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			<h1 class="article-header__title js-article-title js-page-title">Torah Dedication Form</h1>
		
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            Dedication Opportunities
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            Donors of $500 or more, will have the unique opportunity to inscribe one of the final letters of the Torah
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          <label for="input_4"> Torah Scroll Dedication - $25,000 </label>
          <label class="label-message" for="input_4"> Dedicate the Torah &amp; have your dedication inscribed on the front of the Torah's coat </label>
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          <label for="input_8"> Special Section - $1,800 </label>
          <label class="label-message" for="input_8"> Dedicate a "Special Section" in the Torah, they posses central themes of faith and carry unique blessings &amp; inspiration </label>
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        <div class="form-label-top" id="label_9">
          <label for="input_9"> Torah Portions </label>
          <label class="label-message" for="input_9"> Dedicate a Portion of the Torah </label>
        </div>
        <div id="cid_9" class="form-input-wide">
          <div class="form-single-column"><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_9_0" name="q9_torahPortions[]" value="Parasha - Weekly Torah Portion - $1,000" />
              <label for="input_9_0"> Parasha - Weekly Torah Portion - $1,000 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_9_1" name="q9_torahPortions[]" value="Aliaya - $540" />
              <label for="input_9_1"> Aliaya - $540 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_9_2" name="q9_torahPortions[]" value="Verse - $360" />
              <label for="input_9_2"> Verse - $360 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_9_3" name="q9_torahPortions[]" value="Word - $180" />
              <label for="input_9_3"> Word - $180 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_9_4" name="q9_torahPortions[]" value="Letter $54" />
              <label for="input_9_4"> Letter $54 </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_10">
        <div class="form-label-top" id="label_10">
          <label for="input_10"> Special Items </label>
          <label class="label-message" for="input_10"> All Special Items Will Have Your Dedication Inscribed/Embroidered upon them </label>
        </div>
        <div id="cid_10" class="form-input-wide">
          <div class="form-single-column"><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_0" name="q10_specialItems10[]" value="Silver Crown $5,400" />
              <label for="input_10_0"> Silver Crown $5,400 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_1" name="q10_specialItems10[]" value="Eitz Chaim - The Torah's Arms - $3,600" />
              <label for="input_10_1"> Eitz Chaim - The Torah's Arms - $3,600 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_2" name="q10_specialItems10[]" value="Yad - Silver Pointer - $1000 (Reserved)" />
              <label for="input_10_2"> Yad - Silver Pointer - $1000 (Reserved) </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_3" name="q10_specialItems10[]" value="High Holiday Torah Mantel - $1,800" />
              <label for="input_10_3"> High Holiday Torah Mantel - $1,800 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_4" name="q10_specialItems10[]" value="Parochet - (Curtain for the Holy Ark) - $2,500" />
              <label for="input_10_4"> Parochet - (Curtain for the Holy Ark) - $2,500 </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_5" name="q10_specialItems10[]" value="Bima - $3,000 (Reserved)" />
              <label for="input_10_5"> Bima - $3,000 (Reserved) </label></span><span class="clearfix"></span><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox" id="input_10_6" name="q10_specialItems10[]" value="Bima Cover - $1,000 (Reserved)" />
              <label for="input_10_6"> Bima Cover - $1,000 (Reserved) </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_5">
        <div class="form-label-left" id="label_5">
          <label for="input_5"> Total </label>
        </div>
        <div id="cid_5" class="form-input">
          <div id="total_amount">
            $0.00
          </div>
        </div>
      </li>
      <li class="form-line" id="id_6">
        <div class="form-label-left" id="label_6">
          <label for="input_6"> Payment </label>
          <label class="label-message" for="input_6">  </label>
        </div>
        <div id="cid_6" class="form-input">
          <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0">
            <tbody><tr>
              <td colspan="2" class="form-payment-methods">
                <label>
                  <input class="paymentMethod form-radio validate[paymentMethod]" type="radio" id="input_6_creditCard" name="q6_payment6[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" />
                  Credit Card
                </label>
                 
                <label>
                  <input class="paymentMethod form-radio validate[paymentMethod]" type="radio" id="input_6_other" name="q6_payment6[payment_method]" value="other" onclick="BuildSource.other(this)" />
                  I would like to pay by check
                </label>
                 
              </td>
            </tr>
            <tr class="credit_card hide">
              <th colspan="2">
                Credit Card
              </th>
            </tr>
            <tr class="credit_card hide">
              <td colspan="2" style="padding:0">
                <table cellpadding="0" cellspacing="0">
                  <tbody><tr>
                    <td style="padding-left:0px"><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q6_payment6[cc_type]" id="input_6_cc_type">
                          <option value="Visa"> Visa </option>
                          <option value="Mastercard"> MasterCard </option>
                          <option value="Amex"> American Express </option>
                          <option value="Discover"> Discover </option>
                        </select>
                        <label class="form-sub-label" for="input_6_cc_type" id="sublabel_cc_type"> Credit Card Type </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td style="padding-left:0px"><span class="form-sub-label-container"><input class="form-textbox form-creditcard validate[visible, creditcard]" type="text" name="q6_payment6[cc_number]" id="input_6_cc_number" size="20" autocomplete="off" />
                        -
                        <label class="form-sub-label" for="input_6_cc_number" id="sublabel_cc_number"> Credit Card Number </label></span>
                    </td>
                    <td class="cc_ccv " style="padding-left:0px"><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q6_payment6[cc_ccv]" id="input_6_cc_ccv" size="6" autocomplete="off" />
                        <label class="form-sub-label" for="input_6_cc_ccv" id="sublabel_cc_ccv"> Security Code </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td colspan="2" class="cc_name_on_card " style="padding-left:0px"><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q6_payment6[cc_nameOnCard]" id="input_6_cc_nameOnCard" size="33" autocomplete="off" />
                        <label class="form-sub-label" for="input_6_cc_nameOnCard" id="sublabel_cc_nameOnCard"> Name on Card </label></span>
                    </td>
                  </tr>
                </tbody></table>
              </td>
            </tr>
            <tr class="credit_card hide">
              <td colspan="2"><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q6_payment6[cc_exp_month]" id="input_6_cc_exp_month">
                    <option>  </option>
                    <option value="1"> 1 - January </option>
                    <option value="2"> 2 - February </option>
                    <option value="3"> 3 - March </option>
                    <option value="4"> 4 - April </option>
                    <option value="5"> 5 - May </option>
                    <option value="6"> 6 - June </option>
                    <option value="7"> 7 - July </option>
                    <option value="8"> 8 - August </option>
                    <option value="9"> 9 - September </option>
                    <option value="10"> 10 - October </option>
                    <option value="11"> 11 - November </option>
                    <option value="12"> 12 - December </option>
                  </select>
                  /
                  <label class="form-sub-label" for="input_6_cc_exp_month" id="sublabel_cc_exp_month"> Expiration Month </label></span><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q6_payment6[cc_exp_year]" id="input_6_cc_exp_year">
                    <option>  </option>
                    <option value="2016"> 2016 </option>
                    <option value="2017"> 2017 </option>
                    <option value="2018"> 2018 </option>
                    <option value="2019"> 2019 </option>
                    <option value="2020"> 2020 </option>
                    <option value="2021"> 2021 </option>
                    <option value="2022"> 2022 </option>
                    <option value="2023"> 2023 </option>
                    <option value="2024"> 2024 </option>
                    <option value="2025"> 2025 </option>
                  </select>
                  <label class="form-sub-label" for="input_6_cc_exp_year" id="sublabel_cc_exp_year"> Expiration Year </label></span>
              </td>
            </tr>
            <tr class="other hide">
              <td>
              </td>
            </tr>
            <tr class="billing_address hide">
              <th colspan="2">
                Billing Address
              </th>
            </tr>
            <tr class="billing_address hide">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q6_payment6[addr_line1]" id="input_6_addr_line1" />
                  <label class="form-sub-label" for="input_6_addr_line1" id="sublabel_6_addr_line1"> Street Address </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q6_payment6[addr_line2]" id="input_6_addr_line2" size="46" />
                  <label class="form-sub-label" for="input_6_addr_line2" id="sublabel_6_addr_line2"> Street Address Line 2 </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q6_payment6[city]" id="input_6_city" size="21" />
                  <label class="form-sub-label" for="input_6_city" id="sublabel_6_city"> City </label></span>
              </td>
              <td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q6_payment6[state]" id="input_6_state" size="22" />
                  <label class="form-sub-label" for="input_6_state" id="sublabel_6_state"> State / Province </label></span>
              </td>
            </tr>
            <tr class="billing_address hide">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q6_payment6[postal]" id="input_6_postal" size="10" />
                  <label class="form-sub-label" for="input_6_postal" id="sublabel_6_postal"> Postal / Zip Code </label></span>
              </td>
              <td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q6_payment6[country]" id="input_6_country">
                    <option value="" selected="selected"> Please Select </option>
                    <option value="United States"> United States </option>
                    <option value="Afghanistan"> Afghanistan </option>
                    <option value="Albania"> Albania </option>
                    <option value="Algeria"> Algeria </option>
                    <option value="American Samoa"> American Samoa </option>
                    <option value="Andorra"> Andorra </option>
                    <option value="Angola"> Angola </option>
                    <option value="Anguilla"> Anguilla </option>
                    <option value="Antigua and Barbuda"> Antigua and Barbuda </option>
                    <option value="Argentina"> Argentina </option>
                    <option value="Armenia"> Armenia </option>
                    <option value="Aruba"> Aruba </option>
                    <option value="Australia"> Australia </option>
                    <option value="Austria"> Austria </option>
                    <option value="Azerbaijan"> Azerbaijan </option>
                    <option value="The Bahamas"> The Bahamas </option>
                    <option value="Bahrain"> Bahrain </option>
                    <option value="Bangladesh"> Bangladesh </option>
                    <option value="Barbados"> Barbados </option>
                    <option value="Belarus"> Belarus </option>
                    <option value="Belgium"> Belgium </option>
                    <option value="Belize"> Belize </option>
                    <option value="Benin"> Benin </option>
                    <option value="Bermuda"> Bermuda </option>
                    <option value="Bhutan"> Bhutan </option>
                    <option value="Bolivia"> Bolivia </option>
                    <option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
                    <option value="Botswana"> Botswana </option>
                    <option value="Brazil"> Brazil </option>
                    <option value="Brunei"> Brunei </option>
                    <option value="Bulgaria"> Bulgaria </option>
                    <option value="Burkina Faso"> Burkina Faso </option>
                    <option value="Burundi"> Burundi </option>
                    <option value="Cambodia"> Cambodia </option>
                    <option value="Cameroon"> Cameroon </option>
                    <option value="Canada"> Canada </option>
                    <option value="Cape Verde"> Cape Verde </option>
                    <option value="Cayman Islands"> Cayman Islands </option>
                    <option value="Central African Republic"> Central African Republic </option>
                    <option value="Chad"> Chad </option>
                    <option value="Chile"> Chile </option>
                    <option value="People's Republic of China"> People's Republic of China </option>
                    <option value="Republic of China"> Republic of China </option>
                    <option value="Christmas Island"> Christmas Island </option>
                    <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
                    <option value="Colombia"> Colombia </option>
                    <option value="Comoros"> Comoros </option>
                    <option value="Congo"> Congo </option>
                    <option value="Cook Islands"> Cook Islands </option>
                    <option value="Costa Rica"> Costa Rica </option>
                    <option value="Cote d'Ivoire"> Cote d'Ivoire </option>
                    <option value="Croatia"> Croatia </option>
                    <option value="Cuba"> Cuba </option>
                    <option value="Cyprus"> Cyprus </option>
                    <option value="Czech Republic"> Czech Republic </option>
                    <option value="Denmark"> Denmark </option>
                    <option value="Djibouti"> Djibouti </option>
                    <option value="Dominica"> Dominica </option>
                    <option value="Dominican Republic"> Dominican Republic </option>
                    <option value="Ecuador"> Ecuador </option>
                    <option value="Egypt"> Egypt </option>
                    <option value="El Salvador"> El Salvador </option>
                    <option value="Equatorial Guinea"> Equatorial Guinea </option>
                    <option value="Eritrea"> Eritrea </option>
                    <option value="Estonia"> Estonia </option>
                    <option value="Ethiopia"> Ethiopia </option>
                    <option value="Falkland Islands"> Falkland Islands </option>
                    <option value="Faroe Islands"> Faroe Islands </option>
                    <option value="Fiji"> Fiji </option>
                    <option value="Finland"> Finland </option>
                    <option value="France"> France </option>
                    <option value="French Polynesia"> French Polynesia </option>
                    <option value="Gabon"> Gabon </option>
                    <option value="The Gambia"> The Gambia </option>
                    <option value="Georgia"> Georgia </option>
                    <option value="Germany"> Germany </option>
                    <option value="Ghana"> Ghana </option>
                    <option value="Gibraltar"> Gibraltar </option>
                    <option value="Greece"> Greece </option>
                    <option value="Greenland"> Greenland </option>
                    <option value="Grenada"> Grenada </option>
                    <option value="Guadeloupe"> Guadeloupe </option>
                    <option value="Guam"> Guam </option>
                    <option value="Guatemala"> Guatemala </option>
                    <option value="Guernsey"> Guernsey </option>
                    <option value="Guinea"> Guinea </option>
                    <option value="Guinea-Bissau"> Guinea-Bissau </option>
                    <option value="Guyana"> Guyana </option>
                    <option value="Haiti"> Haiti </option>
                    <option value="Honduras"> Honduras </option>
                    <option value="Hong Kong"> Hong Kong </option>
                    <option value="Hungary"> Hungary </option>
                    <option value="Iceland"> Iceland </option>
                    <option value="India"> India </option>
                    <option value="Indonesia"> Indonesia </option>
                    <option value="Iran"> Iran </option>
                    <option value="Iraq"> Iraq </option>
                    <option value="Ireland"> Ireland </option>
                    <option value="Israel"> Israel </option>
                    <option value="Italy"> Italy </option>
                    <option value="Jamaica"> Jamaica </option>
                    <option value="Japan"> Japan </option>
                    <option value="Jersey"> Jersey </option>
                    <option value="Jordan"> Jordan </option>
                    <option value="Kazakhstan"> Kazakhstan </option>
                    <option value="Kenya"> Kenya </option>
                    <option value="Kiribati"> Kiribati </option>
                    <option value="North Korea"> North Korea </option>
                    <option value="South Korea"> South Korea </option>
                    <option value="Kosovo"> Kosovo </option>
                    <option value="Kuwait"> Kuwait </option>
                    <option value="Kyrgyzstan"> Kyrgyzstan </option>
                    <option value="Laos"> Laos </option>
                    <option value="Latvia"> Latvia </option>
                    <option value="Lebanon"> Lebanon </option>
                    <option value="Lesotho"> Lesotho </option>
                    <option value="Liberia"> Liberia </option>
                    <option value="Libya"> Libya </option>
                    <option value="Liechtenstein"> Liechtenstein </option>
                    <option value="Lithuania"> Lithuania </option>
                    <option value="Luxembourg"> Luxembourg </option>
                    <option value="Macau"> Macau </option>
                    <option value="Macedonia"> Macedonia </option>
                    <option value="Madagascar"> Madagascar </option>
                    <option value="Malawi"> Malawi </option>
                    <option value="Malaysia"> Malaysia </option>
                    <option value="Maldives"> Maldives </option>
                    <option value="Mali"> Mali </option>
                    <option value="Malta"> Malta </option>
                    <option value="Marshall Islands"> Marshall Islands </option>
                    <option value="Martinique"> Martinique </option>
                    <option value="Mauritania"> Mauritania </option>
                    <option value="Mauritius"> Mauritius </option>
                    <option value="Mayotte"> Mayotte </option>
                    <option value="Mexico"> Mexico </option>
                    <option value="Micronesia"> Micronesia </option>
                    <option value="Moldova"> Moldova </option>
                    <option value="Monaco"> Monaco </option>
                    <option value="Mongolia"> Mongolia </option>
                    <option value="Montenegro"> Montenegro </option>
                    <option value="Montserrat"> Montserrat </option>
                    <option value="Morocco"> Morocco </option>
                    <option value="Mozambique"> Mozambique </option>
                    <option value="Myanmar"> Myanmar </option>
                    <option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
                    <option value="Namibia"> Namibia </option>
                    <option value="Nauru"> Nauru </option>
                    <option value="Nepal"> Nepal </option>
                    <option value="Netherlands"> Netherlands </option>
                    <option value="Netherlands Antilles"> Netherlands Antilles </option>
                    <option value="New Caledonia"> New Caledonia </option>
                    <option value="New Zealand"> New Zealand </option>
                    <option value="Nicaragua"> Nicaragua </option>
                    <option value="Niger"> Niger </option>
                    <option value="Nigeria"> Nigeria </option>
                    <option value="Niue"> Niue </option>
                    <option value="Norfolk Island"> Norfolk Island </option>
                    <option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
                    <option value="Northern Mariana"> Northern Mariana </option>
                    <option value="Norway"> Norway </option>
                    <option value="Oman"> Oman </option>
                    <option value="Pakistan"> Pakistan </option>
                    <option value="Palau"> Palau </option>
                    <option value="Panama"> Panama </option>
                    <option value="Papua New Guinea"> Papua New Guinea </option>
                    <option value="Paraguay"> Paraguay </option>
                    <option value="Peru"> Peru </option>
                    <option value="Philippines"> Philippines </option>
                    <option value="Pitcairn Islands"> Pitcairn Islands </option>
                    <option value="Poland"> Poland </option>
                    <option value="Portugal"> Portugal </option>
                    <option value="Puerto Rico"> Puerto Rico </option>
                    <option value="Qatar"> Qatar </option>
                    <option value="Romania"> Romania </option>
                    <option value="Russia"> Russia </option>
                    <option value="Rwanda"> Rwanda </option>
                    <option value="Saint Barthelemy"> Saint Barthelemy </option>
                    <option value="Saint Helena"> Saint Helena </option>
                    <option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
                    <option value="Saint Lucia"> Saint Lucia </option>
                    <option value="Saint Martin"> Saint Martin </option>
                    <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
                    <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
                    <option value="Samoa"> Samoa </option>
                    <option value="San Marino"> San Marino </option>
                    <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                    <option value="Saudi Arabia"> Saudi Arabia </option>
                    <option value="Senegal"> Senegal </option>
                    <option value="Serbia"> Serbia </option>
                    <option value="Seychelles"> Seychelles </option>
                    <option value="Sierra Leone"> Sierra Leone </option>
                    <option value="Singapore"> Singapore </option>
                    <option value="Slovakia"> Slovakia </option>
                    <option value="Slovenia"> Slovenia </option>
                    <option value="Solomon Islands"> Solomon Islands </option>
                    <option value="Somalia"> Somalia </option>
                    <option value="Somaliland"> Somaliland </option>
                    <option value="South Africa"> South Africa </option>
                    <option value="South Ossetia"> South Ossetia </option>
                    <option value="Spain"> Spain </option>
                    <option value="Sri Lanka"> Sri Lanka </option>
                    <option value="Sudan"> Sudan </option>
                    <option value="Suriname"> Suriname </option>
                    <option value="Svalbard"> Svalbard </option>
                    <option value="Swaziland"> Swaziland </option>
                    <option value="Sweden"> Sweden </option>
                    <option value="Switzerland"> Switzerland </option>
                    <option value="Syria"> Syria </option>
                    <option value="Taiwan"> Taiwan </option>
                    <option value="Tajikistan"> Tajikistan </option>
                    <option value="Tanzania"> Tanzania </option>
                    <option value="Thailand"> Thailand </option>
                    <option value="Timor-Leste"> Timor-Leste </option>
                    <option value="Togo"> Togo </option>
                    <option value="Tokelau"> Tokelau </option>
                    <option value="Tonga"> Tonga </option>
                    <option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
                    <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
                    <option value="Tristan da Cunha"> Tristan da Cunha </option>
                    <option value="Tunisia"> Tunisia </option>
                    <option value="Turkey"> Turkey </option>
                    <option value="Turkmenistan"> Turkmenistan </option>
                    <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
                    <option value="Tuvalu"> Tuvalu </option>
                    <option value="Uganda"> Uganda </option>
                    <option value="Ukraine"> Ukraine </option>
                    <option value="United Arab Emirates"> United Arab Emirates </option>
                    <option value="United Kingdom"> United Kingdom </option>
                    <option value="Uruguay"> Uruguay </option>
                    <option value="Uzbekistan"> Uzbekistan </option>
                    <option value="Vanuatu"> Vanuatu </option>
                    <option value="Vatican City"> Vatican City </option>
                    <option value="Venezuela"> Venezuela </option>
                    <option value="Vietnam"> Vietnam </option>
                    <option value="British Virgin Islands"> British Virgin Islands </option>
                    <option value="US Virgin Islands"> US Virgin Islands </option>
                    <option value="Wallis and Futuna"> Wallis and Futuna </option>
                    <option value="Western Sahara"> Western Sahara </option>
                    <option value="Yemen"> Yemen </option>
                    <option value="Zambia"> Zambia </option>
                    <option value="Zimbabwe"> Zimbabwe </option>
                    <option value="other"> Other </option>
                  </select>
                  <label class="form-sub-label" for="input_6_country" id="sublabel_6_country"> Country </label></span>
              </td>
          </tr></tbody></table>
        </div>
      </li>
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        <div id="cid_2" class="form-input-wide">
          <div style="margin-left:156px" class="form-buttons-wrapper">
            <button id="input_2" type="submit" class="form-submit-button form-submit-button-none;">
              Submit
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        </div>
      </li>
      <li style="display:none">
        Should be Empty:
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