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	<!DOCTYPE html>
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	<head>
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	<title>Buvico Spraying Equipments website - Enquiry form</title>
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                <p class="liveChat ma5px"></p>
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            	<div class="tgl ma5px"><a href="http://www.buvico.com/" title="Home">Home</a> | <a href="http://www.buvico.com/contact-us.htm" title="Contact Us">Contact Us</a> | <a href="http://www.buvico.com/enquiry-form-10001.htm" title="Enquiry">Enquiry</a></div>
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<div id="company" class="lh0"><a class="dib" href="http://www.buvico.com/" title="Buvico Spraying Equipments"><img  src="//catalog.wlimg.com/1/1375659/other-images/12437-comp-image.png"    alt="Buvico Spraying Equipments" title="Buvico Spraying Equipments"  /></a></div>
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<div class="tml"><!--HEADER TML STARTS-->
	<nav class="fo" id="tml">
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                    <div class="arrow"><p><span> </span></p></div>
                	 <div class="column_Box mc thinColumnLink">
	<div class="tcl bullet divider">
	    <div class="h h2"><b class="plusMinus"></b> <h2><a href="http://www.buvico.com/products.htm"  title="Products" >Products</a></h2></div>
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				<ul>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/airless-paint-sprayers.htm"   title="Airless Paint Sprayers" >Airless Paint Sprayers</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/airless-paint-sprayer-bu-8818.htm"   title="Airless Paint Sprayer (BU 8818)" >Airless Paint Sprayer (BU 8818)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/airless-paint-sprayer-bu-8825.htm"   title="Airless Paint Sprayer (BU 8825)" >Airless Paint Sprayer (BU 8825)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/airless-paint-sprayer-bu-8830.htm"   title="Airless Paint Sprayer (BU 8830)" >Airless Paint Sprayer (BU 8830)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/airless-paint-sprayer-bu-8835.htm"   title="Airless Paint Sprayer (BU 8835)" >Airless Paint Sprayer (BU 8835)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/compressor-paint-sprayers.htm"   title="Compressor Paint Sprayers" >Compressor Paint Sprayers</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/compressor-paint-sprayer-bu-800.htm"   title="Compressor Paint Sprayer (BU 800)" >Compressor Paint Sprayer (BU 800)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/compressor-paint-sprayer-bu-900.htm"   title="Compressor Paint Sprayer (BU 900)" >Compressor Paint Sprayer (BU 900)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/texture-paint-sprayer-bu-tx850.htm"   title="Texture Paint Sprayer (BU TX850)" >Texture Paint Sprayer (BU TX850)</a></p>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/putty-cement-gypsum-sprayer-bu-n1.htm"   title="Putty Cement &amp; Gypsum Sprayer (BU N1)" >Putty Cement &amp; Gypsum Sprayer (BU N1)</a></p>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/hand-paint-mixers.htm"   title="Hand Paint Mixers" >Hand Paint Mixers</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/hand-paint-mixer-bu-8801.htm"   title="Hand Paint Mixer (BU 8801)" >Hand Paint Mixer (BU 8801)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/hand-paint-mixer-bu-8802.htm"   title="Hand Paint Mixer (BU 8802)" >Hand Paint Mixer (BU 8802)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/hand-paint-mixer-bu-8803.htm"   title="Hand Paint Mixer (BU 8803)" >Hand Paint Mixer (BU 8803)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/paint-concrete-remover-bu-8150.htm"   title="Paint &amp; Concrete Remover (BU 8150)" >Paint &amp; Concrete Remover (BU 8150)</a></p>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/high-pressure-washers.htm"   title="High Pressure Washers" >High Pressure Washers</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/high-pressure-washer-bu-590.htm"   title="High Pressure Washer (BU 590)" >High Pressure Washer (BU 590)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/high-pressure-washer-bu-2600.htm"   title="High Pressure Washer (BU 2600)" >High Pressure Washer (BU 2600)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/high-pressure-washer-bu-3200.htm"   title="High Pressure Washer (BU 3200)" >High Pressure Washer (BU 3200)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/high-pressure-washer-bu-3600.htm"   title="High Pressure Washer (BU 3600)" >High Pressure Washer (BU 3600)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/drywall-sanders.htm"   title="Drywall Sanders" >Drywall Sanders</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/drywall-sander-bu-8804.htm"   title="Drywall Sander (BU 8804)" >Drywall Sander (BU 8804)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/drywall-sander-bu-8805.htm"   title="Drywall Sander (BU 8805)" >Drywall Sander (BU 8805)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/heavy-coat-hydraulic-pump-bu-8860.htm"   title="Heavy Coat Hydraulic Pump (BU 8860)" >Heavy Coat Hydraulic Pump (BU 8860)</a></p>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/line-coat-pump-lc-840-g.htm"   title="Line Coat Pump (LC 840 G)" >Line Coat Pump (LC 840 G)</a></p>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/pneumatic-paint-sprayer.htm"   title="Pneumatic Paint Sprayer" >Pneumatic Paint Sprayer</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/pneumatic-paint-sprayer-bu-8868.htm"   title="Pneumatic Paint Sprayer (BU 8868)" >Pneumatic Paint Sprayer (BU 8868)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/pneumatic-paint-sprayer-bu-8845.htm"   title="Pneumatic Paint Sprayer (BU 8845)" >Pneumatic Paint Sprayer (BU 8845)</a></p>
								</li>
						</ul>
					</li>
					<li><b class="b2 fl"></b><p class="ofh"><a href="http://www.buvico.com/cement-plastering-machine.htm"   title="Cement Plastering Machine" >Cement Plastering Machine</a></p>
						<ul class="">
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/cement-plastering-machine-bu-n6.htm"   title="Cement Plastering Machine (BU N6)" >Cement Plastering Machine (BU N6)</a></p>
								</li>
								<li><b class="b3 fl"></b><p class="ofh"><a href="http://www.buvico.com/cement-plastering-machine-bu-n6m.htm"   title="Cement Plastering Machine (BU N6M)" >Cement Plastering Machine (BU N6M)</a></p>
								</li>
						</ul>
					</li>
				</ul></div>
	</div>
</div>
                	 <br />
                         
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	<div class="h1"><h1>Enquiry</h1></div><p class="breadcrumb ar uu small"><a href="http://www.buvico.com/" title="Home">Home</a> <b class="ffv p2px">&rsaquo;</b> Enquiry</p>
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		<input type="hidden" name="subject" value="" />
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		Please fill in the enquiry form below and we will get back to you as soon as possible. <br /><br />

		<span class="b">Note:</span> Ensure that the fields with asterisk are filled.

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	Enquiry Details</td>
	</tr>
	<tr>
	<td class="w33 ar p7px"><b class="star">*</b> Subject <b class="pl5px">:</b></td>
	<td class="p7px"><input type="text" name="dynFrm_subject"  value="" class="input w65" /></td>
	</tr>
	<tr>
	<td class="ar p7px"><b class="star">*</b> Details <b class="pl5px">:</b></td>
	<td class="p7px"><textarea name="dynFrm_details_2" id="dynFrm_details_2" maxlength="1000" cols="40" rows="5" class="w65"></textarea></td>
	</tr>
	<tr>
	<td colspan="2" class="headVr b p10px">Contact Information</td>
	</tr>
	<tr>
	<td class="ar p7px"><b class="star">*</b> Your Name <b class="pl5px">:</b></td>
	<td class="p7px">

	<input type="text" name="dynFrm_contact_person" value="" class="input w65" /></td>
	</tr>
		<tr>
	<td class="ar p7px"><b class="star" id="company-name-star" >*</b> Your Company Name <b class="pl5px">:</b></td>
	<td class="p7px"><input type="text" name="dynFrm_company_name" id="dynFrm_company_name" value="" class="input w65"  /> &nbsp; <input type="checkbox" name="comp_name_valid" value="Y"  class="mr3px"   onClick="if(this.checked == true) {document.getElementById('dynFrm_company_name').setAttribute('disabled', true); document.getElementById('company-name-star').className = 'star dn';document.getElementById('company-name-star').style.display='none';} else { document.getElementById('dynFrm_company_name').removeAttribute('disabled'); document.getElementById('company-name-star').className = 'star';document.getElementById('company-name-star').style.display='';}" /> Not Applicable</label></td>
	</tr>
	<tr>
	<td class="ar p7px"><b class="star">*</b> Select Country <b class="pl5px">:</b></td>
	<td class="p7px">
	<select class="w65"  name="dynFrm_country" class="w80" onChange="if(this.value=='IN^91'){document.getElementById('indian_state').style.display='';}else{document.getElementById('indian_state').style.display='none';} document.getElementById('phone_isd').value=this.value.substr(3, 3);">
	<option value="">Select Country</option>
			
		<option value="AF^93" >Afghanistan</option>
	
				
		<option value="AL^335" >Albania</option>
	
				
		<option value="DZ^213" >Algeria</option>
	
				
		<option value="AS^684" >American Samoa</option>
	
				
		<option value="AD^376" >Andorra</option>
	
				
		<option value="AO^244" >Angola</option>
	
				
		<option value="AI^264" >Anguilla</option>
	
				
		<option value="AQ^672" >Antarctica</option>
	
				
		<option value="AG^268" >Antigua and Barbuda</option>
	
				
		<option value="AR^54" >Argentina</option>
	
				
		<option value="AM^374" >Armenia</option>
	
				
		<option value="AW^297" >Aruba</option>
	
				
		<option value="AU^61" >Australia</option>
	
				
		<option value="AT^43" >Austria</option>
	
				
		<option value="AZ^994" >Azerbaijan</option>
	
				
		<option value="BS^242" >Bahamas</option>
	
				
		<option value="BH^973" >Bahrain</option>
	
				
		<option value="BD^880" >Bangladesh</option>
	
				
		<option value="BB^246" >Barbados</option>
	
				
		<option value="BY^375" >Belarus</option>
	
				
		<option value="BE^32" >Belgium</option>
	
				
		<option value="BZ^501" >Belize</option>
	
				
		<option value="BJ^229" >Benin</option>
	
				
		<option value="BM^441" >Bermuda</option>
	
				
		<option value="BT^975" >Bhutan</option>
	
				
		<option value="BO^591" >Bolivia</option>
	
				
		<option value="BA^387" >Bosnia and Herzegowina</option>
	
				
		<option value="BW^267" >Botswana</option>
	
				
		<option value="BV^47" >Bouvet Island</option>
	
				
		<option value="BR^55" >Brazil</option>
	
				
		<option value="IO^246" >British Indian Ocean Territory</option>
	
				
		<option value="BN^673" >Brunei Darussalam</option>
	
				
		<option value="BG^359" >Bulgaria</option>
	
				
		<option value="BF^226" >Burkina Faso</option>
	
				
		<option value="BI^257" >Burundi</option>
	
				
		<option value="KH^855" >Cambodia</option>
	
				
		<option value="CM^237" >Cameroon</option>
	
				
		<option value="CA^1" >Canada</option>
	
				
		<option value="CV^238" >Cape Verde</option>
	
				
		<option value="KY^345" >Cayman Islands</option>
	
				
		<option value="CF^236" >Central African Republic</option>
	
				
		<option value="TD^235" >Chad</option>
	
				
		<option value="CL^56" >Chile</option>
	
				
		<option value="CN^86" >China</option>
	
				
		<option value="CX^61" >Christmas Island</option>
	
				
		<option value="CC^61" >Cocos (Keeling) Islands</option>
	
				
		<option value="CO^57" >Colombia</option>
	
				
		<option value="KM^269" >Comoros</option>
	
				
		<option value="CG^242" >Congo</option>
	
				
		<option value="CK^682" >Cook Islands</option>
	
				
		<option value="CR^506" >Costa Rica</option>
	
				
		<option value="CI^225" >Cote D'Ivoire</option>
	
				
		<option value="HR^385" >Croatia</option>
	
				
		<option value="CU^53" >Cuba</option>
	
				
		<option value="CY^357" >Cyprus</option>
	
				
		<option value="CZ^420" >Czech Republic</option>
	
				
		<option value="DK^45" >Denmark</option>
	
				
		<option value="DJ^253" >Djibouti</option>
	
				
		<option value="DM^767" >Dominica</option>
	
				
		<option value="DO^809" >Dominican Republic</option>
	
				
		<option value="TP^670" >East Timor</option>
	
				
		<option value="EC^593" >Ecuador</option>
	
				
		<option value="EG^20" >Egypt</option>
	
				
		<option value="SV^503" >El Salvador</option>
	
				
		<option value="GQ^240" >Equatorial Guinea</option>
	
				
		<option value="ER^291" >Eritrea</option>
	
				
		<option value="EE^372" >Estonia</option>
	
				
		<option value="ET^251" >Ethiopia</option>
	
				
		<option value="FK^500" >Falkland Islands (Malvinas)</option>
	
				
		<option value="FO^298" >Faroe Islands</option>
	
				
		<option value="FJ^679" >Fiji</option>
	
				
		<option value="FI^358" >Finland</option>
	
				
		<option value="FR^33" >France</option>
	
				
		<option value="FX^590" >France, Metropolitan</option>
	
				
		<option value="GF^594" >French Guiana</option>
	
				
		<option value="PF^689" >French Polynesia</option>
	
				
		<option value="TF^590" >French Southern Territories</option>
	
				
		<option value="GA^241" >Gabon</option>
	
				
		<option value="GM^220" >Gambia</option>
	
				
		<option value="GE^995" >Georgia</option>
	
				
		<option value="DE^49" >Germany</option>
	
				
		<option value="GH^233" >Ghana</option>
	
				
		<option value="GI^350" >Gibraltar</option>
	
				
		<option value="GR^30" >Greece</option>
	
				
		<option value="GL^299" >Greenland</option>
	
				
		<option value="GD^809" >Grenada</option>
	
				
		<option value="GP^590" >Guadeloupe</option>
	
				
		<option value="GU^1" >Guam</option>
	
				
		<option value="GT^502" >Guatemala</option>
	
				
		<option value="GN^224" >Guinea</option>
	
				
		<option value="GW^245" >Guinea-bissau</option>
	
				
		<option value="GY^592" >Guyana</option>
	
				
		<option value="HT^509" >Haiti</option>
	
				
		<option value="HM^61" >Heard and Mc Donald Islands</option>
	
				
		<option value="HN^504" >Honduras</option>
	
				
		<option value="HK^852" >Hong Kong</option>
	
				
		<option value="HU^36" >Hungary</option>
	
				
		<option value="IS^354" >Iceland</option>
	
				
		<option value="IN^91" >India</option>
	
				
		<option value="ID^62" >Indonesia</option>
	
				
		<option value="IR^98" >Iran (Islamic Republic of)</option>
	
				
		<option value="IQ^964" >Iraq</option>
	
				
		<option value="IE^353" >Ireland</option>
	
				
		<option value="IL^972" >Israel</option>
	
				
		<option value="IT^39" >Italy</option>
	
				
		<option value="JM^876" >Jamaica</option>
	
				
		<option value="JP^81" >Japan</option>
	
				
		<option value="JO^962" >Jordan</option>
	
				
		<option value="KZ^7" >Kazakhstan</option>
	
				
		<option value="KE^254" >Kenya</option>
	
				
		<option value="KI^686" >Kiribati</option>
	
				
		<option value="KP^850" >Korea, Democratic People's Republic of</option>
	
				
		<option value="KR^82" >Korea, Republic of</option>
	
				
		<option value="KW^965" >Kuwait</option>
	
				
		<option value="KG^7" >Kyrgyzstan</option>
	
				
		<option value="LA^856" >Lao People's Democratic Republic</option>
	
				
		<option value="LV^371" >Latvia</option>
	
				
		<option value="LB^961" >Lebanon</option>
	
				
		<option value="LS^266" >Lesotho</option>
	
				
		<option value="LR^231" >Liberia</option>
	
				
		<option value="LY^218" >Libya</option>
	
				
		<option value="LI^423" >Liechtenstein</option>
	
				
		<option value="LT^370" >Lithuania</option>
	
				
		<option value="LU^352" >Luxembourg</option>
	
				
		<option value="MO^853" >Macau</option>
	
				
		<option value="MK^389" >Macedonia, The Former Yugoslav Republic of</option>
	
				
		<option value="MG^261" >Madagascar</option>
	
				
		<option value="MW^265" >Malawi</option>
	
				
		<option value="MY^60" >Malaysia</option>
	
				
		<option value="MV^960" >Maldives</option>
	
				
		<option value="ML^223" >Mali</option>
	
				
		<option value="MT^356" >Malta</option>
	
				
		<option value="MH^692" >Marshall Islands</option>
	
				
		<option value="MQ^596" >Martinique</option>
	
				
		<option value="MR^222" >Mauritania</option>
	
				
		<option value="MU^230" >Mauritius</option>
	
				
		<option value="YT^269" >Mayotte</option>
	
				
		<option value="MX^52" >Mexico</option>
	
				
		<option value="FM^691" >Micronesia, Federated States of</option>
	
				
		<option value="MD^373" >Moldova, Republic of</option>
	
				
		<option value="MC^377" >Monaco</option>
	
				
		<option value="MN^976" >Mongolia</option>
	
				
		<option value="ME^382" >Montenegro</option>
	
				
		<option value="MS^664" >Montserrat</option>
	
				
		<option value="MA^212" >Morocco</option>
	
				
		<option value="MZ^258" >Mozambique</option>
	
				
		<option value="MM^95" >Myanmar</option>
	
				
		<option value="NA^264" >Namibia</option>
	
				
		<option value="NR^674" >Nauru</option>
	
				
		<option value="NP^977" >Nepal</option>
	
				
		<option value="NL^31" >Netherlands</option>
	
				
		<option value="AN^599" >Netherlands Antilles</option>
	
				
		<option value="NC^687" >New Caledonia</option>
	
				
		<option value="NZ^64" >New Zealand</option>
	
				
		<option value="NI^505" >Nicaragua</option>
	
				
		<option value="NE^227" >Niger</option>
	
				
		<option value="NG^234" >Nigeria</option>
	
				
		<option value="NU^683" >Niue</option>
	
				
		<option value="NF^672" >Norfolk Island</option>
	
				
		<option value="MP^670" >Northern Mariana Islands</option>
	
				
		<option value="NO^47" >Norway</option>
	
				
		<option value="OM^968" >Oman</option>
	
				
		<option value="PK^92" >Pakistan</option>
	
				
		<option value="PW^680" >Palau</option>
	
				
		<option value="PA^507" >Panama</option>
	
				
		<option value="PG^675" >Papua New Guinea</option>
	
				
		<option value="PY^595" >Paraguay</option>
	
				
		<option value="PE^51" >Peru</option>
	
				
		<option value="PH^63" >Philippines</option>
	
				
		<option value="PN^872" >Pitcairn</option>
	
				
		<option value="PL^48" >Poland</option>
	
				
		<option value="PT^351" >Portugal</option>
	
				
		<option value="PR^787" >Puerto Rico</option>
	
				
		<option value="QA^974" >Qatar</option>
	
				
		<option value="RE^262" >Reunion</option>
	
				
		<option value="RO^40" >Romania</option>
	
				
		<option value="RU^7" >Russian Federation</option>
	
				
		<option value="RW^250" >Rwanda</option>
	
				
		<option value="KN^869" >Saint Kitts and Nevis</option>
	
				
		<option value="LC^758" >Saint Lucia</option>
	
				
		<option value="VC^784" >Saint Vincent and the Grenadines</option>
	
				
		<option value="WS^685" >Samoa</option>
	
				
		<option value="SM^378" >San Marino</option>
	
				
		<option value="ST^239" >Sao Tome and Principe</option>
	
				
		<option value="SA^966" >Saudi Arabia</option>
	
				
		<option value="SN^221" >Senegal</option>
	
				
		<option value="RS^381" >Serbia</option>
	
				
		<option value="SC^248" >Seychelles</option>
	
				
		<option value="SL^232" >Sierra Leone</option>
	
				
		<option value="SG^65" >Singapore</option>
	
				
		<option value="SK^421" >Slovakia (Slovak Republic)</option>
	
				
		<option value="SI^386" >Slovenia</option>
	
				
		<option value="SB^677" >Solomon Islands</option>
	
				
		<option value="SO^252" >Somalia</option>
	
				
		<option value="ZA^27" >South Africa</option>
	
				
		<option value="GS^44" >South Georgia and the South Sandwich Islands</option>
	
				
		<option value="SS^211" >South Sudan</option>
	
				
		<option value="ES^34" >Spain</option>
	
				
		<option value="LK^94" >Sri Lanka</option>
	
				
		<option value="SH^290" >St. Helena</option>
	
				
		<option value="PM^508" >St. Pierre and Miquelon</option>
	
				
		<option value="SD^249" >Sudan</option>
	
				
		<option value="SR^597" >Suriname</option>
	
				
		<option value="SJ^47" >Svalbard and Jan Mayen Islands</option>
	
				
		<option value="SZ^268" >Swaziland</option>
	
				
		<option value="SE^46" >Sweden</option>
	
				
		<option value="CH^41" >Switzerland</option>
	
				
		<option value="SY^963" >Syrian Arab Republic</option>
	
				
		<option value="TW^886" >Taiwan</option>
	
				
		<option value="TJ^992" >Tajikistan</option>
	
				
		<option value="TZ^255" >Tanzania, United Republic of</option>
	
				
		<option value="TH^66" >Thailand</option>
	
				
		<option value="TG^228" >Togo</option>
	
				
		<option value="TK^64" >Tokelau</option>
	
				
		<option value="TO^676" >Tonga</option>
	
				
		<option value="TT^868" >Trinidad and Tobago</option>
	
				
		<option value="TN^216" >Tunisia</option>
	
				
		<option value="TR^90" >Turkey</option>
	
				
		<option value="TM^993" >Turkmenistan</option>
	
				
		<option value="TC^649" >Turks and Caicos Islands</option>
	
				
		<option value="TV^688" >Tuvalu</option>
	
				
		<option value="UG^256" >Uganda</option>
	
				
		<option value="UA^380" >Ukraine</option>
	
				
		<option value="AE^971" >United Arab Emirates</option>
	
				
		<option value="UK^44" >United Kingdom</option>
	
				
		<option value="US^1" >United States</option>
	
				
		<option value="UM^1" >United States Minor Outlying Islands</option>
	
				
		<option value="UY^598" >Uruguay</option>
	
				
		<option value="UZ^998" >Uzbekistan</option>
	
				
		<option value="VU^678" >Vanuatu</option>
	
				
		<option value="VA^39" >Vatican City State (Holy See)</option>
	
				
		<option value="VE^58" >Venezuela</option>
	
				
		<option value="VN^84" >Viet Nam</option>
	
				
		<option value="VG^1" >Virgin Islands (British)</option>
	
				
		<option value="VI^1" >Virgin Islands (U.S.)</option>
	
				
		<option value="WF^681" >Wallis and Futuna Islands</option>
	
				
		<option value="EH^212" >Western Sahara</option>
	
				
		<option value="YE^967" >Yemen</option>
	
				
		<option value="YU^381" >Yugoslavia</option>
	
				
		<option value="ZR^243" >Zaire</option>
	
				
		<option value="ZM^260" >Zambia</option>
	
				
		<option value="ZW^263" >Zimbabwe</option>
	
			</select>
	</td>
	</tr>
		<tr id="indian_state"  style="display: none;">
	<td class="ar p7px"><b class="star">*</b> Select State <b class="pl5px">:</b></td>
	<td class="p7px">
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	<option value="">Select State</option>
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