Server : Apache/2.4.6 (CentOS) OpenSSL/1.0.2k-fips PHP/7.4.20 System : Linux st2.domain.com 3.10.0-1127.10.1.el7.x86_64 #1 SMP Wed Jun 3 14:28:03 UTC 2020 x86_64 User : apache ( 48) PHP Version : 7.4.20 Disable Function : NONE Directory : /var/www/html/thietkeweb2/layout/pccc/ |
<!DOCTYPE html>
<html lang="zxx">
<head>
<!-- meta tag -->
<meta charset="utf-8">
<title> Bizup Consulting Business HTML Template</title>
<meta name="description" content="">
<!-- responsive tag -->
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- favicon -->
<link rel="apple-touch-icon" href="apple-touch-icon.png">
<link rel="shortcut icon" type="image/x-icon" href="assets/images/fav.png">
<!-- Bootstrap v4.4.1 css -->
<link rel="stylesheet" type="text/css" href="assets/css/bootstrap.min.css">
<!-- font-awesome css -->
<link rel="stylesheet" type="text/css" href="assets/css/font-awesome.min.css">
<!-- flaticon css -->
<link rel="stylesheet" type="text/css" href="assets/fonts/flaticon.css">
<!-- animate css -->
<link rel="stylesheet" type="text/css" href="assets/css/animate.css">
<!-- owl.carousel css -->
<link rel="stylesheet" type="text/css" href="assets/css/owl.carousel.css">
<!-- off canvas css -->
<link rel="stylesheet" type="text/css" href="assets/css/off-canvas.css">
<!-- magnific popup css -->
<link rel="stylesheet" type="text/css" href="assets/css/magnific-popup.css">
<!-- Main Menu css -->
<link rel="stylesheet" href="assets/css/rsmenu-main.css">
<!-- spacing css -->
<link rel="stylesheet" type="text/css" href="assets/css/rs-spacing.css">
<!-- style css -->
<link rel="stylesheet" type="text/css" href="style.css"> <!-- This stylesheet dynamically changed from style.less -->
<!-- responsive css -->
<link rel="stylesheet" type="text/css" href="assets/css/responsive.css">
</head>
<body class="defult-home">
<div class="offwrap"></div>
<!--Preloader start here-->
<div id="pre-load">
<div id="loader" class="loader">
<div class="loader-container">
<div class='loader-icon'><img src="assets/images/fav.png" alt="Bizup Consulting Business"></div>
</div>
</div>
</div>
<!--Preloader area end here-->
<!-- Main content Start -->
<div class="main-content">
<!--Full width header Start-->
<div class="full-width-header">
<!--Header Start-->
<header id="rs-header" class="rs-header header-transparent">
<!-- Topbar Area Start -->
<div class="topbar-area style1">
<div class="container custom">
<div class="row y-middle">
<div class="col-lg-7">
<div class="topbar-contact">
<ul>
<li>
<i class="flaticon-email"></i>
<a href="mailto:info@bizup.com">info@bizup.com</a>
</li>
<li>
<i class="flaticon-call"></i>
<a href="tel:(+1)9999999999"> (+1) 9999 999 999</a>
</li>
<li>
<i class="flaticon-location"></i>
55 Gerad Lane, NY 11201, USA
</li>
</ul>
</div>
</div>
<div class="col-lg-5 text-right">
<div class="toolbar-sl-share">
<ul>
<li class="opening"> <em><i class="flaticon-clock"></i>Monday - Friday / 8AM - 11PM</em> </li>
<li><a href="#"><i class="fa fa-facebook"></i></a></li>
<li><a href="#"><i class="fa fa-twitter"></i></a></li>
<li><a href="#"><i class="fa fa-linkedin"></i></a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
<!-- Topbar Area End -->
<!-- Menu Start -->
<div class="menu-area menu-sticky">
<div class="container custom">
<div class="row-table">
<div class="col-cell header-logo">
<div class="logo-area">
<a href="index.html">
<img class="normal-logo" src="assets/images/logo.png" alt="logo">
<img class="sticky-logo" src="assets/images/logo-dark.png" alt="logo">
</a>
</div>
</div>
<div class="col-cell">
<div class="rs-menu-area">
<div class="main-menu">
<nav class="rs-menu hidden-md">
<ul class="nav-menu">
<li class="menu-item-has-children">
<a href="index.html">Home</a>
<ul class="sub-menu">
<li class="menu-item-has-children">
<a href="#">Multipages</a>
<ul class="sub-menu">
<li><a href="index.html">Home One</a></li>
<li><a href="index2.html">Home Two</a></li>
<li><a href="index3.html">Home Three</a></li>
<li><a href="index4.html">Home Four</a></li>
<li><a href="index5.html">Home Five</a></li>
<li><a href="index6.html">Home Six</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Onepages</a>
<ul class="sub-menu">
<li><a href="onepage1.html">Onepage One</a></li>
<li><a href="onepage2.html">Onepage Two</a></li>
<li><a href="onepage3.html">Onepage Three</a></li>
<li><a href="onepage4.html">Onepage Four</a></li>
<li><a href="onepage5.html">Onepage Five</a></li>
<li><a href="onepage6.html">Onepage Six</a></li>
</ul>
</li>
</ul>
</li>
<li class="menu-item-has-children current-menu-item">
<a href="#">Pages</a>
<ul class="sub-menu">
<li><a href="about.html">About</a></li>
<li class="last-item menu-item-has-children current-menu-item">
<a href="#">Shop</a>
<ul class="sub-menu">
<li><a href="shop.html">Shop</a> </li>
<li><a href="shop-single.html">Shop Single</a></li>
<li><a href="cart.html">Cart</a></li>
<li class="active"><a href="checkout.html">Checkout</a></li>
<li><a href="my-account.html">My Account</a></li>
</ul>
</li>
<li><a href="pricing-table.html">Pricing Table</a></li>
<li class="last-item menu-item-has-children">
<a href="#">Team</a>
<ul class="sub-menu">
<li><a href="team-style1.html">Team Style 1</a> </li>
<li><a href="team-style2.html">Team Style 2</a></li>
<li><a href="team-style3.html">Team Style 3</a></li>
<li><a href="team-single.html">Team Single</a></li>
</ul>
</li>
<li><a href="appointment.html">Appointment</a></li>
<li><a href="careers.html">Careers</a></li>
<li><a href="faqs.html">Faqs</a></li>
<li><a href="partners.html">Partners</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Portfolios</a>
<ul class="sub-menu">
<li><a href="portfolio.html">Portfolio One</a></li>
<li><a href="portfolio2.html">Portfolio Two</a></li>
<li><a href="portfolio3.html">Portfolio Three</a></li>
<li><a href="portfolio4.html">Portfolio Four</a></li>
<li><a href="portfolio5.html">Portfolio Five</a></li>
<li><a href="portfolio6.html">Portfolio Six</a></li>
<li><a href="portfolio7.html">Portfolio Seven</a></li>
<li><a href="portfolios-filter.html">Portfolios Filter</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Services</a>
<ul class="sub-menu">
<li><a href="services-style1.html">Services Style 1</a></li>
<li><a href="services-style2.html">Services Style 2</a></li>
<li><a href="business-planning.html">Business Planning</a></li>
<li><a href="tax-strategy.html">Tax strategy</a></li>
<li><a href="financial-advices.html">Financial Advices</a></li>
<li><a href="insurance-strategy.html">Insurance Strategy</a></li>
<li><a href="start-ups.html">Start Ups</a></li>
<li><a href="manage-investment.html">Manage Investment</a></li>
</ul>
</li>
<li>
<a href="blog.html">Blog</a>
</li>
<li class="menu-item-has-children">
<a href="#">Contact</a>
<ul class="sub-menu">
<li><a href="contact.html">Contact 1</a></li>
<li><a href="contact2.html">Contact 2</a></li>
<li><a href="contact3.html">Contact 3</a></li>
</ul>
</li>
</ul> <!-- //.nav-menu -->
</nav>
</div> <!-- //.main-menu -->
</div>
</div>
<div class="col-cell">
<div class="expand-btn-inner">
<ul>
<li class="search-parent">
<a class="hidden-xs rs-search" data-bs-toggle="modal" data-bs-target="#searchModal" href="#">
<i class="flaticon-search"></i>
</a>
</li>
<li class="humburger">
<a id="nav-expander" class="nav-expander bar" href="#">
<div class="bar">
<span class="dot1"></span>
<span class="dot2"></span>
<span class="dot3"></span>
<span class="dot4"></span>
<span class="dot5"></span>
<span class="dot6"></span>
<span class="dot7"></span>
<span class="dot8"></span>
<span class="dot9"></span>
</div>
</a>
</li>
</ul>
</div>
</div>
</div>
</div>
</div>
<!-- Menu End -->
<!-- Canvas Menu start -->
<nav class="right_menu_togle hidden-md">
<div class="close-btn">
<a id="nav-close" class="nav-close">
<div class="line">
<span class="line1"></span>
<span class="line2"></span>
</div>
</a>
</div>
<div class="canvas-logo">
<a href="index.html"><img src="assets/images/logo.png" alt="logo"></a>
</div>
<div class="offcanvas-text">
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</div>
<div class="media-img">
<img src="assets/images/off2.jpg" alt="Images">
</div>
<div class="canvas-contact">
<div class="address-area">
<div class="address-list">
<div class="info-icon">
<i class="flaticon-location"></i>
</div>
<div class="info-content">
<h4 class="title">Address</h4>
<em>05 kandi BR. New York</em>
</div>
</div>
<div class="address-list">
<div class="info-icon">
<i class="flaticon-email"></i>
</div>
<div class="info-content">
<h4 class="title">Email</h4>
<em><a href="mailto:support@rstheme.com">support@rstheme.com</a></em>
</div>
</div>
<div class="address-list">
<div class="info-icon">
<i class="flaticon-call"></i>
</div>
<div class="info-content">
<h4 class="title">Phone</h4>
<em>+019988772</em>
</div>
</div>
</div>
<ul class="social">
<li><a href="#"><i class="fa fa-facebook"></i></a></li>
<li><a href="#"><i class="fa fa-twitter"></i></a></li>
<li><a href="#"><i class="fa fa-pinterest-p"></i></a></li>
</ul>
</div>
</nav>
<!-- Canvas Menu end -->
<!-- Canvas Mobile Menu start -->
<nav class="right_menu_togle mobile-navbar-menu" id="mobile-navbar-menu">
<div class="close-btn">
<a id="nav-close2" class="nav-close">
<div class="line">
<span class="line1"></span>
<span class="line2"></span>
</div>
</a>
</div>
<ul class="nav-menu">
<li class="menu-item-has-children current-menu-item">
<a href="index.html">Home</a>
<ul class="sub-menu">
<li class="menu-item-has-children current-menu-item">
<a href="#">Multipages</a>
<ul class="sub-menu">
<li class="active"><a href="index.html">Home One</a></li>
<li><a href="index2.html">Home Two</a></li>
<li><a href="index3.html">Home Three</a></li>
<li><a href="index4.html">Home Four</a></li>
<li><a href="index5.html">Home Five</a></li>
<li><a href="index6.html">Home Six</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Onepages</a>
<ul class="sub-menu">
<li><a href="onepage1.html">Onepage One</a></li>
<li><a href="onepage2.html">Onepage Two</a></li>
<li><a href="onepage3.html">Onepage Three</a></li>
<li><a href="onepage4.html">Onepage Four</a></li>
<li><a href="onepage5.html">Onepage Five</a></li>
<li><a href="onepage6.html">Onepage Six</a></li>
</ul>
</li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Pages</a>
<ul class="sub-menu">
<li><a href="about.html">About</a></li>
<li class="last-item menu-item-has-children">
<a href="#">Shop</a>
<ul class="sub-menu">
<li><a href="shop.html">Shop</a> </li>
<li><a href="shop-single.html">Shop Single</a></li>
<li><a href="cart.html">Cart</a></li>
<li><a href="checkout.html">Checkout</a></li>
<li><a href="my-account.html">My Account</a></li>
</ul>
</li>
<li><a href="pricing-table.html">Pricing Table</a></li>
<li class="last-item menu-item-has-children">
<a href="#">Team</a>
<ul class="sub-menu">
<li><a href="team-style1.html">Team Style 1</a> </li>
<li><a href="team-style2.html">Team Style 2</a></li>
<li><a href="team-style3.html">Team Style 3</a></li>
<li><a href="team-single.html">Team Single</a></li>
</ul>
</li>
<li><a href="appointment.html">Appointment</a></li>
<li><a href="careers.html">Careers</a></li>
<li><a href="faqs.html">Faqs</a></li>
<li><a href="partners.html">Partners</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Portfolios</a>
<ul class="sub-menu">
<li><a href="portfolio.html">Portfolio One</a></li>
<li><a href="portfolio2.html">Portfolio Two</a></li>
<li><a href="portfolio3.html">Portfolio Three</a></li>
<li><a href="portfolio4.html">Portfolio Four</a></li>
<li><a href="portfolio5.html">Portfolio Five</a></li>
<li><a href="portfolio6.html">Portfolio Six</a></li>
<li><a href="portfolio7.html">Portfolio Seven</a></li>
<li><a href="portfolios-filter.html">Portfolios Filter</a></li>
</ul>
</li>
<li class="menu-item-has-children">
<a href="#">Services</a>
<ul class="sub-menu">
<li><a href="services-style1.html">Services Style 1</a></li>
<li><a href="services-style2.html">Services Style 2</a></li>
<li><a href="business-planning.html">Business Planning</a></li>
<li><a href="tax-strategy.html">Tax strategy</a></li>
<li><a href="financial-advices.html">Financial Advices</a></li>
<li><a href="insurance-strategy.html">Insurance Strategy</a></li>
<li><a href="start-ups.html">Start Ups</a></li>
<li><a href="manage-investment.html">Manage Investment</a></li>
</ul>
</li>
<li>
<a href="blog.html">Blog</a>
</li>
<li class="menu-item-has-children">
<a href="#">Contact</a>
<ul class="sub-menu">
<li><a href="contact.html">Contact 1</a></li>
<li><a href="contact2.html">Contact 2</a></li>
<li><a href="contact3.html">Contact 3</a></li>
</ul>
</li>
</ul> <!-- //.nav-menu -->
<div class="canvas-contact">
<div class="address-area">
<div class="address-list">
<div class="info-icon">
<i class="flaticon-location"></i>
</div>
<div class="info-content">
<h4 class="title">Address</h4>
<em>05 kandi BR. New York</em>
</div>
</div>
<div class="address-list">
<div class="info-icon">
<i class="flaticon-email"></i>
</div>
<div class="info-content">
<h4 class="title">Email</h4>
<em><a href="mailto:support@rstheme.com">support@rstheme.com</a></em>
</div>
</div>
<div class="address-list">
<div class="info-icon">
<i class="flaticon-call"></i>
</div>
<div class="info-content">
<h4 class="title">Phone</h4>
<em>+019988772</em>
</div>
</div>
</div>
</div>
</nav>
<!-- Canvas Menu end -->
</header>
<!--Header End-->
</div>
<!--Full width header End-->
<!-- Breadcrumbs Start -->
<div class="rs-breadcrumbs img10">
<div class="container">
<div class="breadcrumbs-inner">
<h1 class="page-title">
Checkout
</h1>
</div>
</div>
</div>
<!-- Breadcrumbs End -->
<!-- Checkout section start -->
<div id="rs-checkout" class="rs-checkout pt-100 pb-100 md-pt-70 md-pb-70">
<div class="container">
<div class="coupon-toggle">
<div id="accordion" class="accordion">
<div class="card">
<div class="card-header" id="headingOne">
<div class="card-title">
<span><i class="fa fa-window-maximize"></i> Have a coupon?</span>
<button class="accordion-toggle" data-bs-toggle="collapse" data-bs-target="#collapseOne" aria-expanded="true" aria-controls="collapseOne">Click here to enter your code</button>
</div>
</div>
<div id="collapseOne" class="collapse" aria-labelledby="headingOne" data-bs-parent="#accordion">
<div class="card-body">
<p>If you have a coupon code, please apply it below.</p>
<div class="coupon-code-input">
<input type="text" name="coupon_code" placeholder="Coupon code" required="">
</div>
<button class="add-btn" type="submit">Apply Coupon</button>
</div>
</div>
</div>
</div>
</div>
<div class="full-grid">
<form>
<div class="billing-fields">
<div class="checkout-title">
<h3>Billing details</h3>
</div>
<div class="form-content-box">
<div class="row">
<div class="col-md-6 col-sm-12 col-xs-12">
<div class="form-group">
<label>First Name *</label>
<input id="fname" name="fname" class="form-control-mod" type="text" required="">
</div>
</div>
<div class="col-md-6 col-sm-12 col-xs-12">
<div class="form-group">
<label>Last Name *</label>
<input id="lname" name="lname" class="form-control-mod" type="text" required="">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="form-group">
<label>Company name (optional)</label>
<input id="cname" name="cname" class="form-control-mod" type="text">
</div>
</div>
</div>
<div class="row">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="form-group">
<label>District*</label>
<select class="d-block" required="">
<option value="">Select a country…</option><option value="AX">Ã…land Islands</option><option value="AF">Afghanistan</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD" selected="selected">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="PW">Belau</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BQ">Bonaire, Saint Eustatius and Saba</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo (Brazzaville)</option><option value="CD">Congo (Kinshasa)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="CI">Ivory Coast</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao S.A.R., China</option><option value="MK">Macedonia</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="KP">North Korea</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PS">Palestinian Territory</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Reunion</option><option value="RO">Romania</option><option value="RU">Russia</option><option value="RW">Rwanda</option><option value="ST">São Tomé and Príncipe</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="SX">Saint Martin (Dutch part)</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia/Sandwich Islands</option><option value="KR">South Korea</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syria</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB">United Kingdom (UK)</option><option value="US">United States (US)</option><option value="UM">United States (US) Minor Outlying Islands</option><option value="VI">United States (US) Virgin Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option>
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<option value="">Select an option</option><option value="BD-05">Bagerhat</option><option value="BD-01">Bandarban</option><option value="BD-02">Barguna</option><option value="BD-06">Barishal</option><option value="BD-07">Bhola</option><option value="BD-03">Bogura</option><option value="BD-04">Brahmanbaria</option><option value="BD-09">Chandpur</option><option value="BD-10">Chattogram</option><option value="BD-12">Chuadanga</option><option value="BD-11">Cox's Bazar</option><option value="BD-08">Cumilla</option><option value="BD-13">Dhaka</option><option value="BD-14">Dinajpur</option><option value="BD-15">Faridpur </option><option value="BD-16">Feni</option><option value="BD-19">Gaibandha</option><option value="BD-18">Gazipur</option><option value="BD-17">Gopalganj</option><option value="BD-20">Habiganj</option><option value="BD-21">Jamalpur</option><option value="BD-22">Jashore</option><option value="BD-25">Jhalokati</option><option value="BD-23">Jhenaidah</option><option value="BD-24">Joypurhat</option><option value="BD-29">Khagrachhari</option><option value="BD-27">Khulna</option><option value="BD-26">Kishoreganj</option><option value="BD-28">Kurigram</option><option value="BD-30">Kushtia</option><option value="BD-31">Lakshmipur</option><option value="BD-32">Lalmonirhat</option><option value="BD-36">Madaripur</option><option value="BD-37">Magura</option><option value="BD-33">Manikganj </option><option value="BD-39">Meherpur</option><option value="BD-38">Moulvibazar</option><option value="BD-35">Munshiganj</option><option value="BD-34">Mymensingh</option><option value="BD-48">Naogaon</option><option value="BD-43">Narail</option><option value="BD-40">Narayanganj</option><option value="BD-42">Narsingdi</option><option value="BD-44">Natore</option><option value="BD-45">Nawabganj</option><option value="BD-41">Netrakona</option><option value="BD-46">Nilphamari</option><option value="BD-47">Noakhali</option><option value="BD-49">Pabna</option><option value="BD-52">Panchagarh</option><option value="BD-51">Patuakhali</option><option value="BD-50">Pirojpur</option><option value="BD-53">Rajbari</option><option value="BD-54">Rajshahi</option><option value="BD-56">Rangamati</option><option value="BD-55">Rangpur</option><option value="BD-58">Satkhira</option><option value="BD-62">Shariatpur</option><option value="BD-57">Sherpur</option><option value="BD-59">Sirajganj</option><option value="BD-61">Sunamganj</option><option value="BD-60">Sylhet</option><option value="BD-63">Tangail</option><option value="BD-64">Thakurgaon</option>
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<table>
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<tbody>
<tr>
<td>Medicine Bottle <strong><i class="fa fa-close"></i> 1</strong></td>
<td>$30.00</td>
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<td>Medicine Bottle <strong><i class="fa fa-close"></i> 1</strong></td>
<td>$30.00</td>
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<th>$60.00</th>
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