{"id":5105,"date":"2020-10-27T19:29:19","date_gmt":"2020-10-27T19:29:19","guid":{"rendered":"https:\/\/baofengtech.com\/\/?page_id=5105"},"modified":"2020-10-27T19:29:19","modified_gmt":"2020-10-27T19:29:19","slug":"new-dealer","status":"publish","type":"page","link":"https:\/\/baofengtech.com\/staging\/new-dealer\/","title":{"rendered":"new-dealer"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text] \n\t\t\n<div class=\"container-fluid\">\n\t\t<div class=\"row\"> \n\t\t\t<div class=\"col-12\"> \n\t\t\t\t<div>\n\t\t\t\t\t <h2 class=\"text-center\">Become an Authorized Reseller for BTECH Radios<\/h2> \n\t\t\t\t\t <p><b> Step-by-Step Application Guide:\n                      <\/b> <\/p>\n\t\t\t\t\t <p>Initiate Your Interest: Indicate your desire to join us as an Authorized Reseller for BTECH Radios. We are always on the lookout for new partners dedicated to delivering exceptional customer service.<\/p>\n\t\t\t\t\t <p>Provide Comprehensive Information: Accurately fill out the application form with comprehensive details about your company. This information is crucial for us to understand your business model and capabilities.\n                     <\/p>\n                     <p>Assessment by Our Team: Our marketing department will review your application to determine the suitability of your company as a reseller partner.\n                    <\/p>\n                    <p>Approval Process: Once your application is approved, a representative from our BTECH Customer Service team will be in touch to finalize your application and discuss the specifics of dealer pricing discounts.\n                      <\/p>\n                      <p>We greatly appreciate your interest in partnering with us and are excited about the potential for collaboration.<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div> \n\t\t<\/div> \n    \n\t\t<div class=\"row\">\n\t\t<div class=\"col-md-12\"> \t\n\t\t\t<h2 class=\"text-center\">Dealer Request<\/h2>\n\t\t\n         <div class=\"form-area\">\n            <form id=\"dealer_form\" method=\"POST\" action=\"https:\/\/baofengtech.com\/staging\/wp-admin\/admin-ajax.php\">\n               <div class=\"row\">\n                  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input type=\"text\" id=\"first_name\" name=\"first_name\" placeholder=\"First Name:\" class=\"form-control\">\n                     <\/div>\n                  <\/div>\n\t\t\t\t  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input type=\"text\" id=\"last_name\" name=\"last_name\" placeholder=\"Last Name:\" class=\"form-control\">\n                     <\/div>\n                  <\/div> \n                  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input id=\"dealer_email\" name=\"dealer_email\" placeholder=\"Email\" class=\"form-control\" type=\"text\">\n                     <\/div>\n                  <\/div>\n\t\t\t  <\/div>\n\t\t\t   \n               <div class=\"row\">\n\t\t\t\t\n\t\t\t\t <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input id=\"_sliced_client_business\" name=\"_sliced_client_business\" placeholder=\"Company Name\" class=\"form-control\" type=\"text\">\n                     <\/div>\n                  <\/div>\n\t\t\t\t  \n\t\t\t   \n\t\t\t\t <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input type=\"text\" id=\"dealer_phone\" name=\"dealer_phone\" placeholder=\"Company Phone\" class=\"form-control\">\n                     <\/div>\n                  <\/div> \n                  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input  type=\"text\" id=\"_sliced_client_address\" name=\"_sliced_client_address\" placeholder=\"Company Address:\" class=\"form-control\">\n                     <\/div>\n                  <\/div>   \n\t\t\t\t\n\t\t\t\t  \n               <\/div>\n\t\t\t   \n               <div class=\"row\">\n\t\t\t     <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\"> \n\t\t\t\t\t\t<select name=\"primary_storefront\" id=\"primary_storefront\" class=\"form-control\">\n\t\t\t\t\t\t\t<option value=\"\" selected=\"\">Primary Storefront:<\/option>\n\t\t\t\t\t\t\t<option value=\"Retail\">Retail<\/option>\n\t\t\t\t\t\t\t<option value=\"Online\">Online<\/option>\n                            <option value=\"Tradeshow\">Tradeshow<\/option>\n                            <option value=\"Distributor\">Distributor<\/option>\n\t\t\t\t\t\t<\/select>\n                     <\/div>\n                  <\/div> \n\t\t\t\t  \n\t\t\t\t <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <select name=\"billing_country\"  id=\"dealer_billing_country\" class=\"form-control\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"\" selected>Country:<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AF\">Afghanistan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AX\">\u00c5land Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AL\">Albania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DZ\">Algeria<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AS\">American Samoa<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AD\">Andorra<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AO\">Angola<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AI\">Anguilla<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AQ\">Antarctica<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AG\">Antigua and Barbuda<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AR\">Argentina<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AM\">Armenia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AW\">Aruba<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AU\">Australia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AT\">Austria<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AZ\">Azerbaijan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BS\">Bahamas<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BH\">Bahrain<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BD\">Bangladesh<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BB\">Barbados<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BY\">Belarus<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PW\">Belau<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BE\">Belgium<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BZ\">Belize<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BJ\">Benin<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BM\">Bermuda<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BT\">Bhutan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BO\">Bolivia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BQ\">Bonaire, Saint Eustatius and Saba<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BA\">Bosnia and Herzegovina<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BW\">Botswana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BV\">Bouvet Island<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BR\">Brazil<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IO\">British Indian Ocean Territory<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BN\">Brunei<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BG\">Bulgaria<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BF\">Burkina Faso<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BI\">Burundi<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KH\">Cambodia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CM\">Cameroon<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CA\">Canada<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CV\">Cape Verde<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KY\">Cayman Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CF\">Central African Republic<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TD\">Chad<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CL\">Chile<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CN\">China<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CX\">Christmas Island<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CC\">Cocos (Keeling) Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CO\">Colombia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KM\">Comoros<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CG\">Congo (Brazzaville)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CD\">Congo (Kinshasa)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CK\">Cook Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CR\">Costa Rica<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HR\">Croatia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CU\">Cuba<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CW\">Cura&ccedil;ao<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CY\">Cyprus<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CZ\">Czech Republic<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DK\">Denmark<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DJ\">Djibouti<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DM\">Dominica<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DO\">Dominican Republic<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"EC\">Ecuador<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"EG\">Egypt<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SV\">El Salvador<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GQ\">Equatorial Guinea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ER\">Eritrea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"EE\">Estonia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SZ\">Eswatini<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ET\">Ethiopia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FK\">Falkland Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FO\">Faroe Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FJ\">Fiji<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FI\">Finland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FR\">France<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GF\">French Guiana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PF\">French Polynesia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TF\">French Southern Territories<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GA\">Gabon<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GM\">Gambia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GE\">Georgia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"DE\">Germany<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GH\">Ghana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GI\">Gibraltar<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GR\">Greece<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GL\">Greenland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GD\">Grenada<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GP\">Guadeloupe<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GU\">Guam<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GT\">Guatemala<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GG\">Guernsey<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GN\">Guinea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GW\">Guinea-Bissau<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GY\">Guyana<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HT\">Haiti<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HM\">Heard Island and McDonald Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HN\">Honduras<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HK\">Hong Kong<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"HU\">Hungary<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IS\">Iceland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IN\">India<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ID\">Indonesia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IR\">Iran<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IQ\">Iraq<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IE\">Ireland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IM\">Isle of Man<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IL\">Israel<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"IT\">Italy<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CI\">Ivory Coast<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"JM\">Jamaica<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"JP\">Japan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"JE\">Jersey<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"JO\">Jordan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KZ\">Kazakhstan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KE\">Kenya<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KI\">Kiribati<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"XK\">Kosovo<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KW\">Kuwait<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KG\">Kyrgyzstan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LA\">Laos<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LV\">Latvia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LB\">Lebanon<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LS\">Lesotho<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LR\">Liberia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LY\">Libya<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LI\">Liechtenstein<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LT\">Lithuania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LU\">Luxembourg<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MO\">Macao<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MG\">Madagascar<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MW\">Malawi<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MY\">Malaysia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MV\">Maldives<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ML\">Mali<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MT\">Malta<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MH\">Marshall Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MQ\">Martinique<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MR\">Mauritania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MU\">Mauritius<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"YT\">Mayotte<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MX\">Mexico<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"FM\">Micronesia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MD\">Moldova<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MC\">Monaco<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MN\">Mongolia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ME\">Montenegro<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MS\">Montserrat<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MA\">Morocco<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MZ\">Mozambique<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MM\">Myanmar<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NA\">Namibia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NR\">Nauru<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NP\">Nepal<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NL\">Netherlands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NC\">New Caledonia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NZ\">New Zealand<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NI\">Nicaragua<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NE\">Niger<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NG\">Nigeria<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NU\">Niue<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NF\">Norfolk Island<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KP\">North Korea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MK\">North Macedonia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MP\">Northern Mariana Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"NO\">Norway<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"OM\">Oman<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PK\">Pakistan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PS\">Palestinian Territory<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PA\">Panama<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PG\">Papua New Guinea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PY\">Paraguay<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PE\">Peru<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PH\">Philippines<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PN\">Pitcairn<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PL\">Poland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PT\">Portugal<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PR\">Puerto Rico<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"QA\">Qatar<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RE\">Reunion<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RO\">Romania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RU\">Russia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RW\">Rwanda<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ST\">S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"BL\">Saint Barth&eacute;lemy<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SH\">Saint Helena<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KN\">Saint Kitts and Nevis<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LC\">Saint Lucia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SX\">Saint Martin (Dutch part)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"MF\">Saint Martin (French part)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"PM\">Saint Pierre and Miquelon<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VC\">Saint Vincent and the Grenadines<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WS\">Samoa<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SM\">San Marino<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SA\">Saudi Arabia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SN\">Senegal<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"RS\">Serbia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SC\">Seychelles<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SL\">Sierra Leone<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SG\">Singapore<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SK\">Slovakia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SI\">Slovenia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SB\">Solomon Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SO\">Somalia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ZA\">South Africa<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GS\">South Georgia\/Sandwich Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"KR\">South Korea<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SS\">South Sudan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ES\">Spain<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"LK\">Sri Lanka<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SD\">Sudan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SR\">Suriname<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SJ\">Svalbard and Jan Mayen<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SE\">Sweden<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"CH\">Switzerland<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"SY\">Syria<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TW\">Taiwan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TJ\">Tajikistan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TZ\">Tanzania<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TH\">Thailand<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TL\">Timor-Leste<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TG\">Togo<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TK\">Tokelau<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TO\">Tonga<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TT\">Trinidad and Tobago<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TN\">Tunisia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TR\">T\u00fcrkiye<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TM\">Turkmenistan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TC\">Turks and Caicos Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"TV\">Tuvalu<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UG\">Uganda<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UA\">Ukraine<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"AE\">United Arab Emirates<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"GB\">United Kingdom (UK)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"US\">United States (US)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UM\">United States (US) Minor Outlying Islands<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UY\">Uruguay<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"UZ\">Uzbekistan<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VU\">Vanuatu<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VA\">Vatican<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VE\">Venezuela<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VN\">Vietnam<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VG\">Virgin Islands (British)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"VI\">Virgin Islands (US)<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"WF\">Wallis and Futuna<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"EH\">Western Sahara<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"YE\">Yemen<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ZM\">Zambia<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"ZW\">Zimbabwe<\/option>\n\t\t\t\t\t\t\t                        <\/select>\n                     <\/div>\n                  <\/div>\n\t\t\t\t  \n                  <div class=\"col-md-4 clear\"> \n                     <div class=\"input-group\">\n\t\t\t\t\t <input id=\"billing_state\" name=\"billing_state\" placeholder=\"State\" class=\"form-control\" type=\"text\">\n                        <select id=\"dealer_billing_state\" class=\"form-control d-none\">\n                         <\/select>\n                     <\/div>\n                  <\/div> \n\t\t\t\t  \n\t\t\t\t  \n                  \n               <\/div>\n\t\t\t   \n               <div class=\"row\">\n\t\t\t\t\t<div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input id=\"dealer_city\" name=\"dealer_city\" placeholder=\"City\" class=\"form-control\" type=\"text\">\n                     <\/div>\n                  <\/div>\n\t\t\t\t  \n\t\t\t\t  \n\t\t\t\t  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input id=\"dealer_zip\" name=\"dealer_zip\" placeholder=\"Zip or Post Code:\" class=\"form-control\" type=\"text\">\n                     <\/div>\n                  <\/div>\n\t\t\t\t  \n                  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n\t\t\t\t\t\t<select name=\"dealer_quantities_interested\" id=\"dealer_quantities_interested\" class=\"form-control\">\n\t\t\t\t\t\t\t<option value=\"\" selected=\"selected\">Quantities Interested In<\/option>\n\t\t\t\t\t\t\t<option value=\"15-29\">15-29 Units\/Order<\/option>\n\t\t\t\t\t\t\t<option value=\"30-49\">30-49 Units\/Order<\/option>\n\t\t\t\t\t\t\t<option value=\"50-99\">30-49 Units\/Order<\/option>\n\t\t\t\t\t\t\t<option value=\"100-499\">100-499 Units\/Order<\/option>\n\t\t\t\t\t\t\t<option value=\"500-999\">500-999 Units\/Order<\/option>\n\t\t\t\t\t\t\t<option value=\"1000+\">1000+ Units\/Order<\/option>\n\t\t\t\t\t\t<\/select> \n                     <\/div>\n                  <\/div>\n\t\t\t\t  \n\t\t\t\t\n               <\/div>\n               <div class=\"row\">\n\t\t\t\t  <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\">\n                        <input type=\"text\" id=\"dealer_annual_revenue\" name=\"dealer_annual_revenue\" placeholder=\"Annual Revenue\" class=\"form-control\">\n                     <\/div>\n                  <\/div> \n\t\t\t\t  \n                 <div class=\"col-md-4 clear\">\n                     <div class=\"input-group\"> \n\t\t\t\t\t\t<select name=\"dealer_business_years\" id=\"dealer_business_years\" class=\"form-control\">\n\t\t\t\t\t\t\t<option value=\"\" selected=\"selected\">Years In Business<\/option>\n\t\t\t\t\t\t\t<option value=\"Less Than 1 Year\">Less than 1 Year<\/option>\n\t\t\t\t\t\t\t<option value=\"1-5 Years\">1-5 Years<\/option>\n\t\t\t\t\t\t\t<option value=\"6-10 Years\">6-10 Years<\/option>\n\t\t\t\t\t\t\t<option value=\"More than 10 Years\">More than 10 Years<\/option>\n\t\t\t\t\t\t<\/select>\n                     <\/div>\n                  <\/div>\n               <\/div>\n               <div class=\"row\">\n                  <div class=\"col-md-12 clear\">\n                     <div 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