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altered_source_form_ID_13643722881

abajan
Jan 2nd, 2012
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  1. <script src="http://max.jotfor.ms/min/g=jotform?3.0.2283" type="text/javascript"></script>
  2. <script type="text/javascript">
  3. JotForm.setConditions([{"action":{"field":"24","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"United States"}],"type":"field"},{"action":{"field":"22","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"Russia"}],"type":"field"},{"action":{"field":"23","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"France"}],"type":"field"},{"action":{"field":"25","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"Brazil"}],"type":"field"},{"action":{"field":"26","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"Mexico"}],"type":"field"},{"action":{"field":"27","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"Spain"}],"type":"field"},{"action":{"field":"28","visibility":"Show"},"link":"Any","terms":[{"field":"20","operator":"equals","value":"Portugal"}],"type":"field"},{"action":{"field":"21","visibility":"Show"},"link":"All","terms":[{"field":"20","operator":"notEquals","value":"United States"},{"field":"20","operator":"notEquals","value":"Brazil"},{"field":"20","operator":"notEquals","value":"People's Republic of China"},{"field":"20","operator":"notEquals","value":"Republic of China"},{"field":"20","operator":"notEquals","value":"Czech Republic"},{"field":"20","operator":"notEquals","value":"France"},{"field":"20","operator":"notEquals","value":"Germany"},{"field":"20","operator":"notEquals","value":"Guam"},{"field":"20","operator":"notEquals","value":"Hong Kong"},{"field":"20","operator":"notEquals","value":"Italy"},{"field":"20","operator":"notEquals","value":"Japan"},{"field":"20","operator":"notEquals","value":"South Korea"},{"field":"20","operator":"notEquals","value":"Mexico"},{"field":"20","operator":"notEquals","value":"Portugal"},{"field":"20","operator":"notEquals","value":"Russia"},{"field":"20","operator":"notEquals","value":"Spain"},{"field":"20","operator":"notEquals","value":"United States"}],"type":"field"}]);
  4. JotForm.init(function(){
  5. JotForm.totalCounter({"input_32_1010":{"price":"5.00"},"input_32_1006":{"price":"100.00"},"input_32_1007":{"price":"195.00"},"input_32_1008":{"price":"380.00"},"input_32_1009":{"price":"740.00"},"input_32_1011":{"price":"120.00"},"input_32_1012":{"price":"230.00"},"input_32_1013":{"price":"450.00"},"input_32_1014":{"price":"880.00"}});
  6. $('input_34').hint('ex: [email protected]');
  7. $('input_14').hint(' ex: 11:00AM or 5:00PM');
  8. });
  9. </script>
  10. <link href="http://max.jotfor.ms/min/g=formCss?3.0.2283" rel="stylesheet" type="text/css" />
  11. <style type="text/css">
  12. .form-label{
  13. width:150px !important;
  14. }
  15. .form-label-left{
  16. width:150px !important;
  17. }
  18. .form-line{
  19. padding:10px;
  20. }
  21. .form-label-right{
  22. width:150px !important;
  23. }
  24. .form-all{
  25. width:530px;
  26. color:Black !important;
  27. font-family:Verdana;
  28. font-size:12px;
  29. }
  30.  
  31. /* styles category labels */
  32. .category {
  33. color: #777;
  34. padding: 20px 10px 10px;
  35. }
  36. </style>
  37.  
  38. <form class="jotform-form" action="http://submit.jotform.com/submit.php" method="post" name="form_13643722881" id="13643722881" accept-charset="utf-8">
  39. <input type="hidden" name="formID" value="13643722881" />
  40. <div class="form-all">
  41. <ul class="form-section">
  42. <li class="form-line" id="id_32">
  43. <label class="form-label-left" id="label_32" for="input_32">
  44. Select a Course<span class="form-required">*</span>
  45. </label>
  46. <div id="cid_32" class="form-input" style="margin-left:-7px;"><!-- added: style="margin-left:-7px;" --><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1010" name="q32_selectA[][id]" value="1010" />
  47. <label for="input_32_1010">
  48. Trial Lesson<span class="form-product-details"><b>
  49. $<span id="">5.00</span>
  50. USD
  51. </b></span>
  52. </label></span>
  53. <div class="category">Everyday English:</div><!-- added this line and removed break tag from start of next line -->
  54. <span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1006" name="q32_selectA[][id]" value="1006" />
  55. <label for="input_32_1006">
  56. 5 <span style="display:none;">Everyday English</span> Lessons<span class="form-product-details"><b>
  57. $<span id="">100.00</span>
  58. USD
  59. </b></span>
  60. </label></span>
  61. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1007" name="q32_selectA[][id]" value="1007" />
  62. <label for="input_32_1007">
  63. 10 <span style="display:none;">Everyday English</span> Lessons (save $5)<span class="form-product-details"><b>
  64. $<span id="">195.00</span>
  65. USD
  66. </b></span>
  67. </label></span>
  68. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1008" name="q32_selectA[][id]" value="1008" />
  69. <label for="input_32_1008">
  70. 20 <span style="display:none;">Everyday English</span> Lessons (save $20)<span class="form-product-details"><b>
  71. $<span id="">380.00</span>
  72. USD
  73. </b></span>
  74. </label></span>
  75. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1009" name="q32_selectA[][id]" value="1009" />
  76. <label for="input_32_1009">
  77. 40 <span style="display:none;">Everyday English</span> Lessons (save $60)<span class="form-product-details"><b>
  78. $<span id="">740.00</span>
  79. USD
  80. </b></span>
  81. </label></span>
  82. <div class="category">Business English:</div><!-- added this line and removed break tag from start of next line -->
  83. <span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1011" name="q32_selectA[][id]" value="1011" />
  84. <label for="input_32_1011">
  85. 5 <span style="display:none;">Business English</span> Lessons<span class="form-product-details"><b>
  86. $<span id="">120.00</span>
  87. USD
  88. </b></span>
  89. </label></span>
  90. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1012" name="q32_selectA[][id]" value="1012" />
  91. <label for="input_32_1012">
  92. 10 <span style="display:none;">Business English</span> Lessons (save $10)<span class="form-product-details"><b>
  93. $<span id="">230.00</span>
  94. USD
  95. </b></span>
  96. </label></span>
  97. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1013" name="q32_selectA[][id]" value="1013" />
  98. <label for="input_32_1013">
  99. 20 <span style="display:none;">Business English</span> Lessons (save $30)<span class="form-product-details"><b>
  100. $<span id="">450.00</span>
  101. USD
  102. </b></span>
  103. </label></span>
  104. <br /><span class="form-product-item"><input class="form-radio validate[required]" type="radio" id="input_32_1014" name="q32_selectA[][id]" value="1014" />
  105. <label for="input_32_1014">
  106. 40 <span style="display:none;">Business English</span> Lessons (save $80)<span class="form-product-details"><b>
  107. $<span id="">880.00</span>
  108. USD
  109. </b></span>
  110. </label></span>
  111. <br />
  112. </div>
  113. </li>
  114. <li class="form-line" id="id_34">
  115. <label class="form-label-left" id="label_34" for="input_34"> E-mail </label>
  116. <div id="cid_34" class="form-input">
  117. <input type="email" class="form-textbox validate[Email]" id="input_34" name="q34_email34" size="30" />
  118. </div>
  119. </li>
  120. <li class="form-line" id="id_29">
  121. <label class="form-label-left" id="label_29" for="input_29">
  122. Name<span class="form-required">*</span>
  123. </label>
  124. <div id="cid_29" class="form-input">
  125. <input type="text" class="form-textbox validate[required, Alphabetic]" id="input_29" name="q29_name" size="20" />
  126. </div>
  127. </li>
  128. <li class="form-line" id="id_5">
  129. <label class="form-label-left" id="label_5" for="input_5"> Skype ID </label>
  130. <div id="cid_5" class="form-input">
  131. <input type="text" class="form-textbox" id="input_5" name="q5_skypeId" size="20" />
  132. </div>
  133. </li>
  134. <li class="form-line" id="id_20">
  135. <label class="form-label-left" id="label_20" for="input_20">
  136. Country<span class="form-required">*</span>
  137. </label>
  138. <div id="cid_20" class="form-input">
  139. <select class="form-dropdown validate[required]" style="width:150px" id="input_20" name="q20_country">
  140. <option> </option>
  141. <option value="United States"> United States </option>
  142. <option value="Abkhazia"> Abkhazia </option>
  143. <option value="Afghanistan"> Afghanistan </option>
  144. <option value="Albania"> Albania </option>
  145. <option value="Algeria"> Algeria </option>
  146. <option value="American Samoa"> American Samoa </option>
  147. <option value="Andorra"> Andorra </option>
  148. <option value="Angola"> Angola </option>
  149. <option value="Anguilla"> Anguilla </option>
  150. <option value="Antigua and Barbuda"> Antigua and Barbuda </option>
  151. <option value="Argentina"> Argentina </option>
  152. <option value="Armenia"> Armenia </option>
  153. <option value="Aruba"> Aruba </option>
  154. <option value="Australia"> Australia </option>
  155. <option value="Austria"> Austria </option>
  156. <option value="Azerbaijan"> Azerbaijan </option>
  157. <option value="The Bahamas"> The Bahamas </option>
  158. <option value="Bahrain"> Bahrain </option>
  159. <option value="Bangladesh"> Bangladesh </option>
  160. <option value="Barbados"> Barbados </option>
  161. <option value="Belarus"> Belarus </option>
  162. <option value="Belgium"> Belgium </option>
  163. <option value="Belize"> Belize </option>
  164. <option value="Benin"> Benin </option>
  165. <option value="Bermuda"> Bermuda </option>
  166. <option value="Bhutan"> Bhutan </option>
  167. <option value="Bolivia"> Bolivia </option>
  168. <option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
  169. <option value="Botswana"> Botswana </option>
  170. <option value="Brazil"> Brazil </option>
  171. <option value="Brunei"> Brunei </option>
  172. <option value="Bulgaria"> Bulgaria </option>
  173. <option value="Burkina Faso"> Burkina Faso </option>
  174. <option value="Burundi"> Burundi </option>
  175. <option value="Cambodia"> Cambodia </option>
  176. <option value="Cameroon"> Cameroon </option>
  177. <option value="Canada"> Canada </option>
  178. <option value="Cape Verde"> Cape Verde </option>
  179. <option value="Cayman Islands"> Cayman Islands </option>
  180. <option value="Central African Republic"> Central African Republic </option>
  181. <option value="Chad"> Chad </option>
  182. <option value="Chile"> Chile </option>
  183. <option value="People's Republic of China"> People's Republic of China </option>
  184. <option value="Republic of China"> Republic of China </option>
  185. <option value="Christmas Island"> Christmas Island </option>
  186. <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
  187. <option value="Colombia"> Colombia </option>
  188. <option value="Comoros"> Comoros </option>
  189. <option value="Congo"> Congo </option>
  190. <option value="Cook Islands"> Cook Islands </option>
  191. <option value="Costa Rica"> Costa Rica </option>
  192. <option value="Cote d'Ivoire"> Cote d'Ivoire </option>
  193. <option value="Croatia"> Croatia </option>
  194. <option value="Cuba"> Cuba </option>
  195. <option value="Cyprus"> Cyprus </option>
  196. <option value="Czech Republic"> Czech Republic </option>
  197. <option value="Denmark"> Denmark </option>
  198. <option value="Djibouti"> Djibouti </option>
  199. <option value="Dominica"> Dominica </option>
  200. <option value="Dominican Republic"> Dominican Republic </option>
  201. <option value="Ecuador"> Ecuador </option>
  202. <option value="Egypt"> Egypt </option>
  203. <option value="El Salvador"> El Salvador </option>
  204. <option value="Equatorial Guinea"> Equatorial Guinea </option>
  205. <option value="Eritrea"> Eritrea </option>
  206. <option value="Estonia"> Estonia </option>
  207. <option value="Ethiopia"> Ethiopia </option>
  208. <option value="Falkland Islands"> Falkland Islands </option>
  209. <option value="Faroe Islands"> Faroe Islands </option>
  210. <option value="Fiji"> Fiji </option>
  211. <option value="Finland"> Finland </option>
  212. <option value="France"> France </option>
  213. <option value="French Polynesia"> French Polynesia </option>
  214. <option value="Gabon"> Gabon </option>
  215. <option value="The Gambia"> The Gambia </option>
  216. <option value="Georgia"> Georgia </option>
  217. <option value="Germany"> Germany </option>
  218. <option value="Ghana"> Ghana </option>
  219. <option value="Gibraltar"> Gibraltar </option>
  220. <option value="Greece"> Greece </option>
  221. <option value="Greenland"> Greenland </option>
  222. <option value="Grenada"> Grenada </option>
  223. <option value="Guam"> Guam </option>
  224. <option value="Guatemala"> Guatemala </option>
  225. <option value="Guernsey"> Guernsey </option>
  226. <option value="Guinea"> Guinea </option>
  227. <option value="Guinea-Bissau"> Guinea-Bissau </option>
  228. <option value="Guyana Guyana"> Guyana Guyana </option>
  229. <option value="Haiti Haiti"> Haiti Haiti </option>
  230. <option value="Honduras"> Honduras </option>
  231. <option value="Hong Kong"> Hong Kong </option>
  232. <option value="Hungary"> Hungary </option>
  233. <option value="Iceland"> Iceland </option>
  234. <option value="India"> India </option>
  235. <option value="Indonesia"> Indonesia </option>
  236. <option value="Iran"> Iran </option>
  237. <option value="Iraq"> Iraq </option>
  238. <option value="Ireland"> Ireland </option>
  239. <option value="Israel"> Israel </option>
  240. <option value="Italy"> Italy </option>
  241. <option value="Jamaica"> Jamaica </option>
  242. <option value="Japan"> Japan </option>
  243. <option value="Jersey"> Jersey </option>
  244. <option value="Jordan"> Jordan </option>
  245. <option value="Kazakhstan"> Kazakhstan </option>
  246. <option value="Kenya"> Kenya </option>
  247. <option value="Kiribati"> Kiribati </option>
  248. <option value="North Korea"> North Korea </option>
  249. <option value="South Korea"> South Korea </option>
  250. <option value="Kosovo"> Kosovo </option>
  251. <option value="Kuwait"> Kuwait </option>
  252. <option value="Kyrgyzstan"> Kyrgyzstan </option>
  253. <option value="Laos"> Laos </option>
  254. <option value="Latvia"> Latvia </option>
  255. <option value="Lebanon"> Lebanon </option>
  256. <option value="Lesotho"> Lesotho </option>
  257. <option value="Liberia"> Liberia </option>
  258. <option value="Libya"> Libya </option>
  259. <option value="Liechtenstein"> Liechtenstein </option>
  260. <option value="Lithuania"> Lithuania </option>
  261. <option value="Luxembourg"> Luxembourg </option>
  262. <option value="Macau"> Macau </option>
  263. <option value="Macedonia"> Macedonia </option>
  264. <option value="Madagascar"> Madagascar </option>
  265. <option value="Malawi"> Malawi </option>
  266. <option value="Malaysia"> Malaysia </option>
  267. <option value="Maldives"> Maldives </option>
  268. <option value="Mali"> Mali </option>
  269. <option value="Malta"> Malta </option>
  270. <option value="Marshall Islands"> Marshall Islands </option>
  271. <option value="Mauritania"> Mauritania </option>
  272. <option value="Mauritius"> Mauritius </option>
  273. <option value="Mayotte"> Mayotte </option>
  274. <option value="Mexico"> Mexico </option>
  275. <option value="Micronesia"> Micronesia </option>
  276. <option value="Moldova"> Moldova </option>
  277. <option value="Monaco"> Monaco </option>
  278. <option value="Mongolia"> Mongolia </option>
  279. <option value="Montenegro"> Montenegro </option>
  280. <option value="Montserrat"> Montserrat </option>
  281. <option value="Morocco"> Morocco </option>
  282. <option value="Mozambique"> Mozambique </option>
  283. <option value="Myanmar"> Myanmar </option>
  284. <option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
  285. <option value="Namibia"> Namibia </option>
  286. <option value="Nauru"> Nauru </option>
  287. <option value="Nepal"> Nepal </option>
  288. <option value="Netherlands"> Netherlands </option>
  289. <option value="Netherlands Antilles"> Netherlands Antilles </option>
  290. <option value="New Caledonia"> New Caledonia </option>
  291. <option value="New Zealand"> New Zealand </option>
  292. <option value="Nicaragua"> Nicaragua </option>
  293. <option value="Niger"> Niger </option>
  294. <option value="Nigeria"> Nigeria </option>
  295. <option value="Niue"> Niue </option>
  296. <option value="Norfolk Island"> Norfolk Island </option>
  297. <option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
  298. <option value="Northern Mariana"> Northern Mariana </option>
  299. <option value="Norway"> Norway </option>
  300. <option value="Oman"> Oman </option>
  301. <option value="Pakistan"> Pakistan </option>
  302. <option value="Palau"> Palau </option>
  303. <option value="Palestine"> Palestine </option>
  304. <option value="Panama"> Panama </option>
  305. <option value="Papua New Guinea"> Papua New Guinea </option>
  306. <option value="Paraguay"> Paraguay </option>
  307. <option value="Peru"> Peru </option>
  308. <option value="Philippines"> Philippines </option>
  309. <option value="Pitcairn Islands"> Pitcairn Islands </option>
  310. <option value="Poland"> Poland </option>
  311. <option value="Portugal"> Portugal </option>
  312. <option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
  313. <option value="Puerto Rico"> Puerto Rico </option>
  314. <option value="Qatar"> Qatar </option>
  315. <option value="Romania"> Romania </option>
  316. <option value="Russia"> Russia </option>
  317. <option value="Rwanda"> Rwanda </option>
  318. <option value="Saint Barthelemy"> Saint Barthelemy </option>
  319. <option value="Saint Helena"> Saint Helena </option>
  320. <option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
  321. <option value="Saint Lucia"> Saint Lucia </option>
  322. <option value="Saint Martin"> Saint Martin </option>
  323. <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
  324. <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
  325. <option value="Samoa"> Samoa </option>
  326. <option value="San Marino"> San Marino </option>
  327. <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
  328. <option value="Saudi Arabia"> Saudi Arabia </option>
  329. <option value="Senegal"> Senegal </option>
  330. <option value="Serbia"> Serbia </option>
  331. <option value="Seychelles"> Seychelles </option>
  332. <option value="Sierra Leone"> Sierra Leone </option>
  333. <option value="Singapore"> Singapore </option>
  334. <option value="Slovakia"> Slovakia </option>
  335. <option value="Slovenia"> Slovenia </option>
  336. <option value="Solomon Islands"> Solomon Islands </option>
  337. <option value="Somalia"> Somalia </option>
  338. <option value="Somaliland"> Somaliland </option>
  339. <option value="South Africa"> South Africa </option>
  340. <option value="South Ossetia"> South Ossetia </option>
  341. <option value="Spain"> Spain </option>
  342. <option value="Sri Lanka"> Sri Lanka </option>
  343. <option value="Sudan"> Sudan </option>
  344. <option value="Suriname"> Suriname </option>
  345. <option value="Svalbard"> Svalbard </option>
  346. <option value="Swaziland"> Swaziland </option>
  347. <option value="Sweden"> Sweden </option>
  348. <option value="Switzerland"> Switzerland </option>
  349. <option value="Syria"> Syria </option>
  350. <option value="Taiwan"> Taiwan </option>
  351. <option value="Tajikistan"> Tajikistan </option>
  352. <option value="Tanzania"> Tanzania </option>
  353. <option value="Thailand"> Thailand </option>
  354. <option value="Timor-Leste"> Timor-Leste </option>
  355. <option value="Togo"> Togo </option>
  356. <option value="Tokelau"> Tokelau </option>
  357. <option value="Tonga"> Tonga </option>
  358. <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
  359. <option value="Tristan da Cunha"> Tristan da Cunha </option>
  360. <option value="Tunisia"> Tunisia </option>
  361. <option value="Turkey"> Turkey </option>
  362. <option value="Turkmenistan"> Turkmenistan </option>
  363. <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
  364. <option value="Tuvalu"> Tuvalu </option>
  365. <option value="Uganda"> Uganda </option>
  366. <option value="Ukraine"> Ukraine </option>
  367. <option value="United Arab Emirates"> United Arab Emirates </option>
  368. <option value="United Kingdom"> United Kingdom </option>
  369. <option value="Uruguay"> Uruguay </option>
  370. <option value="Uzbekistan"> Uzbekistan </option>
  371. <option value="Vanuatu"> Vanuatu </option>
  372. <option value="Vatican City"> Vatican City </option>
  373. <option value="Venezuela"> Venezuela </option>
  374. <option value="Vietnam"> Vietnam </option>
  375. <option value="British Virgin Islands"> British Virgin Islands </option>
  376. <option value="US Virgin Islands"> US Virgin Islands </option>
  377. <option value="Wallis and Futuna"> Wallis and Futuna </option>
  378. <option value="Western Sahara"> Western Sahara </option>
  379. <option value="Yemen"> Yemen </option>
  380. <option value="Zambia"> Zambia </option>
  381. <option value="Zimbabwe"> Zimbabwe </option>
  382. </select>
  383. </div>
  384. </li>
  385. <li class="form-line" id="id_7">
  386. <label class="form-label-left" id="label_7" for="input_7">
  387. Town or City<span class="form-required">*</span>
  388. </label>
  389. <div id="cid_7" class="form-input">
  390. <input type="text" class="form-textbox validate[required]" id="input_7" name="q7_townOr" size="20" />
  391. </div>
  392. </li>
  393. <li class="form-line" id="id_21">
  394. <label class="form-label-left" id="label_21" for="input_21"> Time Zone </label>
  395. <div id="cid_21" class="form-input">
  396. <select class="form-dropdown" style="width:150px" id="input_21" name="q21_timeZone">
  397. <option> </option>
  398. <optgroup label="Africa">
  399. <option value="Abidjan (GMT)"> Abidjan (GMT) </option>
  400. <option value="Accra (GMT)"> Accra (GMT) </option>
  401. <option value="Addis Ababa (GMT+03:00)"> Addis Ababa (GMT+03:00) </option>
  402. <option value="Algiers (GMT+01:00)"> Algiers (GMT+01:00) </option>
  403. <option value="Asmara (GMT+03:00)"> Asmara (GMT+03:00) </option>
  404. <option value="Bamako (GMT)"> Bamako (GMT) </option>
  405. <option value="Bangui (GMT+01:00)"> Bangui (GMT+01:00) </option>
  406. <option value="Banjul (GMT)"> Banjul (GMT) </option>
  407. <option value="Bissau (GMT)"> Bissau (GMT) </option>
  408. <option value="Blantyre (GMT+02:00)"> Blantyre (GMT+02:00) </option>
  409. <option value="Brazzaville (GMT+01:00)"> Brazzaville (GMT+01:00) </option>
  410. <option value="Bujumbura (GMT+02:00)"> Bujumbura (GMT+02:00) </option>
  411. <option value="Cairo (GMT+03:00)"> Cairo (GMT+03:00) </option>
  412. <option value="Casablanca (GMT)"> Casablanca (GMT) </option>
  413. <option value="Ceuta (GMT+02:00)"> Ceuta (GMT+02:00) </option>
  414. <option value="Conakry (GMT)"> Conakry (GMT) </option>
  415. <option value="Dakar (GMT)"> Dakar (GMT) </option>
  416. <option value="Dar es Salaam (GMT+03:00)"> Dar es Salaam (GMT+03:00) </option>
  417. <option value="Djibouti (GMT+03:00)"> Djibouti (GMT+03:00) </option>
  418. <option value="Douala (GMT+01:00)"> Douala (GMT+01:00) </option>
  419. <option value="El Aaiun (GMT)"> El Aaiun (GMT) </option>
  420. <option value="Freetown (GMT)"> Freetown (GMT) </option>
  421. <option value="Gaborone (GMT+02:00)"> Gaborone (GMT+02:00) </option>
  422. <option value="Harare (GMT+02:00)"> Harare (GMT+02:00) </option>
  423. <option value="Johannesburg (GMT+02:00)"> Johannesburg (GMT+02:00) </option>
  424. <option value="Kampala (GMT+03:00)"> Kampala (GMT+03:00) </option>
  425. <option value="Khartoum (GMT+03:00)"> Khartoum (GMT+03:00) </option>
  426. <option value="Kigali (GMT+02:00)"> Kigali (GMT+02:00) </option>
  427. <option value="Kinshasa (GMT+01:00)"> Kinshasa (GMT+01:00) </option>
  428. <option value="Lagos (GMT+01:00)"> Lagos (GMT+01:00) </option>
  429. <option value="Libreville (GMT+01:00)"> Libreville (GMT+01:00) </option>
  430. <option value="Lome (GMT)"> Lome (GMT) </option>
  431. <option value="Luanda (GMT+01:00)"> Luanda (GMT+01:00) </option>
  432. <option value="Lubumbashi (GMT+02:00)"> Lubumbashi (GMT+02:00) </option>
  433. <option value="Lusaka (GMT+02:00)"> Lusaka (GMT+02:00) </option>
  434. <option value="Malabo (GMT+01:00)"> Malabo (GMT+01:00) </option>
  435. <option value="Maputo (GMT+02:00)"> Maputo (GMT+02:00) </option>
  436. <option value="Maseru (GMT+02:00)"> Maseru (GMT+02:00) </option>
  437. <option value="Mbabane (GMT+02:00)"> Mbabane (GMT+02:00) </option>
  438. <option value="Mogadishu (GMT+03:00)"> Mogadishu (GMT+03:00) </option>
  439. <option value="Monrovia (GMT)"> Monrovia (GMT) </option>
  440. <option value="Nairobi (GMT+03:00)"> Nairobi (GMT+03:00) </option>
  441. <option value="Ndjamena (GMT+01:00)"> Ndjamena (GMT+01:00) </option>
  442. <option value="Niamey (GMT+01:00)"> Niamey (GMT+01:00) </option>
  443. <option value="Nouakchott (GMT)"> Nouakchott (GMT) </option>
  444. <option value="Ouagadougou (GMT)"> Ouagadougou (GMT) </option>
  445. <option value="Porto-Novo (GMT+01:00)"> Porto-Novo (GMT+01:00) </option>
  446. <option value="Sao Tome (GMT)"> Sao Tome (GMT) </option>
  447. <option value="Tripoli (GMT+02:00)"> Tripoli (GMT+02:00) </option>
  448. <option value="Tunis (GMT+02:00)"> Tunis (GMT+02:00) </option>
  449. <option value="Windhoek (GMT+01:00)"> Windhoek (GMT+01:00) </option>
  450. </optgroup>
  451. <optgroup label="America">
  452. <option value="Adak (GMT-09:00)"> Adak (GMT-09:00) </option>
  453. <option value="Anchorage (GMT-08:00)"> Anchorage (GMT-08:00) </option>
  454. <option value="Anguilla (GMT-04:00)"> Anguilla (GMT-04:00) </option>
  455. <option value="Antigua (GMT-04:00)"> Antigua (GMT-04:00) </option>
  456. <option value="Araguaina (GMT-03:00)"> Araguaina (GMT-03:00) </option>
  457. <option value="Buenos Aires, Argentina (GMT-03:00)"> Buenos Aires, Argentina (GMT-03:00) </option>
  458. <option value="Catamarca, Argentina (GMT-03:00)"> Catamarca, Argentina (GMT-03:00) </option>
  459. <option value="Cordoba, Argentina (GMT-03:00)"> Cordoba, Argentina (GMT-03:00) </option>
  460. <option value="Jujuy, Argentina (GMT-03:00)"> Jujuy, Argentina (GMT-03:00) </option>
  461. <option value="La Rioja, Argentina (GMT-03:00)"> La Rioja, Argentina (GMT-03:00) </option>
  462. <option value="Mendoza, Argentina (GMT-03:00)"> Mendoza, Argentina (GMT-03:00) </option>
  463. <option value="Rio Gallegos, Argentina (GMT-03:00)"> Rio Gallegos, Argentina (GMT-03:00) </option>
  464. <option value="Salta, Argentina (GMT-03:00)"> Salta, Argentina (GMT-03:00) </option>
  465. <option value="San Juan, Argentina (GMT-03:00)"> San Juan, Argentina (GMT-03:00) </option>
  466. <option value="San Luis, Argentina (GMT-04:00)"> San Luis, Argentina (GMT-04:00) </option>
  467. <option value="Tucuman, Argentina (GMT-03:00)"> Tucuman, Argentina (GMT-03:00) </option>
  468. <option value="Ushuaia, Argentina (GMT-03:00)"> Ushuaia, Argentina (GMT-03:00) </option>
  469. <option value="Aruba (GMT-04:00)"> Aruba (GMT-04:00) </option>
  470. <option value="Asuncion (GMT-04:00)"> Asuncion (GMT-04:00) </option>
  471. <option value="Atikokan (GMT-05:00)"> Atikokan (GMT-05:00) </option>
  472. <option value="Bahia (GMT-03:00)"> Bahia (GMT-03:00) </option>
  473. <option value="Barbados (GMT-04:00)"> Barbados (GMT-04:00) </option>
  474. <option value="Belem (GMT-03:00)"> Belem (GMT-03:00) </option>
  475. <option value="Belize (GMT-06:00)"> Belize (GMT-06:00) </option>
  476. <option value="Blanc-Sablon (GMT-04:00)"> Blanc-Sablon (GMT-04:00) </option>
  477. <option value="Boa Vista (GMT-04:00)"> Boa Vista (GMT-04:00) </option>
  478. <option value="Bogota (GMT-05:00)"> Bogota (GMT-05:00) </option>
  479. <option value="Boise (GMT-06:00)"> Boise (GMT-06:00) </option>
  480. <option value="Cambridge Bay (GMT-06:00)"> Cambridge Bay (GMT-06:00) </option>
  481. <option value="Campo Grande (GMT-04:00)"> Campo Grande (GMT-04:00) </option>
  482. <option value="Cancun (GMT-05:00)"> Cancun (GMT-05:00) </option>
  483. <option value="Caracas (GMT-04:30)"> Caracas (GMT-04:30) </option>
  484. <option value="Cayenne (GMT-03:00)"> Cayenne (GMT-03:00) </option>
  485. <option value="Cayman (GMT-05:00)"> Cayman (GMT-05:00) </option>
  486. <option value="Chicago (GMT-05:00)"> Chicago (GMT-05:00) </option>
  487. <option value="Chihuahua (GMT-06:00)"> Chihuahua (GMT-06:00) </option>
  488. <option value="Costa Rica (GMT-06:00)"> Costa Rica (GMT-06:00) </option>
  489. <option value="Cuiaba (GMT-04:00)"> Cuiaba (GMT-04:00) </option>
  490. <option value="Curacao (GMT-04:00)"> Curacao (GMT-04:00) </option>
  491. <option value="Danmarkshavn (GMT)"> Danmarkshavn (GMT) </option>
  492. <option value="Dawson (GMT-07:00)"> Dawson (GMT-07:00) </option>
  493. <option value="Dawson Creek (GMT-07:00)"> Dawson Creek (GMT-07:00) </option>
  494. <option value="Denver (GMT-06:00)"> Denver (GMT-06:00) </option>
  495. <option value="Detroit (GMT-04:00)"> Detroit (GMT-04:00) </option>
  496. <option value="Dominica (GMT-04:00)"> Dominica (GMT-04:00) </option>
  497. <option value="Edmonton (GMT-06:00)"> Edmonton (GMT-06:00) </option>
  498. <option value="Eirunepe (GMT-04:00)"> Eirunepe (GMT-04:00) </option>
  499. <option value="El Salvador (GMT-06:00)"> El Salvador (GMT-06:00) </option>
  500. <option value="Fortaleza (GMT-03:00)"> Fortaleza (GMT-03:00) </option>
  501. <option value="Glace Bay (GMT-03:00)"> Glace Bay (GMT-03:00) </option>
  502. <option value="Godthab (GMT-02:00)"> Godthab (GMT-02:00) </option>
  503. <option value="Goose Bay (GMT-03:00)"> Goose Bay (GMT-03:00) </option>
  504. <option value="Grand Turk (GMT-04:00)"> Grand Turk (GMT-04:00) </option>
  505. <option value="Grenada (GMT-04:00)"> Grenada (GMT-04:00) </option>
  506. <option value="Guadeloupe (GMT-04:00)"> Guadeloupe (GMT-04:00) </option>
  507. <option value="Guatemala (GMT-06:00)"> Guatemala (GMT-06:00) </option>
  508. <option value="Guayaquil (GMT-05:00)"> Guayaquil (GMT-05:00) </option>
  509. <option value="Guyana (GMT-04:00)"> Guyana (GMT-04:00) </option>
  510. <option value="Halifax (GMT-03:00)"> Halifax (GMT-03:00) </option>
  511. <option value="Havana (GMT-04:00)"> Havana (GMT-04:00) </option>
  512. <option value="Hermosillo (GMT-07:00)"> Hermosillo (GMT-07:00) </option>
  513. <option value="Indianapolis, Indiana (GMT-04:00)"> Indianapolis, Indiana (GMT-04:00) </option>
  514. <option value="Knox, Indiana (GMT-05:00)"> Knox, Indiana (GMT-05:00) </option>
  515. <option value="Marengo, Indiana (GMT-04:00)"> Marengo, Indiana (GMT-04:00) </option>
  516. <option value="Petersburg, Indiana (GMT-04:00)"> Petersburg, Indiana (GMT-04:00) </option>
  517. <option value="Tell City, Indiana (GMT-05:00)"> Tell City, Indiana (GMT-05:00) </option>
  518. <option value="Vevay, Indiana (GMT-04:00)"> Vevay, Indiana (GMT-04:00) </option>
  519. <option value="Vincennes, Indiana (GMT-04:00)"> Vincennes, Indiana (GMT-04:00) </option>
  520. <option value="Winamac, Indiana (GMT-04:00)"> Winamac, Indiana (GMT-04:00) </option>
  521. <option value="Inuvik (GMT-06:00)"> Inuvik (GMT-06:00) </option>
  522. <option value="Iqaluit (GMT-04:00)"> Iqaluit (GMT-04:00) </option>
  523. <option value="Jamaica (GMT-05:00)"> Jamaica (GMT-05:00) </option>
  524. <option value="Juneau (GMT-08:00)"> Juneau (GMT-08:00) </option>
  525. <option value="Louisville, Kentucky (GMT-04:00)"> Louisville, Kentucky (GMT-04:00) </option>
  526. <option value="Monticello, Kentucky (GMT-04:00)"> Monticello, Kentucky (GMT-04:00) </option>
  527. <option value="La Paz (GMT-04:00)"> La Paz (GMT-04:00) </option>
  528. <option value="Lima (GMT-05:00)"> Lima (GMT-05:00) </option>
  529. <option value="Los Angeles (GMT-07:00)"> Los Angeles (GMT-07:00) </option>
  530. <option value="Maceio (GMT-03:00)"> Maceio (GMT-03:00) </option>
  531. <option value="Managua (GMT-06:00)"> Managua (GMT-06:00) </option>
  532. <option value="Manaus (GMT-04:00)"> Manaus (GMT-04:00) </option>
  533. <option value="Marigot (GMT-04:00)"> Marigot (GMT-04:00) </option>
  534. <option value="Martinique (GMT-04:00)"> Martinique (GMT-04:00) </option>
  535. <option value="Mazatlan (GMT-06:00)"> Mazatlan (GMT-06:00) </option>
  536. <option value="Menominee (GMT-05:00)"> Menominee (GMT-05:00) </option>
  537. <option value="Merida (GMT-05:00)"> Merida (GMT-05:00) </option>
  538. <option value="Mexico City (GMT-05:00)"> Mexico City (GMT-05:00) </option>
  539. <option value="Miquelon (GMT-02:00)"> Miquelon (GMT-02:00) </option>
  540. <option value="Moncton (GMT-03:00)"> Moncton (GMT-03:00) </option>
  541. <option value="Monterrey (GMT-05:00)"> Monterrey (GMT-05:00) </option>
  542. <option value="Montevideo (GMT-03:00)"> Montevideo (GMT-03:00) </option>
  543. <option value="Montreal (GMT-04:00)"> Montreal (GMT-04:00) </option>
  544. <option value="Montserrat (GMT-04:00)"> Montserrat (GMT-04:00) </option>
  545. <option value="Nassau (GMT-04:00)"> Nassau (GMT-04:00) </option>
  546. <option value="New York (GMT-04:00)"> New York (GMT-04:00) </option>
  547. <option value="Nipigon (GMT-04:00)"> Nipigon (GMT-04:00) </option>
  548. <option value="Nome (GMT-08:00)"> Nome (GMT-08:00) </option>
  549. <option value="Noronha (GMT-02:00)"> Noronha (GMT-02:00) </option>
  550. <option value="Center, North Dakota (GMT-05:00)"> Center, North Dakota (GMT-05:00) </option>
  551. <option value="New Salem, North Dakota (GMT-05:00)"> New Salem, North Dakota (GMT-05:00) </option>
  552. <option value="Panama (GMT-05:00)"> Panama (GMT-05:00) </option>
  553. <option value="Pangnirtung (GMT-04:00)"> Pangnirtung (GMT-04:00) </option>
  554. <option value="Paramaribo (GMT-03:00)"> Paramaribo (GMT-03:00) </option>
  555. <option value="Phoenix (GMT-07:00)"> Phoenix (GMT-07:00) </option>
  556. <option value="Port-au-Prince (GMT-05:00)"> Port-au-Prince (GMT-05:00) </option>
  557. <option value="Port of Spain (GMT-04:00)"> Port of Spain (GMT-04:00) </option>
  558. <option value="Porto Velho (GMT-04:00)"> Porto Velho (GMT-04:00) </option>
  559. <option value="Puerto Rico (GMT-04:00)"> Puerto Rico (GMT-04:00) </option>
  560. <option value="Rainy River (GMT-05:00)"> Rainy River (GMT-05:00) </option>
  561. <option value="Rankin Inlet (GMT-05:00)"> Rankin Inlet (GMT-05:00) </option>
  562. <option value="Recife (GMT-03:00)"> Recife (GMT-03:00) </option>
  563. <option value="Regina (GMT-06:00)"> Regina (GMT-06:00) </option>
  564. <option value="Resolute (GMT-05:00)"> Resolute (GMT-05:00) </option>
  565. <option value="Rio Branco (GMT-04:00)"> Rio Branco (GMT-04:00) </option>
  566. <option value="Santarem (GMT-03:00)"> Santarem (GMT-03:00) </option>
  567. <option value="Santiago (GMT-04:00)"> Santiago (GMT-04:00) </option>
  568. <option value="Santo Domingo (GMT-04:00)"> Santo Domingo (GMT-04:00) </option>
  569. <option value="Sao Paulo (GMT-03:00)"> Sao Paulo (GMT-03:00) </option>
  570. <option value="Scoresbysund (GMT)"> Scoresbysund (GMT) </option>
  571. <option value="Shiprock (GMT-06:00)"> Shiprock (GMT-06:00) </option>
  572. <option value="St Barthelemy (GMT-04:00)"> St Barthelemy (GMT-04:00) </option>
  573. <option value="St Johns (GMT-02:30)"> St Johns (GMT-02:30) </option>
  574. <option value="St Kitts (GMT-04:00)"> St Kitts (GMT-04:00) </option>
  575. <option value="St Lucia (GMT-04:00)"> St Lucia (GMT-04:00) </option>
  576. <option value="St Thomas (GMT-04:00)"> St Thomas (GMT-04:00) </option>
  577. <option value="St Vincent (GMT-04:00)"> St Vincent (GMT-04:00) </option>
  578. <option value="Swift Current (GMT-06:00)"> Swift Current (GMT-06:00) </option>
  579. <option value="Tegucigalpa (GMT-06:00)"> Tegucigalpa (GMT-06:00) </option>
  580. <option value="Thule (GMT-03:00)"> Thule (GMT-03:00) </option>
  581. <option value="Thunder Bay (GMT-04:00)"> Thunder Bay (GMT-04:00) </option>
  582. <option value="Tijuana (GMT-07:00)"> Tijuana (GMT-07:00) </option>
  583. <option value="Toronto (GMT-04:00)"> Toronto (GMT-04:00) </option>
  584. <option value="Tortola (GMT-04:00)"> Tortola (GMT-04:00) </option>
  585. <option value="Vancouver (GMT-07:00)"> Vancouver (GMT-07:00) </option>
  586. <option value="Whitehorse (GMT-07:00)"> Whitehorse (GMT-07:00) </option>
  587. <option value="Winnipeg (GMT-05:00)"> Winnipeg (GMT-05:00) </option>
  588. <option value="Yakutat (GMT-08:00)"> Yakutat (GMT-08:00) </option>
  589. <option value="Yellowknife (GMT-06:00)"> Yellowknife (GMT-06:00) </option>
  590. </optgroup>
  591. <optgroup label="Antarctica">
  592. <option value="Casey (GMT+11:00)"> Casey (GMT+11:00) </option>
  593. <option value="Davis (GMT+05:00)"> Davis (GMT+05:00) </option>
  594. <option value="DumontDUrville (GMT+10:00)"> DumontDUrville (GMT+10:00) </option>
  595. <option value="Mawson (GMT+05:00)"> Mawson (GMT+05:00) </option>
  596. <option value="McMurdo (GMT+12:00)"> McMurdo (GMT+12:00) </option>
  597. <option value="Palmer (GMT-04:00)"> Palmer (GMT-04:00) </option>
  598. <option value="Rothera (GMT-03:00)"> Rothera (GMT-03:00) </option>
  599. <option value="South Pole (GMT+12:00)"> South Pole (GMT+12:00) </option>
  600. <option value="Syowa (GMT+03:00)"> Syowa (GMT+03:00) </option>
  601. <option value="Vostok (GMT+06:00)"> Vostok (GMT+06:00) </option>
  602. </optgroup>
  603. <optgroup label="Arctic">
  604. <option value="Longyearbyen (GMT+02:00)"> Longyearbyen (GMT+02:00) </option>
  605. </optgroup>
  606. <optgroup label="Asia">
  607. <option value="Aden (GMT+03:00)"> Aden (GMT+03:00) </option>
  608. <option value="Almaty (GMT+06:00)"> Almaty (GMT+06:00) </option>
  609. <option value="Amman (GMT+03:00)"> Amman (GMT+03:00) </option>
  610. <option value="Anadyr (GMT+13:00)"> Anadyr (GMT+13:00) </option>
  611. <option value="Aqtau (GMT+05:00)"> Aqtau (GMT+05:00) </option>
  612. <option value="Aqtobe (GMT+05:00)"> Aqtobe (GMT+05:00) </option>
  613. <option value="Ashgabat (GMT+05:00)"> Ashgabat (GMT+05:00) </option>
  614. <option value="Baghdad (GMT+03:00)"> Baghdad (GMT+03:00) </option>
  615. <option value="Bahrain (GMT+03:00)"> Bahrain (GMT+03:00) </option>
  616. <option value="Baku (GMT+05:00)"> Baku (GMT+05:00) </option>
  617. <option value="Bangkok (GMT+07:00)"> Bangkok (GMT+07:00) </option>
  618. <option value="Beirut (GMT+03:00)"> Beirut (GMT+03:00) </option>
  619. <option value="Bishkek (GMT+06:00)"> Bishkek (GMT+06:00) </option>
  620. <option value="Brunei (GMT+08:00)"> Brunei (GMT+08:00) </option>
  621. <option value="Choibalsan (GMT+08:00)"> Choibalsan (GMT+08:00) </option>
  622. <option value="Chongqing (GMT+08:00)"> Chongqing (GMT+08:00) </option>
  623. <option value="Colombo (GMT+05:30)"> Colombo (GMT+05:30) </option>
  624. <option value="Damascus (GMT+03:00)"> Damascus (GMT+03:00) </option>
  625. <option value="Dhaka (GMT+07:00)"> Dhaka (GMT+07:00) </option>
  626. <option value="Dili (GMT+09:00)"> Dili (GMT+09:00) </option>
  627. <option value="Dubai (GMT+04:00)"> Dubai (GMT+04:00) </option>
  628. <option value="Dushanbe (GMT+05:00)"> Dushanbe (GMT+05:00) </option>
  629. <option value="Gaza (GMT+03:00)"> Gaza (GMT+03:00) </option>
  630. <option value="Harbin (GMT+08:00)"> Harbin (GMT+08:00) </option>
  631. <option value="Ho Chi Minh (GMT+07:00)"> Ho Chi Minh (GMT+07:00) </option>
  632. <option value="Hong Kong (GMT+08:00)"> Hong Kong (GMT+08:00) </option>
  633. <option value="Hovd (GMT+07:00)"> Hovd (GMT+07:00) </option>
  634. <option value="Irkutsk (GMT+09:00)"> Irkutsk (GMT+09:00) </option>
  635. <option value="Jakarta (GMT+07:00)"> Jakarta (GMT+07:00) </option>
  636. <option value="Jayapura (GMT+09:00)"> Jayapura (GMT+09:00) </option>
  637. <option value="Jerusalem (GMT+03:00)"> Jerusalem (GMT+03:00) </option>
  638. <option value="Kabul (GMT+04:30)"> Kabul (GMT+04:30) </option>
  639. <option value="Kamchatka (GMT+13:00)"> Kamchatka (GMT+13:00) </option>
  640. <option value="Karachi (GMT+06:00)"> Karachi (GMT+06:00) </option>
  641. <option value="Kashgar (GMT+08:00)"> Kashgar (GMT+08:00) </option>
  642. <option value="Kathmandu (GMT+05:45)"> Kathmandu (GMT+05:45) </option>
  643. <option value="Kolkata (GMT+05:30)"> Kolkata (GMT+05:30) </option>
  644. <option value="Krasnoyarsk (GMT+08:00)"> Krasnoyarsk (GMT+08:00) </option>
  645. <option value="Kuala Lumpur (GMT+08:00)"> Kuala Lumpur (GMT+08:00) </option>
  646. <option value="Kuching (GMT+08:00)"> Kuching (GMT+08:00) </option>
  647. <option value="Kuwait (GMT+03:00)"> Kuwait (GMT+03:00) </option>
  648. <option value="Macau (GMT+08:00)"> Macau (GMT+08:00) </option>
  649. <option value="Magadan (GMT+12:00)"> Magadan (GMT+12:00) </option>
  650. <option value="Makassar (GMT+08:00)"> Makassar (GMT+08:00) </option>
  651. <option value="Manila (GMT+08:00)"> Manila (GMT+08:00) </option>
  652. <option value="Muscat (GMT+04:00)"> Muscat (GMT+04:00) </option>
  653. <option value="Nicosia (GMT+03:00)"> Nicosia (GMT+03:00) </option>
  654. <option value="Novokuznetsk (GMT+07:00)"> Novokuznetsk (GMT+07:00) </option>
  655. <option value="Novosibirsk (GMT+07:00)"> Novosibirsk (GMT+07:00) </option>
  656. <option value="Omsk (GMT+07:00)"> Omsk (GMT+07:00) </option>
  657. <option value="Oral (GMT+05:00)"> Oral (GMT+05:00) </option>
  658. <option value="Phnom Penh (GMT+07:00)"> Phnom Penh (GMT+07:00) </option>
  659. <option value="Pontianak (GMT+07:00)"> Pontianak (GMT+07:00) </option>
  660. <option value="Pyongyang (GMT+09:00)"> Pyongyang (GMT+09:00) </option>
  661. <option value="Qatar (GMT+03:00)"> Qatar (GMT+03:00) </option>
  662. <option value="Qyzylorda (GMT+06:00)"> Qyzylorda (GMT+06:00) </option>
  663. <option value="Rangoon (GMT+06:30)"> Rangoon (GMT+06:30) </option>
  664. <option value="Riyadh (GMT+03:00)"> Riyadh (GMT+03:00) </option>
  665. <option value="Sakhalin (GMT+11:00)"> Sakhalin (GMT+11:00) </option>
  666. <option value="Samarkand (GMT+05:00)"> Samarkand (GMT+05:00) </option>
  667. <option value="Seoul (GMT+09:00)"> Seoul (GMT+09:00) </option>
  668. <option value="Shanghai (GMT+08:00)"> Shanghai (GMT+08:00) </option>
  669. <option value="Singapore (GMT+08:00)"> Singapore (GMT+08:00) </option>
  670. <option value="Taipei (GMT+08:00)"> Taipei (GMT+08:00) </option>
  671. <option value="Tashkent (GMT+05:00)"> Tashkent (GMT+05:00) </option>
  672. <option value="Tbilisi (GMT+04:00)"> Tbilisi (GMT+04:00) </option>
  673. <option value="Tehran (GMT+04:30)"> Tehran (GMT+04:30) </option>
  674. <option value="Thimphu (GMT+06:00)"> Thimphu (GMT+06:00) </option>
  675. <option value="Tokyo (GMT+09:00)"> Tokyo (GMT+09:00) </option>
  676. <option value="Ulaanbaatar (GMT+08:00)"> Ulaanbaatar (GMT+08:00) </option>
  677. <option value="Urumqi (GMT+08:00)"> Urumqi (GMT+08:00) </option>
  678. <option value="Vientiane (GMT+07:00)"> Vientiane (GMT+07:00) </option>
  679. <option value="Vladivostok (GMT+11:00)"> Vladivostok (GMT+11:00) </option>
  680. <option value="Yakutsk (GMT+10:00)"> Yakutsk (GMT+10:00) </option>
  681. <option value="Yekaterinburg (GMT+06:00)"> Yekaterinburg (GMT+06:00) </option>
  682. <option value="Yerevan (GMT+05:00)"> Yerevan (GMT+05:00) </option>
  683. </optgroup>
  684. <optgroup label="Atlantic">
  685. <option value="Azores (GMT)"> Azores (GMT) </option>
  686. <option value="Bermuda (GMT-03:00)"> Bermuda (GMT-03:00) </option>
  687. <option value="Canary (GMT+01:00)"> Canary (GMT+01:00) </option>
  688. <option value="Cape Verde (GMT-01:00)"> Cape Verde (GMT-01:00) </option>
  689. <option value="Faroe (GMT+01:00)"> Faroe (GMT+01:00) </option>
  690. <option value="Madeira (GMT+01:00)"> Madeira (GMT+01:00) </option>
  691. <option value="Reykjavik (GMT)"> Reykjavik (GMT) </option>
  692. <option value="South Georgia (GMT-02:00)"> South Georgia (GMT-02:00) </option>
  693. <option value="St Helena (GMT)"> St Helena (GMT) </option>
  694. <option value="Stanley (GMT-04:00)"> Stanley (GMT-04:00) </option>
  695. </optgroup>
  696. <optgroup label="Australia">
  697. <option value="Adelaide (GMT+09:30)"> Adelaide (GMT+09:30) </option>
  698. <option value="Brisbane (GMT+10:00)"> Brisbane (GMT+10:00) </option>
  699. <option value="Broken Hill (GMT+09:30)"> Broken Hill (GMT+09:30) </option>
  700. <option value="Currie (GMT+10:00)"> Currie (GMT+10:00) </option>
  701. <option value="Darwin (GMT+09:30)"> Darwin (GMT+09:30) </option>
  702. <option value="Eucla (GMT+08:45)"> Eucla (GMT+08:45) </option>
  703. <option value="Hobart (GMT+10:00)"> Hobart (GMT+10:00) </option>
  704. <option value="Lindeman (GMT+10:00)"> Lindeman (GMT+10:00) </option>
  705. <option value="Lord Howe (GMT+10:30)"> Lord Howe (GMT+10:30) </option>
  706. <option value="Melbourne (GMT+10:00)"> Melbourne (GMT+10:00) </option>
  707. <option value="Perth (GMT+08:00)"> Perth (GMT+08:00) </option>
  708. <option value="Sydney (GMT+10:00)"> Sydney (GMT+10:00) </option>
  709. </optgroup>
  710. <optgroup label="Europe">
  711. <option value="Amsterdam (GMT+02:00)"> Amsterdam (GMT+02:00) </option>
  712. <option value="Andorra (GMT+02:00)"> Andorra (GMT+02:00) </option>
  713. <option value="Athens (GMT+03:00)"> Athens (GMT+03:00) </option>
  714. <option value="Belgrade (GMT+02:00)"> Belgrade (GMT+02:00) </option>
  715. <option value="Berlin (GMT+02:00)"> Berlin (GMT+02:00) </option>
  716. <option value="Bratislava (GMT+02:00)"> Bratislava (GMT+02:00) </option>
  717. <option value="Brussels (GMT+02:00)"> Brussels (GMT+02:00) </option>
  718. <option value="Bucharest (GMT+03:00)"> Bucharest (GMT+03:00) </option>
  719. <option value="Budapest (GMT+02:00)"> Budapest (GMT+02:00) </option>
  720. <option value="Chisinau (GMT+03:00)"> Chisinau (GMT+03:00) </option>
  721. <option value="Copenhagen (GMT+02:00)"> Copenhagen (GMT+02:00) </option>
  722. <option value="Dublin (GMT+01:00)"> Dublin (GMT+01:00) </option>
  723. <option value="Gibraltar (GMT+02:00)"> Gibraltar (GMT+02:00) </option>
  724. <option value="Guernsey (GMT+01:00)"> Guernsey (GMT+01:00) </option>
  725. <option value="Helsinki (GMT+03:00)"> Helsinki (GMT+03:00) </option>
  726. <option value="Isle of Man (GMT+01:00)"> Isle of Man (GMT+01:00) </option>
  727. <option value="Istanbul (GMT+03:00)"> Istanbul (GMT+03:00) </option>
  728. <option value="Jersey (GMT+01:00)"> Jersey (GMT+01:00) </option>
  729. <option value="Kaliningrad (GMT+03:00)"> Kaliningrad (GMT+03:00) </option>
  730. <option value="Kiev (GMT+03:00)"> Kiev (GMT+03:00) </option>
  731. <option value="Lisbon (GMT+01:00)"> Lisbon (GMT+01:00) </option>
  732. <option value="Ljubljana (GMT+02:00)"> Ljubljana (GMT+02:00) </option>
  733. <option value="London (GMT+01:00)"> London (GMT+01:00) </option>
  734. <option value="Luxembourg (GMT+02:00)"> Luxembourg (GMT+02:00) </option>
  735. <option value="Madrid (GMT+02:00)"> Madrid (GMT+02:00) </option>
  736. <option value="Malta (GMT+02:00)"> Malta (GMT+02:00) </option>
  737. <option value="Mariehamn (GMT+03:00)"> Mariehamn (GMT+03:00) </option>
  738. <option value="Minsk (GMT+03:00)"> Minsk (GMT+03:00) </option>
  739. <option value="Monaco (GMT+02:00)"> Monaco (GMT+02:00) </option>
  740. <option value="Moscow (GMT+04:00)"> Moscow (GMT+04:00) </option>
  741. <option value="Oslo (GMT+02:00)"> Oslo (GMT+02:00) </option>
  742. <option value="Paris (GMT+02:00)"> Paris (GMT+02:00) </option>
  743. <option value="Podgorica (GMT+02:00)"> Podgorica (GMT+02:00) </option>
  744. <option value="Prague (GMT+02:00)"> Prague (GMT+02:00) </option>
  745. <option value="Riga (GMT+03:00)"> Riga (GMT+03:00) </option>
  746. <option value="Rome (GMT+02:00)"> Rome (GMT+02:00) </option>
  747. <option value="Samara (GMT+05:00)"> Samara (GMT+05:00) </option>
  748. <option value="San Marino (GMT+02:00)"> San Marino (GMT+02:00) </option>
  749. <option value="Sarajevo (GMT+02:00)"> Sarajevo (GMT+02:00) </option>
  750. <option value="Simferopol (GMT+03:00)"> Simferopol (GMT+03:00) </option>
  751. <option value="Skopje (GMT+02:00)"> Skopje (GMT+02:00) </option>
  752. <option value="Sofia (GMT+03:00)"> Sofia (GMT+03:00) </option>
  753. <option value="Stockholm (GMT+02:00)"> Stockholm (GMT+02:00) </option>
  754. <option value="Tallinn (GMT+03:00)"> Tallinn (GMT+03:00) </option>
  755. <option value="Tirane (GMT+02:00)"> Tirane (GMT+02:00) </option>
  756. <option value="Uzhgorod (GMT+03:00)"> Uzhgorod (GMT+03:00) </option>
  757. <option value="Vaduz (GMT+02:00)"> Vaduz (GMT+02:00) </option>
  758. <option value="Vatican (GMT+02:00)"> Vatican (GMT+02:00) </option>
  759. <option value="Vienna (GMT+02:00)"> Vienna (GMT+02:00) </option>
  760. <option value="Vilnius (GMT+03:00)"> Vilnius (GMT+03:00) </option>
  761. <option value="Volgograd (GMT+04:00)"> Volgograd (GMT+04:00) </option>
  762. <option value="Warsaw (GMT+02:00)"> Warsaw (GMT+02:00) </option>
  763. <option value="Zagreb (GMT+02:00)"> Zagreb (GMT+02:00) </option>
  764. <option value="Zaporozhye (GMT+03:00)"> Zaporozhye (GMT+03:00) </option>
  765. <option value="Zurich (GMT+02:00)"> Zurich (GMT+02:00) </option>
  766. </optgroup>
  767. <optgroup label="Indian">
  768. <option value="Antananarivo (GMT+03:00)"> Antananarivo (GMT+03:00) </option>
  769. <option value="Chagos (GMT+06:00)"> Chagos (GMT+06:00) </option>
  770. <option value="Christmas (GMT+07:00)"> Christmas (GMT+07:00) </option>
  771. <option value="Cocos (GMT+06:30)"> Cocos (GMT+06:30) </option>
  772. <option value="Comoro (GMT+03:00)"> Comoro (GMT+03:00) </option>
  773. <option value="Kerguelen (GMT+05:00)"> Kerguelen (GMT+05:00) </option>
  774. <option value="Mahe (GMT+04:00)"> Mahe (GMT+04:00) </option>
  775. <option value="Maldives (GMT+05:00)"> Maldives (GMT+05:00) </option>
  776. <option value="Mauritius (GMT+04:00)"> Mauritius (GMT+04:00) </option>
  777. <option value="Mayotte (GMT+03:00)"> Mayotte (GMT+03:00) </option>
  778. <option value="Reunion (GMT+04:00)"> Reunion (GMT+04:00) </option>
  779. </optgroup>
  780. <optgroup label="Pacific">
  781. <option value="Apia (GMT-11:00)"> Apia (GMT-11:00) </option>
  782. <option value="Auckland (GMT+12:00)"> Auckland (GMT+12:00) </option>
  783. <option value="Chatham (GMT+12:45)"> Chatham (GMT+12:45) </option>
  784. <option value="Easter (GMT-06:00)"> Easter (GMT-06:00) </option>
  785. <option value="Efate (GMT+11:00)"> Efate (GMT+11:00) </option>
  786. <option value="Enderbury (GMT+13:00)"> Enderbury (GMT+13:00) </option>
  787. <option value="Fakaofo (GMT-10:00)"> Fakaofo (GMT-10:00) </option>
  788. <option value="Fiji (GMT+12:00)"> Fiji (GMT+12:00) </option>
  789. <option value="Funafuti (GMT+12:00)"> Funafuti (GMT+12:00) </option>
  790. <option value="Galapagos (GMT-06:00)"> Galapagos (GMT-06:00) </option>
  791. <option value="Gambier (GMT-09:00)"> Gambier (GMT-09:00) </option>
  792. <option value="Guadalcanal (GMT+11:00)"> Guadalcanal (GMT+11:00) </option>
  793. <option value="Guam (GMT+10:00)"> Guam (GMT+10:00) </option>
  794. <option value="Honolulu (GMT-10:00)"> Honolulu (GMT-10:00) </option>
  795. <option value="Johnston (GMT-10:00)"> Johnston (GMT-10:00) </option>
  796. <option value="Kiritimati (GMT+14:00)"> Kiritimati (GMT+14:00) </option>
  797. <option value="Kosrae (GMT+11:00)"> Kosrae (GMT+11:00) </option>
  798. <option value="Kwajalein (GMT+12:00)"> Kwajalein (GMT+12:00) </option>
  799. <option value="Majuro (GMT+12:00)"> Majuro (GMT+12:00) </option>
  800. <option value="Marquesas (GMT-09:30)"> Marquesas (GMT-09:30) </option>
  801. <option value="Midway (GMT-11:00)"> Midway (GMT-11:00) </option>
  802. <option value="Nauru (GMT+12:00)"> Nauru (GMT+12:00) </option>
  803. <option value="Niue (GMT-11:00)"> Niue (GMT-11:00) </option>
  804. <option value="Norfolk (GMT+11:30)"> Norfolk (GMT+11:30) </option>
  805. <option value="Noumea (GMT+11:00)"> Noumea (GMT+11:00) </option>
  806. <option value="Pago Pago (GMT-11:00)"> Pago Pago (GMT-11:00) </option>
  807. <option value="Palau (GMT+09:00)"> Palau (GMT+09:00) </option>
  808. <option value="Pitcairn (GMT-08:00)"> Pitcairn (GMT-08:00) </option>
  809. <option value="Ponape (GMT+11:00)"> Ponape (GMT+11:00) </option>
  810. <option value="Port Moresby (GMT+10:00)"> Port Moresby (GMT+10:00) </option>
  811. <option value="Rarotonga (GMT-10:00)"> Rarotonga (GMT-10:00) </option>
  812. <option value="Saipan (GMT+10:00)"> Saipan (GMT+10:00) </option>
  813. <option value="Tahiti (GMT-10:00)"> Tahiti (GMT-10:00) </option>
  814. <option value="Tarawa (GMT+12:00)"> Tarawa (GMT+12:00) </option>
  815. <option value="Tongatapu (GMT+13:00)"> Tongatapu (GMT+13:00) </option>
  816. <option value="Truk (GMT+10:00)"> Truk (GMT+10:00) </option>
  817. <option value="Wake (GMT+12:00)"> Wake (GMT+12:00) </option>
  818. <option value="Wallis (GMT+12:00)"> Wallis (GMT+12:00) </option>
  819. </optgroup>
  820. </select>
  821. </div>
  822. </li>
  823. <li class="form-line" id="id_22">
  824. <label class="form-label-left" id="label_22" for="input_22"> Russia Time Zone </label>
  825. <div id="cid_22" class="form-input">
  826. <select class="form-dropdown" style="width:150px" id="input_22" name="q22_russiaTime">
  827. <option> </option>
  828. <option value="UTC+03:00 (Kaliningrad Time) — Kaliningrad Oblast"> UTC+03:00 (Kaliningrad Time) — Kaliningrad Oblast </option>
  829. <option value="UTC+04:00 (Moscow Time) — Most of European Russia and all railroads throughout Russia"> UTC+04:00 (Moscow Time) — Most of European Russia and all railroads throughout Russia </option>
  830. <option value="UTC+06:00 (Yekaterinburg Time) — Bashkortostan, Chelyabinsk Oblast, Khantia-Mansia, Kurgan Oblast, Orenburg Oblast, and Yamalia"> UTC+06:00 (Yekaterinburg Time) — Bashkortostan, Chelyabinsk Oblast, Khantia-Mansia, Kurgan Oblast, Orenburg Oblast, and Yamalia </option>
  831. <option value="UTC+07:00 (Omsk Time) — Altai Krai, Altai Republic, Kemerovo Oblast, Novosibirsk Oblast, Omsk Oblast and Tomsk Oblast"> UTC+07:00 (Omsk Time) — Altai Krai, Altai Republic, Kemerovo Oblast, Novosibirsk Oblast, Omsk Oblast and Tomsk Oblast </option>
  832. <option value="UTC+08:00 (Krasnoyarsk Time) — Khakassia, Krasnoyarsk Krai and Tuva"> UTC+08:00 (Krasnoyarsk Time) — Khakassia, Krasnoyarsk Krai and Tuva </option>
  833. <option value="UTC+09:00 (Irkutsk Time) — Buryatia and Irkutsk Oblast"> UTC+09:00 (Irkutsk Time) — Buryatia and Irkutsk Oblast </option>
  834. <option value="UTC+10:00 (Yakutsk Time) — Amur Oblast, western Sakha Republic and Zabaykalsky Krai"> UTC+10:00 (Yakutsk Time) — Amur Oblast, western Sakha Republic and Zabaykalsky Krai </option>
  835. <option value="UTC+11:00 (Vladivostok Time) —Jewish Autonomous Oblast, Khabarovsk Krai, Primorsky Krai, Sakha Republic and Sakhalin Island"> UTC+11:00 (Vladivostok Time) —Jewish Autonomous Oblast, Khabarovsk Krai, Primorsky Krai, Sakha Republic and Sakhalin Island </option>
  836. <option value="UTC+12:00 (Magadan Time) — Magadan Oblast, eastern Sakha, Kuril Islands, Chukotka and Kamchatka Krai"> UTC+12:00 (Magadan Time) — Magadan Oblast, eastern Sakha, Kuril Islands, Chukotka and Kamchatka Krai </option>
  837. </select>
  838. </div>
  839. </li>
  840. <li class="form-line" id="id_23">
  841. <label class="form-label-left" id="label_23" for="input_23"> France Time Zone </label>
  842. <div id="cid_23" class="form-input">
  843. <select class="form-dropdown" style="width:150px" id="input_23" name="q23_franceTime">
  844. <option> </option>
  845. <option value="UTC−10:00 — most of French Polynesia"> UTC−10:00 — most of French Polynesia </option>
  846. <option value="UTC−09:30 — Marquesas Islands"> UTC−09:30 — Marquesas Islands </option>
  847. <option value="UTC−09:00 — Gambier Islands"> UTC−09:00 — Gambier Islands </option>
  848. <option value="UTC−08:00 — Clipperton"> UTC−08:00 — Clipperton </option>
  849. <option value="UTC−04:00 (AST) — Guadeloupe, Martinique, Saint Barthelemy, Saint Martin"> UTC−04:00 (AST) — Guadeloupe, Martinique, Saint Barthelemy, Saint Martin </option>
  850. <option value="UTC−03:00 (PMST) — French Guiana, Saint Pierre and Miquelon"> UTC−03:00 (PMST) — French Guiana, Saint Pierre and Miquelon </option>
  851. <option value="UTC+01:00 (CET) — Metropolitan France"> UTC+01:00 (CET) — Metropolitan France </option>
  852. <option value="UTC+03:00 — Mayotte"> UTC+03:00 — Mayotte </option>
  853. <option value="UTC+04:00 — Réunion"> UTC+04:00 — Réunion </option>
  854. <option value="UTC+05:00 — Kerguelen Islands"> UTC+05:00 — Kerguelen Islands </option>
  855. <option value="UTC+11:00 — New Caledonia"> UTC+11:00 — New Caledonia </option>
  856. <option value="UTC+12:00 — Wallis and Futuna"> UTC+12:00 — Wallis and Futuna </option>
  857. </select>
  858. </div>
  859. </li>
  860. <li class="form-line" id="id_24">
  861. <label class="form-label-left" id="label_24" for="input_24"> US Time Zone </label>
  862. <div id="cid_24" class="form-input">
  863. <select class="form-dropdown" style="width:150px" id="input_24" name="q24_usTime">
  864. <option> </option>
  865. <option value="UTC−10:00 (HAST) — Hawaii and most of the Aleutian Islands"> UTC−10:00 (HAST) — Hawaii and most of the Aleutian Islands </option>
  866. <option value="UTC−09:00 (AKST) — Most of Alaska"> UTC−09:00 (AKST) — Most of Alaska </option>
  867. <option value="UTC−08:00 (PST) —Pacific coast plus Nevada"> UTC−08:00 (PST) —Pacific coast plus Nevada </option>
  868. <option value="UTC−07:00 (MST) — Arizona, Colorado, Montana, New Mexico, Kansas, Oregon and Texas"> UTC−07:00 (MST) — Arizona, Colorado, Montana, New Mexico, Kansas, Oregon and Texas </option>
  869. <option value="UTC−06:00 (CST) — Gulf Coast, Tennessee Valley, and Great Plains"> UTC−06:00 (CST) — Gulf Coast, Tennessee Valley, and Great Plains </option>
  870. <option value="UTC−05:00 (EST) —Atlantic coast, Ohio Valley and most of Michigan"> UTC−05:00 (EST) —Atlantic coast, Ohio Valley and most of Michigan </option>
  871. <option value="UTC−04:00 (AST) — Puerto Rico, the U.S. Virgin Islands and Palmer Station"> UTC−04:00 (AST) — Puerto Rico, the U.S. Virgin Islands and Palmer Station </option>
  872. <option value="UTC+10:00 (ChST) — Guam and the Northern Mariana Islands"> UTC+10:00 (ChST) — Guam and the Northern Mariana Islands </option>
  873. </select>
  874. </div>
  875. </li>
  876. <li class="form-line" id="id_25">
  877. <label class="form-label-left" id="label_25" for="input_25"> Brazil Time Zone </label>
  878. <div id="cid_25" class="form-input">
  879. <select class="form-dropdown" style="width:150px" id="input_25" name="q25_brazilTime">
  880. <option> </option>
  881. <option value="UTC−04:00 (Brasilia time −1) — Amazonas, Mato Grosso, Mato Grosso do Sul, Rondônia, Roraima, Acre"> UTC−04:00 (Brasilia time −1) — Amazonas, Mato Grosso, Mato Grosso do Sul, Rondônia, Roraima, Acre </option>
  882. <option value="UTC−03:00 (Brasilia time) —Southeast Region, South Region, Northeast Region, Goias, Tocantins, Pará, Amapa"> UTC−03:00 (Brasilia time) —Southeast Region, South Region, Northeast Region, Goias, Tocantins, Pará, Amapa </option>
  883. <option value="UTC−02:00 (Brasilia time +1) —east coast of Brazil (Trindade, Martin Vaz, Atol das Rocas, Saint Peter & Paul Rocks)"> UTC−02:00 (Brasilia time +1) —east coast of Brazil (Trindade, Martin Vaz, Atol das Rocas, Saint Peter & Paul Rocks) </option>
  884. </select>
  885. </div>
  886. </li>
  887. <li class="form-line" id="id_26">
  888. <label class="form-label-left" id="label_26" for="input_26"> Mexico Time Zone </label>
  889. <div id="cid_26" class="form-input">
  890. <select class="form-dropdown" style="width:150px" id="input_26" name="q26_mexicoTime">
  891. <option> </option>
  892. <option value="UTC−08:00 (Zone 3 or Northwest Zone) — Baja California"> UTC−08:00 (Zone 3 or Northwest Zone) — Baja California </option>
  893. <option value="UTC−07:00 (Zone 2 or Pacific Zone) — Baja California Sur, Chihuahua, Nayarit, Sinaloa and Sonora"> UTC−07:00 (Zone 2 or Pacific Zone) — Baja California Sur, Chihuahua, Nayarit, Sinaloa and Sonora </option>
  894. <option value="UTC−06:00 (Zone 1 or Central Zone) — Most of Mexico"> UTC−06:00 (Zone 1 or Central Zone) — Most of Mexico </option>
  895. </select>
  896. </div>
  897. </li>
  898. <li class="form-line" id="id_27">
  899. <label class="form-label-left" id="label_27" for="input_27"> Spain Time Zone </label>
  900. <div id="cid_27" class="form-input">
  901. <select class="form-dropdown" style="width:150px" id="input_27" name="q27_spainTime">
  902. <option> </option>
  903. <option value="UTC (WET) — Canary Islands"> UTC (WET) — Canary Islands </option>
  904. <option value="UTC+01:00 (CET) — main territory of Spain"> UTC+01:00 (CET) — main territory of Spain </option>
  905. </select>
  906. </div>
  907. </li>
  908. <li class="form-line" id="id_28">
  909. <label class="form-label-left" id="label_28" for="input_28"> Portugal Time Zone </label>
  910. <div id="cid_28" class="form-input">
  911. <select class="form-dropdown" style="width:150px" id="input_28" name="q28_portugalTime">
  912. <option> </option>
  913. <option value="UTC−01:00 — Azores"> UTC−01:00 — Azores </option>
  914. <option value="UTC (WET) — Madeira and the main territory of Portugal"> UTC (WET) — Madeira and the main territory of Portugal </option>
  915. </select>
  916. </div>
  917. </li>
  918. <li class="form-line" id="id_19">
  919. <label class="form-label-left" id="label_19" for="input_19">
  920. Preferred Day<span class="form-required">*</span>
  921. </label>
  922. <div id="cid_19" class="form-input">
  923. <select class="form-dropdown validate[required]" style="width:150px" id="input_19" name="q19_preferredDay">
  924. <option> </option>
  925. <option value="Monday"> Monday </option>
  926. <option value="Tuesday"> Tuesday </option>
  927. <option value="Wednesday"> Wednesday </option>
  928. <option value="Thursday"> Thursday </option>
  929. <option value="Friday"> Friday </option>
  930. <option value="Saturday"> Saturday </option>
  931. <option value="Sunday"> Sunday </option>
  932. </select>
  933. </div>
  934. </li>
  935. <li class="form-line" id="id_14">
  936. <label class="form-label-left" id="label_14" for="input_14">
  937. Preferred Time<span class="form-required">*</span>
  938. </label>
  939. <div id="cid_14" class="form-input">
  940. <input type="text" class="form-textbox validate[required]" id="input_14" name="q14_preferredTime" size="20" />
  941. </div>
  942. </li>
  943. <li class="form-line" id="id_33">
  944. <label class="form-label-left" id="label_33" for="input_33"> Preferred Day – 2nd Option </label>
  945. <div id="cid_33" class="form-input">
  946. <select class="form-dropdown" style="width:150px" id="input_33" name="q33_preferredDay33">
  947. <option> </option>
  948. <option value="Monday"> Monday </option>
  949. <option value="Tuesday"> Tuesday </option>
  950. <option value="Wednesday"> Wednesday </option>
  951. <option value="Thursday"> Thursday </option>
  952. <option value="Friday"> Friday </option>
  953. <option value="Saturday"> Saturday </option>
  954. <option value="Sunday"> Sunday </option>
  955. </select>
  956. </div>
  957. </li>
  958. <li class="form-line" id="id_10">
  959. <label class="form-label-left" id="label_10" for="input_10"> Preferred Time – 2nd Option </label>
  960. <div id="cid_10" class="form-input">
  961. <input type="text" class="form-textbox" id="input_10" name="q10_preferredTime10" size="20" />
  962. </div>
  963. </li>
  964. <li class="form-line" id="id_11">
  965. <label class="form-label-left" id="label_11" for="input_11"> Comments </label>
  966. <div id="cid_11" class="form-input">
  967. <textarea id="input_11" class="form-textarea" name="q11_comments" cols="40" rows="6"></textarea>
  968. </div>
  969. </li>
  970. <li class="form-line" id="id_31" style="padding-left: 167px;"><!-- added: style="padding-left: 167px;" -->
  971. <label class="form-label-left" id="label_31" for="input_31" style="position:absolute; top:0; left:50px; visibility:hidden;"><!-- added: style="position:absolute; top:0; left:50px; visibility:hidden;" -->
  972. I agree to the Terms and Conditions<span class="form-required">*</span>
  973. </label>
  974. <div id="cid_31" class="form-input">
  975. <div class="form-single-column"><span class="form-checkbox-item" style="clear:left;"><input type="checkbox" class="form-checkbox validate[required]" id="input_31_0" name="q31_iAgree[]" value="I agree to the Terms and Conditions." />
  976. <label for="input_31_0"> I agree to the Terms and Conditions. <span style="color:red;">*</span><!-- added this for IE6 and IE7 because neither show the default asterisk when a declaration of "visibility:visible;" is used to override the parent's "visibility:hidden;" --> </label></span><span class="clearfix"></span>
  977. </div>
  978. </div>
  979. </li>
  980. <li class="form-line" id="id_12">
  981. <div id="cid_12" class="form-input-wide">
  982. <div style="margin-left:156px" class="form-buttons-wrapper">
  983. <button id="input_12" type="submit" class="form-submit-button">
  984. Sign Up
  985. </button>
  986. </div>
  987. </div>
  988. </li>
  989. <li style="display:none">
  990. Should be Empty:
  991. <input type="text" name="website" value="" />
  992. </li>
  993. </ul>
  994. </div>
  995. <input type="hidden" id="simple_spc" name="simple_spc" value="13643722881" />
  996. <script type="text/javascript">
  997. document.getElementById("si" + "mple" + "_spc").value = "13643722881-13643722881";
  998. </script>
  999. </form>
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