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*Country	AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaAntilles, NetherlandsArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambia, theGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey and AlderneyGuiana, FrenchGuineaGuinea, EquatorialGuinea-BissauGuyanaHaitiHondurasHong Kong, (China)HungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyIvory Coast (Cote d'Ivoire)JamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, (South) Rep. ofKuwaitKyrgyzstanLao People's Dem. Rep.LatviaLebanonLesothoLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacao, (China)Macedonia, TFYRMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova, Republic ofMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (ex-Burma)NamibiaNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSpainSri Lanka (ex-Ceilan)St. Vincent & the Grenad.SudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Rep. ofThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, U.S.YemenZambiaZimbabwe
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Delivery address (Complete only if the delivery address is different than billing)

Name
Surname
Company
*Country	AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaAntilles, NetherlandsArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambia, theGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernsey and AlderneyGuiana, FrenchGuineaGuinea, EquatorialGuinea-BissauGuyanaHaitiHondurasHong Kong, (China)HungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyIvory Coast (Cote d'Ivoire)JamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, (South) Rep. ofKuwaitKyrgyzstanLao People's Dem. Rep.LatviaLebanonLesothoLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacao, (China)Macedonia, TFYRMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldova, Republic ofMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (ex-Burma)NamibiaNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSpainSri Lanka (ex-Ceilan)St. Vincent & the Grenad.SudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Rep. ofThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, U.S.YemenZambiaZimbabwe
Street + house number
ZIP code
Township
Phone number