<div id="PopupContent_FormLoader" class="PopupContent">Regular User Profile<hr>
<form action="" method="post">
    Salutation: <select name="salutation">

    </select>
    First Name: <input type="text" name="firstname">
    Last Name: <input type="text" name="lastname"><br>
    Username: <input type="text" name="username">
    Password: <input type="password" name="password"><br>
    Birthdate: <select name="year"></select><select name="month"></select><select name="day"></select>
    Picture: <input type="text" name="picture"><button type="button">Browse</button><br>
    Area: <select name="country">
        <option value="<br ></option>
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2">Canada</option><option value="<br ></option>
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100">USA</option>   </select>
    <select name="region">
        t1t2
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    </select>
    <select name="city">

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    </select>
    Address: <input type="text" name="address"><br>
    Postal/Zip Code: <input type="text" name="postalzipcode">
    Phone Number: <input type="text" name="phone"><br>
    <button type="button">Save</button>
    <button type="button">Update</button>
    <button type="button">Delete</button>
    <button type="button">Back</button>
</form>
</div>