{"id":14715,"date":"2023-12-29T13:46:18","date_gmt":"2023-12-29T05:46:18","guid":{"rendered":"https:\/\/waisence.com.my\/?page_id=14715"},"modified":"2025-06-02T21:12:56","modified_gmt":"2025-06-02T13:12:56","slug":"affiliate-form","status":"publish","type":"page","link":"https:\/\/waisence.com.my\/cn\/partners\/affiliate\/affiliate-form\/","title":{"rendered":"Affiliate Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"14715\" class=\"elementor elementor-14715\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8bbf897 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8bbf897\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8032a07\" data-id=\"8032a07\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e0fbec elementor-widget elementor-widget-heading\" data-id=\"6e0fbec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u201cPartnership for mutual success\u201d<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5df9a3 elementor-widget elementor-widget-text-editor\" data-id=\"f5df9a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">At Waisence,\u00a0 our aim is to work collaboratively and effectively with best influencer partners for mutual and sustainable benefit.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c60fe86 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c60fe86\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ba72792\" data-id=\"ba72792\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-46fe0a1 elementor-widget elementor-widget-image\" data-id=\"46fe0a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"996\" height=\"484\" src=\"https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267.jpg\" class=\"attachment-large size-large wp-image-13962\" alt=\"\" srcset=\"https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267.jpg 996w, https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267-600x292.jpg 600w, https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267-300x146.jpg 300w, https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267-768x373.jpg 768w, https:\/\/waisence.com.my\/wp-content\/uploads\/2023\/09\/summer-holidays-friendship-people-concept-group-happy-smiling-women-friends-sky-sun-background_380164-175267-370x180.jpg 370w\" sizes=\"(max-width: 996px) 100vw, 996px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71264f1 elementor-widget elementor-widget-wpforms\" data-id=\"71264f1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-elementor-widget-71264f1\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-71264f1 {\n\t\t\t\t\t--wpforms-button-border-radius: 5px;\n--wpforms-button-background-color: #FF9D1D;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-16010\"><form id=\"wpforms-form-16010\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"16010\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/cn\/wp-json\/wp\/v2\/pages\/14715?wpforms_form_id=16010\" data-token=\"aa5c1570046aa1de39526ed660f3c667\" data-token-time=\"1781688842\"><noscript class=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-16010-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-16010-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" placeholder=\"John\" aria-errormessage=\"wpforms-16010-field_3-error\" required><label for=\"wpforms-16010-field_3\" class=\"wpforms-field-sublabel after\">\u524d\u4e00\u9875<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-16010-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" placeholder=\"Lee\" aria-errormessage=\"wpforms-16010-field_3-last-error\" required><label for=\"wpforms-16010-field_3-last\" class=\"wpforms-field-sublabel after\">\u540e\u4e00\u9875<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-16010-field_4-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"4\"><label class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_5\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-16010-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" placeholder=\"Valid &amp; contactable email\" spellcheck=\"false\" aria-errormessage=\"wpforms-16010-field_5-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_6\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-16010-field_6\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-16010-field_6-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_7\">Company Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-16010-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" placeholder=\"Alphabet Sdn. Bhd.\" aria-errormessage=\"wpforms-16010-field_7-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_8\">Reg \/ ID No. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-16010-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" placeholder=\"201501046587 (1141575-D)\" aria-errormessage=\"wpforms-16010-field_8-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Partnership Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-16010-field_9\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-16010-field_9_3\" name=\"wpforms[fields][9]\" value=\"Distributor\" aria-errormessage=\"wpforms-16010-field_9_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_9_3\">Distributor<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-16010-field_9_4\" name=\"wpforms[fields][9]\" value=\"Retailer\" aria-errormessage=\"wpforms-16010-field_9_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_9_4\">Retailer<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-16010-field_9_6\" name=\"wpforms[fields][9]\" value=\"Strategy Collaborator\" aria-errormessage=\"wpforms-16010-field_9_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_9_6\">Strategy Collaborator<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-16010-field_9_5\" name=\"wpforms[fields][9]\" value=\"Affiliate\" aria-errormessage=\"wpforms-16010-field_9_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_9_5\">Affiliate<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_10\">Brand Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-16010-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" placeholder=\"ABC\" aria-errormessage=\"wpforms-16010-field_10-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-16010-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Address Selection <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-16010-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-16010-field_11_1\" name=\"wpforms[fields][11][]\" value=\"Billing &amp; Agreement Address\" aria-errormessage=\"wpforms-16010-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_11_1\">Billing &amp; Agreement Address<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-16010-field_11_2\" name=\"wpforms[fields][11][]\" value=\"Shipping Address\" aria-errormessage=\"wpforms-16010-field_11_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_11_2\">Shipping Address<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><\/div><div id=\"wpforms-16010-field_12-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-16010-field_12\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][12][address1]\" aria-errormessage=\"wpforms-16010-field_12-error\" ><label for=\"wpforms-16010-field_12\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-16010-field_12-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][12][address2]\" aria-errormessage=\"wpforms-16010-field_12-address2-error\" ><label for=\"wpforms-16010-field_12-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-16010-field_12-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][12][city]\" aria-errormessage=\"wpforms-16010-field_12-city-error\" ><label for=\"wpforms-16010-field_12-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-16010-field_12-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][12][state]\" aria-errormessage=\"wpforms-16010-field_12-state-error\" ><label for=\"wpforms-16010-field_12-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-16010-field_12-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][12][postal]\" aria-errormessage=\"wpforms-16010-field_12-postal-error\" ><label for=\"wpforms-16010-field_12-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-16010-field_12-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][12][country]\" aria-errormessage=\"wpforms-16010-field_12-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"BT\" >\u4e0d\u4e39<\/option><option value=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"CN\" >\u4e2d\u56fd<\/option><option value=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"DK\" >\u4e39\u9ea6<\/option><option value=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"TD\" >\u4e4d\u5f97<\/option><option value=\"YE\" >\u4e5f\u95e8<\/option><option value=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"IR\" >\u4f0a\u6717\uff08\u4f0a\u65af\u5170\u5171\u548c\u56fd\uff09<\/option><option value=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"RU\" >\u4fc4\u7f57\u65af\u8054\u90a6<\/option><option value=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"GU\" >\u5173\u5c9b<\/option><option value=\"GM\" >\u5188\u6bd4\u4e9a (\u897f\u975e\u7684\u72ec\u7acb\u56fd)<\/option><option value=\"IS\" >\u51b0\u5c9b<\/option><option value=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"CG\" >\u521a\u679c<\/option><option value=\"CD\" >\u521a\u679c(\u6c11\u4e3b\u5171\u548c\u56fd)<\/option><option value=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"GH\" >\u52a0\u7eb3<\/option><option value=\"GA\" >\u52a0\u84ec<\/option><option value=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"BQ\" >\u5317\u4eac\u3001\u4e0a\u6d77\u548c\u6df1\u5733\u3002<\/option><option value=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u53ca\u5357\u6851\u5a01\u5947\u7fa4\u5c9b<\/option><option value=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"ZA\" >\u5357\u975e<\/option><option value=\"SS\" >\u5357\u975e<\/option><option value=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"ID\" >\u5370\u5c3c<\/option><option value=\"IN\" >\u5370\u5ea6<\/option><option value=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"CU\" >\u53e4\u5df4<\/option><option value=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"BL\" >\u5723\u5df4\u6cf0\u52d2\u7c73<\/option><option value=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"PM\" >\u5723\u76ae\u57c3\u5c14\u548c\u5bc6\u514b\u9686<\/option><option value=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"SH\" >\u5723\u8d6b\u52d2\u62ff\uff0c\u963f\u68ee\u677e\u5c9b\u548c\u7279\u91cc\u65af\u5766\u8fbe\u5e93\u5c3c\u4e9a<\/option><option value=\"SX\" >\u5723\u9a6c\u4e01\u5c9b\uff08\u8377\u5170\u7684\u4e00\u90e8\u5206\uff09<\/option><option value=\"MF\" >\u5723\u9a6c\u4e01\uff08\u6cd5\u56fd\u90e8\u5206\uff09<\/option><option value=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"TZ\" >\u5766\u6851\u5c3c\u4e9a\u8054\u5408\u5171\u548c\u56fd<\/option><option value=\"EG\" >\u57c3\u53ca<\/option><option value=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"TJ\" >\u5854\u5409\u514b\u65af\u5766\u65af\u5766\u65af\u5766<\/option><option value=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"SC\" >\u585e\u820c\u5c14\u7fa4\u5c9b<\/option><option value=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"TG\" >\u591a\u54e5<\/option><option value=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"GB\" >\u5927\u4e0d\u5217\u98a0\u53ca\u5317\u7231\u5c14\u5170\u8054\u5408\u738b\u56fd<\/option><option value=\"AX\" >\u5965\u5170\u7fa4\u5c9b<\/option><option value=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"VE\" >\u59d4\u5185\u745e\u62c9\uff08\u73bb\u5229\u74e6\u5c14\u5171\u548c\u56fd\uff09<\/option><option value=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"AG\" >\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\uff08\u8054\u90a6\uff09<\/option><option value=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"NG\" >\u5c3c\u65e5\u5c14\u5c14\u5229\u4e9a<\/option><option value=\"NE\" >\u5c3c\u65e5\u5c14\u5c14\u5c14<\/option><option value=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"PS\" >\u5df4\u52d2\u65af\u5766(\u56fd\u5bb6)<\/option><option value=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"BH\" >\u5df4\u6797<\/option><option value=\"BR\" >\u5df4\u897f<\/option><option value=\"BF\" >\u5e03\u5409\u7eb3\u6cd5\u7d22<\/option><option value=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"GR\" >\u5e0c\u814a<\/option><option value=\"PW\" >\u5e15\u52b3\u5171\u548c\u56fd<\/option><option value=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"DE\" >\u5fb7\u56fd<\/option><option value=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"NO\" >\u632a\u5a01<\/option><option value=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"MD\" >\u6469\u5c14\u591a\u74e6\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"FJ\" >\u6590\u6d4e<\/option><option value=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u5c9b\u548c\u626c\u9a6c\u5ef6\u5c9b<\/option><option value=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"JE\" >\u65b0\u6cfd\u897f<\/option><option value=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"JP\" >\u65e5\u672c<\/option><option value=\"CL\" >\u667a\u5229<\/option><option value=\"KP\" >\u671d\u9c9c<\/option><option value=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"GG\" >\u683c\u6069\u897f<\/option><option value=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"GE\" >\u683c\u9c81\u5409\u4e9a<\/option><option value=\"VA\" >\u68b5\u8482\u5188\u57ce\u56fd<\/option><option value=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"TO\" >\u6c64\u52a0\u8bed<\/option><option value=\"BN\" >\u6c76\u83b1<\/option><option value=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"FR\" >\u6cd5\u56fd<\/option><option value=\"TF\" >\u6cd5\u56fd\u5357\u90e8\u9886\u571f<\/option><option value=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"PL\" >\u6ce2\u5170<\/option><option value=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"TH\" >\u6cf0\u56fd<\/option><option value=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"HT\" >\u6d77\u5730<\/option><option value=\"AU\" >\u6fb3\u6d32<\/option><option value=\"MO\" >\u6fb3\u95e8<\/option><option value=\"IE\" >\u7231\u5c14\u5170(\u5171\u548c\u56fd)<\/option><option value=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"BO\" >\u73bb\u5229\u7ef4\u4e9a\uff08\u591a\u6c11\u65cf\u56fd\uff09<\/option><option value=\"NR\" >\u7459\u9c81\u8bed (Naoero)<\/option><option value=\"SE\" >\u745e\u5178<\/option><option value=\"CH\" >\u745e\u58eb<\/option><option value=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"WF\" >\u74e6\u5229\u65af\u7fa4\u5c9b\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"PN\" >\u76ae\u7279\u51ef\u6069<\/option><option value=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"CC\" >\u79d1\u79d1\u65af\uff08\u57fa\u6797\uff09\u7fa4\u5c9b<\/option><option value=\"PE\" >\u79d8\u9c81<\/option><option value=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"JO\" >\u7ea6\u65e6<\/option><option value=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"NU\" >\u7ebd\u57c3<\/option><option value=\"VI\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u7f8e\u56fd\uff09<\/option><option value=\"VG\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u82f1\u5c5e\uff09<\/option><option value=\"MM\" >\u7f05\u7538<\/option><option value=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"US\" >\u7f8e\u56fd<\/option><option value=\"UM\" >\u7f8e\u56fd\u672c\u571f\u5916\u5c0f\u5c9b\u5c7f<\/option><option value=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"FI\" >\u82ac\u5170<\/option><option value=\"SD\" >\u82cf\u4e39<\/option><option value=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"NL\" >\u8377\u5170<\/option><option value=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"MN\" >\u8499\u53e4\u56fd<\/option><option value=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"BJ\" >\u8d1d\u5b81<\/option><option value=\"ZM\" >\u8d5e\u6bd4\u4e9a<\/option><option value=\"GQ\" >\u8d64\u9053\u51e0\u5185\u4e9a<\/option><option value=\"HM\" >\u8d6b\u5fb7\u5c9b\u548c\u9ea6\u514b\u5510\u7eb3\u7fa4\u5c9b<\/option><option value=\"AZ\" >\u963f\u585e\u62dc\u7586<\/option><option value=\"AF\" >\u963f\u5bcc\u6c57<\/option><option value=\"DZ\" >\u963f\u5c14\u53ca\u5229\u4e9a<\/option><option value=\"AL\" >\u963f\u5c14\u5df4\u5c3c\u4e9a<\/option><option value=\"SY\" >\u963f\u62c9\u4f2f\u53d9\u5229\u4e9a\u5171\u548c\u56fd<\/option><option value=\"AE\" >\u963f\u62c9\u4f2f\u8054\u5408\u914b\u957f\u56fd<\/option><option value=\"OM\" >\u963f\u66fc<\/option><option value=\"AR\" >\u963f\u6839\u5ef7<\/option><option value=\"AW\" >\u963f\u9c81\u5df4<\/option><option value=\"KR\" >\u97e9\u56fd<\/option><option value=\"HK\" >\u9999\u6e2f\u8bc1\u5238\u4ea4\u6613\u6240<\/option><option value=\"MV\" >\u9a6c\u5c14\u4ee3\u592b<\/option><option value=\"IM\" >\u9a6c\u6069\u5c9b<\/option><option value=\"MW\" >\u9a6c\u62c9\u7ef4<\/option><option value=\"MQ\" >\u9a6c\u63d0\u5c3c\u514b<\/option><option value=\"MY\" >\u9a6c\u6765\u897f\u4e9a<\/option><option value=\"YT\" >\u9a6c\u7ea6\u7279\u5c9b<\/option><option value=\"MH\" >\u9a6c\u7ecd\u5c14\u7fa4\u5c9b<\/option><option value=\"MT\" >\u9a6c\u8033\u4ed6<\/option><option value=\"MG\" >\u9a6c\u8fbe\u52a0\u65af\u52a0<\/option><option value=\"ML\" >\u9a6c\u91cc<\/option><option value=\"LB\" >\u9ece\u5df4\u5ae9<\/option><option value=\"ME\" >\u9ed1\u5c71<\/option><\/select><label for=\"wpforms-16010-field_12-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-16010-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Shipping Address (Ignore if is same with the address above)<\/legend><ul id=\"wpforms-16010-field_13\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-16010-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Shipping Address\" aria-errormessage=\"wpforms-16010-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16010-field_13_1\">Shipping Address<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-16010-field_14-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-16010-field_14\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][14][address1]\" aria-errormessage=\"wpforms-16010-field_14-error\" ><label for=\"wpforms-16010-field_14\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-16010-field_14-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][14][address2]\" aria-errormessage=\"wpforms-16010-field_14-address2-error\" ><label for=\"wpforms-16010-field_14-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-16010-field_14-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][14][city]\" aria-errormessage=\"wpforms-16010-field_14-city-error\" ><label for=\"wpforms-16010-field_14-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-16010-field_14-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][14][state]\" aria-errormessage=\"wpforms-16010-field_14-state-error\" ><label for=\"wpforms-16010-field_14-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-16010-field_14-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][14][postal]\" aria-errormessage=\"wpforms-16010-field_14-postal-error\" ><label for=\"wpforms-16010-field_14-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-16010-field_14-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][14][country]\" aria-errormessage=\"wpforms-16010-field_14-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"BT\" >\u4e0d\u4e39<\/option><option value=\"TL\" >\u4e1c\u5e1d\u6c76<\/option><option value=\"CN\" >\u4e2d\u56fd<\/option><option value=\"CF\" >\u4e2d\u975e\u5171\u548c\u56fd<\/option><option value=\"DK\" >\u4e39\u9ea6<\/option><option value=\"UA\" >\u4e4c\u514b\u5170<\/option><option value=\"UZ\" >\u4e4c\u5179\u522b\u514b\u65af\u5766<\/option><option value=\"UG\" >\u4e4c\u5e72\u8fbe<\/option><option value=\"UY\" >\u4e4c\u62c9\u572d<\/option><option value=\"TD\" >\u4e4d\u5f97<\/option><option value=\"YE\" >\u4e5f\u95e8<\/option><option value=\"AM\" >\u4e9a\u7f8e\u5c3c\u4e9a<\/option><option value=\"IL\" >\u4ee5\u8272\u5217<\/option><option value=\"IQ\" >\u4f0a\u62c9\u514b<\/option><option value=\"IR\" >\u4f0a\u6717\uff08\u4f0a\u65af\u5170\u5171\u548c\u56fd\uff09<\/option><option value=\"BZ\" >\u4f2f\u5229\u5179<\/option><option value=\"CV\" >\u4f5b\u5f97\u89d2<\/option><option value=\"RU\" >\u4fc4\u7f57\u65af\u8054\u90a6<\/option><option value=\"BG\" >\u4fdd\u52a0\u5229\u4e9a<\/option><option value=\"HR\" >\u514b\u7f57\u5730\u4e9a<\/option><option value=\"GU\" >\u5173\u5c9b<\/option><option value=\"GM\" >\u5188\u6bd4\u4e9a (\u897f\u975e\u7684\u72ec\u7acb\u56fd)<\/option><option value=\"IS\" >\u51b0\u5c9b<\/option><option value=\"GN\" >\u51e0\u5185\u4e9a<\/option><option value=\"GW\" >\u51e0\u5185\u4e9a\u6bd4\u7ecd<\/option><option value=\"LI\" >\u5217\u652f\u6566\u58eb\u767b<\/option><option value=\"CG\" >\u521a\u679c<\/option><option value=\"CD\" >\u521a\u679c(\u6c11\u4e3b\u5171\u548c\u56fd)<\/option><option value=\"LY\" >\u5229\u6bd4\u4e9a<\/option><option value=\"LR\" >\u5229\u6bd4\u91cc\u4e9a<\/option><option value=\"CA\" >\u52a0\u62ff\u5927<\/option><option value=\"GH\" >\u52a0\u7eb3<\/option><option value=\"GA\" >\u52a0\u84ec<\/option><option value=\"HU\" >\u5308\u7259\u5229<\/option><option value=\"BQ\" >\u5317\u4eac\u3001\u4e0a\u6d77\u548c\u6df1\u5733\u3002<\/option><option value=\"MK\" >\u5317\u9a6c\u5176\u987f<\/option><option value=\"MP\" >\u5317\u9a6c\u91cc\u4e9a\u7eb3\u7fa4\u5c9b<\/option><option value=\"GS\" >\u5357\u4e54\u6cbb\u4e9a\u53ca\u5357\u6851\u5a01\u5947\u7fa4\u5c9b<\/option><option value=\"AQ\" >\u5357\u6781\u6d32<\/option><option value=\"ZA\" >\u5357\u975e<\/option><option value=\"SS\" >\u5357\u975e<\/option><option value=\"BW\" >\u535a\u8328\u74e6\u7eb3<\/option><option value=\"QA\" >\u5361\u5854\u5c14<\/option><option value=\"RW\" >\u5362\u65fa\u8fbe<\/option><option value=\"LU\" >\u5362\u68ee\u5821<\/option><option value=\"ID\" >\u5370\u5c3c<\/option><option value=\"IN\" >\u5370\u5ea6<\/option><option value=\"GT\" >\u5371\u5730\u9a6c\u62c9<\/option><option value=\"EC\" >\u5384\u74dc\u591a\u5c14<\/option><option value=\"ER\" >\u5384\u7acb\u7279\u91cc\u4e9a<\/option><option value=\"CU\" >\u53e4\u5df4<\/option><option value=\"KG\" >\u5409\u5c14\u5409\u65af\u65af\u5766<\/option><option value=\"DJ\" >\u5409\u5e03\u63d0<\/option><option value=\"KZ\" >\u54c8\u8428\u514b\u65af\u5766<\/option><option value=\"CO\" >\u54e5\u4f26\u6bd4\u4e9a<\/option><option value=\"CR\" >\u54e5\u65af\u8fbe\u9ece\u52a0<\/option><option value=\"CM\" >\u5580\u9ea6\u9686<\/option><option value=\"TV\" >\u56fe\u74e6\u5362<\/option><option value=\"TM\" >\u571f\u5e93\u66fc\u65af\u5766<\/option><option value=\"LC\" >\u5723\u5362\u897f\u4e9a<\/option><option value=\"KN\" >\u5723\u57fa\u8328\u548c\u5c3c\u7ef4\u65af<\/option><option value=\"ST\" >\u5723\u591a\u7f8e\u548c\u666e\u6797\u897f\u6bd4<\/option><option value=\"BL\" >\u5723\u5df4\u6cf0\u52d2\u7c73<\/option><option value=\"VC\" >\u5723\u6587\u68ee\u7279\u548c\u683c\u6797\u7eb3\u4e01\u65af<\/option><option value=\"PM\" >\u5723\u76ae\u57c3\u5c14\u548c\u5bc6\u514b\u9686<\/option><option value=\"CX\" >\u5723\u8bde\u5c9b<\/option><option value=\"SH\" >\u5723\u8d6b\u52d2\u62ff\uff0c\u963f\u68ee\u677e\u5c9b\u548c\u7279\u91cc\u65af\u5766\u8fbe\u5e93\u5c3c\u4e9a<\/option><option value=\"SX\" >\u5723\u9a6c\u4e01\u5c9b\uff08\u8377\u5170\u7684\u4e00\u90e8\u5206\uff09<\/option><option value=\"MF\" >\u5723\u9a6c\u4e01\uff08\u6cd5\u56fd\u90e8\u5206\uff09<\/option><option value=\"SM\" >\u5723\u9a6c\u529b\u8bfa<\/option><option value=\"GY\" >\u572d\u4e9a\u90a3<\/option><option value=\"TZ\" >\u5766\u6851\u5c3c\u4e9a\u8054\u5408\u5171\u548c\u56fd<\/option><option value=\"EG\" >\u57c3\u53ca<\/option><option value=\"ET\" >\u57c3\u585e\u4fc4\u6bd4\u4e9a<\/option><option value=\"KI\" >\u57fa\u91cc\u5df4\u65af<\/option><option value=\"TJ\" >\u5854\u5409\u514b\u65af\u5766\u65af\u5766\u65af\u5766<\/option><option value=\"SN\" >\u585e\u5185\u52a0\u5c14<\/option><option value=\"RS\" >\u585e\u5c14\u7ef4\u4e9a<\/option><option value=\"SL\" >\u585e\u62c9\u5229\u6602<\/option><option value=\"CY\" >\u585e\u6d66\u8def\u65af<\/option><option value=\"SC\" >\u585e\u820c\u5c14\u7fa4\u5c9b<\/option><option value=\"MX\" >\u58a8\u897f\u54e5<\/option><option value=\"TG\" >\u591a\u54e5<\/option><option value=\"DO\" >\u591a\u660e\u5c3c\u52a0\u5171\u548c\u56fd<\/option><option value=\"DM\" >\u591a\u7c73\u5c3c\u52a0<\/option><option value=\"GB\" >\u5927\u4e0d\u5217\u98a0\u53ca\u5317\u7231\u5c14\u5170\u8054\u5408\u738b\u56fd<\/option><option value=\"AX\" >\u5965\u5170\u7fa4\u5c9b<\/option><option value=\"AT\" >\u5965\u5730\u5229<\/option><option value=\"VE\" >\u59d4\u5185\u745e\u62c9\uff08\u73bb\u5229\u74e6\u5c14\u5171\u548c\u56fd\uff09<\/option><option value=\"BD\" >\u5b5f\u52a0\u62c9\u56fd<\/option><option value=\"AO\" >\u5b89\u54e5\u62c9<\/option><option value=\"AI\" >\u5b89\u572d\u62c9<\/option><option value=\"AG\" >\u5b89\u63d0\u74dc\u5c9b\u548c\u5df4\u5e03\u8fbe<\/option><option value=\"AD\" >\u5b89\u9053\u5c14<\/option><option value=\"FM\" >\u5bc6\u514b\u7f57\u5c3c\u897f\u4e9a\uff08\u8054\u90a6\uff09<\/option><option value=\"NI\" >\u5c3c\u52a0\u62c9\u74dc<\/option><option value=\"NG\" >\u5c3c\u65e5\u5c14\u5c14\u5229\u4e9a<\/option><option value=\"NE\" >\u5c3c\u65e5\u5c14\u5c14\u5c14<\/option><option value=\"NP\" >\u5c3c\u6cca\u5c14<\/option><option value=\"PS\" >\u5df4\u52d2\u65af\u5766(\u56fd\u5bb6)<\/option><option value=\"BS\" >\u5df4\u54c8\u9a6c<\/option><option value=\"PK\" >\u5df4\u57fa\u65af\u5766<\/option><option value=\"BB\" >\u5df4\u5df4\u591a\u65af<\/option><option value=\"PG\" >\u5df4\u5e03\u4e9a\u65b0\u51e0\u5185\u4e9a<\/option><option value=\"PY\" >\u5df4\u62c9\u572d<\/option><option value=\"PA\" >\u5df4\u62ff\u9a6c<\/option><option value=\"BH\" >\u5df4\u6797<\/option><option value=\"BR\" >\u5df4\u897f<\/option><option value=\"BF\" >\u5e03\u5409\u7eb3\u6cd5\u7d22<\/option><option value=\"BV\" >\u5e03\u7ef4\u5c9b<\/option><option value=\"BI\" >\u5e03\u9686\u8fea<\/option><option value=\"GR\" >\u5e0c\u814a<\/option><option value=\"PW\" >\u5e15\u52b3\u5171\u548c\u56fd<\/option><option value=\"CK\" >\u5e93\u514b\u7fa4\u5c9b<\/option><option value=\"CW\" >\u5e93\u62c9\u7d22<\/option><option value=\"KY\" >\u5f00\u66fc\u7fa4\u5c9b<\/option><option value=\"DE\" >\u5fb7\u56fd<\/option><option value=\"IT\" >\u610f\u5927\u5229<\/option><option value=\"SB\" >\u6240\u7f57\u95e8\u7fa4\u5c9b<\/option><option value=\"TK\" >\u6258\u514b\u52b3<\/option><option value=\"LV\" >\u62c9\u8131\u7ef4\u4e9a<\/option><option value=\"NO\" >\u632a\u5a01<\/option><option value=\"CZ\" >\u6377\u514b\u5171\u548c\u56fd<\/option><option value=\"MD\" >\u6469\u5c14\u591a\u74e6\uff08\u5171\u548c\u56fd\uff09<\/option><option value=\"MA\" >\u6469\u6d1b\u54e5<\/option><option value=\"MC\" >\u6469\u7eb3\u54e5<\/option><option value=\"FJ\" >\u6590\u6d4e<\/option><option value=\"SK\" >\u65af\u6d1b\u4f10\u514b<\/option><option value=\"SI\" >\u65af\u6d1b\u6587\u5c3c\u4e9a<\/option><option value=\"SJ\" >\u65af\u74e6\u5c14\u5df4\u5c9b\u548c\u626c\u9a6c\u5ef6\u5c9b<\/option><option value=\"LK\" >\u65af\u91cc\u5170\u5361<\/option><option value=\"SG\" >\u65b0\u52a0\u5761<\/option><option value=\"NC\" >\u65b0\u5580\u91cc\u591a\u5c3c\u4e9a<\/option><option value=\"JE\" >\u65b0\u6cfd\u897f<\/option><option value=\"NZ\" >\u65b0\u897f\u5170<\/option><option value=\"JP\" >\u65e5\u672c<\/option><option value=\"CL\" >\u667a\u5229<\/option><option value=\"KP\" >\u671d\u9c9c<\/option><option value=\"KH\" >\u67ec\u57d4\u5be8<\/option><option value=\"GG\" >\u683c\u6069\u897f<\/option><option value=\"GD\" >\u683c\u6797\u7eb3\u8fbe<\/option><option value=\"GL\" >\u683c\u9675\u5170<\/option><option value=\"GE\" >\u683c\u9c81\u5409\u4e9a<\/option><option value=\"VA\" >\u68b5\u8482\u5188\u57ce\u56fd<\/option><option value=\"BE\" >\u6bd4\u5229\u65f6<\/option><option value=\"MR\" >\u6bdb\u91cc\u5854\u5c3c\u4e9a<\/option><option value=\"MU\" >\u6bdb\u91cc\u6c42\u65af<\/option><option value=\"TO\" >\u6c64\u52a0\u8bed<\/option><option value=\"BN\" >\u6c76\u83b1<\/option><option value=\"SA\" >\u6c99\u7279\u963f\u62c9\u4f2f<\/option><option value=\"FR\" >\u6cd5\u56fd<\/option><option value=\"TF\" >\u6cd5\u56fd\u5357\u90e8\u9886\u571f<\/option><option value=\"GF\" >\u6cd5\u5c5e\u572d\u4e9a\u90a3<\/option><option value=\"PF\" >\u6cd5\u5c5e\u6ce2\u5229\u5c3c\u897f\u4e9a<\/option><option value=\"FO\" >\u6cd5\u7f57\u7fa4\u5c9b<\/option><option value=\"PL\" >\u6ce2\u5170<\/option><option value=\"PR\" >\u6ce2\u591a\u9ece\u5404<\/option><option value=\"BA\" >\u6ce2\u65af\u5c3c\u4e9a\u548c\u9ed1\u585e\u54e5\u7ef4\u90a3<\/option><option value=\"TH\" >\u6cf0\u56fd<\/option><option value=\"ZW\" >\u6d25\u5df4\u5e03\u97e6<\/option><option value=\"HN\" >\u6d2a\u90fd\u62c9\u65af<\/option><option value=\"HT\" >\u6d77\u5730<\/option><option value=\"AU\" >\u6fb3\u6d32<\/option><option value=\"MO\" >\u6fb3\u95e8<\/option><option value=\"IE\" >\u7231\u5c14\u5170(\u5171\u548c\u56fd)<\/option><option value=\"EE\" >\u7231\u6c99\u5c3c\u4e9a<\/option><option value=\"JM\" >\u7259\u4e70\u52a0<\/option><option value=\"TC\" >\u7279\u514b\u65af\u548c\u51ef\u79d1\u65af\u7fa4\u5c9b<\/option><option value=\"TT\" >\u7279\u7acb\u5c3c\u8fbe\u548c\u591a\u5df4\u54e5<\/option><option value=\"BO\" >\u73bb\u5229\u7ef4\u4e9a\uff08\u591a\u6c11\u65cf\u56fd\uff09<\/option><option value=\"NR\" >\u7459\u9c81\u8bed (Naoero)<\/option><option value=\"SE\" >\u745e\u5178<\/option><option value=\"CH\" >\u745e\u58eb<\/option><option value=\"GP\" >\u74dc\u5fb7\u7f57\u666e\u5c9b<\/option><option value=\"WF\" >\u74e6\u5229\u65af\u7fa4\u5c9b\u548c\u5bcc\u56fe\u7eb3\u7fa4\u5c9b<\/option><option value=\"VU\" >\u74e6\u52aa\u963f\u56fe<\/option><option value=\"RE\" >\u7559\u5c3c\u6c6a\u5c9b<\/option><option value=\"BY\" >\u767d\u4fc4\u7f57\u65af<\/option><option value=\"BM\" >\u767e\u6155\u5927<\/option><option value=\"PN\" >\u76ae\u7279\u51ef\u6069<\/option><option value=\"GI\" >\u76f4\u5e03\u7f57\u9640<\/option><option value=\"FK\" >\u798f\u514b\u5170\u7fa4\u5c9b<\/option><option value=\"KW\" >\u79d1\u5a01\u7279<\/option><option value=\"KM\" >\u79d1\u6469\u7f57<\/option><option value=\"CI\" >\u79d1\u7279\u8fea\u74e6<\/option><option value=\"CC\" >\u79d1\u79d1\u65af\uff08\u57fa\u6797\uff09\u7fa4\u5c9b<\/option><option value=\"PE\" >\u79d8\u9c81<\/option><option value=\"TN\" >\u7a81\u5c3c\u65af<\/option><option value=\"LT\" >\u7acb\u9676\u5b9b<\/option><option value=\"SO\" >\u7d22\u9a6c\u91cc<\/option><option value=\"JO\" >\u7ea6\u65e6<\/option><option value=\"NA\" >\u7eb3\u7c73\u6bd4\u4e9a<\/option><option value=\"NU\" >\u7ebd\u57c3<\/option><option value=\"VI\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u7f8e\u56fd\uff09<\/option><option value=\"VG\" >\u7ef4\u5c14\u4eac\u7fa4\u5c9b\uff08\u82f1\u5c5e\uff09<\/option><option value=\"MM\" >\u7f05\u7538<\/option><option value=\"RO\" >\u7f57\u9a6c\u5c3c\u4e9a<\/option><option value=\"US\" >\u7f8e\u56fd<\/option><option value=\"UM\" >\u7f8e\u56fd\u672c\u571f\u5916\u5c0f\u5c9b\u5c7f<\/option><option value=\"AS\" >\u7f8e\u5c5e\u8428\u6469\u4e9a<\/option><option value=\"LA\" >\u8001\u631d\u4eba\u6c11\u6c11\u4e3b\u5171\u548c\u56fd<\/option><option value=\"KE\" >\u80af\u5c3c\u4e9a<\/option><option value=\"FI\" >\u82ac\u5170<\/option><option value=\"SD\" >\u82cf\u4e39<\/option><option value=\"SR\" >\u82cf\u91cc\u5357<\/option><option value=\"IO\" >\u82f1\u5c5e\u5370\u5ea6\u6d0b\u9886\u5730<\/option><option value=\"NL\" >\u8377\u5170<\/option><option value=\"MZ\" >\u83ab\u6851\u6bd4\u514b<\/option><option value=\"LS\" >\u83b1\u7d22\u6258<\/option><option value=\"PH\" >\u83f2\u5f8b\u5bbe<\/option><option value=\"SV\" >\u8428\u5c14\u74e6\u591a<\/option><option value=\"WS\" >\u8428\u6469\u4e9a<\/option><option value=\"PT\" >\u8461\u8404\u7259<\/option><option value=\"MN\" >\u8499\u53e4\u56fd<\/option><option value=\"MS\" >\u8499\u7279\u585e\u62c9\u7279<\/option><option value=\"EH\" >\u897f\u6492\u54c8\u62c9<\/option><option value=\"ES\" >\u897f\u73ed\u7259<\/option><option value=\"NF\" >\u8bfa\u798f\u514b\u5c9b<\/option><option value=\"BJ\" 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upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-16010-field_17\"\n\t\tname=\"wpforms_16010_17\" \t\tvalue=\"\">\n<\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-16010-field_18-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-16010-field_18\">Other Supporting 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focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-16010-field_18\"\n\t\tname=\"wpforms_16010_18\" \t\tvalue=\"\">\n<\/div><\/div><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"16010\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/waisence.com.my\/cn\/wp-json\/wp\/v2\/pages\/14715\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-16010\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/waisence.com.my\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\u52a0\u8f7d\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b5edc90 elementor-widget elementor-widget-spacer\" data-id=\"b5edc90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-499add1 elementor-widget elementor-widget-text-editor\" data-id=\"499add1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Questions? Call \/ Whatsapp us at <strong><a href=\"http:\/\/wa.me\/60186696223\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #32b7b0;\">+6018-669 6223<\/span><\/a><\/strong> or email us at <strong><span style=\"color: #32b7b0;\"><a style=\"color: #32b7b0;\" href=\"mailto:hi@waisence.com.my\" target=\"_blank\" rel=\"noopener\">hi@waisence.com.my<\/a><\/span><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u201cPartnership for mutual success\u201d At Waisence,\u00a0 our aim is to work collaboratively and effectively with best influencer partners for mutual and sustainable benefit.\u00a0 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Name * FirstLast LayoutEmail *Phone *Company Name *Reg \/ ID No. * Partnership [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":14057,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_joinchat":[],"footnotes":""},"class_list":["post-14715","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.13 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Affiliate Form - Waisence\u00ae<\/title>\n<meta name=\"description\" content=\"Explore Our Thriving Partnerships | Nourix - Collaborating for Success. Discover how Nourix partners with industry leaders to deliver innovative solutions, driving growth and value. 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