\u9ece\u5df4\u5ae9\" data-country-code=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"\u9ed1\u5c71\" data-country-code=\"ME\" >\u9ed1\u5c71<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><p style=\"margin-bottom: -20px;color: #233333;font-weight: bold;font-size: 15px\">\u90ae\u5bc4\u5730\u5740<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-69ff654158bcd-label\"><label id=\"forminator-field-checkbox-2-1-69ff654158bcd-label\" for=\"forminator-field-checkbox-2-1-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u4e0e\u516c\u53f8\u6ce8\u518c\u5730\u5740\u4e00\u81f4\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"\u4e0e\u516c\u53f8\u6ce8\u518c\u5730\u5740\u4e00\u81f4\" id=\"forminator-field-checkbox-2-1-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-2-1-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u4e0e\u516c\u53f8\u6ce8\u518c\u5730\u5740\u4e00\u81f4<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-5\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-5-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-5-street_address_69ff654158bcd\" id=\"forminator-field-address-5-street_address_69ff654158bcd-label\" class=\"forminator-label\">\u8857\u9053\u5730\u5740 (\u4e0d\u53ef\u4ee5\u4f7f\u7528\u90ae\u653f\u4fe1\u7bb1) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-5-street_address\" placeholder=\"\" id=\"forminator-field-address-5-street_address_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-5-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-5-city_69ff654158bcd\" id=\"forminator-field-address-5-city_69ff654158bcd-label\" class=\"forminator-label\">\u57ce\u5e02 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-5-city\" placeholder=\"\" id=\"forminator-field-address-5-city_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-5-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-5-state_69ff654158bcd\" id=\"forminator-field-address-5-state_69ff654158bcd-label\" class=\"forminator-label\">\u5dde\/\u7701\u4f1a <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-5-state\" placeholder=\"\" id=\"forminator-field-address-5-state_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-5-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-5-zip_69ff654158bcd\" id=\"forminator-field-address-5-zip_69ff654158bcd-label\" class=\"forminator-label\">\u90ae\u653f\u7f16\u7801 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-5-zip\" placeholder=\"\" id=\"forminator-field-address-5-zip_69ff654158bcd\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-5-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-1964__field--address-5-country_69ff654158bcd\" id=\"forminator-field-1964__field--address-5-country_69ff654158bcd-label\" class=\"forminator-label\">\u7a0e\u52a1\u5c45\u4f4f\u56fd<\/label><select name=\"address-5-country\" id=\"forminator-field-1964__field--address-5-country_69ff654158bcd\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"\u9009\u62e9\u56fd\u5bb6\/\u5730\u533a\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"\u4e0d\u4e39\" data-country-code=\"BT\" >\u4e0d\u4e39<\/option><option value=\"\u4e1c\u5e1d\u6c76\" data-country-code=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"CN\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e\" data-country-code=\"TW\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e<\/option><option value=\"\u4e2d\u975e\u5171\u548c\u56fd\" data-country-code=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"\u4e39\u9ea6\" data-country-code=\"DK\" >\u4e39\u9ea6<\/option><option value=\"\u4e4c\u514b\u5170\" data-country-code=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"\u4e4c\u5179\u522b\u514b\u65af\u5766\" data-country-code=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"\u4e4c\u5e72\u8fbe\" data-country-code=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"\u4e4c\u62c9\u572d\" data-country-code=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"\u4e4d\u5f97\" data-country-code=\"TD\" >\u4e4d\u5f97<\/option><option value=\"\u4e5f\u95e8\" data-country-code=\"YE\" >\u4e5f\u95e8<\/option><option value=\"\u4e9a\u7f8e\u5c3c\u4e9a\" data-country-code=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"\u4ee5\u8272\u5217\" data-country-code=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"\u4f0a\u62c9\u514b\" data-country-code=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"\u4f0a\u6717\" data-country-code=\"IR\" >\u4f0a\u6717<\/option><option value=\"\u4f2f\u5229\u5179\" data-country-code=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"\u4f5b\u5f97\u89d2\" data-country-code=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"\u4fc4\u7f57\u65af\" data-country-code=\"RU\" >\u4fc4\u7f57\u65af<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9a\" data-country-code=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"\u514b\u7f57\u5730\u4e9a\" data-country-code=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"\u5173\u5c9b\" data-country-code=\"GU\" >\u5173\u5c9b<\/option><option value=\"\u5188\u6bd4\u4e9a\" data-country-code=\"GM\" >\u5188\u6bd4\u4e9a<\/option><option value=\"\u51b0\u5c9b\" data-country-code=\"IS\" >\u51b0\u5c9b<\/option><option value=\"\u51e0\u5185\u4e9a\" data-country-code=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"\u51e0\u5185\u4e9a\u6bd4\u7ecd\" data-country-code=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"\u5217\u652f\u6566\u58eb\u767b\" data-country-code=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"\u521a\u679c\u5171\u548c\u56fd\u7684\" data-country-code=\"CG\" >\u521a\u679c\u5171\u548c\u56fd\u7684<\/option><option value=\"\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"CD\" >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u5229\u6bd4\u4e9a\" data-country-code=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"\u5229\u6bd4\u91cc\u4e9a\" data-country-code=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"\u52a0\u62ff\u5927\" data-country-code=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"\u52a0\u7eb3\" data-country-code=\"GH\" >\u52a0\u7eb3<\/option><option value=\"\u52a0\u84ec\" data-country-code=\"GA\" >\u52a0\u84ec<\/option><option value=\"\u5308\u7259\u5229\" data-country-code=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"\u5317\u9a6c\u5176\u987f\" data-country-code=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b\" data-country-code=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb\" data-country-code=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb<\/option><option value=\"\u5357\u6781\u6d32\" data-country-code=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"\u5357\u975e\" data-country-code=\"ZA\" >\u5357\u975e<\/option><option value=\"\u535a\u8328\u74e6\u7eb3\" data-country-code=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"\u5361\u5854\u5c14\" data-country-code=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"\u5362\u65fa\u8fbe\" data-country-code=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"\u5362\u68ee\u5821\" data-country-code=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"\u5370\u5ea6\" data-country-code=\"IN\" >\u5370\u5ea6<\/option><option value=\"\u5370\u5ea6\u5c3c\u897f\u4e9a\" data-country-code=\"ID\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"\u5371\u5730\u9a6c\u62c9\" data-country-code=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"\u5384\u74dc\u591a\u5c14\" data-country-code=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"\u5384\u7acb\u7279\u91cc\u4e9a\" data-country-code=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"\u53d9\u5229\u4e9a\" data-country-code=\"SY\" >\u53d9\u5229\u4e9a<\/option><option value=\"\u53e4\u5df4\" data-country-code=\"CU\" >\u53e4\u5df4<\/option><option value=\"\u5409\u5c14\u5409\u65af\u65af\u5766\" data-country-code=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"\u5409\u5e03\u63d0\" data-country-code=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"\u54c8\u8428\u514b\u65af\u5766\" data-country-code=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"\u54e5\u4f26\u6bd4\u4e9a\" data-country-code=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"\u54e5\u65af\u8fbe\u9ece\u52a0\" data-country-code=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"\u5580\u9ea6\u9686\" data-country-code=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"\u56fe\u74e6\u5362\" data-country-code=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"\u571f\u5e93\u66fc\u65af\u5766\" data-country-code=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"\u571f\u8033\u5176\" data-country-code=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"\u5723\u5362\u897f\u4e9a\" data-country-code=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af\" data-country-code=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4\" data-country-code=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af\" data-country-code=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"\u5723\u8bde\u5c9b\" data-country-code=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"\u5723\u8d6b\u52d2\u62ff\" data-country-code=\"SH\" >\u5723\u8d6b\u52d2\u62ff<\/option><option value=\"\u5723\u9a6c\u4e01\u5c9b\" data-country-code=\"MF\" >\u5723\u9a6c\u4e01\u5c9b<\/option><option value=\"\u5723\u9a6c\u529b\u8bfa\" data-country-code=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"\u572d\u4e9a\u90a3\" data-country-code=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"\u5766\u6851\u5c3c\u4e9a\" data-country-code=\"TZ\" >\u5766\u6851\u5c3c\u4e9a<\/option><option value=\"\u57c3\u53ca\" data-country-code=\"EG\" >\u57c3\u53ca<\/option><option value=\"\u57c3\u585e\u4fc4\u6bd4\u4e9a\" data-country-code=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"\u57fa\u91cc\u5df4\u65af\" data-country-code=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"\u5854\u5409\u514b\u65af\u5766\" data-country-code=\"TJ\" >\u5854\u5409\u514b\u65af\u5766<\/option><option value=\"\u585e\u5185\u52a0\u5c14\" data-country-code=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"\u585e\u5c14\u7ef4\u4e9a\" data-country-code=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"\u585e\u62c9\u5229\u6602\" data-country-code=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"\u585e\u6d66\u8def\u65af\" data-country-code=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"\u585e\u820c\u5c14\" data-country-code=\"SC\" >\u585e\u820c\u5c14<\/option><option value=\"\u58a8\u897f\u54e5\" data-country-code=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"\u591a\u54e5\" data-country-code=\"TG\" >\u591a\u54e5<\/option><option value=\"\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd\" data-country-code=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"\u591a\u7c73\u5c3c\u52a0\" data-country-code=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"\u5965\u5730\u5229\" data-country-code=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"\u59d4\u5185\u745e\u62c9\" data-country-code=\"VE\" >\u59d4\u5185\u745e\u62c9<\/option><option value=\"\u5b5f\u52a0\u62c9\u56fd\" data-country-code=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"\u5b89\u54e5\u62c9\" data-country-code=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"\u5b89\u572d\u62c9\" data-country-code=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe\" data-country-code=\"AG\" >\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"\u5b89\u9053\u5c14\" data-country-code=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\" data-country-code=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value=\"\u5c3c\u52a0\u62c9\u74dc\" data-country-code=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"\u5c3c\u65e5\u5229\u4e9a\" data-country-code=\"NG\" >\u5c3c\u65e5\u5229\u4e9a<\/option><option value=\"\u5c3c\u65e5\u5c14\" data-country-code=\"NE\" >\u5c3c\u65e5\u5c14<\/option><option value=\"\u5c3c\u6cca\u5c14\" data-country-code=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"\u5df4\u52d2\u65af\u5766\" data-country-code=\"PS\" >\u5df4\u52d2\u65af\u5766<\/option><option value=\"\u5df4\u54c8\u9a6c\" data-country-code=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"\u5df4\u57fa\u65af\u5766\" data-country-code=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"\u5df4\u5df4\u591a\u65af\" data-country-code=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a\" data-country-code=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"\u5df4\u62c9\u572d\" data-country-code=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"\u5df4\u62ff\u9a6c\" data-country-code=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"\u5df4\u6797\" data-country-code=\"BH\" >\u5df4\u6797<\/option><option value=\"\u5df4\u897f\" data-country-code=\"BR\" >\u5df4\u897f<\/option><option value=\"\u5e03\u57fa\u7eb3\u6cd5\u7d22\" data-country-code=\"BF\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option><option value=\"\u5e03\u7ef4\u5c9b\" data-country-code=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"\u5e03\u9686\u8fea\" data-country-code=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"\u5e0c\u814a\" data-country-code=\"GR\" >\u5e0c\u814a<\/option><option value=\"\u5e15\u52b3\" data-country-code=\"PW\" >\u5e15\u52b3<\/option><option value=\"\u5e93\u514b\u7fa4\u5c9b\" data-country-code=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"\u5e93\u62c9\u7d22\" data-country-code=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"\u5f00\u66fc\u7fa4\u5c9b\" data-country-code=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"\u5fb7\u56fd\" data-country-code=\"DE\" >\u5fb7\u56fd<\/option><option value=\"\u610f\u5927\u5229\" data-country-code=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"\u6240\u7f57\u95e8\u7fa4\u5c9b\" data-country-code=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"\u6258\u514b\u52b3\" data-country-code=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"\u62c9\u8131\u7ef4\u4e9a\" data-country-code=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"\u632a\u5a01\" data-country-code=\"NO\" >\u632a\u5a01<\/option><option value=\"\u6377\u514b\u5171\u548c\u56fd\" data-country-code=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"\u6469\u5c14\u591a\u74e6\" data-country-code=\"MD\" >\u6469\u5c14\u591a\u74e6<\/option><option value=\"\u6469\u6d1b\u54e5\" data-country-code=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"\u6469\u7eb3\u54e5\" data-country-code=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"\u6587\u83b1\" data-country-code=\"BN\" >\u6587\u83b1<\/option><option value=\"\u6590\u6d4e\" data-country-code=\"FJ\" >\u6590\u6d4e<\/option><option value=\"\u65af\u5a01\u58eb\u5170\" data-country-code=\"SZ\" >\u65af\u5a01\u58eb\u5170<\/option><option value=\"\u65af\u6d1b\u4f10\u514b\" data-country-code=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"\u65af\u6d1b\u6587\u5c3c\u4e9a\" data-country-code=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6\" data-country-code=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6<\/option><option value=\"\u65af\u91cc\u5170\u5361\" data-country-code=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"\u65b0\u52a0\u5761\" data-country-code=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a\" data-country-code=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"\u65b0\u897f\u5170\" data-country-code=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"\u65e0\u56fd\u7c4d\u4eba\" data-country-code=\"XX\" >\u65e0\u56fd\u7c4d\u4eba<\/option><option value=\"\u65e5\u672c\" data-country-code=\"JP\" >\u65e5\u672c<\/option><option value=\"\u667a\u5229\" data-country-code=\"CL\" >\u667a\u5229<\/option><option value=\"\u67ec\u57d4\u5be8\" data-country-code=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"\u6839\u897f\u5c9b\" data-country-code=\"GG\" >\u6839\u897f\u5c9b<\/option><option value=\"\u683c\u6797\u7eb3\u8fbe\" data-country-code=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"\u683c\u9675\u5170\" data-country-code=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"\u68b5\u8482\u5188\u57ce\" data-country-code=\"VA\" >\u68b5\u8482\u5188\u57ce<\/option><option value=\"\u6bd4\u5229\u65f6\" data-country-code=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"\u6bdb\u91cc\u5854\u5c3c\u4e9a\" data-country-code=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"\u6bdb\u91cc\u6c42\u65af\" data-country-code=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"\u6c64\u52a0\" data-country-code=\"TO\" >\u6c64\u52a0<\/option><option value=\"\u6c99\u7279\u963f\u62c9\u4f2f\" data-country-code=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"\u6cd5\u56fd\" data-country-code=\"FR\" >\u6cd5\u56fd<\/option><option value=\"\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a\" data-country-code=\"FX\" >\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a<\/option><option value=\"\u6cd5\u5c5e\u5357\u9886\u5730\" data-country-code=\"TF\" >\u6cd5\u5c5e\u5357\u9886\u5730<\/option><option value=\"\u6cd5\u5c5e\u572d\u4e9a\u90a3\" data-country-code=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a\" data-country-code=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"\u6cd5\u7f57\u7fa4\u5c9b\" data-country-code=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"\u6ce2\u5170\" data-country-code=\"PL\" >\u6ce2\u5170<\/option><option value=\"\u6ce2\u591a\u9ece\u5404\" data-country-code=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3\" data-country-code=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"\u6cf0\u56fd\" data-country-code=\"TH\" >\u6cf0\u56fd<\/option><option value=\"\u6cfd\u897f\" data-country-code=\"JE\" >\u6cfd\u897f<\/option><option value=\"\u6d25\u5df4\u5e03\u97e6\" data-country-code=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"\u6d2a\u90fd\u62c9\u65af\" data-country-code=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"\u6d77\u5730\" data-country-code=\"HT\" >\u6d77\u5730<\/option><option value=\"\u6fb3\u5927\u5229\u4e9a\" data-country-code=\"AU\" >\u6fb3\u5927\u5229\u4e9a<\/option><option value=\"\u6fb3\u95e8\" data-country-code=\"MO\" >\u6fb3\u95e8<\/option><option value=\"\u7231\u5c14\u5170\" data-country-code=\"IE\" >\u7231\u5c14\u5170<\/option><option value=\"\u7231\u6c99\u5c3c\u4e9a\" data-country-code=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"\u7259\u4e70\u52a0\" data-country-code=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5\" data-country-code=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"\u73bb\u5229\u7ef4\u4e9a\" data-country-code=\"BO\" >\u73bb\u5229\u7ef4\u4e9a<\/option><option value=\"\u7459\u9c81\" data-country-code=\"NR\" >\u7459\u9c81<\/option><option value=\"\u745e\u5178\" data-country-code=\"SE\" >\u745e\u5178<\/option><option value=\"\u745e\u58eb\" data-country-code=\"CH\" >\u745e\u58eb<\/option><option value=\"\u74dc\u5fb7\u7f57\u666e\u5c9b\" data-country-code=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b\" data-country-code=\"WF\" >\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u74e6\u52aa\u963f\u56fe\" data-country-code=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"\u7559\u5c3c\u6c6a\u5c9b\" data-country-code=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"\u767d\u4fc4\u7f57\u65af\" data-country-code=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"\u767e\u6155\u5927\" data-country-code=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b\" data-country-code=\"PN\" >\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b<\/option><option value=\"\u76f4\u5e03\u7f57\u9640\" data-country-code=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"\u798f\u514b\u5170\u7fa4\u5c9b\" data-country-code=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"\u79d1\u5a01\u7279\" data-country-code=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"\u79d1\u6469\u7f57\" data-country-code=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"\u79d1\u7279\u8fea\u74e6\" data-country-code=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"\u79d1\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"CC\" >\u79d1\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u79d1\u7d22\u6c83\" data-country-code=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"\u79d8\u9c81\" data-country-code=\"PE\" >\u79d8\u9c81<\/option><option value=\"\u7a81\u5c3c\u65af\" data-country-code=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"\u7acb\u9676\u5b9b\" data-country-code=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"\u7d22\u9a6c\u91cc\" data-country-code=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"\u7ea6\u65e6\" data-country-code=\"JO\" >\u7ea6\u65e6<\/option><option value=\"\u7ea6\u7ff0\u65af\u987f\u5c9b\" data-country-code=\"JT\" >\u7ea6\u7ff0\u65af\u987f\u5c9b<\/option><option value=\"\u7eb3\u7c73\u6bd4\u4e9a\" data-country-code=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"\u7ebd\u57c3\" data-country-code=\"NU\" >\u7ebd\u57c3<\/option><option value=\"\u7f05\u7538\" data-country-code=\"MM\" >\u7f05\u7538<\/option><option value=\"\u7f57\u9a6c\u5c3c\u4e9a\" data-country-code=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09\" data-country-code=\"US\" >\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09<\/option><option value=\"\u7f8e\u56fd\u6d77\u5916\u9886\u5730\" data-country-code=\"UM\" >\u7f8e\u56fd\u6d77\u5916\u9886\u5730<\/option><option value=\"\u7f8e\u5c5e\u8428\u6469\u4e9a\" data-country-code=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6\" data-country-code=\"PM\" >\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6<\/option><option value=\"\u80af\u5c3c\u4e9a\" data-country-code=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"\u82ac\u5170\" data-country-code=\"FI\" >\u82ac\u5170<\/option><option value=\"\u82cf\u4e39\" data-country-code=\"SD\" >\u82cf\u4e39<\/option><option value=\"\u82cf\u4e39\uff0c\u5357\u90e8\" data-country-code=\"SS\" >\u82cf\u4e39\uff0c\u5357\u90e8<\/option><option value=\"\u82cf\u91cc\u5357\" data-country-code=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"\u82f1\u56fd\" data-country-code=\"GB\" >\u82f1\u56fd<\/option><option value=\"\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730\" data-country-code=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b\" data-country-code=\"VG\" >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value=\"\u8377\u5170\" data-country-code=\"NL\" >\u8377\u5170<\/option><option value=\"\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b\" data-country-code=\"AN\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option><option value=\"\u83ab\u6851\u6bd4\u514b\" data-country-code=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"\u83b1\u7d22\u6258\" data-country-code=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"\u83f2\u5f8b\u5bbe\" data-country-code=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"\u8428\u5c14\u74e6\u591a\" data-country-code=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"\u8428\u6469\u4e9a\" data-country-code=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"\u8461\u8404\u7259\" data-country-code=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"\u8499\u53e4\" data-country-code=\"MN\" >\u8499\u53e4<\/option><option value=\"\u8499\u7279\u585e\u62c9\u7279\" data-country-code=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"\u897f\u6492\u54c8\u62c9\" data-country-code=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"\u897f\u73ed\u7259\" data-country-code=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"\u8bfa\u798f\u514b\u5c9b\" data-country-code=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"\u8d1d\u5b81\" data-country-code=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"\u8d5e\u6bd4\u4e9a\" data-country-code=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"\u8d64\u9053\u51e0\u5185\u4e9a\" data-country-code=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b\" data-country-code=\"HM\" >\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u8d8a\u5357\" data-country-code=\"VN\" >\u8d8a\u5357<\/option><option value=\"\u963f\u585e\u62dc\u7586\" data-country-code=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"\u963f\u5bcc\u6c57\" data-country-code=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"\u963f\u5c14\u53ca\u5229\u4e9a\" data-country-code=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"\u963f\u5c14\u5df4\u5c3c\u4e9a\" data-country-code=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd\" data-country-code=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"\u963f\u66fc\" data-country-code=\"OM\" >\u963f\u66fc<\/option><option value=\"\u963f\u6839\u5ef7\" data-country-code=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"\u963f\u9c81\u5df4\" data-country-code=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"\u97e9\u56fd\u5171\u548c\u56fd\" data-country-code=\"KR\" >\u97e9\u56fd\u5171\u548c\u56fd<\/option><option value=\"\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"KP\" >\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u9999\u6e2f\" data-country-code=\"HK\" >\u9999\u6e2f<\/option><option value=\"\u9a6c\u5c14\u4ee3\u592b\" data-country-code=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"\u9a6c\u62c9\u7ef4\" data-country-code=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"\u9a6c\u63d0\u5c3c\u514b\" data-country-code=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"\u9a6c\u6765\u897f\u4e9a\" data-country-code=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"\u9a6c\u7ea6\u7279\" data-country-code=\"YT\" >\u9a6c\u7ea6\u7279<\/option><option value=\"\u9a6c\u7ecd\u5c14\u7fa4\u5c9b\" data-country-code=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"\u9a6c\u8033\u4ed6\" data-country-code=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"\u9a6c\u8fbe\u52a0\u65af\u52a0\" data-country-code=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"\u9a6c\u91cc\" data-country-code=\"ML\" >\u9a6c\u91cc<\/option><option value=\"\u9ece\u5df4\u5ae9\" data-country-code=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"\u9ed1\u5c71\" data-country-code=\"ME\" >\u9ed1\u5c71<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u4e3b\u8981\u6388\u6743\u4eba\u7684\u4e2a\u4eba\u4fe1\u606f<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69ff654158bcd\" id=\"forminator-field-first-name-1_69ff654158bcd-label\" class=\"forminator-label\">\u59d3\u6c0f <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69ff654158bcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-middle-name-1_69ff654158bcd\" id=\"forminator-field-middle-name-1_69ff654158bcd-label\" class=\"forminator-label\">\u540d\u5b57 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-middle-name\" placeholder=\"\" id=\"forminator-field-middle-name-1_69ff654158bcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"additional-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69ff654158bcd\" id=\"forminator-field-last-name-1_69ff654158bcd-label\" class=\"forminator-label\">\u4e2d\u95f4\u540d<\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69ff654158bcd\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-3\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-3-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-street_address_69ff654158bcd\" id=\"forminator-field-address-3-street_address_69ff654158bcd-label\" class=\"forminator-label\">\u5bb6\u5ead\u4f4f\u5740 (\u8857\u9053\u540d\u79f0 - \u4e0d\u53ef\u4ee5\u4f7f\u7528\u90ae\u653f\u4fe1\u7bb1) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-street_address\" placeholder=\"\" id=\"forminator-field-address-3-street_address_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-3-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-city_69ff654158bcd\" id=\"forminator-field-address-3-city_69ff654158bcd-label\" class=\"forminator-label\">\u57ce\u5e02 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-city\" placeholder=\"\" id=\"forminator-field-address-3-city_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-3-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-state_69ff654158bcd\" id=\"forminator-field-address-3-state_69ff654158bcd-label\" class=\"forminator-label\">\u5dde\/\u7701\u4f1a <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-state\" placeholder=\"\" id=\"forminator-field-address-3-state_69ff654158bcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-3-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-zip_69ff654158bcd\" id=\"forminator-field-address-3-zip_69ff654158bcd-label\" class=\"forminator-label\">\u90ae\u653f\u7f16\u7801 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-zip\" placeholder=\"\" id=\"forminator-field-address-3-zip_69ff654158bcd\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-3-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-1964__field--address-3-country_69ff654158bcd\" id=\"forminator-field-1964__field--address-3-country_69ff654158bcd-label\" class=\"forminator-label\">\u56fd\u5bb6<\/label><select name=\"address-3-country\" id=\"forminator-field-1964__field--address-3-country_69ff654158bcd\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"\u9009\u62e9\u56fd\u5bb6\/\u5730\u533a\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"\u4e0d\u4e39\" data-country-code=\"BT\" >\u4e0d\u4e39<\/option><option value=\"\u4e1c\u5e1d\u6c76\" data-country-code=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"CN\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e\" data-country-code=\"TW\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e<\/option><option value=\"\u4e2d\u975e\u5171\u548c\u56fd\" data-country-code=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"\u4e39\u9ea6\" data-country-code=\"DK\" >\u4e39\u9ea6<\/option><option value=\"\u4e4c\u514b\u5170\" data-country-code=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"\u4e4c\u5179\u522b\u514b\u65af\u5766\" data-country-code=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"\u4e4c\u5e72\u8fbe\" data-country-code=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"\u4e4c\u62c9\u572d\" data-country-code=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"\u4e4d\u5f97\" data-country-code=\"TD\" >\u4e4d\u5f97<\/option><option value=\"\u4e5f\u95e8\" data-country-code=\"YE\" >\u4e5f\u95e8<\/option><option value=\"\u4e9a\u7f8e\u5c3c\u4e9a\" data-country-code=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"\u4ee5\u8272\u5217\" data-country-code=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"\u4f0a\u62c9\u514b\" data-country-code=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"\u4f0a\u6717\" data-country-code=\"IR\" >\u4f0a\u6717<\/option><option value=\"\u4f2f\u5229\u5179\" data-country-code=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"\u4f5b\u5f97\u89d2\" data-country-code=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"\u4fc4\u7f57\u65af\" data-country-code=\"RU\" >\u4fc4\u7f57\u65af<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9a\" data-country-code=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"\u514b\u7f57\u5730\u4e9a\" data-country-code=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"\u5173\u5c9b\" data-country-code=\"GU\" >\u5173\u5c9b<\/option><option value=\"\u5188\u6bd4\u4e9a\" data-country-code=\"GM\" >\u5188\u6bd4\u4e9a<\/option><option value=\"\u51b0\u5c9b\" data-country-code=\"IS\" >\u51b0\u5c9b<\/option><option value=\"\u51e0\u5185\u4e9a\" data-country-code=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"\u51e0\u5185\u4e9a\u6bd4\u7ecd\" data-country-code=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"\u5217\u652f\u6566\u58eb\u767b\" data-country-code=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"\u521a\u679c\u5171\u548c\u56fd\u7684\" data-country-code=\"CG\" >\u521a\u679c\u5171\u548c\u56fd\u7684<\/option><option value=\"\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"CD\" >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u5229\u6bd4\u4e9a\" data-country-code=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"\u5229\u6bd4\u91cc\u4e9a\" data-country-code=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"\u52a0\u62ff\u5927\" data-country-code=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"\u52a0\u7eb3\" data-country-code=\"GH\" >\u52a0\u7eb3<\/option><option value=\"\u52a0\u84ec\" data-country-code=\"GA\" >\u52a0\u84ec<\/option><option value=\"\u5308\u7259\u5229\" data-country-code=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"\u5317\u9a6c\u5176\u987f\" data-country-code=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b\" data-country-code=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb\" data-country-code=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb<\/option><option value=\"\u5357\u6781\u6d32\" data-country-code=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"\u5357\u975e\" data-country-code=\"ZA\" >\u5357\u975e<\/option><option value=\"\u535a\u8328\u74e6\u7eb3\" data-country-code=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"\u5361\u5854\u5c14\" data-country-code=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"\u5362\u65fa\u8fbe\" data-country-code=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"\u5362\u68ee\u5821\" data-country-code=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"\u5370\u5ea6\" data-country-code=\"IN\" >\u5370\u5ea6<\/option><option value=\"\u5370\u5ea6\u5c3c\u897f\u4e9a\" data-country-code=\"ID\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"\u5371\u5730\u9a6c\u62c9\" data-country-code=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"\u5384\u74dc\u591a\u5c14\" data-country-code=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"\u5384\u7acb\u7279\u91cc\u4e9a\" data-country-code=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"\u53d9\u5229\u4e9a\" data-country-code=\"SY\" >\u53d9\u5229\u4e9a<\/option><option value=\"\u53e4\u5df4\" data-country-code=\"CU\" >\u53e4\u5df4<\/option><option value=\"\u5409\u5c14\u5409\u65af\u65af\u5766\" data-country-code=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"\u5409\u5e03\u63d0\" data-country-code=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"\u54c8\u8428\u514b\u65af\u5766\" data-country-code=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"\u54e5\u4f26\u6bd4\u4e9a\" data-country-code=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"\u54e5\u65af\u8fbe\u9ece\u52a0\" data-country-code=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"\u5580\u9ea6\u9686\" data-country-code=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"\u56fe\u74e6\u5362\" data-country-code=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"\u571f\u5e93\u66fc\u65af\u5766\" data-country-code=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"\u571f\u8033\u5176\" data-country-code=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"\u5723\u5362\u897f\u4e9a\" data-country-code=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af\" data-country-code=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4\" data-country-code=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af\" data-country-code=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"\u5723\u8bde\u5c9b\" data-country-code=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"\u5723\u8d6b\u52d2\u62ff\" data-country-code=\"SH\" >\u5723\u8d6b\u52d2\u62ff<\/option><option value=\"\u5723\u9a6c\u4e01\u5c9b\" data-country-code=\"MF\" >\u5723\u9a6c\u4e01\u5c9b<\/option><option value=\"\u5723\u9a6c\u529b\u8bfa\" data-country-code=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"\u572d\u4e9a\u90a3\" data-country-code=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"\u5766\u6851\u5c3c\u4e9a\" data-country-code=\"TZ\" >\u5766\u6851\u5c3c\u4e9a<\/option><option value=\"\u57c3\u53ca\" data-country-code=\"EG\" >\u57c3\u53ca<\/option><option value=\"\u57c3\u585e\u4fc4\u6bd4\u4e9a\" data-country-code=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"\u57fa\u91cc\u5df4\u65af\" data-country-code=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"\u5854\u5409\u514b\u65af\u5766\" data-country-code=\"TJ\" >\u5854\u5409\u514b\u65af\u5766<\/option><option value=\"\u585e\u5185\u52a0\u5c14\" data-country-code=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"\u585e\u5c14\u7ef4\u4e9a\" data-country-code=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"\u585e\u62c9\u5229\u6602\" data-country-code=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"\u585e\u6d66\u8def\u65af\" data-country-code=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"\u585e\u820c\u5c14\" data-country-code=\"SC\" >\u585e\u820c\u5c14<\/option><option value=\"\u58a8\u897f\u54e5\" data-country-code=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"\u591a\u54e5\" data-country-code=\"TG\" >\u591a\u54e5<\/option><option value=\"\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd\" data-country-code=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"\u591a\u7c73\u5c3c\u52a0\" data-country-code=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"\u5965\u5730\u5229\" data-country-code=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"\u59d4\u5185\u745e\u62c9\" data-country-code=\"VE\" >\u59d4\u5185\u745e\u62c9<\/option><option value=\"\u5b5f\u52a0\u62c9\u56fd\" data-country-code=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"\u5b89\u54e5\u62c9\" data-country-code=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"\u5b89\u572d\u62c9\" data-country-code=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe\" data-country-code=\"AG\" >\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"\u5b89\u9053\u5c14\" data-country-code=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\" data-country-code=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value=\"\u5c3c\u52a0\u62c9\u74dc\" data-country-code=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"\u5c3c\u65e5\u5229\u4e9a\" data-country-code=\"NG\" >\u5c3c\u65e5\u5229\u4e9a<\/option><option value=\"\u5c3c\u65e5\u5c14\" data-country-code=\"NE\" >\u5c3c\u65e5\u5c14<\/option><option value=\"\u5c3c\u6cca\u5c14\" data-country-code=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"\u5df4\u52d2\u65af\u5766\" data-country-code=\"PS\" >\u5df4\u52d2\u65af\u5766<\/option><option value=\"\u5df4\u54c8\u9a6c\" data-country-code=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"\u5df4\u57fa\u65af\u5766\" data-country-code=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"\u5df4\u5df4\u591a\u65af\" data-country-code=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a\" data-country-code=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"\u5df4\u62c9\u572d\" data-country-code=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"\u5df4\u62ff\u9a6c\" data-country-code=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"\u5df4\u6797\" data-country-code=\"BH\" >\u5df4\u6797<\/option><option value=\"\u5df4\u897f\" data-country-code=\"BR\" >\u5df4\u897f<\/option><option value=\"\u5e03\u57fa\u7eb3\u6cd5\u7d22\" data-country-code=\"BF\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option><option value=\"\u5e03\u7ef4\u5c9b\" data-country-code=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"\u5e03\u9686\u8fea\" data-country-code=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"\u5e0c\u814a\" data-country-code=\"GR\" >\u5e0c\u814a<\/option><option value=\"\u5e15\u52b3\" data-country-code=\"PW\" >\u5e15\u52b3<\/option><option value=\"\u5e93\u514b\u7fa4\u5c9b\" data-country-code=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"\u5e93\u62c9\u7d22\" data-country-code=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"\u5f00\u66fc\u7fa4\u5c9b\" data-country-code=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"\u5fb7\u56fd\" data-country-code=\"DE\" >\u5fb7\u56fd<\/option><option value=\"\u610f\u5927\u5229\" data-country-code=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"\u6240\u7f57\u95e8\u7fa4\u5c9b\" data-country-code=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"\u6258\u514b\u52b3\" data-country-code=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"\u62c9\u8131\u7ef4\u4e9a\" data-country-code=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"\u632a\u5a01\" data-country-code=\"NO\" >\u632a\u5a01<\/option><option value=\"\u6377\u514b\u5171\u548c\u56fd\" data-country-code=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"\u6469\u5c14\u591a\u74e6\" data-country-code=\"MD\" >\u6469\u5c14\u591a\u74e6<\/option><option value=\"\u6469\u6d1b\u54e5\" data-country-code=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"\u6469\u7eb3\u54e5\" data-country-code=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"\u6587\u83b1\" data-country-code=\"BN\" >\u6587\u83b1<\/option><option value=\"\u6590\u6d4e\" data-country-code=\"FJ\" >\u6590\u6d4e<\/option><option value=\"\u65af\u5a01\u58eb\u5170\" data-country-code=\"SZ\" >\u65af\u5a01\u58eb\u5170<\/option><option value=\"\u65af\u6d1b\u4f10\u514b\" data-country-code=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"\u65af\u6d1b\u6587\u5c3c\u4e9a\" data-country-code=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6\" data-country-code=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6<\/option><option value=\"\u65af\u91cc\u5170\u5361\" data-country-code=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"\u65b0\u52a0\u5761\" data-country-code=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a\" data-country-code=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"\u65b0\u897f\u5170\" data-country-code=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"\u65e0\u56fd\u7c4d\u4eba\" data-country-code=\"XX\" >\u65e0\u56fd\u7c4d\u4eba<\/option><option value=\"\u65e5\u672c\" data-country-code=\"JP\" >\u65e5\u672c<\/option><option value=\"\u667a\u5229\" data-country-code=\"CL\" >\u667a\u5229<\/option><option value=\"\u67ec\u57d4\u5be8\" data-country-code=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"\u6839\u897f\u5c9b\" data-country-code=\"GG\" >\u6839\u897f\u5c9b<\/option><option value=\"\u683c\u6797\u7eb3\u8fbe\" data-country-code=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"\u683c\u9675\u5170\" data-country-code=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"\u68b5\u8482\u5188\u57ce\" data-country-code=\"VA\" >\u68b5\u8482\u5188\u57ce<\/option><option value=\"\u6bd4\u5229\u65f6\" data-country-code=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"\u6bdb\u91cc\u5854\u5c3c\u4e9a\" data-country-code=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"\u6bdb\u91cc\u6c42\u65af\" data-country-code=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"\u6c64\u52a0\" data-country-code=\"TO\" >\u6c64\u52a0<\/option><option value=\"\u6c99\u7279\u963f\u62c9\u4f2f\" data-country-code=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"\u6cd5\u56fd\" data-country-code=\"FR\" >\u6cd5\u56fd<\/option><option value=\"\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a\" data-country-code=\"FX\" >\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a<\/option><option value=\"\u6cd5\u5c5e\u5357\u9886\u5730\" data-country-code=\"TF\" >\u6cd5\u5c5e\u5357\u9886\u5730<\/option><option value=\"\u6cd5\u5c5e\u572d\u4e9a\u90a3\" data-country-code=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a\" data-country-code=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"\u6cd5\u7f57\u7fa4\u5c9b\" data-country-code=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"\u6ce2\u5170\" data-country-code=\"PL\" >\u6ce2\u5170<\/option><option value=\"\u6ce2\u591a\u9ece\u5404\" data-country-code=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3\" data-country-code=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"\u6cf0\u56fd\" data-country-code=\"TH\" >\u6cf0\u56fd<\/option><option value=\"\u6cfd\u897f\" data-country-code=\"JE\" >\u6cfd\u897f<\/option><option value=\"\u6d25\u5df4\u5e03\u97e6\" data-country-code=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"\u6d2a\u90fd\u62c9\u65af\" data-country-code=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"\u6d77\u5730\" data-country-code=\"HT\" >\u6d77\u5730<\/option><option value=\"\u6fb3\u5927\u5229\u4e9a\" data-country-code=\"AU\" >\u6fb3\u5927\u5229\u4e9a<\/option><option value=\"\u6fb3\u95e8\" data-country-code=\"MO\" >\u6fb3\u95e8<\/option><option value=\"\u7231\u5c14\u5170\" data-country-code=\"IE\" >\u7231\u5c14\u5170<\/option><option value=\"\u7231\u6c99\u5c3c\u4e9a\" data-country-code=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"\u7259\u4e70\u52a0\" data-country-code=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5\" data-country-code=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"\u73bb\u5229\u7ef4\u4e9a\" data-country-code=\"BO\" >\u73bb\u5229\u7ef4\u4e9a<\/option><option value=\"\u7459\u9c81\" data-country-code=\"NR\" >\u7459\u9c81<\/option><option value=\"\u745e\u5178\" data-country-code=\"SE\" >\u745e\u5178<\/option><option value=\"\u745e\u58eb\" data-country-code=\"CH\" >\u745e\u58eb<\/option><option value=\"\u74dc\u5fb7\u7f57\u666e\u5c9b\" data-country-code=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b\" data-country-code=\"WF\" >\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u74e6\u52aa\u963f\u56fe\" data-country-code=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"\u7559\u5c3c\u6c6a\u5c9b\" data-country-code=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"\u767d\u4fc4\u7f57\u65af\" data-country-code=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"\u767e\u6155\u5927\" data-country-code=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b\" data-country-code=\"PN\" >\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b<\/option><option value=\"\u76f4\u5e03\u7f57\u9640\" data-country-code=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"\u798f\u514b\u5170\u7fa4\u5c9b\" data-country-code=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"\u79d1\u5a01\u7279\" data-country-code=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"\u79d1\u6469\u7f57\" data-country-code=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"\u79d1\u7279\u8fea\u74e6\" data-country-code=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"\u79d1\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"CC\" >\u79d1\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u79d1\u7d22\u6c83\" data-country-code=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"\u79d8\u9c81\" data-country-code=\"PE\" >\u79d8\u9c81<\/option><option value=\"\u7a81\u5c3c\u65af\" data-country-code=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"\u7acb\u9676\u5b9b\" data-country-code=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"\u7d22\u9a6c\u91cc\" data-country-code=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"\u7ea6\u65e6\" data-country-code=\"JO\" >\u7ea6\u65e6<\/option><option value=\"\u7ea6\u7ff0\u65af\u987f\u5c9b\" data-country-code=\"JT\" >\u7ea6\u7ff0\u65af\u987f\u5c9b<\/option><option value=\"\u7eb3\u7c73\u6bd4\u4e9a\" data-country-code=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"\u7ebd\u57c3\" data-country-code=\"NU\" >\u7ebd\u57c3<\/option><option value=\"\u7f05\u7538\" data-country-code=\"MM\" >\u7f05\u7538<\/option><option value=\"\u7f57\u9a6c\u5c3c\u4e9a\" data-country-code=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09\" data-country-code=\"US\" >\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09<\/option><option value=\"\u7f8e\u56fd\u6d77\u5916\u9886\u5730\" data-country-code=\"UM\" >\u7f8e\u56fd\u6d77\u5916\u9886\u5730<\/option><option value=\"\u7f8e\u5c5e\u8428\u6469\u4e9a\" data-country-code=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6\" data-country-code=\"PM\" >\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6<\/option><option value=\"\u80af\u5c3c\u4e9a\" data-country-code=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"\u82ac\u5170\" data-country-code=\"FI\" >\u82ac\u5170<\/option><option value=\"\u82cf\u4e39\" data-country-code=\"SD\" >\u82cf\u4e39<\/option><option value=\"\u82cf\u4e39\uff0c\u5357\u90e8\" data-country-code=\"SS\" >\u82cf\u4e39\uff0c\u5357\u90e8<\/option><option value=\"\u82cf\u91cc\u5357\" data-country-code=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"\u82f1\u56fd\" data-country-code=\"GB\" >\u82f1\u56fd<\/option><option value=\"\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730\" data-country-code=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b\" data-country-code=\"VG\" >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value=\"\u8377\u5170\" data-country-code=\"NL\" >\u8377\u5170<\/option><option value=\"\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b\" data-country-code=\"AN\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option><option value=\"\u83ab\u6851\u6bd4\u514b\" data-country-code=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"\u83b1\u7d22\u6258\" data-country-code=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"\u83f2\u5f8b\u5bbe\" data-country-code=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"\u8428\u5c14\u74e6\u591a\" data-country-code=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"\u8428\u6469\u4e9a\" data-country-code=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"\u8461\u8404\u7259\" data-country-code=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"\u8499\u53e4\" data-country-code=\"MN\" >\u8499\u53e4<\/option><option value=\"\u8499\u7279\u585e\u62c9\u7279\" data-country-code=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"\u897f\u6492\u54c8\u62c9\" data-country-code=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"\u897f\u73ed\u7259\" data-country-code=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"\u8bfa\u798f\u514b\u5c9b\" data-country-code=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"\u8d1d\u5b81\" data-country-code=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"\u8d5e\u6bd4\u4e9a\" data-country-code=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"\u8d64\u9053\u51e0\u5185\u4e9a\" data-country-code=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b\" data-country-code=\"HM\" >\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u8d8a\u5357\" data-country-code=\"VN\" >\u8d8a\u5357<\/option><option value=\"\u963f\u585e\u62dc\u7586\" data-country-code=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"\u963f\u5bcc\u6c57\" data-country-code=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"\u963f\u5c14\u53ca\u5229\u4e9a\" data-country-code=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"\u963f\u5c14\u5df4\u5c3c\u4e9a\" data-country-code=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd\" data-country-code=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"\u963f\u66fc\" data-country-code=\"OM\" >\u963f\u66fc<\/option><option value=\"\u963f\u6839\u5ef7\" data-country-code=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"\u963f\u9c81\u5df4\" data-country-code=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"\u97e9\u56fd\u5171\u548c\u56fd\" data-country-code=\"KR\" >\u97e9\u56fd\u5171\u548c\u56fd<\/option><option value=\"\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"KP\" >\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u9999\u6e2f\" data-country-code=\"HK\" >\u9999\u6e2f<\/option><option value=\"\u9a6c\u5c14\u4ee3\u592b\" data-country-code=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"\u9a6c\u62c9\u7ef4\" data-country-code=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"\u9a6c\u63d0\u5c3c\u514b\" data-country-code=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"\u9a6c\u6765\u897f\u4e9a\" data-country-code=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"\u9a6c\u7ea6\u7279\" data-country-code=\"YT\" >\u9a6c\u7ea6\u7279<\/option><option value=\"\u9a6c\u7ecd\u5c14\u7fa4\u5c9b\" data-country-code=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"\u9a6c\u8033\u4ed6\" data-country-code=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"\u9a6c\u8fbe\u52a0\u65af\u52a0\" data-country-code=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"\u9a6c\u91cc\" data-country-code=\"ML\" >\u9a6c\u91cc<\/option><option value=\"\u9ece\u5df4\u5ae9\" data-country-code=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"\u9ed1\u5c71\" data-country-code=\"ME\" >\u9ed1\u5c71<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-15\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-15\"><p style=\"margin-bottom: -20px;color: #233333;font-weight: bold;font-size: 15px\">\u5982\u90ae\u5bc4\u5e10\u76ee\u7ed3\u7b97\u5355\u5730\u5740\u4e0e\u4e0a\u8ff0\u4e0d\u540c\uff0c\u8bf7\u6ce8\u660e<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-6\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-6-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-6-street_address_69ff654158bcd\" id=\"forminator-field-address-6-street_address_69ff654158bcd-label\" class=\"forminator-label\">\u8857\u9053\u5730\u5740 (\u4e0d\u53ef\u4ee5\u4f7f\u7528\u90ae\u653f\u4fe1\u7bb1)<\/label><input type=\"text\" name=\"address-6-street_address\" placeholder=\"\" id=\"forminator-field-address-6-street_address_69ff654158bcd\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-6-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-6-city_69ff654158bcd\" id=\"forminator-field-address-6-city_69ff654158bcd-label\" class=\"forminator-label\">\u57ce\u5e02<\/label><input type=\"text\" name=\"address-6-city\" placeholder=\"\" id=\"forminator-field-address-6-city_69ff654158bcd\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-6-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-6-state_69ff654158bcd\" id=\"forminator-field-address-6-state_69ff654158bcd-label\" class=\"forminator-label\">\u5dde\/\u7701\u4f1a<\/label><input type=\"text\" name=\"address-6-state\" placeholder=\"\" id=\"forminator-field-address-6-state_69ff654158bcd\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-6-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-6-zip_69ff654158bcd\" id=\"forminator-field-address-6-zip_69ff654158bcd-label\" class=\"forminator-label\">\u90ae\u653f\u7f16\u7801<\/label><input type=\"text\" name=\"address-6-zip\" placeholder=\"\" id=\"forminator-field-address-6-zip_69ff654158bcd\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-6-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-1964__field--address-6-country_69ff654158bcd\" id=\"forminator-field-1964__field--address-6-country_69ff654158bcd-label\" class=\"forminator-label\">\u56fd\u5bb6<\/label><select name=\"address-6-country\" id=\"forminator-field-1964__field--address-6-country_69ff654158bcd\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"\u9009\u62e9\u56fd\u5bb6\/\u5730\u533a\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"\u4e0d\u4e39\" data-country-code=\"BT\" >\u4e0d\u4e39<\/option><option value=\"\u4e1c\u5e1d\u6c76\" data-country-code=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"CN\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e\" data-country-code=\"TW\" >\u4e2d\u534e\u4eba\u6c11\u5171\u548c\u56fd\uff0c\u53f0\u6e7e<\/option><option value=\"\u4e2d\u975e\u5171\u548c\u56fd\" data-country-code=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"\u4e39\u9ea6\" data-country-code=\"DK\" >\u4e39\u9ea6<\/option><option value=\"\u4e4c\u514b\u5170\" data-country-code=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"\u4e4c\u5179\u522b\u514b\u65af\u5766\" data-country-code=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"\u4e4c\u5e72\u8fbe\" data-country-code=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"\u4e4c\u62c9\u572d\" data-country-code=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"\u4e4d\u5f97\" data-country-code=\"TD\" >\u4e4d\u5f97<\/option><option value=\"\u4e5f\u95e8\" data-country-code=\"YE\" >\u4e5f\u95e8<\/option><option value=\"\u4e9a\u7f8e\u5c3c\u4e9a\" data-country-code=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"\u4ee5\u8272\u5217\" data-country-code=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"\u4f0a\u62c9\u514b\" data-country-code=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"\u4f0a\u6717\" data-country-code=\"IR\" >\u4f0a\u6717<\/option><option value=\"\u4f2f\u5229\u5179\" data-country-code=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"\u4f5b\u5f97\u89d2\" data-country-code=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"\u4fc4\u7f57\u65af\" data-country-code=\"RU\" >\u4fc4\u7f57\u65af<\/option><option value=\"\u4fdd\u52a0\u5229\u4e9a\" data-country-code=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"\u514b\u7f57\u5730\u4e9a\" data-country-code=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"\u5173\u5c9b\" data-country-code=\"GU\" >\u5173\u5c9b<\/option><option value=\"\u5188\u6bd4\u4e9a\" data-country-code=\"GM\" >\u5188\u6bd4\u4e9a<\/option><option value=\"\u51b0\u5c9b\" data-country-code=\"IS\" >\u51b0\u5c9b<\/option><option value=\"\u51e0\u5185\u4e9a\" data-country-code=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"\u51e0\u5185\u4e9a\u6bd4\u7ecd\" data-country-code=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"\u5217\u652f\u6566\u58eb\u767b\" data-country-code=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"\u521a\u679c\u5171\u548c\u56fd\u7684\" data-country-code=\"CG\" >\u521a\u679c\u5171\u548c\u56fd\u7684<\/option><option value=\"\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"CD\" >\u521a\u679c\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u5229\u6bd4\u4e9a\" data-country-code=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"\u5229\u6bd4\u91cc\u4e9a\" data-country-code=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"\u52a0\u62ff\u5927\" data-country-code=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"\u52a0\u7eb3\" data-country-code=\"GH\" >\u52a0\u7eb3<\/option><option value=\"\u52a0\u84ec\" data-country-code=\"GA\" >\u52a0\u84ec<\/option><option value=\"\u5308\u7259\u5229\" data-country-code=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"\u5317\u9a6c\u5176\u987f\" data-country-code=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b\" data-country-code=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb\" data-country-code=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u548c\u5357\u4e09\u660e\u6cbb<\/option><option value=\"\u5357\u6781\u6d32\" data-country-code=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"\u5357\u975e\" data-country-code=\"ZA\" >\u5357\u975e<\/option><option value=\"\u535a\u8328\u74e6\u7eb3\" data-country-code=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"\u5361\u5854\u5c14\" data-country-code=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"\u5362\u65fa\u8fbe\" data-country-code=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"\u5362\u68ee\u5821\" data-country-code=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"\u5370\u5ea6\" data-country-code=\"IN\" >\u5370\u5ea6<\/option><option value=\"\u5370\u5ea6\u5c3c\u897f\u4e9a\" data-country-code=\"ID\" >\u5370\u5ea6\u5c3c\u897f\u4e9a<\/option><option value=\"\u5371\u5730\u9a6c\u62c9\" data-country-code=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"\u5384\u74dc\u591a\u5c14\" data-country-code=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"\u5384\u7acb\u7279\u91cc\u4e9a\" data-country-code=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"\u53d9\u5229\u4e9a\" data-country-code=\"SY\" >\u53d9\u5229\u4e9a<\/option><option value=\"\u53e4\u5df4\" data-country-code=\"CU\" >\u53e4\u5df4<\/option><option value=\"\u5409\u5c14\u5409\u65af\u65af\u5766\" data-country-code=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"\u5409\u5e03\u63d0\" data-country-code=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"\u54c8\u8428\u514b\u65af\u5766\" data-country-code=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"\u54e5\u4f26\u6bd4\u4e9a\" data-country-code=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"\u54e5\u65af\u8fbe\u9ece\u52a0\" data-country-code=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"\u5580\u9ea6\u9686\" data-country-code=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"\u56fe\u74e6\u5362\" data-country-code=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"\u571f\u5e93\u66fc\u65af\u5766\" data-country-code=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"\u571f\u8033\u5176\" data-country-code=\"TR\" >\u571f\u8033\u5176<\/option><option value=\"\u5723\u5362\u897f\u4e9a\" data-country-code=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af\" data-country-code=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4\" data-country-code=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af\" data-country-code=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"\u5723\u8bde\u5c9b\" data-country-code=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"\u5723\u8d6b\u52d2\u62ff\" data-country-code=\"SH\" >\u5723\u8d6b\u52d2\u62ff<\/option><option value=\"\u5723\u9a6c\u4e01\u5c9b\" data-country-code=\"MF\" >\u5723\u9a6c\u4e01\u5c9b<\/option><option value=\"\u5723\u9a6c\u529b\u8bfa\" data-country-code=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"\u572d\u4e9a\u90a3\" data-country-code=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"\u5766\u6851\u5c3c\u4e9a\" data-country-code=\"TZ\" >\u5766\u6851\u5c3c\u4e9a<\/option><option value=\"\u57c3\u53ca\" data-country-code=\"EG\" >\u57c3\u53ca<\/option><option value=\"\u57c3\u585e\u4fc4\u6bd4\u4e9a\" data-country-code=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"\u57fa\u91cc\u5df4\u65af\" data-country-code=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"\u5854\u5409\u514b\u65af\u5766\" data-country-code=\"TJ\" >\u5854\u5409\u514b\u65af\u5766<\/option><option value=\"\u585e\u5185\u52a0\u5c14\" data-country-code=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"\u585e\u5c14\u7ef4\u4e9a\" data-country-code=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"\u585e\u62c9\u5229\u6602\" data-country-code=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"\u585e\u6d66\u8def\u65af\" data-country-code=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"\u585e\u820c\u5c14\" data-country-code=\"SC\" >\u585e\u820c\u5c14<\/option><option value=\"\u58a8\u897f\u54e5\" data-country-code=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"\u591a\u54e5\" data-country-code=\"TG\" >\u591a\u54e5<\/option><option value=\"\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd\" data-country-code=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"\u591a\u7c73\u5c3c\u52a0\" data-country-code=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"\u5965\u5730\u5229\" data-country-code=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"\u59d4\u5185\u745e\u62c9\" data-country-code=\"VE\" >\u59d4\u5185\u745e\u62c9<\/option><option value=\"\u5b5f\u52a0\u62c9\u56fd\" data-country-code=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"\u5b89\u54e5\u62c9\" data-country-code=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"\u5b89\u572d\u62c9\" data-country-code=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe\" data-country-code=\"AG\" >\u5b89\u63d0\u74dc\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"\u5b89\u9053\u5c14\" data-country-code=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\" data-country-code=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a<\/option><option value=\"\u5c3c\u52a0\u62c9\u74dc\" data-country-code=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"\u5c3c\u65e5\u5229\u4e9a\" data-country-code=\"NG\" >\u5c3c\u65e5\u5229\u4e9a<\/option><option value=\"\u5c3c\u65e5\u5c14\" data-country-code=\"NE\" >\u5c3c\u65e5\u5c14<\/option><option value=\"\u5c3c\u6cca\u5c14\" data-country-code=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"\u5df4\u52d2\u65af\u5766\" data-country-code=\"PS\" >\u5df4\u52d2\u65af\u5766<\/option><option value=\"\u5df4\u54c8\u9a6c\" data-country-code=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"\u5df4\u57fa\u65af\u5766\" data-country-code=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"\u5df4\u5df4\u591a\u65af\" data-country-code=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a\" data-country-code=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"\u5df4\u62c9\u572d\" data-country-code=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"\u5df4\u62ff\u9a6c\" data-country-code=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"\u5df4\u6797\" data-country-code=\"BH\" >\u5df4\u6797<\/option><option value=\"\u5df4\u897f\" data-country-code=\"BR\" >\u5df4\u897f<\/option><option value=\"\u5e03\u57fa\u7eb3\u6cd5\u7d22\" data-country-code=\"BF\" >\u5e03\u57fa\u7eb3\u6cd5\u7d22<\/option><option value=\"\u5e03\u7ef4\u5c9b\" data-country-code=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"\u5e03\u9686\u8fea\" data-country-code=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"\u5e0c\u814a\" data-country-code=\"GR\" >\u5e0c\u814a<\/option><option value=\"\u5e15\u52b3\" data-country-code=\"PW\" >\u5e15\u52b3<\/option><option value=\"\u5e93\u514b\u7fa4\u5c9b\" data-country-code=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"\u5e93\u62c9\u7d22\" data-country-code=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"\u5f00\u66fc\u7fa4\u5c9b\" data-country-code=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"\u5fb7\u56fd\" data-country-code=\"DE\" >\u5fb7\u56fd<\/option><option value=\"\u610f\u5927\u5229\" data-country-code=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"\u6240\u7f57\u95e8\u7fa4\u5c9b\" data-country-code=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"\u6258\u514b\u52b3\" data-country-code=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"\u62c9\u8131\u7ef4\u4e9a\" data-country-code=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"\u632a\u5a01\" data-country-code=\"NO\" >\u632a\u5a01<\/option><option value=\"\u6377\u514b\u5171\u548c\u56fd\" data-country-code=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"\u6469\u5c14\u591a\u74e6\" data-country-code=\"MD\" >\u6469\u5c14\u591a\u74e6<\/option><option value=\"\u6469\u6d1b\u54e5\" data-country-code=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"\u6469\u7eb3\u54e5\" data-country-code=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"\u6587\u83b1\" data-country-code=\"BN\" >\u6587\u83b1<\/option><option value=\"\u6590\u6d4e\" data-country-code=\"FJ\" >\u6590\u6d4e<\/option><option value=\"\u65af\u5a01\u58eb\u5170\" data-country-code=\"SZ\" >\u65af\u5a01\u58eb\u5170<\/option><option value=\"\u65af\u6d1b\u4f10\u514b\" data-country-code=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"\u65af\u6d1b\u6587\u5c3c\u4e9a\" data-country-code=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6\" data-country-code=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u548c\u63da\u99ac\u5ef6<\/option><option value=\"\u65af\u91cc\u5170\u5361\" data-country-code=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"\u65b0\u52a0\u5761\" data-country-code=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a\" data-country-code=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"\u65b0\u897f\u5170\" data-country-code=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"\u65e0\u56fd\u7c4d\u4eba\" data-country-code=\"XX\" >\u65e0\u56fd\u7c4d\u4eba<\/option><option value=\"\u65e5\u672c\" data-country-code=\"JP\" >\u65e5\u672c<\/option><option value=\"\u667a\u5229\" data-country-code=\"CL\" >\u667a\u5229<\/option><option value=\"\u67ec\u57d4\u5be8\" data-country-code=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"\u6839\u897f\u5c9b\" data-country-code=\"GG\" >\u6839\u897f\u5c9b<\/option><option value=\"\u683c\u6797\u7eb3\u8fbe\" data-country-code=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"\u683c\u9675\u5170\" data-country-code=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"\u68b5\u8482\u5188\u57ce\" data-country-code=\"VA\" >\u68b5\u8482\u5188\u57ce<\/option><option value=\"\u6bd4\u5229\u65f6\" data-country-code=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"\u6bdb\u91cc\u5854\u5c3c\u4e9a\" data-country-code=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"\u6bdb\u91cc\u6c42\u65af\" data-country-code=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"\u6c64\u52a0\" data-country-code=\"TO\" >\u6c64\u52a0<\/option><option value=\"\u6c99\u7279\u963f\u62c9\u4f2f\" data-country-code=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"\u6cd5\u56fd\" data-country-code=\"FR\" >\u6cd5\u56fd<\/option><option value=\"\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a\" data-country-code=\"FX\" >\u6cd5\u56fd\uff0c\u5927\u90fd\u4f1a<\/option><option value=\"\u6cd5\u5c5e\u5357\u9886\u5730\" data-country-code=\"TF\" >\u6cd5\u5c5e\u5357\u9886\u5730<\/option><option value=\"\u6cd5\u5c5e\u572d\u4e9a\u90a3\" data-country-code=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a\" data-country-code=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"\u6cd5\u7f57\u7fa4\u5c9b\" data-country-code=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"\u6ce2\u5170\" data-country-code=\"PL\" >\u6ce2\u5170<\/option><option value=\"\u6ce2\u591a\u9ece\u5404\" data-country-code=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3\" data-country-code=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"\u6cf0\u56fd\" data-country-code=\"TH\" >\u6cf0\u56fd<\/option><option value=\"\u6cfd\u897f\" data-country-code=\"JE\" >\u6cfd\u897f<\/option><option value=\"\u6d25\u5df4\u5e03\u97e6\" data-country-code=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"\u6d2a\u90fd\u62c9\u65af\" data-country-code=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"\u6d77\u5730\" data-country-code=\"HT\" >\u6d77\u5730<\/option><option value=\"\u6fb3\u5927\u5229\u4e9a\" data-country-code=\"AU\" >\u6fb3\u5927\u5229\u4e9a<\/option><option value=\"\u6fb3\u95e8\" data-country-code=\"MO\" >\u6fb3\u95e8<\/option><option value=\"\u7231\u5c14\u5170\" data-country-code=\"IE\" >\u7231\u5c14\u5170<\/option><option value=\"\u7231\u6c99\u5c3c\u4e9a\" data-country-code=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"\u7259\u4e70\u52a0\" data-country-code=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5\" data-country-code=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"\u73bb\u5229\u7ef4\u4e9a\" data-country-code=\"BO\" >\u73bb\u5229\u7ef4\u4e9a<\/option><option value=\"\u7459\u9c81\" data-country-code=\"NR\" >\u7459\u9c81<\/option><option value=\"\u745e\u5178\" data-country-code=\"SE\" >\u745e\u5178<\/option><option value=\"\u745e\u58eb\" data-country-code=\"CH\" >\u745e\u58eb<\/option><option value=\"\u74dc\u5fb7\u7f57\u666e\u5c9b\" data-country-code=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b\" data-country-code=\"WF\" >\u74e6\u5229\u65af\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u74e6\u52aa\u963f\u56fe\" data-country-code=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"\u7559\u5c3c\u6c6a\u5c9b\" data-country-code=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"\u767d\u4fc4\u7f57\u65af\" data-country-code=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"\u767e\u6155\u5927\" data-country-code=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b\" data-country-code=\"PN\" >\u76ae\u7279\u51ef\u6069\u7fa4\u5c9b<\/option><option value=\"\u76f4\u5e03\u7f57\u9640\" data-country-code=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"\u798f\u514b\u5170\u7fa4\u5c9b\" data-country-code=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"\u79d1\u5a01\u7279\" data-country-code=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"\u79d1\u6469\u7f57\" data-country-code=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"\u79d1\u7279\u8fea\u74e6\" data-country-code=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"\u79d1\u79d1\u65af\u7fa4\u5c9b\" data-country-code=\"CC\" >\u79d1\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"\u79d1\u7d22\u6c83\" data-country-code=\"XK\" >\u79d1\u7d22\u6c83<\/option><option value=\"\u79d8\u9c81\" data-country-code=\"PE\" >\u79d8\u9c81<\/option><option value=\"\u7a81\u5c3c\u65af\" data-country-code=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"\u7acb\u9676\u5b9b\" data-country-code=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"\u7d22\u9a6c\u91cc\" data-country-code=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"\u7ea6\u65e6\" data-country-code=\"JO\" >\u7ea6\u65e6<\/option><option value=\"\u7ea6\u7ff0\u65af\u987f\u5c9b\" data-country-code=\"JT\" >\u7ea6\u7ff0\u65af\u987f\u5c9b<\/option><option value=\"\u7eb3\u7c73\u6bd4\u4e9a\" data-country-code=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"\u7ebd\u57c3\" data-country-code=\"NU\" >\u7ebd\u57c3<\/option><option value=\"\u7f05\u7538\" data-country-code=\"MM\" >\u7f05\u7538<\/option><option value=\"\u7f57\u9a6c\u5c3c\u4e9a\" data-country-code=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09\" data-country-code=\"US\" >\u7f8e\u5229\u575a\u5408\u4f17\u56fd\uff08\u7f8e\u56fd\uff09<\/option><option value=\"\u7f8e\u56fd\u6d77\u5916\u9886\u5730\" data-country-code=\"UM\" >\u7f8e\u56fd\u6d77\u5916\u9886\u5730<\/option><option value=\"\u7f8e\u5c5e\u8428\u6469\u4e9a\" data-country-code=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd\" data-country-code=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6\" data-country-code=\"PM\" >\u8056\u76ae\u8036\u8207\u5bc6\u514b\u9686\u7fa4\u5cf6<\/option><option value=\"\u80af\u5c3c\u4e9a\" data-country-code=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"\u82ac\u5170\" data-country-code=\"FI\" >\u82ac\u5170<\/option><option value=\"\u82cf\u4e39\" data-country-code=\"SD\" >\u82cf\u4e39<\/option><option value=\"\u82cf\u4e39\uff0c\u5357\u90e8\" data-country-code=\"SS\" >\u82cf\u4e39\uff0c\u5357\u90e8<\/option><option value=\"\u82cf\u91cc\u5357\" data-country-code=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"\u82f1\u56fd\" data-country-code=\"GB\" >\u82f1\u56fd<\/option><option value=\"\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730\" data-country-code=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b\" data-country-code=\"VG\" >\u82f1\u5c5e\u7ef4\u5c14\u4eac\u7fa4\u5c9b<\/option><option value=\"\u8377\u5170\" data-country-code=\"NL\" >\u8377\u5170<\/option><option value=\"\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b\" data-country-code=\"AN\" >\u8377\u5c5e\u5b89\u7684\u5217\u65af\u7fa4\u5c9b<\/option><option value=\"\u83ab\u6851\u6bd4\u514b\" data-country-code=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"\u83b1\u7d22\u6258\" data-country-code=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"\u83f2\u5f8b\u5bbe\" data-country-code=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"\u8428\u5c14\u74e6\u591a\" data-country-code=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"\u8428\u6469\u4e9a\" data-country-code=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"\u8461\u8404\u7259\" data-country-code=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"\u8499\u53e4\" data-country-code=\"MN\" >\u8499\u53e4<\/option><option value=\"\u8499\u7279\u585e\u62c9\u7279\" data-country-code=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"\u897f\u6492\u54c8\u62c9\" data-country-code=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"\u897f\u73ed\u7259\" data-country-code=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"\u8bfa\u798f\u514b\u5c9b\" data-country-code=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"\u8d1d\u5b81\" data-country-code=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"\u8d5e\u6bd4\u4e9a\" data-country-code=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"\u8d64\u9053\u51e0\u5185\u4e9a\" data-country-code=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b\" data-country-code=\"HM\" >\u8d6b\u5fb7\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"\u8d8a\u5357\" data-country-code=\"VN\" >\u8d8a\u5357<\/option><option value=\"\u963f\u585e\u62dc\u7586\" data-country-code=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"\u963f\u5bcc\u6c57\" data-country-code=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"\u963f\u5c14\u53ca\u5229\u4e9a\" data-country-code=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"\u963f\u5c14\u5df4\u5c3c\u4e9a\" data-country-code=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd\" data-country-code=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"\u963f\u66fc\" data-country-code=\"OM\" >\u963f\u66fc<\/option><option value=\"\u963f\u6839\u5ef7\" data-country-code=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"\u963f\u9c81\u5df4\" data-country-code=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"\u97e9\u56fd\u5171\u548c\u56fd\" data-country-code=\"KR\" >\u97e9\u56fd\u5171\u548c\u56fd<\/option><option value=\"\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd\" data-country-code=\"KP\" >\u97e9\u56fd\uff0c\u6c11\u4e3b\u4eba\u6c11\u5171\u548c\u56fd<\/option><option value=\"\u9999\u6e2f\" data-country-code=\"HK\" >\u9999\u6e2f<\/option><option value=\"\u9a6c\u5c14\u4ee3\u592b\" data-country-code=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"\u9a6c\u62c9\u7ef4\" data-country-code=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"\u9a6c\u63d0\u5c3c\u514b\" data-country-code=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"\u9a6c\u6765\u897f\u4e9a\" data-country-code=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"\u9a6c\u7ea6\u7279\" data-country-code=\"YT\" >\u9a6c\u7ea6\u7279<\/option><option value=\"\u9a6c\u7ecd\u5c14\u7fa4\u5c9b\" data-country-code=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"\u9a6c\u8033\u4ed6\" data-country-code=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"\u9a6c\u8fbe\u52a0\u65af\u52a0\" data-country-code=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"\u9a6c\u91cc\" data-country-code=\"ML\" >\u9a6c\u91cc<\/option><option value=\"\u9ece\u5df4\u5ae9\" data-country-code=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"\u9ed1\u5c71\" data-country-code=\"ME\" >\u9ed1\u5c71<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69ff654158bcd\" id=\"forminator-field-text-2_69ff654158bcd-label\" class=\"forminator-label\">\u793e\u4f1a\u4fdd\u9669\u53f7 (\u5982\u679c\u6301\u6709) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69ff654158bcd\" id=\"forminator-field-text-3_69ff654158bcd-label\" class=\"forminator-label\">\u5bb6\u5ead\u6210\u5458\u4eba\u6570\uff08\u4e0d\u5305\u62ec\u672c\u4eba\uff09 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-5\" id=\"forminator-field-date-5-label\" class=\"forminator-label\">\u51fa\u751f\u65e5\u671f <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-5-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-5-month\" value=\"\" placeholder=\"\u6708\u6708\" id=\"forminator-field-date-5-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-5\" \/><\/div><\/div><div id=\"date-5-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-5-day\" value=\"\" placeholder=\"\u65e5\u65e5\" id=\"forminator-field-date-5-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-5\" \/><\/div><\/div><div id=\"date-5-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-5-year\" placeholder=\"\u5e74\u5e74\u5e74\u5e74\" id=\"forminator-field-date-5-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-5\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-27\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-27-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-27-69ff654158bcd-label\" class=\"forminator-label\">\u5a5a\u59fb\u72b6\u51b5 <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-27-label-1\" for=\"forminator-field-radio-27-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5df2\u5a5a\"><input type=\"radio\" name=\"radio-27\" value=\"\u5df2\u5a5a\" id=\"forminator-field-radio-27-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-27-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5df2\u5a5a<\/span><\/label><label id=\"forminator-field-radio-27-label-2\" for=\"forminator-field-radio-27-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u79bb\u5f02\"><input type=\"radio\" name=\"radio-27\" value=\"\u79bb\u5f02\" id=\"forminator-field-radio-27-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-27-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u79bb\u5f02<\/span><\/label><label id=\"forminator-field-radio-27-label-3\" for=\"forminator-field-radio-27-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5355\u8eab\"><input type=\"radio\" name=\"radio-27\" value=\"\u5355\u8eab\" id=\"forminator-field-radio-27-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-27-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5355\u8eab<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69ff654158bcd\" id=\"forminator-field-phone-1_69ff654158bcd-label\" class=\"forminator-label\">\u7535\u8bdd\u53f7\u7801 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_69ff654158bcd\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69ff654158bcd\" id=\"forminator-field-email-1_69ff654158bcd-label\" class=\"forminator-label\">\u7535\u5b50\u90ae\u7bb1\u5730\u5740 <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69ff654158bcd\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69ff654158bcd\" id=\"forminator-field-text-5_69ff654158bcd-label\" class=\"forminator-label\">\u60a8\u7684\u56fd\u7c4d <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69ff654158bcd\" id=\"forminator-field-text-6_69ff654158bcd-label\" class=\"forminator-label\">\u9a7e\u7167\u53f7\u7801#, \u62a4\u7167\u53f7\u7801#, \u6216\u5176\u4ed6\u8eab\u4efd\u8bc1\u4ef6\u53f7\u7801# (\u5982\u679c\u6301\u6709) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u5c31\u4e1a\u53ca\u9644\u5c5e\u673a\u6784\u4fe1\u606f<\/p>\n<p style=\"margin-bottom: 0px;font-size: 15px\">If employed, please state the name and address of your employer and the nature of the business. If you are self-employed, provide the name of your business and industry. If retired, please list your last position.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69ff654158bcd-label\"><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u53d7\u96c7\"><input type=\"radio\" name=\"radio-2\" value=\"\u53d7\u96c7\" id=\"forminator-field-radio-2-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u53d7\u96c7<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u81ea\u96c7\"><input type=\"radio\" name=\"radio-2\" value=\"\u81ea\u96c7\" id=\"forminator-field-radio-2-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u81ea\u96c7<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u65e0\u4e1a\"><input type=\"radio\" name=\"radio-2\" value=\"\u65e0\u4e1a\" id=\"forminator-field-radio-2-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u65e0\u4e1a<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5b66\u751f\"><input type=\"radio\" name=\"radio-2\" value=\"\u5b66\u751f\" id=\"forminator-field-radio-2-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5b66\u751f<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u9000\u4f11\"><input type=\"radio\" name=\"radio-2\" value=\"\u9000\u4f11\" id=\"forminator-field-radio-2-5-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u9000\u4f11<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69ff654158bcd\" id=\"forminator-field-text-7_69ff654158bcd-label\" class=\"forminator-label\">\u96c7\u4e3b <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69ff654158bcd\" id=\"forminator-field-text-8_69ff654158bcd-label\" class=\"forminator-label\">\u804c\u4f4d\/\u804c\u79f0 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69ff654158bcd\" id=\"forminator-field-text-9_69ff654158bcd-label\" class=\"forminator-label\">\u96c7\u4e3b\u5730\u5740 (\u57ce\u5e02, \u5dde\/\u7701\u4f1a\u4ee5\u53ca\u56fd\u5bb6) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_69ff654158bcd\" id=\"forminator-field-text-19_69ff654158bcd-label\" class=\"forminator-label\">\u7b80\u5355\u63cf\u8ff0\u5de5\u4f5c\u6027\u8d28 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\" id=\"forminator-field-text-19_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u4e0e\u4e0a\u5e02\u516c\u53f8\u7684\u5173\u8054<\/p>\n<p style=\"font-size: 15px;margin-bottom: 0px\">\u5982\u679c\u60a8\u6216\u60a8\u7684\u4efb\u4f55\u76f4\u7cfb\u4eb2\u5c5e\u4e0e\u7f8e\u56fd\u6216\u975e\u7f8e\u56fd\u7684\u4e0a\u5e02\u516c\u53f8\u6709\u4e0b\u5217\u4e00\u9879\u6216\u591a\u9879\u5173\u8054\uff0c\u8bf7\u5728\u4e0b\u5217\u9002\u5f53\u7684\u65b9\u683c\u5185\u6253\u52fe\uff0c\u5e76\u6ce8\u660e\u80a1\u7968\u4ee3\u7801<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69ff654158bcd\" id=\"forminator-field-text-10_69ff654158bcd-label\" class=\"forminator-label\">\u6267\u884c\u5b98<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\u80a1\u7968\u4ee3\u7801(\u53ef\u591a\u4e2a)\" id=\"forminator-field-text-10_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-describedby=\"forminator-field-text-10_69ff654158bcd-description\" \/><span id=\"forminator-field-text-10_69ff654158bcd-description\" class=\"forminator-description\">An executive officer is defined as a company\u2019s president, any vice president in charge of a principal business unit, division or function (such as sales, administration or finance), any other officer who performs a policy making function, or any other person who performs similar policy making function for the company. If you are not sure whether you are an executive officer, please consult with your company\u2019s in-house counsel.<\/span><\/div><\/div><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69ff654158bcd\" id=\"forminator-field-text-11_69ff654158bcd-label\" class=\"forminator-label\">\u8463\u4e8b\/\u7406\u4e8b\/\u8d1f\u8d23\u4eba<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\u80a1\u7968\u4ee3\u7801(\u53ef\u591a\u4e2a)\" id=\"forminator-field-text-11_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_69ff654158bcd\" id=\"forminator-field-text-12_69ff654158bcd-label\" class=\"forminator-label\">10%\u80a1\u7968\u6301\u6709\u4eba<\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"\u80a1\u7968\u4ee3\u7801(\u53ef\u591a\u4e2a)\" id=\"forminator-field-text-12_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-3 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_69ff654158bcd\" id=\"forminator-field-text-13_69ff654158bcd-label\" class=\"forminator-label\">5%\u80a1\u7968\u6301\u6709\u4eba<\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\u80a1\u7968\u4ee3\u7801(\u53ef\u591a\u4e2a)\" id=\"forminator-field-text-13_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_69ff654158bcd\" id=\"forminator-field-text-14_69ff654158bcd-label\" class=\"forminator-label\">\u5982\u679c\u60a8\u76ee\u524d\u65e0\u4e1a\uff0c\u8bf7\u9610\u8ff0\u539f\u56e0<\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"\" id=\"forminator-field-text-14_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-4-69ff654158bcd-label\" class=\"forminator-label\">\u5e74\u6536\u5165(\u4ee5\u7f8e\u5143\u8ba1) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$25,000\u4ee5\u4e0b\"><input type=\"radio\" name=\"radio-4\" value=\"$25,000\u4ee5\u4e0b\" id=\"forminator-field-radio-4-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$25,000\u4ee5\u4e0b<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$25,000 - $74,999\"><input type=\"radio\" name=\"radio-4\" value=\"$25,000---$74,999\" id=\"forminator-field-radio-4-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$25,000 - $74,999<\/span><\/label><label id=\"forminator-field-radio-4-label-3\" for=\"forminator-field-radio-4-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$75,000 - $199,999\"><input type=\"radio\" name=\"radio-4\" value=\"$75,000---$199,999\" id=\"forminator-field-radio-4-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$75,000 - $199,999<\/span><\/label><label id=\"forminator-field-radio-4-label-4\" for=\"forminator-field-radio-4-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$200,000 - $499,999\"><input type=\"radio\" name=\"radio-4\" value=\"$200,000---$499,999\" id=\"forminator-field-radio-4-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$200,000 - $499,999<\/span><\/label><label id=\"forminator-field-radio-4-label-5\" for=\"forminator-field-radio-4-5-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$500,000 - $999,999\"><input type=\"radio\" name=\"radio-4\" value=\"$500,000---$999,999\" id=\"forminator-field-radio-4-5-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$500,000 - $999,999<\/span><\/label><label id=\"forminator-field-radio-4-label-6\" for=\"forminator-field-radio-4-6-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$1,000,000+\"><input type=\"radio\" name=\"radio-4\" value=\"$1,000,000+\" id=\"forminator-field-radio-4-6-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-4-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$1,000,000+<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-5-69ff654158bcd-label\" class=\"forminator-label\">\u6d41\u52a8\u51c0\u8d44\u4ea7(\u4ee5\u7f8e\u5143\u8ba1): \u4e0d\u5305\u62ec\u623f\u5730\u4ea7\u53ca\u5176\u4ed6\u6d41\u52a8\u8d44\u4ea7\u7684\u4ef7\u503c <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$50,000\u4ee5\u4e0b\"><input type=\"radio\" name=\"radio-5\" value=\"$50,000\u4ee5\u4e0b\" id=\"forminator-field-radio-5-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$50,000\u4ee5\u4e0b<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$50,000 - $149,999\"><input type=\"radio\" name=\"radio-5\" value=\"$50,000---$149,999\" id=\"forminator-field-radio-5-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$50,000 - $149,999<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$150,000 - $499,999\"><input type=\"radio\" name=\"radio-5\" value=\"$150,000---$499,999\" id=\"forminator-field-radio-5-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$150,000 - $499,999<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$500,000 - $999,999\"><input type=\"radio\" name=\"radio-5\" value=\"$500,000---$999,999\" id=\"forminator-field-radio-5-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$500,000 - $999,999<\/span><\/label><label id=\"forminator-field-radio-5-label-5\" for=\"forminator-field-radio-5-5-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$1,000,000 - $4,999,999\"><input type=\"radio\" name=\"radio-5\" value=\"$1,000,000---$4,999,999\" id=\"forminator-field-radio-5-5-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$1,000,000 - $4,999,999<\/span><\/label><label id=\"forminator-field-radio-5-label-6\" for=\"forminator-field-radio-5-6-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$5,000,000+\"><input type=\"radio\" name=\"radio-5\" value=\"$5,000,000+\" id=\"forminator-field-radio-5-6-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-5-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$5,000,000+<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-20\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-20-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-20-69ff654158bcd-label\" class=\"forminator-label\">\u6295\u8d44\u7ecf\u9a8c <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-20-label-1\" for=\"forminator-field-radio-20-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6ca1\u6709\u7ecf\u9a8c\"><input type=\"radio\" name=\"radio-20\" value=\"\u6ca1\u6709\u7ecf\u9a8c\" id=\"forminator-field-radio-20-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-20-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6ca1\u6709\u7ecf\u9a8c<\/span><\/label><label id=\"forminator-field-radio-20-label-2\" for=\"forminator-field-radio-20-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6709\u4e00\u4e9b\u7ecf\u9a8c\"><input type=\"radio\" name=\"radio-20\" value=\"\u6709\u4e00\u4e9b\u7ecf\u9a8c\" id=\"forminator-field-radio-20-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-20-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6709\u4e00\u4e9b\u7ecf\u9a8c<\/span><\/label><label id=\"forminator-field-radio-20-label-3\" for=\"forminator-field-radio-20-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u7ecf\u9a8c\u4e30\u5bcc\"><input type=\"radio\" name=\"radio-20\" value=\"\u7ecf\u9a8c\u4e30\u5bcc\" id=\"forminator-field-radio-20-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-20-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u7ecf\u9a8c\u4e30\u5bcc<\/span><\/label><label id=\"forminator-field-radio-20-label-4\" for=\"forminator-field-radio-20-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6210\u719f\u7684\u6295\u8d44\u4eba\"><input type=\"radio\" name=\"radio-20\" value=\"\u6210\u719f\u7684\u6295\u8d44\u4eba\" id=\"forminator-field-radio-20-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-20-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6210\u719f\u7684\u6295\u8d44\u4eba<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-21\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-21-69ff654158bcd-label\" aria-describedby=\"forminator-radiogroup-radio-21-69ff654158bcd-description\"><span id=\"forminator-radiogroup-radio-21-69ff654158bcd-label\" class=\"forminator-label\">\u6295\u8d44\u76ee\u6807 <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-21-label-1\" for=\"forminator-field-radio-21-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u4fdd\u5168\u8d44\u672c\"><input type=\"radio\" name=\"radio-21\" value=\"\u4fdd\u5168\u8d44\u672c\" id=\"forminator-field-radio-21-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-21-label-1\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-21-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u4fdd\u5168\u8d44\u672c<\/span><\/label><label id=\"forminator-field-radio-21-label-2\" for=\"forminator-field-radio-21-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6536\u5165\"><input type=\"radio\" name=\"radio-21\" value=\"\u6536\u5165\" id=\"forminator-field-radio-21-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-21-label-2\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-21-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6536\u5165<\/span><\/label><label id=\"forminator-field-radio-21-label-3\" for=\"forminator-field-radio-21-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u8d44\u672c\u589e\u957f\"><input type=\"radio\" name=\"radio-21\" value=\"\u8d44\u672c\u589e\u957f\" id=\"forminator-field-radio-21-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-21-label-3\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-21-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u8d44\u672c\u589e\u957f<\/span><\/label><label id=\"forminator-field-radio-21-label-4\" for=\"forminator-field-radio-21-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6295\u673a\"><input type=\"radio\" name=\"radio-21\" value=\"\u6295\u673a\" id=\"forminator-field-radio-21-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-21-label-4\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-21-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6295\u673a<\/span><\/label><span id=\"forminator-radiogroup-radio-21-69ff654158bcd-description\" class=\"forminator-description\">- Preservation of Capital: An investment objective of Preservation of Capital indicates you seek to maintain the principal value of your investments and are interested in investments that have historically demonstrated a very low degree of risk of loss of principal value. <br>- Income: An investment objective of Income indicates you seek to generate income from investments and are interested in investments that have historically demonstrated a low degree of risk of loss of principal value.  <br>- Capital Appreciation: An investment objective of Capital Appreciation indicates you seek to grow the principal value of your investments over time and are willing to invest in securities that have historically demonstrated a moderate to above average degree of risk of loss of principal value to pursue this objective.  <br>- Speculation: An investment objective of Speculation indicates you seek a significant increase in the principal value of your investments and are willing to accept a corresponding greater degree of risk by investing in securities that have historically demonstrated a high degree of risk of loss of principal value to pursue this objective.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-22\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-22-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-22-69ff654158bcd-label\" class=\"forminator-label\">\u6295\u8d44\u65f6\u95f4 (\u8bf7\u5355\u9009) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-22-label-1\" for=\"forminator-field-radio-22-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5c11\u4e8e5\u5e74\"><input type=\"radio\" name=\"radio-22\" value=\"\u5c11\u4e8e5\u5e74\" id=\"forminator-field-radio-22-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-22-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5c11\u4e8e5\u5e74<\/span><\/label><label id=\"forminator-field-radio-22-label-2\" for=\"forminator-field-radio-22-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"5-10\u5e74\"><input type=\"radio\" name=\"radio-22\" value=\"5-10\u5e74\" id=\"forminator-field-radio-22-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-22-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5-10\u5e74<\/span><\/label><label id=\"forminator-field-radio-22-label-3\" for=\"forminator-field-radio-22-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5927\u4e8e10\u5e74\"><input type=\"radio\" name=\"radio-22\" value=\"\u5927\u4e8e10\u5e74\" id=\"forminator-field-radio-22-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-22-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5927\u4e8e10\u5e74<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-23\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-23-69ff654158bcd-label\" aria-describedby=\"forminator-radiogroup-radio-23-69ff654158bcd-description\"><span id=\"forminator-radiogroup-radio-23-69ff654158bcd-label\" class=\"forminator-label\">\u98ce\u9669\u627f\u53d7\u80fd\u529b (\u8bf7\u5355\u9009) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-23-label-1\" for=\"forminator-field-radio-23-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u4fdd\u5b88\"><input type=\"radio\" name=\"radio-23\" value=\"\u4fdd\u5b88\" id=\"forminator-field-radio-23-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-23-label-1\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-23-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u4fdd\u5b88<\/span><\/label><label id=\"forminator-field-radio-23-label-2\" for=\"forminator-field-radio-23-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u4e2d\u7b49\"><input type=\"radio\" name=\"radio-23\" value=\"\u4e2d\u7b49\" id=\"forminator-field-radio-23-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-23-label-2\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-23-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u4e2d\u7b49<\/span><\/label><label id=\"forminator-field-radio-23-label-3\" for=\"forminator-field-radio-23-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6fc0\u8fdb\"><input type=\"radio\" name=\"radio-23\" value=\"\u6fc0\u8fdb\" id=\"forminator-field-radio-23-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-23-label-3\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-23-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6fc0\u8fdb<\/span><\/label><label id=\"forminator-field-radio-23-label-4\" for=\"forminator-field-radio-23-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u6295\u673a\"><input type=\"radio\" name=\"radio-23\" value=\"\u6295\u673a\" id=\"forminator-field-radio-23-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-23-label-4\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-23-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u6295\u673a<\/span><\/label><span id=\"forminator-radiogroup-radio-23-69ff654158bcd-description\" class=\"forminator-description\">- Conservative: You want to preserve your initial principal in this account, with minimal risk, even if that means this account does not generate significant income or returns and may not keep pace with inflation.  <br>-Moderate: You are willing to accept some risk to your initial principal and tolerate some volatility to seek higher returns, and understand you could lose a portion of the money invested.  <br>-Aggressive: You are willing to accept high risk to your initial principal, including high volatility, to seek high returns over time, and understand you could lose a substantial amount of the money invested.  -Speculative: You are willing to accept maximum risk to your initial principal to aggressively seek  maximum returns, and understand you could lose most, or all, of the money invested.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-6-69ff654158bcd-label\" class=\"forminator-label\">\u603b\u8d44\u4ea7(\u4ee5\u7f8e\u5143\u8ba1): \u603b\u8d44\u4ea7\u51cf\u53bb\u603b\u8d1f\u503a <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$50,000\u4ee5\u4e0b\"><input type=\"radio\" name=\"radio-6\" value=\"$50,000\u4ee5\u4e0b\" id=\"forminator-field-radio-6-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$50,000\u4ee5\u4e0b<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$50,000 - $149,999\"><input type=\"radio\" name=\"radio-6\" value=\"$50,000---$149,999\" id=\"forminator-field-radio-6-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$50,000 - $149,999<\/span><\/label><label id=\"forminator-field-radio-6-label-3\" for=\"forminator-field-radio-6-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$150,000 - $499,999\"><input type=\"radio\" name=\"radio-6\" value=\"$150,000---$499,999\" id=\"forminator-field-radio-6-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$150,000 - $499,999<\/span><\/label><label id=\"forminator-field-radio-6-label-4\" for=\"forminator-field-radio-6-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$500,000 - $999,999\"><input type=\"radio\" name=\"radio-6\" value=\"$500,000---$999,999\" id=\"forminator-field-radio-6-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$500,000 - $999,999<\/span><\/label><label id=\"forminator-field-radio-6-label-5\" for=\"forminator-field-radio-6-5-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$1,000,000 - $4,999,999\"><input type=\"radio\" name=\"radio-6\" value=\"$1,000,000---$4,999,999\" id=\"forminator-field-radio-6-5-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$1,000,000 - $4,999,999<\/span><\/label><label id=\"forminator-field-radio-6-label-6\" for=\"forminator-field-radio-6-6-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"$5,000,000+\"><input type=\"radio\" name=\"radio-6\" value=\"$5,000,000+\" id=\"forminator-field-radio-6-6-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-6-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">$5,000,000+<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-7-69ff654158bcd-label\" class=\"forminator-label\">\u8d44\u4ea7\u6d41\u52a8\u6027\u9700\u6c42: \u80fd\u591f\u5feb\u901f\u3001\u65e0\u538b\u529b\u5730\u5c06\u8be5\u8d26\u6237\u4e2d\u7684\u5168\u90e8\u6216\u90e8\u5206\u6295\u8d44\u8f6c\u6362\u6210\u73b0\u91d1\uff0c\u800c \u4e0d\u4f1a\u56e0(\u4f8b\u5982)\u7f3a\u4e4f\u73b0\u6210\u7684\u5e02\u573a\u6216\u4ea7\u751f\u91cd\u5927\u6210\u672c\u6216\u60e9\u7f5a\u800c\u906d\u53d7\u4ef7\u503c\u635f\u5931\u7684\u9700\u6c42\u662f <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u975e\u5e38\u91cd\u8981\"><input type=\"radio\" name=\"radio-7\" value=\"\u975e\u5e38\u91cd\u8981\" id=\"forminator-field-radio-7-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u975e\u5e38\u91cd\u8981<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u4e00\u822c\u91cd\u8981\"><input type=\"radio\" name=\"radio-7\" value=\"\u4e00\u822c\u91cd\u8981\" id=\"forminator-field-radio-7-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u4e00\u822c\u91cd\u8981<\/span><\/label><label id=\"forminator-field-radio-7-label-3\" for=\"forminator-field-radio-7-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u91cd\u8981\"><input type=\"radio\" name=\"radio-7\" value=\"\u91cd\u8981\" id=\"forminator-field-radio-7-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-7-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u91cd\u8981<\/span><\/label><label id=\"forminator-field-radio-7-label-4\" for=\"forminator-field-radio-7-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u4e0d\u91cd\u8981\"><input type=\"radio\" name=\"radio-7\" value=\"\u4e0d\u91cd\u8981\" id=\"forminator-field-radio-7-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-7-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u4e0d\u91cd\u8981<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-16\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-16\"><p style=\"margin-bottom: -20px;color: #233333;font-weight: bold;font-size: 15px\">About The Account Holder<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69ff654158bcd-label\" aria-describedby=\"forminator-radiogroup-radio-8-69ff654158bcd-description\"><span id=\"forminator-radiogroup-radio-8-69ff654158bcd-label\" class=\"forminator-label\">\u60a8\u662f\u5426\u76f4\u63a5\u6216\u95f4\u63a5\u5730\u62e5\u6709\u4efb\u4f55\u653f\u6cbb\u66dd\u5149\u4eba\u58eb (\u201cPEP\u201d)\u7684\u6240\u6709\u6743? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u662f\"><input type=\"radio\" name=\"radio-8\" value=\"\u662f\" id=\"forminator-field-radio-8-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-8-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u662f<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5426\"><input type=\"radio\" name=\"radio-8\" value=\"\u5426\" id=\"forminator-field-radio-8-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   aria-describedby=\"forminator-field-radio-8-69ff654158bcd-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5426<\/span><\/label><span id=\"forminator-radiogroup-radio-8-69ff654158bcd-description\" class=\"forminator-description\">a Politically Exposed Person is someone who, through their prominent position or influence, is more susceptible to being involved in bribery or corruption.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-9-69ff654158bcd-label\" class=\"forminator-label\">\u60a8\u662f\u5426\u96b6\u5c5e\u4e8e\u6216\u53d7\u96c7\u4e8e\u8bc1\u5238\u4ea4\u6613\u6240\u3001\u5176\u4ed6\u4ea4\u6613\u6240 \u6216FINRA(\u7f8e\u56fd\u91d1\u878d\u76d1\u7ba1\u5c40)\u7684\u6210\u5458\u516c\u53f8\uff0c\u6216\u5e02\u653f \u8bc1\u5238\u7ecf\u7eaa\u4ea4\u6613\u5546? (\u5982&quot;\u662f&quot;\uff0c\u8bf7\u5728\u9012\u4ea4\u7533\u8bf7\u65f6\u9644\u4e0a \u96c7\u4e3b\u6279\u51c6\u60a8\u5728\u6211\u53f8\u5f00\u6237\u7684\u4fe1\u4ef6\u6216\u4e66\u9762\u8bc1\u660e) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u662f\"><input type=\"radio\" name=\"radio-9\" value=\"\u662f\" id=\"forminator-field-radio-9-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u662f<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5426\"><input type=\"radio\" name=\"radio-9\" value=\"\u5426\" id=\"forminator-field-radio-9-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5426<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-24\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-24-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-24-69ff654158bcd-label\" class=\"forminator-label\">\u60a8\u662f\u5426\u66fe\u6210\u4e3a\u7834\u4ea7\u7a0b\u5e8f\u3001\u7834\u4ea7\u7ba1\u7406\u6216\u7c7b\u4f3c\u8bc9\u8bbc\u7684 \u5bf9\u8c61? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-24-label-1\" for=\"forminator-field-radio-24-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u662f\"><input type=\"radio\" name=\"radio-24\" value=\"\u662f\" id=\"forminator-field-radio-24-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-24-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u662f<\/span><\/label><label id=\"forminator-field-radio-24-label-2\" for=\"forminator-field-radio-24-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"\u5426\"><input type=\"radio\" name=\"radio-24\" value=\"\u5426\" id=\"forminator-field-radio-24-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-24-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">\u5426<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-10\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">\u7f51\u7ad9\u8bbf\u95ee\u53ca\u7f51\u7edc\u4ea4\u4ed8\u540c\u610f\u4e66<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69ff654158bcd-label\"><label id=\"forminator-field-checkbox-5-1-69ff654158bcd-label\" for=\"forminator-field-checkbox-5-1-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u67e5\u770b\u8d26\u6237\u4fe1\u606f(\u63a8\u8350)\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u67e5\u770b\u8d26\u6237\u4fe1\u606f(\u63a8\u8350)\" id=\"forminator-field-checkbox-5-1-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-5-1-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u67e5\u770b\u8d26\u6237\u4fe1\u606f(\u63a8\u8350)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69ff654158bcd-label\"><label id=\"forminator-field-checkbox-3-1-69ff654158bcd-label\" for=\"forminator-field-checkbox-3-1-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u5728\u53ef\u884c\u8303\u56f4\u5185\uff0c\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u8fdb\u884c\u4ea4\u6613(\u53ea\u9002\u7528\u4e8e\u975e\u5168\u6743\u59d4\u6258\u7684\u7ecf\u7eaa\u8d26\u6237)\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"\u5728\u53ef\u884c\u8303\u56f4\u5185\uff0c\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u8fdb\u884c\u4ea4\u6613(\u53ea\u9002\u7528\u4e8e\u975e\u5168\u6743\u59d4\u6258\u7684\u7ecf\u7eaa\u8d26\u6237)\" id=\"forminator-field-checkbox-3-1-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-3-1-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u5728\u53ef\u884c\u8303\u56f4\u5185\uff0c\u901a\u8fc7\u7535\u5b50\u670d\u52a1\u8fdb\u884c\u4ea4\u6613(\u53ea\u9002\u7528\u4e8e\u975e\u5168\u6743\u59d4\u6258\u7684\u7ecf\u7eaa\u8d26\u6237)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69ff654158bcd-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69ff654158bcd-label\" class=\"forminator-label\">\u672c\u4eba\u7279\u6b64\u6388\u6743Velox\u901a\u8fc7\u7535\u5b50\u90ae\u4ef6\u53d1\u9001\u4ee5\u4e0b\u4fe1\u606f\u7ed9\u672c\u4eba(\u53ef\u591a\u9009) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-69ff654158bcd-label\" for=\"forminator-field-checkbox-4-1-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u4ea4\u6613\u786e\u8ba4\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"\u4ea4\u6613\u786e\u8ba4\" id=\"forminator-field-checkbox-4-1-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-4-1-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u4ea4\u6613\u786e\u8ba4<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69ff654158bcd-label\" for=\"forminator-field-checkbox-4-2-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u6bcf\u6708\u7684\u8d22\u52a1\u62a5\u8868\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"\u6bcf\u6708\u7684\u8d22\u52a1\u62a5\u8868\" id=\"forminator-field-checkbox-4-2-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-4-2-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u6bcf\u6708\u7684\u8d22\u52a1\u62a5\u8868<\/span><\/label><label id=\"forminator-field-checkbox-4-3-69ff654158bcd-label\" for=\"forminator-field-checkbox-4-3-69ff654158bcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"\u62db\u80a1\u8bf4\u660e\u4e66\u3001\u4ee3\u7406\u6750\u6599\u3001\u5e74\u62a5\u3001\u62ab\u9732\u6587\u4ef6\u53ca\u5176\u4ed6\u4fe1\u606f***\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"\u62db\u80a1\u8bf4\u660e\u4e66\u3001\u4ee3\u7406\u6750\u6599\u3001\u5e74\u62a5\u3001\u62ab\u9732\u6587\u4ef6\u53ca\u5176\u4ed6\u4fe1\u606f***\" id=\"forminator-field-checkbox-4-3-69ff654158bcd\" aria-labelledby=\"forminator-field-checkbox-4-3-69ff654158bcd-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">\u62db\u80a1\u8bf4\u660e\u4e66\u3001\u4ee3\u7406\u6750\u6599\u3001\u5e74\u62a5\u3001\u62ab\u9732\u6587\u4ef6\u53ca\u5176\u4ed6\u4fe1\u606f***<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><p style=\"color: #233333;letter-spacing: 0px;margin-bottom: 0px;font-size: 13px;font-weight: bold\">BY SIGNING ABOVE AGREEMENTS, I (WE) ACKNOWLEDGE THE FOLLOWING: (1) THE CUSTOMER ACCOUNT AGREEMENT CONTAINS A\nPREDISPUTE ARBITRATION CLAUSE AND IN ACCORDANCE WITH THIS AGREEMENT I (WE) AGREE IN ADVANCE TO ARBITRATE ANY\nCONTROVERSIES WHICH MAY ARISE BETWEEN OR AMONG ME (US), MY BROKER, AND\/OR CLEARING FIRM; (2) RECEIPT OF A COPY OF THE THIS\nCASH ACCOUNT OPENING AGREEMENT, AND CUSTOMER MARGIN AND SHORT ACCOUNT AGREEMENT; (3) THE INFORMATION PROVIDED\nABOVE IS ACCURATE; (4) IF I DO NOT BORROW MONEY IN THE MARGIN ACCOUNT, I WILL NOT BE CHARGED INTEREST.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">THOES ARE CONTRACTUAL AGREEMENT DO NOT SIGN BELOW UNTIL YOU HAVE READ THIS AGREEMENT CAREFULLY.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69ff654158bcd\" id=\"forminator-field-name-3_69ff654158bcd-label\" class=\"forminator-label\">Print Name of Primary Authorized Individual <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69ff654158bcd\" id=\"forminator-field-name-5_69ff654158bcd-label\" class=\"forminator-label\">Signature of Primary Authorized Individual <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-3\" id=\"forminator-field-date-3-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-3-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-3-month\" value=\"\" placeholder=\"MM\" id=\"forminator-field-date-3-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><div id=\"date-3-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-3-day\" value=\"\" placeholder=\"DD\" id=\"forminator-field-date-3-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><div id=\"date-3-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-3-year\" placeholder=\"YYYY\" id=\"forminator-field-date-3-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-3\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69ff654158bcd\" id=\"forminator-field-name-4_69ff654158bcd-label\" class=\"forminator-label\">Print Name of Additional Authorized Individual <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69ff654158bcd\" id=\"forminator-field-name-6_69ff654158bcd-label\" class=\"forminator-label\">Signature of Additional Authorized Individual <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-4\" id=\"forminator-field-date-4-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-4-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-4-month\" value=\"\" placeholder=\"MM\" id=\"forminator-field-date-4-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><div id=\"date-4-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-4-day\" value=\"\" placeholder=\"DD\" id=\"forminator-field-date-4-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><div id=\"date-4-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-4-year\" placeholder=\"YY\" id=\"forminator-field-date-4-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-4\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-11\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><hr class=\"forminator-border\" style=\"border: 1px dashed #333333;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-18\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-18\"><p style=\"margin-bottom: 0px;color: #e39e00;font-weight: bold;font-size: 20px\">CORPORATE RESOLUTION<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_69ff654158bcd\" id=\"forminator-field-text-25_69ff654158bcd-label\" class=\"forminator-label\">Corporation Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"\" id=\"forminator-field-text-25_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_69ff654158bcd\" id=\"forminator-field-text-26_69ff654158bcd-label\" class=\"forminator-label\">Corporation Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"\" id=\"forminator-field-text-26_69ff654158bcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-17\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-17\"><p style=\"font-size: 13px;margin-bottom: -15px\">I, the undersigned, hereby certify to Velox Clearing that I am Secretary of <span style=\"color: #e39e00\"> {text-25}<\/span>(\u201cCorporation\u201d), located in <span style=\"color: #e39e00\"> {text-26}<\/span>, and that I have been duly elected and am presently serving in that capacity. I further certify that the following resolutions have been duly adopted by the Board of Directors, or other governing body, of the Corporation and such resolutions are in full force and effect as of the date hereof and have not been revoked or rescinded as of this date: RESOLVED, that the President, Vice President and the Treasurer of his corporation, or any one of such officers acting individually, are here by fulling authorized ad empowered to 1) open a brokerage account with Velox, 2) transfer, endorse, sell, assign set over and deliver any and all shares of stocks, bonds, debentures, notes, evidence of indebtedness or other securities( including short sales) now or hereafter standing in the name of or owned by this corporation. 3) purchase stocks, bonds, debentures, notes, evidences of indebtedness, and other securities( on margin or otherwise), 4) borrow money and draw upon credit lines of this corporation to secure and margin trades, 5)receive requests and demands for additional margin, notices of intention to sell or purchase, and other notices and demands of whatever character, 6) receive, affirm and acquiesce in the correctness of notices, confirmations, statements of account and other records and documents, 7) settle, compromise, adjust or release any and all claims, demands, disputes or controversies with Velox or any of its correspondent broker\/dealers, and 8) make, execute and deliver, under the corporate seal of this corporation, any and all written instruments necessary or proper to effectuate the authority hereby conferred.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-25\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-25-69ff654158bcd-label\"><span id=\"forminator-radiogroup-radio-25-69ff654158bcd-label\" class=\"forminator-label\">Investment Permitted: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-25-label-1\" for=\"forminator-field-radio-25-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Cash\"><input type=\"radio\" name=\"radio-25\" value=\"Cash\" id=\"forminator-field-radio-25-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-25-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Cash<\/span><\/label><label id=\"forminator-field-radio-25-label-2\" for=\"forminator-field-radio-25-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Margin\"><input type=\"radio\" name=\"radio-25\" value=\"Margin\" id=\"forminator-field-radio-25-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-25-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Margin<\/span><\/label><label id=\"forminator-field-radio-25-label-3\" for=\"forminator-field-radio-25-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Options\"><input type=\"radio\" name=\"radio-25\" value=\"Options\" id=\"forminator-field-radio-25-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-25-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Options<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-26\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-26-69ff654158bcd-label\"><label id=\"forminator-field-radio-26-label-1\" for=\"forminator-field-radio-26-1-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Writing Covered\"><input type=\"radio\" name=\"radio-26\" value=\"Writing-Covered\" id=\"forminator-field-radio-26-1-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-26-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Writing Covered<\/span><\/label><label id=\"forminator-field-radio-26-label-2\" for=\"forminator-field-radio-26-2-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Creating Spreads\"><input type=\"radio\" name=\"radio-26\" value=\"Creating-Spreads\" id=\"forminator-field-radio-26-2-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-26-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Creating Spreads<\/span><\/label><label id=\"forminator-field-radio-26-label-3\" for=\"forminator-field-radio-26-3-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Purchases Long\"><input type=\"radio\" name=\"radio-26\" value=\"Purchases-Long\" id=\"forminator-field-radio-26-3-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-26-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Purchases Long<\/span><\/label><label id=\"forminator-field-radio-26-label-4\" for=\"forminator-field-radio-26-4-69ff654158bcd\" class=\"forminator-radio forminator-radio-inline\" title=\"Writing Uncovered\"><input type=\"radio\" name=\"radio-26\" value=\"Writing-Uncovered\" id=\"forminator-field-radio-26-4-69ff654158bcd\" aria-labelledby=\"forminator-field-radio-26-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Writing Uncovered<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-6\" id=\"forminator-field-date-6-label\" class=\"forminator-label\">IN WITNESS WHEREOF, I have subscribed my name to this document and affixed the seal of the Corporation on the <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-6-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-6-month\" value=\"\" placeholder=\"MM\" id=\"forminator-field-date-6-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-6\" \/><\/div><\/div><div id=\"date-6-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-6-day\" value=\"\" placeholder=\"DD\" id=\"forminator-field-date-6-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-6\" \/><\/div><\/div><div id=\"date-6-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-6-year\" placeholder=\"YYYY\" id=\"forminator-field-date-6-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-6\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_69ff654158bcd\" id=\"forminator-field-name-7_69ff654158bcd-label\" class=\"forminator-label\">Print Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_69ff654158bcd\" id=\"forminator-field-name-8_69ff654158bcd-label\" class=\"forminator-label\">Signature <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"\" id=\"forminator-field-name-8_69ff654158bcd\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12 \"><label for=\"forminator-field-date-7\" id=\"forminator-field-date-7-label\" class=\"forminator-label\">Date<\/label><div class=\"forminator-date-input\"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"date-7-month\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"12\" name=\"date-7-month\" value=\"\" placeholder=\"MM\" id=\"forminator-field-date-7-month_69ff654158bcd\" class=\"forminator-input\" data-field=\"month\" data-format=\"mm\/dd\/yy\" data-parent=\"date-7\" \/><\/div><\/div><div id=\"date-7-day\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" max=\"31\" name=\"date-7-day\" value=\"\" placeholder=\"DD\" id=\"forminator-field-date-7-day_69ff654158bcd\" class=\"forminator-input\" data-field=\"day\" data-format=\"mm\/dd\/yy\" data-parent=\"date-7\" \/><\/div><\/div><div id=\"date-7-year\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"number\" min=\"1\" name=\"date-7-year\" placeholder=\"YYYY\" id=\"forminator-field-date-7-year_69ff654158bcd\" class=\"forminator-input\" data-field=\"year\" value=\"\" data-format=\"mm\/dd\/yy\" data-parent=\"date-7\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-19\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-19\"><p style=\"margin-bottom: -20px;color: red;font-weight: bold;font-size: 15px\">Trader List<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-9_69ff654158bcd\" id=\"forminator-field-first-name-9_69ff654158bcd-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-9-first-name\" placeholder=\"\" id=\"forminator-field-first-name-9_69ff654158bcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-9_69ff654158bcd\" id=\"forminator-field-last-name-9_69ff654158bcd-label\" class=\"forminator-label\">Last Name<\/label><input type=\"text\" name=\"name-9-last-name\" placeholder=\"\" id=\"forminator-field-last-name-9_69ff654158bcd\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_69ff654158bcd\" id=\"forminator-field-email-2_69ff654158bcd-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_69ff654158bcd\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69ff654158bcd\" id=\"forminator-field-phone-2_69ff654158bcd-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_69ff654158bcd\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"captcha-1\" class=\"forminator-field-captcha forminator-col forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha\" data-theme=\"light\"  data-sitekey=\"6LcKFqwrAAAAADGR_IBwaNIgFlX6vBcD9P2z0HSC\" data-size=\"normal\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">\u63d0\u4ea4\u7533\u8bf7<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"fe81bbcde9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh-hans\/wp-json\/wp\/v2\/pages\/1966\" \/><input type=\"hidden\" name=\"form_id\" value=\"1964\"><input type=\"hidden\" name=\"page_id\" value=\"1966\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.univest.us\/zh-hans\/%e4%bc%81%e4%b8%9a%e8%b4%a6%e6%88%b7%e5%bc%80%e6%88%b7\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_69\" class=\"forminator-hidden\" aria-hidden=\"true\">\u8bf7\u4e0d\u8981\u586b\u5199\u6b64\u5b57\u6bb5\u3002 <input id=\"input_69\" type=\"text\" name=\"input_69\" value=\"\" autocomplete=\"off\"><\/label><\/form>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row el_class=&#8221;cover&#8221;][vc_column] [\/vc_c [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1966","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/pages\/1966","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/comments?post=1966"}],"version-history":[{"count":17,"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/pages\/1966\/revisions"}],"predecessor-version":[{"id":2022,"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/pages\/1966\/revisions\/2022"}],"wp:attachment":[{"href":"https:\/\/www.univest.us\/zh-hans\/wp-json\/wp\/v2\/media?parent=1966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}