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					<input type="hidden" name="action" value="registerAccount">
					<input type="hidden" name="from_frame" value="1">
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					<label for="registerEmail">Email Address:</label>
					<input type="text" name="register_email_address" class="autocomplete-email" id="registerEmail" maxlength="96" autocomplete="off"/>
					<span id="regEmailValWait" class="waiting"> </span>
					<label for="registerPassword">Password:</label>
					<input type="password" name="register_password" id="registerPassword" maxlength="40" />
					<label for="registerConfirmation">Confirm Password:</label>
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					<label for="country">Default Shipping:</label>
					<select name="register_country_id" id="country" placeholder="Please Choose Your Country">
						<option value="-1"></option>
						<optgroup label="---------">
							<option value="13" >Australia</option><option value="30" >Brazil</option><option value="38" >Canada</option><option value="73" >France</option><option value="81" >Germany</option><option value="105" >Italy</option><option value="195" >Spain</option><option value="204" >Switzerland</option><option value="222" >United Kingdom</option><option value="223" selected>United States</option>
						</optgroup>
						<optgroup label="---------">
							<option value="1" >Afghanistan</option><option value="2" >Albania</option><option value="3" >Algeria</option><option value="4" >American Samoa</option><option value="5" >Andorra</option><option value="6" >Angola</option><option value="7" >Anguilla</option><option value="9" >Antigua and Barbuda</option><option value="10" >Argentina</option><option value="11" >Armenia</option><option value="12" >Aruba</option><option value="13" >Australia</option><option value="14" >Austria</option><option value="15" >Azerbaijan</option><option value="16" >Bahamas</option><option value="17" >Bahrain</option><option value="18" >Bangladesh</option><option value="19" >Barbados</option><option value="20" >Belarus</option><option value="21" >Belgium</option><option value="22" >Belize</option><option value="23" >Benin</option><option value="24" >Bermuda</option><option value="25" >Bhutan</option><option value="26" >Bolivia</option><option value="27" >Bosnia and Herzegowina</option><option value="28" >Botswana</option><option value="30" >Brazil</option><option value="31" >British Indian Ocean Territory</option><option value="32" >Brunei Darussalam</option><option value="33" >Bulgaria</option><option value="34" >Burkina Faso</option><option value="35" >Burundi</option><option value="36" >Cambodia</option><option value="37" >Cameroon</option><option value="38" >Canada</option><option value="244" >Canary Islands</option><option value="39" >Cape Verde</option><option value="40" >Cayman Islands</option><option value="41" >Central African Republic</option><option value="42" >Chad</option><option value="43" >Chile</option><option value="44" >China</option><option value="45" >Christmas Island</option><option value="46" >Cocos (Keeling) Islands</option><option value="47" >Colombia</option><option value="48" >Comoros</option><option value="49" >Congo</option><option value="245" >Congo, The Democratic Republic</option><option value="50" >Cook Islands</option><option value="51" >Costa Rica</option><option value="52" >Cote D&#39;Ivoire</option><option value="53" >Croatia</option><option value="54" >Cuba</option><option value="55" >Cyprus</option><option value="56" >Czech Republic</option><option value="57" >Denmark</option><option value="58" >Djibouti</option><option value="59" >Dominica</option><option value="60" >Dominican Republic</option><option value="61" >East Timor</option><option value="62" >Ecuador</option><option value="63" >Egypt</option><option value="64" >El Salvador</option><option value="65" >Equatorial Guinea</option><option value="66" >Eritrea</option><option value="67" >Estonia</option><option value="68" >Ethiopia</option><option value="69" >Falkland Islands (Malvinas)</option><option value="70" >Faeroe Islands</option><option value="71" >Fiji</option><option value="72" >Finland</option><option value="73" >France</option><option value="87" >France, DOM-TOM Guadeloupe</option><option value="134" >France, DOM-TOM Martinique</option><option value="137" >France, DOM-TOM Mayotte</option><option value="152" >France, DOM-TOM New Caledonia</option><option value="174" >France, DOM-TOM Réunion</option><option value="233" >France, DOM-TOM Wallis and Futuna</option><option value="198" >France,St.Pierre and Miquelon</option><option value="75" >French Guiana</option><option value="76" >French Polynesia</option><option value="77" >French Southern Territories</option><option value="78" >Gabon</option><option value="79" >Gambia</option><option value="80" >Georgia</option><option value="81" >Germany</option><option value="82" >Ghana</option><option value="83" >Gibraltar</option><option value="84" >Greece</option><option value="85" >Greenland</option><option value="86" >Grenada</option><option value="89" >Guatemala</option><option value="246" >Guernsey</option><option value="90" >Guinea</option><option value="91" >Guinea-bissau</option><option value="92" >Guyana</option><option value="93" >Haiti</option><option value="95" >Honduras</option><option value="96" >Hong Kong, China</option><option value="97" >Hungary</option><option value="98" >Iceland</option><option value="99" >India</option><option value="100" >Indonesia</option><option value="102" >Iraq</option><option value="103" >Ireland</option><option value="104" >Israel</option><option value="105" >Italy</option><option value="106" >Jamaica</option><option value="107" >Japan</option><option value="241" >Jersey</option><option value="108" >Jordan</option><option value="109" >Kazakhstan</option><option value="110" >Kenya</option><option value="111" >Kiribati</option><option value="113" >Korea, Republic of</option><option value="112" >Korea,D.P.R.K</option><option value="114" >Kuwait</option><option value="115" >Kyrgyzstan</option><option value="116" >Lao People&#39;s Democratic Republic</option><option value="117" >Latvia</option><option value="118" >Lebanon</option><option value="119" >Lesotho</option><option value="120" >Liberia</option><option value="121" >Libyan Arab Jamahiriya</option><option value="122" >Liechtenstein</option><option value="123" >Lithuania</option><option value="124" >Luxembourg</option><option value="125" >Macau, China</option><option value="126" >Macedonia,F.Y.R.O.M</option><option value="127" >Madagascar</option><option value="128" >Malawi</option><option value="129" >Malaysia</option><option value="130" >Maldives</option><option value="131" >Mali</option><option value="132" >Malta</option><option value="133" >Marshall Islands</option><option value="135" >Mauritania</option><option value="136" >Mauritius</option><option value="138" >Mexico</option><option value="139" >Micronesia, Federated States of</option><option value="140" >Moldova, Republic of</option><option value="141" >Monaco</option><option value="142" >Mongolia</option><option value="243" >Montenegro</option><option value="143" >Montserrat</option><option value="144" >Morocco</option><option value="145" >Mozambique</option><option value="146" >Myanmar</option><option value="147" >Namibia</option><option value="148" >Nauru</option><option value="149" >Nepal</option><option value="150" >Netherlands</option><option value="151" >Netherlands Antilles</option><option value="153" >New Zealand</option><option value="154" >Nicaragua</option><option value="155" >Niger</option><option value="156" >Nigeria</option><option value="157" >Niue</option><option value="158" >Norfolk Island</option><option value="159" >Northern Mariana Islands</option><option value="160" >Norway</option><option value="161" >Oman</option><option value="162" >Pakistan</option><option value="163" >Palau</option><option value="164" >Panama</option><option value="165" >Papua New Guinea</option><option value="166" >Paraguay</option><option value="167" >Peru</option><option value="168" >Philippines</option><option value="169" >Pitcairn</option><option value="170" >Poland</option><option value="171" >Portugal</option><option value="172" >Puerto Rico</option><option value="173" >Qatar</option><option value="175" >Romania</option><option value="176" >Russian Federation</option><option value="177" >Rwanda</option><option value="197" >St. Helena</option><option value="178" >Saint Kitts and Nevis</option><option value="179" >Saint Lucia</option><option value="180" >Saint Vincent and the Grenadines</option><option value="181" >Samoa</option><option value="182" >San Marino</option><option value="183" >Sao Tome and Principe</option><option value="184" >Saudi Arabia</option><option value="185" >Senegal</option><option value="242" >Serbia republic of</option><option value="186" >Seychelles</option><option value="187" >Sierra Leone</option><option value="188" >Singapore</option><option value="189" >Slovakia (Slovak Republic)</option><option value="190" >Slovenia</option><option value="191" >Solomon Islands</option><option value="192" >Somalia</option><option value="247" >Somaliland, Republic of</option><option value="193" >South Africa</option><option value="195" >Spain</option><option value="196" >Sri Lanka</option><option value="248" >St Barthelemy</option><option value="355" >France, DOM-TOM Saint-Martin</option><option value="199" >Sudan</option><option value="200" >Suriname</option><option value="201" >Svalbard and Jan Mayen Islands</option><option value="202" >Swaziland</option><option value="203" >Sweden</option><option value="204" >Switzerland</option><option value="206" >Taiwan, China</option><option value="207" >Tajikistan</option><option value="208" >Tanzania, United Republic of</option><option value="209" >Thailand</option><option value="210" >Togo</option><option value="211" >Tokelau</option><option value="212" >Tonga</option><option value="213" >Trinidad and Tobago</option><option value="214" >Tunisia</option><option value="215" >Turkey</option><option value="216" >Turkmenistan</option><option value="217" >Turks and Caicos Islands</option><option value="218" >Tuvalu</option><option value="88" >U.S. Guam</option><option value="219" >Uganda</option><option value="220" >Ukraine</option><option value="221" >United Arab Emirates</option><option value="222" >United Kingdom</option><option value="223" selected>United States</option><option value="225" >Uruguay</option><option value="226" >Uzbekistan</option><option value="227" >Vanuatu</option><option value="228" >Vatican City State (Holy See)</option><option value="229" >Venezuela</option><option value="230" >Vietnam</option><option value="231" >Virgin Islands (British)</option><option value="232" >Virgin Islands (U.S.)</option><option value="234" >Western Sahara</option><option value="235" >Yemen</option><option value="238" >Zambia</option><option value="239" >Zimbabwe</option>
						</optgroup>
					</select>
					<div id="register_html_element" class="register-recaptcha"></div>
					<div class="recaptcha-error-message register">Please click the validation box.</div>
					<p class="foot-region">
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			<iframe id="signTargetIframe" name="signTargetIframe" style="display:none;"></iframe>
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