{"id":80067,"date":"2019-12-16T08:03:44","date_gmt":"2019-12-16T08:03:44","guid":{"rendered":"https:\/\/ehumandesign.wpengine.com\/?page_id=80067"},"modified":"2025-03-18T20:46:59","modified_gmt":"2025-03-19T00:46:59","slug":"comprehensive-human-design-report-bundle-form","status":"publish","type":"page","link":"https:\/\/evolutionaryhumandesign.com\/zh-hans\/comprehensive-human-design-report-bundle-form\/","title":{"rendered":"Comprehensive Human Design Report Bundle Form"},"content":{"rendered":"<div class=\"ehd-order-form-wrap\">\n\t<div class=\"col-lg-12\">\n\t\t\t<\/div>\n\t<div id=\"order_form_product_list\" class=\"col-lg-12\">\n\t\t<table class=\"viewCart tabular grid webview\">\n\t\t\t<tbody>\n\t\t\t<tr>\n\t\t\t\t<th class=\"leftAlign\">\u9879\u76ee<\/th>\n\t\t\t\t<th><\/th>\n\t\t\t\t<th class=\"rightAlign priceCell\">\u4ef7\u683c<\/th>\n\t\t\t\t<th class=\"rightAlign priceCell\">\u603b\u8ba1<\/th>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td rowspan=\"2\">\n\t\t\t\t\t<img 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Africa<\/option>\n<option>South Georgia and the South Sandwich Islands<\/option>\n<option>South Sudan<\/option>\n<option>Southern Rhodesia<\/option>\n<option>Spain<\/option>\n<option>Sri Lanka<\/option>\n<option>Sudan (the)<\/option>\n<option>Suriname<\/option>\n<option>Svalbard and Jan Mayen<\/option>\n<option>Swaziland<\/option>\n<option>Sweden<\/option>\n<option>Switzerland<\/option>\n<option>Syrian Arab Republic<\/option>\n<option>Taiwan (Province of China)<\/option>\n<option>Tajikistan<\/option>\n<option>Tanzania, United Republic of<\/option>\n<option>Thailand<\/option>\n<option>Timor-Leste<\/option>\n<option>Togo<\/option>\n<option>Tokelau<\/option>\n<option>Tonga<\/option>\n<option>Trinidad and Tobago<\/option>\n<option>Tunisia<\/option>\n<option>Turkey<\/option>\n<option>Turkmenistan<\/option>\n<option>Turks and Caicos Islands (the)<\/option>\n<option>Tuvalu<\/option>\n<option>Uganda<\/option>\n<option>Ukraine<\/option>\n<option>United Arab Emirates (the)<\/option>\n<option>United Kingdom<\/option>\n<option>United States<\/option>\n<option>United States Minor Outlying Islands (the)<\/option>\n<option>Upper Volta<\/option>\n<option>Uruguay<\/option>\n<option>Uzbekistan<\/option>\n<option>Vanuatu<\/option>\n<option>Venezuela (Bolivarian Republic of)<\/option>\n<option>Viet Nam<\/option>\n<option>Virgin Islands (British)<\/option>\n<option>Virgin Islands (U.S.)<\/option>\n<option>Wallis and Futuna<\/option>\n<option>Western Sahara<\/option>\n<option>Yemen<\/option>\n<option>Zambia<\/option>\n<option>Zimbabwe<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"billing_contact order_summery col-sm-6\">\n\t\t\t\t<table class=\"orderSummary tabular grid\">\n\t\t\t\t\t<tbody>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<th class=\"leftAlign\">\u8ba2\u5355\u5408\u8ba1<\/th>\n\t\t\t\t\t\t<th class=\"rightAlign\"><\/th>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td class=\"listCell\">\u5408\u8ba1<\/td>\n\t\t\t\t\t\t<td class=\"rightAlign\">$53.00<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td class=\"subtotal\">\u603b\u989d<\/td>\n\t\t\t\t\t\t<td class=\"rightAlign subtotal\">$53.00<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/tbody>\n\t\t\t\t<\/table>\n\n\t\t\t\t<div class=\"billing_information\">\n\t\t\t\t\t<h4>\u4eba\u7c7b\u56fe\u62a5\u544a#1\u4e2a\u4eba\u4fe1\u606f\t\t\t\t\t\t<label class=\"use-contact-info-label\" for=\"use-contact-info\">\n\t\t\t\t\t\t\t<input class=\"use-contact-info\" type=\"checkbox\" id=\"use-contact-info\"\/>\n\t\t\t\t\t\t\t\u590d\u5236\u8054\u7cfb\u4eba\u4fe1\u606f\t\t\t\t\t\t<\/label>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\" for=\"firstName1\">\u540d<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<input type=\"text\" name=\"firstName1\" id=\"firstName1\" required\n\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\"\n\t\t\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\" for=\"lastName1\">\u59d3<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<input type=\"text\" name=\"lastName1\" id=\"lastName1\" required\n\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\"\n\t\t\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"emailAddress1\">\u6536\u53d6\u62a5\u544a\u7684\u90ae\u7bb1\u5730\u5740<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<input id=\"emailAddress1\" name=\"emailAddress1\" required\n\t\t\t\t\t\t\t\t\tplaceholder=\"\u90ae\u7bb1\u5730\u5740\"\n\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\tclass=\"validate[required,custom[email]] form-control\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"confirmEmailAddress1\">\u786e\u8ba4\u90ae\u7bb1\u5730\u5740<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<input id=\"confirmEmailAddress1\" required name=\"confirmEmailAddress1\"\n\t\t\t\t\t\t\t\t\tplaceholder=\"\u786e\u8ba4\u90ae\u7bb1\u5730\u5740\"\n\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\tclass=\"validate[required,equals[emailAddress]] form-control\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthMonth3\">\u6708<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthMonth3\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthMonth3\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option value=\"01\" >\u4e00\u6708<\/option><option value=\"02\" >\u4e8c\u6708<\/option><option value=\"03\" >\u4e09\u6708<\/option><option value=\"04\" >\u56db\u6708<\/option><option value=\"05\" >\u4e94\u6708<\/option><option value=\"06\" >\u516d\u6708<\/option><option value=\"07\" >\u4e03\u6708<\/option><option value=\"08\" >\u516b\u6708<\/option><option value=\"09\" >\u4e5d\u6708<\/option><option value=\"10\" >\u5341\u6708<\/option><option value=\"11\" >\u5341\u4e00\u6708<\/option><option value=\"12\" >\u5341\u4e8c\u6708<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthDay0\">\u65e5<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthDay0\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthDay0\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option value=\"01\" >1<\/option><option value=\"02\" >2<\/option><option value=\"03\" >3<\/option><option value=\"04\" >4<\/option><option value=\"05\" >5<\/option><option value=\"06\" >6<\/option><option value=\"07\" >7<\/option><option value=\"08\" >8<\/option><option value=\"09\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthYear\">\u5e74<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthYear\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthYear\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><option value=\"1900\" >1900<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthHour\">\u65f6 <\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthHour\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthHour\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"00\">00<\/option><option  value=\"01\">01<\/option><option  value=\"02\">02<\/option><option  value=\"03\">03<\/option><option  value=\"04\">04<\/option><option  value=\"05\">05<\/option><option  value=\"06\">06<\/option><option  value=\"07\">07<\/option><option  value=\"08\">08<\/option><option  value=\"09\">09<\/option><option  value=\"10\">10<\/option><option  value=\"11\">11<\/option><option  value=\"12\">12<\/option><option  value=\"13\">13<\/option><option  value=\"14\">14<\/option><option  value=\"15\">15<\/option><option  value=\"16\">16<\/option><option  value=\"17\">17<\/option><option  value=\"18\">18<\/option><option  value=\"19\">19<\/option><option  value=\"20\">20<\/option><option  value=\"21\">21<\/option><option  value=\"22\">22<\/option><option  value=\"23\">23<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthMinute\">\u5206 <\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthMinute\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthMinute\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"00\">00<\/option><option  value=\"01\">01<\/option><option  value=\"02\">02<\/option><option  value=\"03\">03<\/option><option  value=\"04\">04<\/option><option  value=\"05\">05<\/option><option  value=\"06\">06<\/option><option  value=\"07\">07<\/option><option  value=\"08\">08<\/option><option  value=\"09\">09<\/option><option  value=\"10\">10<\/option><option  value=\"11\">11<\/option><option  value=\"12\">12<\/option><option  value=\"13\">13<\/option><option  value=\"14\">14<\/option><option  value=\"15\">15<\/option><option  value=\"16\">16<\/option><option  value=\"17\">17<\/option><option  value=\"18\">18<\/option><option  value=\"19\">19<\/option><option  value=\"20\">20<\/option><option  value=\"21\">21<\/option><option  value=\"22\">22<\/option><option  value=\"23\">23<\/option><option  value=\"24\">24<\/option><option  value=\"25\">25<\/option><option  value=\"26\">26<\/option><option  value=\"27\">27<\/option><option  value=\"28\">28<\/option><option  value=\"29\">29<\/option><option  value=\"30\">30<\/option><option  value=\"31\">31<\/option><option  value=\"32\">32<\/option><option  value=\"33\">33<\/option><option  value=\"34\">34<\/option><option  value=\"35\">35<\/option><option  value=\"36\">36<\/option><option  value=\"37\">37<\/option><option  value=\"38\">38<\/option><option  value=\"39\">39<\/option><option  value=\"40\">40<\/option><option  value=\"41\">41<\/option><option  value=\"42\">42<\/option><option  value=\"43\">43<\/option><option  value=\"44\">44<\/option><option  value=\"45\">45<\/option><option  value=\"46\">46<\/option><option  value=\"47\">47<\/option><option  value=\"48\">48<\/option><option  value=\"49\">49<\/option><option  value=\"50\">50<\/option><option  value=\"51\">51<\/option><option  value=\"52\">52<\/option><option  value=\"53\">53<\/option><option  value=\"54\">54<\/option><option  value=\"55\">55<\/option><option  value=\"56\">56<\/option><option  value=\"57\">57<\/option><option  value=\"58\">58<\/option><option  value=\"59\">59<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<p class=\"text-primary\" style=\"font-weight:bold\">\n\t\t\t\t\t\t\t\t**\u51fa\u751f\u65e5\u671f\u8bf7\u4ee524\u5c0f\u65f6\u5236\u586b\u5199\uff0c\u4f8b\uff1a\u4e0b\u53484\uff1a27\uff0c\u8bf7\u586b\u5199\u4e3a16\uff1a27<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthCity\">\u57ce\u5e02 <\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<input type=\"text\" required name=\"inf_custom_BirthCity\" id=\"inf_custom_BirthCity\"\n\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\">\n\t\t\t\t\t\t\t<p class=\"text-primary\"\n\t\t\t\t\t\t\t\tstyle=\"font-weight:bold\">\u8bf7\u63d0\u4f9b\u4f60\u51fa\u751f\u7684\u57ce\u5e02\u540d\u5b57\uff08\u4ee5\u62c9\u4e01\u82f1\u6587\u8f93\u5165\uff09<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthLocale\">\u56fd\u5bb6\u6216\u5dde\uff08\u4ec5\u9488\u5bf9\u7f8e\u56fd\uff09 <\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthLocale\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthLocale\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option value='AFG' >Afghanistan<\/option><option value='USAL' >Alabama<\/option><option value='USAK' >Alaska<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AND' >Andorra<\/option><option value='ANG' >Angola<\/option><option value='AGU' >Anguilla<\/option><option value='ANT' >Antigua And Barbuda<\/option><option value='RA' >Argentina<\/option><option value='USAZ' >Arizona<\/option><option value='USAR' >Arkansas<\/option><option value='ARM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AUS' >Australia<\/option><option value='A' >Austria<\/option><option value='ASB' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BRN' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BDS' >Barbados<\/option><option value='WRS' >Belarus<\/option><option value='B' >Belgium<\/option><option value='BH' >Belize<\/option><option value='RPH' >Benin<\/option><option value='BPA' >Bermuda<\/option><option value='BHU' >Bhutan<\/option><option value='BOL' >Bolivia<\/option><option value='BIH' >Bosnia and Herzegovina<\/option><option value='RB' >Botswana<\/option><option value='BR' >Brazil<\/option><option value='BRU' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BU' >Burundi<\/option><option value='USCA' >California<\/option><option value='K' >Cambodia<\/option><option value='CAM' >Cameroon<\/option><option value='CDN' >Canada<\/option><option value='KVR' >Cape Verde<\/option><option value='CAY' >Cayman Islands<\/option><option value='RCA' >Central African Republic<\/option><option value='CHA' >Chad<\/option><option value='RCH' >Chile<\/option><option value='TJ' >China<\/option><option value='CO' >Colombia<\/option><option value='USCO' >Colorado<\/option><option value='KOM' >Comoros<\/option><option value='RCB' >Congo<\/option><option value='USCT' >Connecticut<\/option><option value='CSP' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='c' >Cuba<\/option><option value='CPA' >Curacao<\/option><option value='cy' >Cyprus<\/option><option value='CS' >Czech Republic<\/option><option value='USDE' >Delaware<\/option><option value='DK' >Denmark<\/option><option value='USDC' >District of Columbia<\/option><option value='DH' >Djibouti<\/option><option value='WD' >Dominica<\/option><option value='DOM' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='ET' >Egypt<\/option><option value='ES' >El Salvador<\/option><option value='GBE' >England<\/option><option value='AQG' >Equatorial Guinea<\/option><option value='EST' >Estonia<\/option><option value='ETH' >Ethiopia<\/option><option value='FGB' >Falkland Islands<\/option><option value='FOI' >Faroe Islands<\/option><option value='FJI' >Fiji<\/option><option value='SF' >Finland<\/option><option value='USFL' >Florida<\/option><option value='F' >France<\/option><option value='FGU' >French Guiana<\/option><option value='FSP' >French Polynesia<\/option><option value='GAB' >Gabon<\/option><option value='GAM' >Gambia<\/option><option value='GRG' >Georgia<\/option><option value='USGA' >Georgia (USA)<\/option><option value='D' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GR' >Greece<\/option><option value='GRO' >Greenland<\/option><option value='WG' >Grenada<\/option><option value='GKA' >Guadeloupe<\/option><option value='GSP' >Guam<\/option><option value='GCA' >Guatemala<\/option><option value='GUI' >Guinea<\/option><option value='GBA' >Guinea-bissau<\/option><option value='GUY' >Guyana<\/option><option value='RH' >Haiti<\/option><option value='USHI' >Hawaii<\/option><option value='HON' >Honduras<\/option><option value='HKG' >Hong Kong<\/option><option value='H' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='USID' >Idaho<\/option><option value='USIL' >Illinois<\/option><option value='IND' >India<\/option><option value='USIN' >Indiana<\/option><option value='RI' >Indonesia<\/option><option value='USIA' >Iowa<\/option><option value='IR' >Iran<\/option><option value='IRQ' >Iraq<\/option><option value='IRL' >Ireland<\/option><option value='IL' >Israel<\/option><option value='I' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JA' >Jamaica<\/option><option value='J' >Japan<\/option><option value='JOR' >Jordan<\/option><option value='USKS' >Kansas<\/option><option value='KAZ' >Kazakhstan<\/option><option value='USKY' >Kentucky<\/option><option value='EAK' >Kenya<\/option><option value='KSP' >Kiribati<\/option><option value='KOR' >Korea, North<\/option><option value='ROK' >Korea, South<\/option><option value='COS' >Kosovo<\/option><option value='KWT' >Kuwait<\/option><option value='KIR' >Kyrgyzstan<\/option><option value='LAO' >Laos<\/option><option value='LET' >Latvia<\/option><option value='RL' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LB' >Liberia<\/option><option value='LAR' >Libyan Arab Jamahiriya<\/option><option value='FL' >Liechtenstein<\/option><option value='LIT' >Lithuania<\/option><option value='USLA' >Louisiana<\/option><option value='L' >Luxembourg<\/option><option value='RM' >Madagascar<\/option><option value='USME' >Maine<\/option><option value='MW' >Malawi<\/option><option value='MAL' >Malaysia<\/option><option value='MDV' >Maldives<\/option><option value='RMM' >Mali<\/option><option value='M' >Malta<\/option><option value='MSH' >Marshall Islands<\/option><option value='MQU' >Martinique<\/option><option value='USMD' >Maryland<\/option><option value='USMA' >Massachusetts<\/option><option value='RIM' >Mauritania<\/option><option value='MS' >Mauritius<\/option><option value='MY' >Mayotte<\/option><option value='MEX' >Mexico<\/option><option value='USMI' >Michigan<\/option><option value='MSP' >Midway Islands<\/option><option value='USMN' >Minnesota<\/option><option value='USMS' >Mississippi<\/option><option value='USMO' >Missouri<\/option><option value='MOL' >Moldova, Republic Of<\/option><option value='MC' >Monaco<\/option><option value='MOG' >Mongolia<\/option><option value='USMT' >Montana<\/option><option value='MNE' >Montenegro<\/option><option value='MTT' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MOZ' >Mozambique<\/option><option value='MYA' >Myanmar<\/option><option value='NAB' >Namibia<\/option><option value='NSP' >Nauru<\/option><option value='USNE' >Nebraska<\/option><option value='NEP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='USNV' >Nevada<\/option><option value='NKP' >New Caledonia<\/option><option value='USNH' >New Hampshire<\/option><option value='USNJ' >New Jersey<\/option><option value='USNM' >New Mexico<\/option><option value='USNY' >New York<\/option><option value='NZ' >New Zealand<\/option><option value='NIC' >Nicaragua<\/option><option value='RN' >Niger<\/option><option value='WAN' >Nigeria<\/option><option value='NIU' >Niue<\/option><option value='NFI' >Norfolk Island<\/option><option value='USNC' >North Carolina<\/option><option value='USND' >North Dakota<\/option><option value='NIR' >Northern Ireland<\/option><option value='N' >Norway<\/option><option value='USOH' >Ohio<\/option><option value='USOK' >Oklahoma<\/option><option value='OMN' >Oman<\/option><option value='USOR' >Oregon<\/option><option value='PAK' >Pakistan<\/option><option value='PA' >Panama<\/option><option value='PNG' >Papua New Guinea<\/option><option value='FPY' >Paraguay<\/option><option value='USPA' >Pennsylvania<\/option><option value='PE' >Peru<\/option><option value='RP' >Philippines<\/option><option value='PSP' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='P' >Portugal<\/option><option value='PUR' >Puerto Rico<\/option><option value='Q' >Qatar<\/option><option value='REU' >Reunion<\/option><option value='USRI' >Rhode Island<\/option><option value='R' >Romania<\/option><option value='RUS' >Russia<\/option><option value='SSR' >Russian Federation<\/option><option value='RWA' >Rwanda<\/option><option value='SHA' >Saint Helena<\/option><option value='SKN' >Saint Kitts and Nevis<\/option><option value='STL' >Saint Lucia<\/option><option value='SPM' >Saint Pierre and Miquelon<\/option><option value='WV' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SSP' >Samoa<\/option><option value='RSM' >San Marino<\/option><option value='STP' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SCO' >Scotland<\/option><option value='SN' >Senegal<\/option><option value='SY' >Seychelles<\/option><option value='WAL' >Sierra Leone<\/option><option value='SGP' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SLO' >Slovenia<\/option><option value='SOL' >Solomon Islands<\/option><option value='SP' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='USSC' >South Carolina<\/option><option value='USSD' >South Dakota<\/option><option value='STH' >South Georgia<\/option><option value='E' >Spain<\/option><option value='CL' >Sri Lanka<\/option><option value='FS' >Sudan<\/option><option value='SME' >Suriname<\/option><option value='SD' >Swaziland<\/option><option value='S' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SYR' >Syrian Arab Republic<\/option><option value='RC' >Taiwan, Province Of China<\/option><option value='TAJ' >Tajikistan<\/option><option value='EAT' >Tanzania, United Republic Of<\/option><option value='USTN' >Tennessee<\/option><option value='USTX' >Texas<\/option><option value='THA' >Thailand<\/option><option value='TG' >Togo<\/option><option value='TSP' >Tokelau<\/option><option value='TGA' >Tonga<\/option><option value='TT' >Trinidad And Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TUR' >Turkmenistan<\/option><option value='TCO' >Turks And Caicos<\/option><option value='TVL' >Tuvalu<\/option><option value='EAV' >Uganda<\/option><option value='UKR' >Ukraine<\/option><option value='UAE' >United Arab Emirates<\/option><option value='UK' >United Kingdom<\/option><option value='U' >Uruguay<\/option><option value='USUT' >Utah<\/option><option value='UZB' >Uzbekistan<\/option><option value='VAN' >Vanuatu<\/option><option value='YV' >Venezuela<\/option><option value='USVT' >Vermont<\/option><option value='VN' >Viet Nam<\/option><option value='VRG' >Virgin Islands<\/option><option value='USVA' >Virginia<\/option><option value='WSP' >Wake Islands<\/option><option value='WL' >Wales<\/option><option value='WFP' >Wallis and Futuna Islands<\/option><option value='USWA' >Washington<\/option><option value='USWV' >West Virginia<\/option><option value='USWI' >Wisconsin<\/option><option value='USWY' >Wyoming<\/option><option value='YMD' >Yemen<\/option><option value='YU' >Yugoslavia<\/option><option value='ZR' >Zaire<\/option><option value='Z' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><option value='HR' >\u514b\u7f57\u5730\u4e9a<\/option><option value='SRB' >\u585e\u5c14\u7ef4\u4e9a<\/option><option value='MK' >\u9a6c\u5176\u987f<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_Gender0\">\u6027\u522b<\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label>\n\t\t\t\t\t\t\t\t\t<input class=\"validate[required]\" required type=\"radio\" name=\"inf_custom_Gender0\"\n\t\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_Gender0_M\"\n\t\t\t\t\t\t\t\t\t\t\tvalue=\"M\" >\n\t\t\t\t\t\t\t\t\t\u7537\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label>\n\t\t\t\t\t\t\t\t\t<input class=\"validate[required]\" type=\"radio\" name=\"inf_custom_Gender0\"\n\t\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_Gender0_F\"\n\t\t\t\t\t\t\t\t\t\t\tvalue=\"F\" >\n\t\t\t\t\t\t\t\t\t\u5973\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\tfor=\"inf_custom_Language\">\u62a5\u544a\u8bed\u8a00 <\/label>\n\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_Language\"\n\t\t\t\t\t\t\t\t\tid=\"inf_custom_Language\">\n\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t<option value='en' >\u82f1\u8bed<\/option><option value='de' >\u5fb7\u8bed<\/option><option value='ru' >\u4fc4\u8bed<\/option><option value='zh' >\u4e2d\u6587<\/option>\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"billing_information\">\n\t\t\t\t\t\t<h4>\u4eba\u7c7b\u56fe\u62a5\u544a#2 \u4e2a\u4eba\u4fe1\u606f<\/h4>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"FirstName_2\">\u540d<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"firstName_2\" required id=\"FirstName_2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"LastName_2\">\u59d3<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"lastName_2\" required id=\"LastName_2\"\n\t\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"Email_2\">\u6536\u53d6\u62a5\u544a\u7684\u90ae\u7bb1\u5730\u5740<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<input id=\"Email_2\" name=\"emailAddress_2\" required\n\t\t\t\t\t\t\t\t\t\tplaceholder=\"\u90ae\u7bb1\u5730\u5740\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\tclass=\"validate[required,custom[email]] form-control\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"confirmEmailAddress_2\">\u786e\u8ba4\u90ae\u7bb1\u5730\u5740<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<input id=\"confirmEmailAddress_2\" required name=\"confirmEmailAddress_2\"\n\t\t\t\t\t\t\t\t\t\tplaceholder=\"\u786e\u8ba4\u90ae\u7bb1\u5730\u5740\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\tclass=\"validate[required,equals[Email_2]] form-control\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthMonth3_2\">\u6708<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthMonth3_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthMonth3_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"01\" >\u4e00\u6708<\/option><option value=\"02\" >\u4e8c\u6708<\/option><option value=\"03\" >\u4e09\u6708<\/option><option value=\"04\" >\u56db\u6708<\/option><option value=\"05\" >\u4e94\u6708<\/option><option value=\"06\" >\u516d\u6708<\/option><option value=\"07\" >\u4e03\u6708<\/option><option value=\"08\" >\u516b\u6708<\/option><option value=\"09\" >\u4e5d\u6708<\/option><option value=\"10\" >\u5341\u6708<\/option><option value=\"11\" >\u5341\u4e00\u6708<\/option><option value=\"12\" >\u5341\u4e8c\u6708<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthDay0_2\">\u65e5<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthDay0_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthDay0_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"01\" >1<\/option><option value=\"02\" >2<\/option><option value=\"03\" >3<\/option><option value=\"04\" >4<\/option><option value=\"05\" >5<\/option><option value=\"06\" >6<\/option><option value=\"07\" >7<\/option><option value=\"08\" >8<\/option><option value=\"09\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthYear_2\">\u5e74<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthYear_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthYear_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><option value=\"1900\" >1900<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthHour_2\">\u65f6<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthHour_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthHour_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option  value=\"00\">00<\/option><option  value=\"01\">01<\/option><option  value=\"02\">02<\/option><option  value=\"03\">03<\/option><option  value=\"04\">04<\/option><option  value=\"05\">05<\/option><option  value=\"06\">06<\/option><option  value=\"07\">07<\/option><option  value=\"08\">08<\/option><option  value=\"09\">09<\/option><option  value=\"10\">10<\/option><option  value=\"11\">11<\/option><option  value=\"12\">12<\/option><option  value=\"13\">13<\/option><option  value=\"14\">14<\/option><option  value=\"15\">15<\/option><option  value=\"16\">16<\/option><option  value=\"17\">17<\/option><option  value=\"18\">18<\/option><option  value=\"19\">19<\/option><option  value=\"20\">20<\/option><option  value=\"21\">21<\/option><option  value=\"22\">22<\/option><option  value=\"23\">23<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthMinute_2\">\u5206<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthMinute_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthMinute_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option  value=\"00\">00<\/option><option  value=\"01\">01<\/option><option  value=\"02\">02<\/option><option  value=\"03\">03<\/option><option  value=\"04\">04<\/option><option  value=\"05\">05<\/option><option  value=\"06\">06<\/option><option  value=\"07\">07<\/option><option  value=\"08\">08<\/option><option  value=\"09\">09<\/option><option  value=\"10\">10<\/option><option  value=\"11\">11<\/option><option  value=\"12\">12<\/option><option  value=\"13\">13<\/option><option  value=\"14\">14<\/option><option  value=\"15\">15<\/option><option  value=\"16\">16<\/option><option  value=\"17\">17<\/option><option  value=\"18\">18<\/option><option  value=\"19\">19<\/option><option  value=\"20\">20<\/option><option  value=\"21\">21<\/option><option  value=\"22\">22<\/option><option  value=\"23\">23<\/option><option  value=\"24\">24<\/option><option  value=\"25\">25<\/option><option  value=\"26\">26<\/option><option  value=\"27\">27<\/option><option  value=\"28\">28<\/option><option  value=\"29\">29<\/option><option  value=\"30\">30<\/option><option  value=\"31\">31<\/option><option  value=\"32\">32<\/option><option  value=\"33\">33<\/option><option  value=\"34\">34<\/option><option  value=\"35\">35<\/option><option  value=\"36\">36<\/option><option  value=\"37\">37<\/option><option  value=\"38\">38<\/option><option  value=\"39\">39<\/option><option  value=\"40\">40<\/option><option  value=\"41\">41<\/option><option  value=\"42\">42<\/option><option  value=\"43\">43<\/option><option  value=\"44\">44<\/option><option  value=\"45\">45<\/option><option  value=\"46\">46<\/option><option  value=\"47\">47<\/option><option  value=\"48\">48<\/option><option  value=\"49\">49<\/option><option  value=\"50\">50<\/option><option  value=\"51\">51<\/option><option  value=\"52\">52<\/option><option  value=\"53\">53<\/option><option  value=\"54\">54<\/option><option  value=\"55\">55<\/option><option  value=\"56\">56<\/option><option  value=\"57\">57<\/option><option  value=\"58\">58<\/option><option  value=\"59\">59<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t\t<p class=\"text-primary\" style=\"font-weight:bold\">\n\t\t\t\t\t\t\t\t\t**\u51fa\u751f\u65e5\u671f\u8bf7\u4ee524\u5c0f\u65f6\u5236\u586b\u5199\uff0c\u4f8b\uff1a\u4e0b\u53484\uff1a27\uff0c\u8bf7\u586b\u5199\u4e3a16\uff1a27\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthCity_2\">\u57ce\u5e02<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"inf_custom_BirthCity_2\" required id=\"inf_custom_BirthCity_2\"\n\t\t\t\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\t\t\t\tclass=\"validate[required] form-control\">\n\t\t\t\t\t\t\t\t<p class=\"text-primary\" style=\"font-weight:bold\">\n\t\t\t\t\t\t\t\t\t\u8bf7\u63d0\u4f9b\u4f60\u51fa\u751f\u7684\u57ce\u5e02\u540d\u5b57\uff08\u4ee5\u62c9\u4e01\u82f1\u6587\u8f93\u5165\uff09\t\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_BirthLocale_2\">\u56fd\u5bb6\u6216\u5dde\uff08\u4ec5\u9488\u5bf9\u7f8e\u56fd\uff09<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_BirthLocale_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_BirthLocale_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value='AFG' >Afghanistan<\/option><option value='USAL' >Alabama<\/option><option value='USAK' >Alaska<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AND' >Andorra<\/option><option value='ANG' >Angola<\/option><option value='AGU' >Anguilla<\/option><option value='ANT' >Antigua And Barbuda<\/option><option value='RA' >Argentina<\/option><option value='USAZ' >Arizona<\/option><option value='USAR' >Arkansas<\/option><option value='ARM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AUS' >Australia<\/option><option value='A' >Austria<\/option><option value='ASB' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BRN' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BDS' >Barbados<\/option><option value='WRS' >Belarus<\/option><option value='B' >Belgium<\/option><option value='BH' >Belize<\/option><option value='RPH' >Benin<\/option><option value='BPA' >Bermuda<\/option><option value='BHU' >Bhutan<\/option><option value='BOL' >Bolivia<\/option><option value='BIH' >Bosnia and Herzegovina<\/option><option value='RB' >Botswana<\/option><option value='BR' >Brazil<\/option><option value='BRU' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BU' >Burundi<\/option><option value='USCA' >California<\/option><option value='K' >Cambodia<\/option><option value='CAM' >Cameroon<\/option><option value='CDN' >Canada<\/option><option value='KVR' >Cape Verde<\/option><option value='CAY' >Cayman Islands<\/option><option value='RCA' >Central African Republic<\/option><option value='CHA' >Chad<\/option><option value='RCH' >Chile<\/option><option value='TJ' >China<\/option><option value='CO' >Colombia<\/option><option value='USCO' >Colorado<\/option><option value='KOM' >Comoros<\/option><option value='RCB' >Congo<\/option><option value='USCT' >Connecticut<\/option><option value='CSP' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='c' >Cuba<\/option><option value='CPA' >Curacao<\/option><option value='cy' >Cyprus<\/option><option value='CS' >Czech Republic<\/option><option value='USDE' >Delaware<\/option><option value='DK' >Denmark<\/option><option value='USDC' >District of Columbia<\/option><option value='DH' >Djibouti<\/option><option value='WD' >Dominica<\/option><option value='DOM' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='ET' >Egypt<\/option><option value='ES' >El Salvador<\/option><option value='GBE' >England<\/option><option value='AQG' >Equatorial Guinea<\/option><option value='EST' >Estonia<\/option><option value='ETH' >Ethiopia<\/option><option value='FGB' >Falkland Islands<\/option><option value='FOI' >Faroe Islands<\/option><option value='FJI' >Fiji<\/option><option value='SF' >Finland<\/option><option value='USFL' >Florida<\/option><option value='F' >France<\/option><option value='FGU' >French Guiana<\/option><option value='FSP' >French Polynesia<\/option><option value='GAB' >Gabon<\/option><option value='GAM' >Gambia<\/option><option value='GRG' >Georgia<\/option><option value='USGA' >Georgia (USA)<\/option><option value='D' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GR' >Greece<\/option><option value='GRO' >Greenland<\/option><option value='WG' >Grenada<\/option><option value='GKA' >Guadeloupe<\/option><option value='GSP' >Guam<\/option><option value='GCA' >Guatemala<\/option><option value='GUI' >Guinea<\/option><option value='GBA' >Guinea-bissau<\/option><option value='GUY' >Guyana<\/option><option value='RH' >Haiti<\/option><option value='USHI' >Hawaii<\/option><option value='HON' >Honduras<\/option><option value='HKG' >Hong Kong<\/option><option value='H' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='USID' >Idaho<\/option><option value='USIL' >Illinois<\/option><option value='IND' >India<\/option><option value='USIN' >Indiana<\/option><option value='RI' >Indonesia<\/option><option value='USIA' >Iowa<\/option><option value='IR' >Iran<\/option><option value='IRQ' >Iraq<\/option><option value='IRL' >Ireland<\/option><option value='IL' >Israel<\/option><option value='I' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JA' >Jamaica<\/option><option value='J' >Japan<\/option><option value='JOR' >Jordan<\/option><option value='USKS' >Kansas<\/option><option value='KAZ' >Kazakhstan<\/option><option value='USKY' >Kentucky<\/option><option value='EAK' >Kenya<\/option><option value='KSP' >Kiribati<\/option><option value='KOR' >Korea, North<\/option><option value='ROK' >Korea, South<\/option><option value='COS' >Kosovo<\/option><option value='KWT' >Kuwait<\/option><option value='KIR' >Kyrgyzstan<\/option><option value='LAO' >Laos<\/option><option value='LET' >Latvia<\/option><option value='RL' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LB' >Liberia<\/option><option value='LAR' >Libyan Arab Jamahiriya<\/option><option value='FL' >Liechtenstein<\/option><option value='LIT' >Lithuania<\/option><option value='USLA' >Louisiana<\/option><option value='L' >Luxembourg<\/option><option value='RM' >Madagascar<\/option><option value='USME' >Maine<\/option><option value='MW' >Malawi<\/option><option value='MAL' >Malaysia<\/option><option value='MDV' >Maldives<\/option><option value='RMM' >Mali<\/option><option value='M' >Malta<\/option><option value='MSH' >Marshall Islands<\/option><option value='MQU' >Martinique<\/option><option value='USMD' >Maryland<\/option><option value='USMA' >Massachusetts<\/option><option value='RIM' >Mauritania<\/option><option value='MS' >Mauritius<\/option><option value='MY' >Mayotte<\/option><option value='MEX' >Mexico<\/option><option value='USMI' >Michigan<\/option><option value='MSP' >Midway Islands<\/option><option value='USMN' >Minnesota<\/option><option value='USMS' >Mississippi<\/option><option value='USMO' >Missouri<\/option><option value='MOL' >Moldova, Republic Of<\/option><option value='MC' >Monaco<\/option><option value='MOG' >Mongolia<\/option><option value='USMT' >Montana<\/option><option value='MNE' >Montenegro<\/option><option value='MTT' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MOZ' >Mozambique<\/option><option value='MYA' >Myanmar<\/option><option value='NAB' >Namibia<\/option><option value='NSP' >Nauru<\/option><option value='USNE' >Nebraska<\/option><option value='NEP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='USNV' >Nevada<\/option><option value='NKP' >New Caledonia<\/option><option value='USNH' >New Hampshire<\/option><option value='USNJ' >New Jersey<\/option><option value='USNM' >New Mexico<\/option><option value='USNY' >New York<\/option><option value='NZ' >New Zealand<\/option><option value='NIC' >Nicaragua<\/option><option value='RN' >Niger<\/option><option value='WAN' >Nigeria<\/option><option value='NIU' >Niue<\/option><option value='NFI' >Norfolk Island<\/option><option value='USNC' >North Carolina<\/option><option value='USND' >North Dakota<\/option><option value='NIR' >Northern Ireland<\/option><option value='N' >Norway<\/option><option value='USOH' >Ohio<\/option><option value='USOK' >Oklahoma<\/option><option value='OMN' >Oman<\/option><option value='USOR' >Oregon<\/option><option value='PAK' >Pakistan<\/option><option value='PA' >Panama<\/option><option value='PNG' >Papua New Guinea<\/option><option value='FPY' >Paraguay<\/option><option value='USPA' >Pennsylvania<\/option><option value='PE' >Peru<\/option><option value='RP' >Philippines<\/option><option value='PSP' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='P' >Portugal<\/option><option value='PUR' >Puerto Rico<\/option><option value='Q' >Qatar<\/option><option value='REU' >Reunion<\/option><option value='USRI' >Rhode Island<\/option><option value='R' >Romania<\/option><option value='RUS' >Russia<\/option><option value='SSR' >Russian Federation<\/option><option value='RWA' >Rwanda<\/option><option value='SHA' >Saint Helena<\/option><option value='SKN' >Saint Kitts and Nevis<\/option><option value='STL' >Saint Lucia<\/option><option value='SPM' >Saint Pierre and Miquelon<\/option><option value='WV' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SSP' >Samoa<\/option><option value='RSM' >San Marino<\/option><option value='STP' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SCO' >Scotland<\/option><option value='SN' >Senegal<\/option><option value='SY' >Seychelles<\/option><option value='WAL' >Sierra Leone<\/option><option value='SGP' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SLO' >Slovenia<\/option><option value='SOL' >Solomon Islands<\/option><option value='SP' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='USSC' >South Carolina<\/option><option value='USSD' >South Dakota<\/option><option value='STH' >South Georgia<\/option><option value='E' >Spain<\/option><option value='CL' >Sri Lanka<\/option><option value='FS' >Sudan<\/option><option value='SME' >Suriname<\/option><option value='SD' >Swaziland<\/option><option value='S' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SYR' >Syrian Arab Republic<\/option><option value='RC' >Taiwan, Province Of China<\/option><option value='TAJ' >Tajikistan<\/option><option value='EAT' >Tanzania, United Republic Of<\/option><option value='USTN' >Tennessee<\/option><option value='USTX' >Texas<\/option><option value='THA' >Thailand<\/option><option value='TG' >Togo<\/option><option value='TSP' >Tokelau<\/option><option value='TGA' >Tonga<\/option><option value='TT' >Trinidad And Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TUR' >Turkmenistan<\/option><option value='TCO' >Turks And Caicos<\/option><option value='TVL' >Tuvalu<\/option><option value='EAV' >Uganda<\/option><option value='UKR' >Ukraine<\/option><option value='UAE' >United Arab Emirates<\/option><option value='UK' >United Kingdom<\/option><option value='U' >Uruguay<\/option><option value='USUT' >Utah<\/option><option value='UZB' >Uzbekistan<\/option><option value='VAN' >Vanuatu<\/option><option value='YV' >Venezuela<\/option><option value='USVT' >Vermont<\/option><option value='VN' >Viet Nam<\/option><option value='VRG' >Virgin Islands<\/option><option value='USVA' >Virginia<\/option><option value='WSP' >Wake Islands<\/option><option value='WL' >Wales<\/option><option value='WFP' >Wallis and Futuna Islands<\/option><option value='USWA' >Washington<\/option><option value='USWV' >West Virginia<\/option><option value='USWI' >Wisconsin<\/option><option value='USWY' >Wyoming<\/option><option value='YMD' >Yemen<\/option><option value='YU' >Yugoslavia<\/option><option value='ZR' >Zaire<\/option><option value='Z' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><option value='HR' >\u514b\u7f57\u5730\u4e9a<\/option><option value='SRB' >\u585e\u5c14\u7ef4\u4e9a<\/option><option value='MK' >\u9a6c\u5176\u987f<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_Gender0_2\">\u6027\u522b<\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t\t<label>\n\t\t\t\t\t\t\t\t\t\t<input class=\"validate[required]\" required type=\"radio\"\n\t\t\t\t\t\t\t\t\t\t\t\tname=\"inf_custom_Gender0_2\" id=\"inf_custom_Gender0_2_M\"\n\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"M\" >\n\t\t\t\t\t\t\t\t\t\t\u7537\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t\t<label>\n\t\t\t\t\t\t\t\t\t\t<input class=\"validate[required]\" type=\"radio\" name=\"inf_custom_Gender0_2\"\n\t\t\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_Gender0_2_F\"\n\t\t\t\t\t\t\t\t\t\t\t\tvalue=\"F\" >\n\t\t\t\t\t\t\t\t\t\t\u5973\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<div class=\"form-group\">\n\t\t\t\t\t\t\t<label class=\"col-sm-4\"\n\t\t\t\t\t\t\t\t\tfor=\"inf_custom_Language_2\">\u62a5\u544a\u8bed\u8a00 <\/label>\n\t\t\t\t\t\t\t<div class=\"col-sm-8\">\n\t\t\t\t\t\t\t\t<select required class=\"validate[required] form-control\" name=\"inf_custom_Language_2\"\n\t\t\t\t\t\t\t\t\t\tid=\"inf_custom_Language_2\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">\u8bf7\u9009\u62e9<\/option>\n\t\t\t\t\t\t\t\t\t<option value='en' >\u82f1\u8bed<\/option><option value='de' >\u5fb7\u8bed<\/option><option value='ru' >\u4fc4\u8bed<\/option><option value='zh' >\u4e2d\u6587<\/option>\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t<div class=\"payment_info clearfix\">\n\t\t\t\t\t<div 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href=\"mailto:contact@evolutionaryhumandesign.com\">contact@evolutionaryhumandesign.com<\/a>\n\t\t\t\t\t\t\t\t<\/em>\n\t\t\t\t\t\t\t\t<br><br>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t\tEvolutionary Human Design\u65e0\u6cd5\u5bf9\u60a8\u7535\u8111\u6216\u7f51\u7edc\u670d\u52a1\u63d0\u4f9b\u5546\u7684\u53cd\u5783\u573e\u90ae\u4ef6\u7cfb\u7edf\u8fdb\u884c\u81ea\u52a8\u5316\u56de\u5e94\t\t\t\t\t\t\t\t<br><br>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li>\n\t\t\t\t\t\t\t\t\u4eba\u7c7b\u56fe\u56fe\u8868\u5c06\u901a\u8fc7\u90ae\u4ef6\u4e2d\u63d0\u4f9b\u7684\u94fe\u63a5\u53d1\u9001\uff0c\u70b9\u51fb\u94fe\u63a5\u53ef\u4e0b\u8f7dPDF\u9644\u4ef6\u3002\u5982\u679c\u4f60\u6536\u4e0d\u5230\u90ae\u4ef6\uff0c\u8bf7\u68c0\u67e5\u5783\u573e\u90ae\u4ef6\u6587\u4ef6\u5939\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"form-group\" style=\"clear: both;\">\n\t\t\t\t<input type=\"hidden\" name=\"payment_method\" id=\"payment_method\" value=\"stripe\">\n\t\t\t\t<!-- Stripe button -->\n\t\t\t\t\t\t\t\t\t<input type=\"submit\" value=\"\u7ed3\u7b97\"\n\t\t\t\t\t\t\tonclick=\"document.getElementById('payment_method').value='stripe';\"\n\t\t\t\t\t\t\tstyle=\"font-size: 25px; text-transform: capitalize; margin: 20px auto 0; display: block;\">\n\t\t\t\t\t\t\t\t<!-- PayPal button -->\n\t\t\t\t\t\t\t\t<input type=\"submit\" value=\"\u4f7f\u7528Paypal\u7ed3\u7b97\"\n\t\t\t\t\t\tonclick=\"document.getElementById('payment_method').value='paypal';\"\n\t\t\t\t\t\tstyle=\"font-size: 25px; text-transform: capitalize; margin: 20px auto 0; display: block;\">\n\t\t\t\t\t\t\t\t<p class=\"help-block text-center\" style=\"font-size: 18px; color: blue;\">\n\t\t\t\t\t\u8bf7\u4e0d\u8981\u91cd\u590d\u70b9\u51fb\u63d0\u4ea4\u6309\u94ae\t\t\t\t\t<a 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