
{"id":58,"date":"2025-06-10T16:52:59","date_gmt":"2025-06-10T16:52:59","guid":{"rendered":"https:\/\/bavarian-nordic.dev.grm.digital\/en\/?page_id=58"},"modified":"2025-06-10T16:52:59","modified_gmt":"2025-06-10T16:52:59","slug":"register","status":"publish","type":"page","link":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/register\/","title":{"rendered":"Register"},"content":{"rendered":"<div class=\"register-block block mb-8 mb-lg-15\">\n    \n    <header class=\"block-header py-8 py-md-5 pb-xl-10\">\n        <div class=\"container\">\n            \n            <div class=\"col-lg-8 col-xl-6\">\n                        <div class=\"call-to-action-block align-items-start bg-primary-subtle rounded-4 d-flex flex-column justify-content-between column-gap-6 row-gap-2 pt-4 px-2 pb-3 p-lg-10 \">\n                        <span class=\"icon\">\n                <svg class=\"svg size-9 text-primary\">\n                  <use href=\"#icon-calendar\"><\/use>\n                <\/svg>\n            <\/span>\n                        <h4>Register with DocCheck<\/h4>\n            <p><\/p>\n        <a href=\"https:\/\/www.doccheck.com\/register\" target=\"_blank\" class=\"btn p-0\"><img decoding=\"async\" src=\"https:\/\/cdns.eu1.gigya.com\/gs\/GetSprite.ashx?path=%2FHTMLLogin%2FSignInWith%2F%5Bdoccheck%5D_35.png%7C247%2C35\" alt=\"\"><\/a>\n        <\/div>\n                <div class=\"bn-text-divider\">or<\/div>\n                                    <h1 class=\"mb-2\">Register<\/h1>\n                                                    <p class=\"lead\">Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec non faucibus turpis.  Already have an account? Log in<\/p>\n                                              <\/div>\n        <\/div>\n    <\/header>\n    <div class=\"block-content\">\n        <div class=\"container\">\n            <div class=\"col-lg-8 col-xl-6\">\n                 <form class=\"recaptcha-form sign-on-form needs-validation form\" name=\"sign-on-form\" class=\"sign-on-form needs-validation\" novalidate=\"novalidate\"><div class=\"form-alerts\" id=\"reg-form-alerts\"><\/div><input type=\"hidden\" id=\"g-recaptcha-response\" name=\"g-recaptcha-response\"><div class=\"mb-2\"><div class=\"form-floating\"><select name=\"sign-on-form-title\" aria-label=\"Title\"  class=\"form-select\" id=\"sign-on-form-title\"><\/select><label for=\"sign-on-form-title\">Title<\/label><\/div><\/div><div class=\"mb-2\"><div class=\"form-floating\"><select name=\"sign-on-form-profession\" aria-label=\"Profession\"  class=\"form-select\" id=\"sign-on-form-profession\"><\/select><label for=\"sign-on-form-profession\">Profession<\/label><\/div><\/div><div class=\"mb-2\"><div class=\"form-floating\"><input name=\"sign-on-form-email\" value=\"\" type=\"email\" id=\"sign-on-form-email-field\" class=\"form-control\" placeholder=\"Email Address\" required=\"1\"><label for=\"sign-on-form-email-field\">Email Address<\/label><\/div><\/div><div class=\"row\"><div class=\"col-lg-6\"><div class=\"mb-2\"><div class=\"form-floating\"><input name=\"sign-on-form-first-name\" value=\"\" type=\"text\" id=\"sign-on-form-first-name\" class=\"form-control\" placeholder=\"First name\" required=\"1\"><label for=\"sign-on-form-first-name\">First name<\/label><\/div><\/div><\/div><div class=\"col-lg-6\"><div class=\"mb-2\"><div class=\"form-floating\"><input name=\"sign-on-form-last-name\" value=\"\" type=\"text\" id=\"sign-on-form-last-name\" class=\"form-control\" placeholder=\"Last name\" required=\"1\"><label for=\"sign-on-form-last-name\">Last name<\/label><\/div><\/div><\/div><\/div><div class=\"mb-2\"><div class=\"form-password-field\"><div class=\"password-input-group input-group\"><div class=\"form-floating\"><input type=\"password\" id=\"sign-on-form-password\" name=\"sign-on-form-password\" class=\"form-control form-control-password\" placeholder=\"Create password\" required=\"1\" aria-describedby=\"sign-on-form-password-hints\" pattern=\"^(?=.*[a-z])(?=.*[A-Z])(?=.*\\d)(?=.*[^A-Za-z\\d]).{8,}$\" \/><label for=\"sign-on-form-password\">Create password<\/label><\/div><div class=\"input-group-action\"><button type=\"button\" class=\"btn btn-toggle-password\" aria-label=\"Toggle password visibility\"><span class=\"btn-toggle-password-icon icon m-auto\"><svg class=\"svg size-6\" aria-hidden=\"true\"><use href=\"#icon-eye\"><\/use><\/svg><\/span><\/button><\/div><\/div><ul class=\"password-helper-list list-unstyled small text-gray-600 w-100 mt-2\" id=\"sign-on-form-password-hints\"><li class=\"d-flex\" data-check=\"length\"><span class=\"icon my-auto me-1\"><svg class=\"svg size-5\"><use href=\"#icon-info-circle-solid\"><\/use><\/svg><\/span>At least 8 characters<\/li><li class=\"d-flex\" data-check=\"case\"><span class=\"icon my-auto me-1\"><svg class=\"svg size-5\"><use href=\"#icon-info-circle-solid\"><\/use><\/svg><\/span>At least 1 uppercase and lowercase character<\/li><li class=\"d-flex\" data-check=\"combo\"><span class=\"icon my-auto me-1\"><svg class=\"svg size-5\"><use href=\"#icon-info-circle-solid\"><\/use><\/svg><\/span>At least 1 special character and 1 numeric<\/li><\/ul><\/div><\/div><div class=\"mb-2\"><div class=\"form-floating\"><select name=\"sign-on-form-specialty\" aria-label=\"Specialty \"  class=\"form-select\" id=\"sign-on-form-specialty\"><option value=\"\"  selected='selected'><\/option><\/select><label for=\"sign-on-form-specialty\">Specialty <\/label><\/div><\/div><div class=\"mb-2\">    <div class=\"phone-input-group d-flex column-gap-1 align-items-stretch \">\n        <div class=\"countries-dropdown dropdown\">\n            <button class=\"btn dropdown-toggle h-100\" type=\"button\" data-bs-toggle=\"dropdown\" aria-expanded=\"false\" >\n                <span class=\"dropdown-selected-flag\">\n                    <span class=\"flag flag-DE flag-md\"><\/span>\n                    <!-- <span class=\"dial-code\">+49<\/span> -->\n                <\/span>\n            <\/button>\n            <ul class=\"dropdown-menu\">\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AF\" data-dial-code=\"93\">\n                            <span class=\"flag flag-AF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Afghanistan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+93)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AX\" data-dial-code=\"358\">\n                            <span class=\"flag flag-AX flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">\u00c5land Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+358)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AL\" data-dial-code=\"355\">\n                            <span class=\"flag flag-AL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Albania<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+355)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"DZ\" data-dial-code=\"213\">\n                            <span class=\"flag flag-DZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Algeria<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+213)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AS\" data-dial-code=\"1\">\n                            <span class=\"flag flag-AS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">American Samoa<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AD\" data-dial-code=\"376\">\n                            <span class=\"flag flag-AD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Andorra<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+376)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AO\" data-dial-code=\"244\">\n                            <span class=\"flag flag-AO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Angola<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+244)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AI\" data-dial-code=\"1\">\n                            <span class=\"flag flag-AI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Anguilla<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AQ\" data-dial-code=\"672\">\n                            <span class=\"flag flag-AQ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Antarctica<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+672)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AG\" data-dial-code=\"1\">\n                            <span class=\"flag flag-AG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Antigua and Barbuda<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AR\" data-dial-code=\"54\">\n                            <span class=\"flag flag-AR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Argentina<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+54)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AM\" data-dial-code=\"374\">\n                            <span class=\"flag flag-AM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Armenia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+374)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AW\" data-dial-code=\"297\">\n                            <span class=\"flag flag-AW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Aruba<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+297)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AU\" data-dial-code=\"61\">\n                            <span class=\"flag flag-AU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Australia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+61)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AT\" data-dial-code=\"43\">\n                            <span class=\"flag flag-AT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Austria<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+43)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AZ\" data-dial-code=\"994\">\n                            <span class=\"flag flag-AZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Azerbaijan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+994)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BS\" data-dial-code=\"1\">\n                            <span class=\"flag flag-BS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bahamas<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BH\" data-dial-code=\"973\">\n                            <span class=\"flag flag-BH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bahrain<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+973)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BD\" data-dial-code=\"880\">\n                            <span class=\"flag flag-BD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bangladesh<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+880)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BB\" data-dial-code=\"1\">\n                            <span class=\"flag flag-BB flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Barbados<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BY\" data-dial-code=\"375\">\n                            <span class=\"flag flag-BY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Belarus<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+375)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BE\" data-dial-code=\"32\">\n                            <span class=\"flag flag-BE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Belgium<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+32)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BZ\" data-dial-code=\"501\">\n                            <span class=\"flag flag-BZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Belize<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+501)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BJ\" data-dial-code=\"229\">\n                            <span class=\"flag flag-BJ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Benin<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+229)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BM\" data-dial-code=\"1\">\n                            <span class=\"flag flag-BM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bermuda<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BT\" data-dial-code=\"975\">\n                            <span class=\"flag flag-BT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bhutan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+975)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BO\" data-dial-code=\"591\">\n                            <span class=\"flag flag-BO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bolivia (Plurinational State of)<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+591)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BA\" data-dial-code=\"387\">\n                            <span class=\"flag flag-BA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bosnia and Herzegovina<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+387)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BW\" data-dial-code=\"267\">\n                            <span class=\"flag flag-BW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Botswana<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+267)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BV\" data-dial-code=\"55\">\n                            <span class=\"flag flag-BV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bouvet Island<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+55)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BR\" data-dial-code=\"55\">\n                            <span class=\"flag flag-BR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Brazil<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+55)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IO\" data-dial-code=\"246\">\n                            <span class=\"flag flag-IO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">British Indian Ocean Territory<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+246)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BN\" data-dial-code=\"673\">\n                            <span class=\"flag flag-BN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Brunei Darussalam<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+673)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BG\" data-dial-code=\"359\">\n                            <span class=\"flag flag-BG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Bulgaria<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+359)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BF\" data-dial-code=\"226\">\n                            <span class=\"flag flag-BF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Burkina Faso<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+226)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BI\" data-dial-code=\"257\">\n                            <span class=\"flag flag-BI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Burundi<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+257)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CV\" data-dial-code=\"238\">\n                            <span class=\"flag flag-CV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cabo Verde<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+238)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KH\" data-dial-code=\"855\">\n                            <span class=\"flag flag-KH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cambodia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+855)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CM\" data-dial-code=\"237\">\n                            <span class=\"flag flag-CM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cameroon<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+237)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CA\" data-dial-code=\"1\">\n                            <span class=\"flag flag-CA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Canada<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BQ\" data-dial-code=\"599\">\n                            <span class=\"flag flag-BQ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Caribbean Netherlands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+599)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KY\" data-dial-code=\"1\">\n                            <span class=\"flag flag-KY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cayman Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CF\" data-dial-code=\"236\">\n                            <span class=\"flag flag-CF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Central African Republic<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+236)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TD\" data-dial-code=\"235\">\n                            <span class=\"flag flag-TD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Chad<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+235)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CL\" data-dial-code=\"56\">\n                            <span class=\"flag flag-CL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Chile<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+56)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CN\" data-dial-code=\"86\">\n                            <span class=\"flag flag-CN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">China<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+86)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CX\" data-dial-code=\"61\">\n                            <span class=\"flag flag-CX flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Christmas Island<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+61)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CC\" data-dial-code=\"61\">\n                            <span class=\"flag flag-CC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cocos (Keeling) Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+61)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CO\" data-dial-code=\"57\">\n                            <span class=\"flag flag-CO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Colombia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+57)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KM\" data-dial-code=\"269\">\n                            <span class=\"flag flag-KM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Comoros<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+269)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CG\" data-dial-code=\"242\">\n                            <span class=\"flag flag-CG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Congo<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+242)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CD\" data-dial-code=\"243\">\n                            <span class=\"flag flag-CD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Congo, Democratic Republic of the<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+243)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CK\" data-dial-code=\"682\">\n                            <span class=\"flag flag-CK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cook Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+682)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CR\" data-dial-code=\"506\">\n                            <span class=\"flag flag-CR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Costa Rica<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+506)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HR\" data-dial-code=\"385\">\n                            <span class=\"flag flag-HR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Croatia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+385)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CU\" data-dial-code=\"53\">\n                            <span class=\"flag flag-CU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cuba<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+53)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CW\" data-dial-code=\"599\">\n                            <span class=\"flag flag-CW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cura\u00e7ao<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+599)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CY\" data-dial-code=\"357\">\n                            <span class=\"flag flag-CY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Cyprus<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+357)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CZ\" data-dial-code=\"420\">\n                            <span class=\"flag flag-CZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Czech Republic<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+420)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CI\" data-dial-code=\"225\">\n                            <span class=\"flag flag-CI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">C\u00f4te d&#039;Ivoire<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+225)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"DK\" data-dial-code=\"45\">\n                            <span class=\"flag flag-DK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Denmark<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+45)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"DJ\" data-dial-code=\"253\">\n                            <span class=\"flag flag-DJ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Djibouti<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+253)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"DM\" data-dial-code=\"1\">\n                            <span class=\"flag flag-DM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Dominica<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"DO\" data-dial-code=\"1\">\n                            <span class=\"flag flag-DO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Dominican Republic<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"EC\" data-dial-code=\"593\">\n                            <span class=\"flag flag-EC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Ecuador<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+593)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"EG\" data-dial-code=\"20\">\n                            <span class=\"flag flag-EG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Egypt<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+20)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SV\" data-dial-code=\"503\">\n                            <span class=\"flag flag-SV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">El Salvador<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+503)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GQ\" data-dial-code=\"240\">\n                            <span class=\"flag flag-GQ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Equatorial Guinea<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+240)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ER\" data-dial-code=\"291\">\n                            <span class=\"flag flag-ER flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Eritrea<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+291)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"EE\" data-dial-code=\"372\">\n                            <span class=\"flag flag-EE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Estonia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+372)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SZ\" data-dial-code=\"268\">\n                            <span class=\"flag flag-SZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Eswatini (Swaziland)<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+268)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ET\" data-dial-code=\"251\">\n                            <span class=\"flag flag-ET flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Ethiopia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+251)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FK\" data-dial-code=\"500\">\n                            <span class=\"flag flag-FK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Falkland Islands (Malvinas)<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+500)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FO\" data-dial-code=\"298\">\n                            <span class=\"flag flag-FO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Faroe Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+298)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FJ\" data-dial-code=\"679\">\n                            <span class=\"flag flag-FJ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Fiji<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+679)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FI\" data-dial-code=\"358\">\n                            <span class=\"flag flag-FI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Finland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+358)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FR\" data-dial-code=\"33\">\n                            <span class=\"flag flag-FR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">France<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+33)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GF\" data-dial-code=\"594\">\n                            <span class=\"flag flag-GF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">French Guiana<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+594)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PF\" data-dial-code=\"689\">\n                            <span class=\"flag flag-PF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">French Polynesia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+689)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TF\" data-dial-code=\"262\">\n                            <span class=\"flag flag-TF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">French Southern Territories<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+262)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GA\" data-dial-code=\"241\">\n                            <span class=\"flag flag-GA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Gabon<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+241)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GM\" data-dial-code=\"220\">\n                            <span class=\"flag flag-GM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Gambia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+220)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GE\" data-dial-code=\"995\">\n                            <span class=\"flag flag-GE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Georgia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+995)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center active\" href=\"#\" data-country=\"DE\" data-dial-code=\"49\">\n                            <span class=\"flag flag-DE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Germany<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+49)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GH\" data-dial-code=\"233\">\n                            <span class=\"flag flag-GH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Ghana<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+233)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GI\" data-dial-code=\"350\">\n                            <span class=\"flag flag-GI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Gibraltar<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+350)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GR\" data-dial-code=\"30\">\n                            <span class=\"flag flag-GR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Greece<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+30)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GL\" data-dial-code=\"299\">\n                            <span class=\"flag flag-GL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Greenland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+299)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GD\" data-dial-code=\"1\">\n                            <span class=\"flag flag-GD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Grenada<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GP\" data-dial-code=\"590\">\n                            <span class=\"flag flag-GP flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guadeloupe<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+590)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GU\" data-dial-code=\"1\">\n                            <span class=\"flag flag-GU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guam<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GT\" data-dial-code=\"502\">\n                            <span class=\"flag flag-GT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guatemala<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+502)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GG\" data-dial-code=\"44\">\n                            <span class=\"flag flag-GG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guernsey<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+44)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GN\" data-dial-code=\"224\">\n                            <span class=\"flag flag-GN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guinea<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+224)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GW\" data-dial-code=\"245\">\n                            <span class=\"flag flag-GW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guinea-Bissau<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+245)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GY\" data-dial-code=\"592\">\n                            <span class=\"flag flag-GY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Guyana<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+592)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HT\" data-dial-code=\"509\">\n                            <span class=\"flag flag-HT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Haiti<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+509)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HM\" data-dial-code=\"61\">\n                            <span class=\"flag flag-HM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Heard Island and Mcdonald Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+61)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HN\" data-dial-code=\"504\">\n                            <span class=\"flag flag-HN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Honduras<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+504)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HK\" data-dial-code=\"852\">\n                            <span class=\"flag flag-HK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Hong Kong<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+852)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"HU\" data-dial-code=\"36\">\n                            <span class=\"flag flag-HU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Hungary<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+36)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IS\" data-dial-code=\"354\">\n                            <span class=\"flag flag-IS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Iceland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+354)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IN\" data-dial-code=\"91\">\n                            <span class=\"flag flag-IN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">India<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+91)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ID\" data-dial-code=\"62\">\n                            <span class=\"flag flag-ID flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Indonesia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+62)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IR\" data-dial-code=\"98\">\n                            <span class=\"flag flag-IR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Iran<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+98)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IQ\" data-dial-code=\"964\">\n                            <span class=\"flag flag-IQ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Iraq<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+964)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IE\" data-dial-code=\"353\">\n                            <span class=\"flag flag-IE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Ireland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+353)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IM\" data-dial-code=\"44\">\n                            <span class=\"flag flag-IM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Isle of Man<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+44)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IL\" data-dial-code=\"972\">\n                            <span class=\"flag flag-IL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Israel<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+972)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"IT\" data-dial-code=\"39\">\n                            <span class=\"flag flag-IT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Italy<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+39)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"JM\" data-dial-code=\"1\">\n                            <span class=\"flag flag-JM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Jamaica<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"JP\" data-dial-code=\"81\">\n                            <span class=\"flag flag-JP flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Japan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+81)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"JE\" data-dial-code=\"44\">\n                            <span class=\"flag flag-JE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Jersey<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+44)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"JO\" data-dial-code=\"962\">\n                            <span class=\"flag flag-JO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Jordan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+962)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KZ\" data-dial-code=\"7\">\n                            <span class=\"flag flag-KZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kazakhstan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+7)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KE\" data-dial-code=\"254\">\n                            <span class=\"flag flag-KE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kenya<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+254)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KI\" data-dial-code=\"686\">\n                            <span class=\"flag flag-KI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kiribati<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+686)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KP\" data-dial-code=\"850\">\n                            <span class=\"flag flag-KP flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Korea, North<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+850)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KR\" data-dial-code=\"82\">\n                            <span class=\"flag flag-KR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Korea, South<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+82)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"XK\" data-dial-code=\"383\">\n                            <span class=\"flag flag-XK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kosovo<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+383)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KW\" data-dial-code=\"965\">\n                            <span class=\"flag flag-KW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kuwait<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+965)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KG\" data-dial-code=\"996\">\n                            <span class=\"flag flag-KG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Kyrgyzstan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+996)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LA\" data-dial-code=\"856\">\n                            <span class=\"flag flag-LA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Lao People&#039;s Democratic Republic<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+856)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LV\" data-dial-code=\"371\">\n                            <span class=\"flag flag-LV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Latvia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+371)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LB\" data-dial-code=\"961\">\n                            <span class=\"flag flag-LB flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Lebanon<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+961)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LS\" data-dial-code=\"266\">\n                            <span class=\"flag flag-LS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Lesotho<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+266)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LR\" data-dial-code=\"231\">\n                            <span class=\"flag flag-LR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Liberia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+231)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LY\" data-dial-code=\"218\">\n                            <span class=\"flag flag-LY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Libya<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+218)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LI\" data-dial-code=\"423\">\n                            <span class=\"flag flag-LI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Liechtenstein<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+423)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LT\" data-dial-code=\"370\">\n                            <span class=\"flag flag-LT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Lithuania<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+370)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LU\" data-dial-code=\"352\">\n                            <span class=\"flag flag-LU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Luxembourg<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+352)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MO\" data-dial-code=\"853\">\n                            <span class=\"flag flag-MO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Macao<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+853)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MK\" data-dial-code=\"389\">\n                            <span class=\"flag flag-MK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Macedonia North<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+389)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MG\" data-dial-code=\"261\">\n                            <span class=\"flag flag-MG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Madagascar<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+261)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MW\" data-dial-code=\"265\">\n                            <span class=\"flag flag-MW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Malawi<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+265)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MY\" data-dial-code=\"60\">\n                            <span class=\"flag flag-MY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Malaysia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+60)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MV\" data-dial-code=\"960\">\n                            <span class=\"flag flag-MV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Maldives<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+960)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ML\" data-dial-code=\"223\">\n                            <span class=\"flag flag-ML flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mali<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+223)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MT\" data-dial-code=\"356\">\n                            <span class=\"flag flag-MT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Malta<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+356)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MH\" data-dial-code=\"692\">\n                            <span class=\"flag flag-MH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Marshall Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+692)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MQ\" data-dial-code=\"596\">\n                            <span class=\"flag flag-MQ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Martinique<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+596)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MR\" data-dial-code=\"222\">\n                            <span class=\"flag flag-MR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mauritania<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+222)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MU\" data-dial-code=\"230\">\n                            <span class=\"flag flag-MU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mauritius<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+230)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"YT\" data-dial-code=\"262\">\n                            <span class=\"flag flag-YT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mayotte<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+262)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MX\" data-dial-code=\"52\">\n                            <span class=\"flag flag-MX flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mexico<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+52)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"FM\" data-dial-code=\"691\">\n                            <span class=\"flag flag-FM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Micronesia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+691)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MD\" data-dial-code=\"373\">\n                            <span class=\"flag flag-MD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Moldova<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+373)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MC\" data-dial-code=\"377\">\n                            <span class=\"flag flag-MC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Monaco<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+377)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MN\" data-dial-code=\"976\">\n                            <span class=\"flag flag-MN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mongolia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+976)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ME\" data-dial-code=\"382\">\n                            <span class=\"flag flag-ME flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Montenegro<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+382)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MS\" data-dial-code=\"1\">\n                            <span class=\"flag flag-MS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Montserrat<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MA\" data-dial-code=\"212\">\n                            <span class=\"flag flag-MA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Morocco<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+212)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MZ\" data-dial-code=\"258\">\n                            <span class=\"flag flag-MZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Mozambique<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+258)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MM\" data-dial-code=\"95\">\n                            <span class=\"flag flag-MM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Myanmar (Burma)<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+95)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NA\" data-dial-code=\"264\">\n                            <span class=\"flag flag-NA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Namibia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+264)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NR\" data-dial-code=\"674\">\n                            <span class=\"flag flag-NR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Nauru<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+674)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NP\" data-dial-code=\"977\">\n                            <span class=\"flag flag-NP flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Nepal<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+977)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NL\" data-dial-code=\"31\">\n                            <span class=\"flag flag-NL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Netherlands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+31)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NC\" data-dial-code=\"687\">\n                            <span class=\"flag flag-NC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">New Caledonia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+687)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NZ\" data-dial-code=\"64\">\n                            <span class=\"flag flag-NZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">New Zealand<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+64)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NI\" data-dial-code=\"505\">\n                            <span class=\"flag flag-NI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Nicaragua<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+505)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NE\" data-dial-code=\"227\">\n                            <span class=\"flag flag-NE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Niger<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+227)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NG\" data-dial-code=\"234\">\n                            <span class=\"flag flag-NG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Nigeria<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+234)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NU\" data-dial-code=\"683\">\n                            <span class=\"flag flag-NU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Niue<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+683)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NF\" data-dial-code=\"672\">\n                            <span class=\"flag flag-NF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Norfolk Island<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+672)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MP\" data-dial-code=\"1\">\n                            <span class=\"flag flag-MP flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Northern Mariana Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"NO\" data-dial-code=\"47\">\n                            <span class=\"flag flag-NO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Norway<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+47)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"OM\" data-dial-code=\"968\">\n                            <span class=\"flag flag-OM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Oman<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+968)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PK\" data-dial-code=\"92\">\n                            <span class=\"flag flag-PK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Pakistan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+92)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PW\" data-dial-code=\"680\">\n                            <span class=\"flag flag-PW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Palau<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+680)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PS\" data-dial-code=\"970\">\n                            <span class=\"flag flag-PS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Palestine<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+970)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PA\" data-dial-code=\"507\">\n                            <span class=\"flag flag-PA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Panama<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+507)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PG\" data-dial-code=\"675\">\n                            <span class=\"flag flag-PG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Papua New Guinea<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+675)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PY\" data-dial-code=\"595\">\n                            <span class=\"flag flag-PY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Paraguay<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+595)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PE\" data-dial-code=\"51\">\n                            <span class=\"flag flag-PE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Peru<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+51)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PH\" data-dial-code=\"63\">\n                            <span class=\"flag flag-PH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Philippines<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+63)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PN\" data-dial-code=\"64\">\n                            <span class=\"flag flag-PN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Pitcairn Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+64)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PL\" data-dial-code=\"48\">\n                            <span class=\"flag flag-PL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Poland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+48)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PT\" data-dial-code=\"351\">\n                            <span class=\"flag flag-PT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Portugal<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+351)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PR\" data-dial-code=\"1\">\n                            <span class=\"flag flag-PR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Puerto Rico<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"QA\" data-dial-code=\"974\">\n                            <span class=\"flag flag-QA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Qatar<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+974)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"RE\" data-dial-code=\"262\">\n                            <span class=\"flag flag-RE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Reunion<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+262)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"RO\" data-dial-code=\"40\">\n                            <span class=\"flag flag-RO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Romania<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+40)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"RU\" data-dial-code=\"7\">\n                            <span class=\"flag flag-RU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Russian Federation<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+7)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"RW\" data-dial-code=\"250\">\n                            <span class=\"flag flag-RW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Rwanda<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+250)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"BL\" data-dial-code=\"590\">\n                            <span class=\"flag flag-BL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Barthelemy<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+590)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SH\" data-dial-code=\"290\">\n                            <span class=\"flag flag-SH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Helena<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+290)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"KN\" data-dial-code=\"1\">\n                            <span class=\"flag flag-KN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Kitts and Nevis<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LC\" data-dial-code=\"1\">\n                            <span class=\"flag flag-LC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Lucia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"MF\" data-dial-code=\"590\">\n                            <span class=\"flag flag-MF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Martin<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+590)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"PM\" data-dial-code=\"508\">\n                            <span class=\"flag flag-PM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Pierre and Miquelon<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+508)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VC\" data-dial-code=\"1\">\n                            <span class=\"flag flag-VC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saint Vincent and the Grenadines<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"WS\" data-dial-code=\"685\">\n                            <span class=\"flag flag-WS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Samoa<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+685)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SM\" data-dial-code=\"378\">\n                            <span class=\"flag flag-SM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">San Marino<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+378)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ST\" data-dial-code=\"239\">\n                            <span class=\"flag flag-ST flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sao Tome and Principe<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+239)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SA\" data-dial-code=\"966\">\n                            <span class=\"flag flag-SA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Saudi Arabia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+966)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SN\" data-dial-code=\"221\">\n                            <span class=\"flag flag-SN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Senegal<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+221)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"RS\" data-dial-code=\"381\">\n                            <span class=\"flag flag-RS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Serbia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+381)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SC\" data-dial-code=\"248\">\n                            <span class=\"flag flag-SC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Seychelles<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+248)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SL\" data-dial-code=\"232\">\n                            <span class=\"flag flag-SL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sierra Leone<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+232)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SG\" data-dial-code=\"65\">\n                            <span class=\"flag flag-SG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Singapore<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+65)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SX\" data-dial-code=\"1\">\n                            <span class=\"flag flag-SX flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sint Maarten<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SK\" data-dial-code=\"421\">\n                            <span class=\"flag flag-SK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Slovakia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+421)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SI\" data-dial-code=\"386\">\n                            <span class=\"flag flag-SI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Slovenia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+386)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SB\" data-dial-code=\"677\">\n                            <span class=\"flag flag-SB flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Solomon Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+677)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SO\" data-dial-code=\"252\">\n                            <span class=\"flag flag-SO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Somalia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+252)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ZA\" data-dial-code=\"27\">\n                            <span class=\"flag flag-ZA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">South Africa<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+27)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GS\" data-dial-code=\"500\">\n                            <span class=\"flag flag-GS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">South Georgia and the South Sandwich Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+500)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SS\" data-dial-code=\"211\">\n                            <span class=\"flag flag-SS flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">South Sudan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+211)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ES\" data-dial-code=\"34\">\n                            <span class=\"flag flag-ES flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Spain<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+34)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"LK\" data-dial-code=\"94\">\n                            <span class=\"flag flag-LK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sri Lanka<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+94)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SD\" data-dial-code=\"249\">\n                            <span class=\"flag flag-SD flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sudan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+249)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SR\" data-dial-code=\"597\">\n                            <span class=\"flag flag-SR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Suriname<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+597)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SJ\" data-dial-code=\"47\">\n                            <span class=\"flag flag-SJ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Svalbard and Jan Mayen<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+47)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SE\" data-dial-code=\"46\">\n                            <span class=\"flag flag-SE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Sweden<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+46)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"CH\" data-dial-code=\"41\">\n                            <span class=\"flag flag-CH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Switzerland<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+41)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"SY\" data-dial-code=\"963\">\n                            <span class=\"flag flag-SY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Syria<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+963)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TW\" data-dial-code=\"886\">\n                            <span class=\"flag flag-TW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Taiwan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+886)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TJ\" data-dial-code=\"992\">\n                            <span class=\"flag flag-TJ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tajikistan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+992)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TZ\" data-dial-code=\"255\">\n                            <span class=\"flag flag-TZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tanzania<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+255)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TH\" data-dial-code=\"66\">\n                            <span class=\"flag flag-TH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Thailand<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+66)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TL\" data-dial-code=\"670\">\n                            <span class=\"flag flag-TL flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Timor-Leste<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+670)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TG\" data-dial-code=\"228\">\n                            <span class=\"flag flag-TG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Togo<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+228)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TK\" data-dial-code=\"690\">\n                            <span class=\"flag flag-TK flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tokelau<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+690)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TO\" data-dial-code=\"676\">\n                            <span class=\"flag flag-TO flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tonga<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+676)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TT\" data-dial-code=\"1\">\n                            <span class=\"flag flag-TT flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Trinidad and Tobago<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TN\" data-dial-code=\"216\">\n                            <span class=\"flag flag-TN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tunisia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+216)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TR\" data-dial-code=\"90\">\n                            <span class=\"flag flag-TR flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Turkey (T\u00fcrkiye)<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+90)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TM\" data-dial-code=\"993\">\n                            <span class=\"flag flag-TM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Turkmenistan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+993)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TC\" data-dial-code=\"1\">\n                            <span class=\"flag flag-TC flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Turks and Caicos Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"TV\" data-dial-code=\"688\">\n                            <span class=\"flag flag-TV flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Tuvalu<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+688)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"UM\" data-dial-code=\"1\">\n                            <span class=\"flag flag-UM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">U.S. Outlying Islands<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"UG\" data-dial-code=\"256\">\n                            <span class=\"flag flag-UG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Uganda<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+256)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"UA\" data-dial-code=\"380\">\n                            <span class=\"flag flag-UA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Ukraine<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+380)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"AE\" data-dial-code=\"971\">\n                            <span class=\"flag flag-AE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">United Arab Emirates<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+971)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"GB\" data-dial-code=\"44\">\n                            <span class=\"flag flag-GB flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">United Kingdom<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+44)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"US\" data-dial-code=\"1\">\n                            <span class=\"flag flag-US flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">United States<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"UY\" data-dial-code=\"598\">\n                            <span class=\"flag flag-UY flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Uruguay<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+598)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"UZ\" data-dial-code=\"998\">\n                            <span class=\"flag flag-UZ flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Uzbekistan<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+998)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VU\" data-dial-code=\"678\">\n                            <span class=\"flag flag-VU flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Vanuatu<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+678)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VA\" data-dial-code=\"39\">\n                            <span class=\"flag flag-VA flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Vatican City Holy See<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+39)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VE\" data-dial-code=\"58\">\n                            <span class=\"flag flag-VE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Venezuela<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+58)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VN\" data-dial-code=\"84\">\n                            <span class=\"flag flag-VN flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Vietnam<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+84)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VG\" data-dial-code=\"1\">\n                            <span class=\"flag flag-VG flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Virgin Islands, British<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"VI\" data-dial-code=\"1\">\n                            <span class=\"flag flag-VI flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Virgin Islands, U.S<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+1)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"WF\" data-dial-code=\"681\">\n                            <span class=\"flag flag-WF flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Wallis and Futuna<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+681)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"EH\" data-dial-code=\"212\">\n                            <span class=\"flag flag-EH flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Western Sahara<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+212)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"YE\" data-dial-code=\"967\">\n                            <span class=\"flag flag-YE flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Yemen<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+967)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ZM\" data-dial-code=\"260\">\n                            <span class=\"flag flag-ZM flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Zambia<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+260)<\/span>\n                        <\/button>\n                    <\/li>\n                                    <li>\n                        <button class=\"dropdown-item d-flex align-items-center \" href=\"#\" data-country=\"ZW\" data-dial-code=\"263\">\n                            <span class=\"flag flag-ZW flag-md\"><\/span>\n                            <span class=\"country-name ms-2\">Zimbabwe<\/span>\n                            <span class=\"country-code text-muted ms-1\">(+263)<\/span>\n                        <\/button>\n                    <\/li>\n                            <\/ul>\n            <input type=\"hidden\" name=\"sign-on-form-phone-number-dial-code\" value=\"49\">\n        <\/div>\n        <div class=\"form-floating d-flex w-100\">\n        <input type=\"tel\" \n               class=\"form-control form-control-phone flex-fill\" \n               name=\"sign-on-form-phone-number\" \n               id=\"sign-on-form-phone-number\" \n               value=\"\"\n               placeholder=\"\"\n                pattern=\"^(\\+?[0-9]{1,4}[\\s]?)?[0-9]{6,15}$\">\n               <label for=\"sign-on-form-phone-number\">Phone number<\/label>\n               <\/div>\n               \n    <\/div>\n    <\/div><div class=\"mb-2\"><div class=\"form-floating\"><input name=\"sign-on-form-clinic-name\" value=\"\" type=\"text\" id=\"sign-on-form-clinic-name\" class=\"form-control\" placeholder=\"Clinic name\" required=\"1\"><label for=\"sign-on-form-clinic-name\">Clinic name<\/label><\/div><\/div><div class=\"pt-2\"><div class=\"mt-2\"><div class=\"form-floating\"><input name=\"sign-on-form-address-street\" value=\"\" type=\"text\" id=\"sign-on-form-address-street\" class=\"form-control\" placeholder=\"Street address\" required=\"1\"><label for=\"sign-on-form-address-street\">Street address<\/label><\/div><\/div><div class=\"mt-2\"><div class=\"form-floating\"><input name=\"sign-on-form-address-city\" value=\"\" type=\"text\" id=\"sign-on-form-address-city\" class=\"form-control\" placeholder=\"City\"><label for=\"sign-on-form-address-city\">City<\/label><\/div><\/div><div class=\"mt-2\"><div class=\"form-floating\"><input name=\"sign-on-form-address-state\" value=\"\" type=\"text\" id=\"sign-on-form-address-state\" class=\"form-control\" placeholder=\"State\"><label for=\"sign-on-form-address-state\">State<\/label><\/div><\/div><div class=\"mt-2\"><div class=\"form-floating\"><input name=\"sign-on-form-address-postcode\" value=\"\" type=\"text\" id=\"sign-on-form-address-postcode\" class=\"form-control\" placeholder=\"Postcode\" required=\"1\"><label for=\"sign-on-form-address-postcode\">Postcode<\/label><\/div><\/div><\/div><div class=\"border rounded p-2 my-2\"><div class=\"form-check\"><input type=\"checkbox\" name=\"sign-on-form-accept-terms\" id=\"sign-on-form-accept-terms\" class=\"form-check-input\" required><label class=\"form-check-label mt-0-5\" for=\"sign-on-form-accept-terms\">Accept terms<\/label><\/div><\/div><div class=\"mt-4 col-lg-7\"><input type=\"hidden\" name=\"nonce\" value=\"0af4a56a79\"><input type=\"hidden\" name=\"action\" value=\"sign_on\"><button type=\"submit\" class=\"btn btn-primary btn-block\">Continue<span class=\"btn-icon btn-icon-end\"><svg class=\"svg size-6\"><use href=\"#icon-chevron-right\"><\/use><\/svg><\/span><\/button><\/div><\/form>            <\/div>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","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":{"2":"type-page"},"acf":[],"_links":{"self":[{"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/pages\/58","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/comments?post=58"}],"version-history":[{"count":0,"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/pages\/58\/revisions"}],"wp:attachment":[{"href":"https:\/\/bavarian-nordic.dev.grm.digital\/de\/wp-json\/wp\/v2\/media?parent=58"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}