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WHAT IS YOUR MOTHER'S MAIDEN NAME?
WHICH PHONE NUMBER DO YOU REMEMBER MOST FROM YOUR CHILDHOOD?
WHAT WAS YOUR FAVORITE PLACE TO VISIT AS A CHILD?
WHO IS YOUR FAVORITE ACTOR, MUSICIAN, OR ARTIST?
WHAT IS THE NAME OF YOUR FIRST PET?
WHERE WERE YOU BORN?
WHAT IS THE NAME OF YOUR FIRST SCHOOL?
WHAT STREET DID YOU GROW UP ON?
WHAT IS THE FIRST NAME OF YOUR FAVORITE GRANDFATHER?
WHAT IS THE TITLE OF YOUR FAVORITE BOOK?
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Greenland
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Jordan
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Macao
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Malawi
Malaysia
Maldives
Mali
Malta
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Martinique
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Mayotte
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Monaco
Mongolia
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Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
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New Caledonia
New Zealand
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Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
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Peru
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Poland
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Samoa
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Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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City
State/Province
Required
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Texas
Utah
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Wyoming
American Samoa
District of Columbia
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Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
Zip
Phone
Phone Extension
Manufacturer
Required
Yes
No
Include in Correspondence
Yes
No
Display on APL site
Yes
No
Manufacturer Name
Required
Select Manufacturer
Other
360 Network Solutions, LLC
3M Bondo
3M Company
A W Cook Cement Products
Access Products Inc
ACF Environmental
Acme Barricades
ADA Solutions
Adaptive Micro Systems, LLC
ADDCO
Adhesives Technology Corp.
Advance Traffic Markings
Advanced Chemical Technologies, Inc.
Advanced Drainage Systems, Inc.
Advanced Roadway Manufacturing
Advantage Tactile Systems, Inc.
Aerosmith Fastening Systems/ Anchor Division
Airlite
AIT Composites Manufacturing
Alcatel-Lucent Enterprise
All Traffic Solutions
Allmand Bros
A-Lok Products Inc
Alpha Technologies
American Civil Constructors West Coast LLC
American Electric (Acuity Brands)
American Excelsior Company
American Highway (A Simplex Company)
American Molded Plastic, Inc.
American Polymer Company
American Signal Company
American Spacer Technologies, Inc
Ameristar Perimeter Security
AMG Systems
Anita Plastics, Inc.
Antaira Technologies, LLC
APC by Schneider Electric
Apex Universal Inc.
Apollo Metro Solutions Inc.
Applied Concepts, Inc. dba Stalker Radar
APX Enclosures
Aquafin, Inc.
ARGOS USA
Arkema - Road Science
Armorcast Products Company
Artuk Inc.
ASCO Power Technologies, L.P.
Asphalt Paving Systems, Inc.
Associated Asphalt Cape Canaveral
Associated Asphalt Jacksonville
Associated Asphalt Jacksonville TM
Associated Asphalt Lake City, (formaly Mariani Asphalt/ Lake City)
Associated Asphalt Port Everglades
Associated Asphalt Port Manatee
Associated Asphalt Savannah EP
Associated Asphalt Savannah, LLC
Associated Asphalt Tampa, (formaly Mariani Asphalt/Tampa)
Atlantic Paving Co., Inc.
August Gahringer GmbH & Co KG
Avery Dennison Corp.
Axis Communications
B+B SmartWorx
Baroid IDP
Barsplice Products Inc
BASF C C Building Systems
BCI Materials, Inc.
Beghelli/SESCO Lighting
Berry Global, Inc.
Blacklidge Emulsions/Greer
Blacklidge Emulsions/Gulfport
Blacklidge Emulsions/Miami
Blacklidge Emulsions/Pompano
Blacklidge Emulsions/Tampa #11
Blue-Band
BLYNCSY
Bob's Barricades, Inc
BoMetals, Inc.
Bone Safety Signs
Bosch Security Systems, Inc.
Boschung America
BOSTD AMERICA
Brifen USA, USA
Brite-line Technologies, LLC.
BTU Research
BX Trading Corporation
Campbell Scientific
Carboline Company
Cargill
Carmanah Technologies Corp.
Carolina High Mast, Inc.
CARTHAGE MILLS
ceEntek Inc.
CEMEX Admix USA, LLC
Centek Industries- Fortress Pilings
CETCO
Channell Commercial Corporation
ChemCo Systems
ChemMasters
ChemSystems Inc
Chicago Heights Steel
CHRYSO Inc
CIJO Enterpirses
Cisco Systems, Inc.
Citel, Inc.
CIVETEA
CivicSmart, Inc.
CJC SHELL LLC.
Clary Corporation
Cloudastructure
CLS-North Star Lighting
CMC Construction Services
CMT Highway LLC
Cochrane USA
COMFITWEAR
Commsignia
Communication Networks
Component Products, Inc.
Concast, Inc.
Concrete Canvas, LTD
Concrete Sealants Inc.
Contech Engineered Solutions, LLC
Contractors Materials Company
Control Technologies
Cooper Crouse-Hinds MTL (formerly Atlantic Scientific)
Cooper Lighting Solutions
Core and Main Inc.
CornerStone Wall Solutions Inc.
Cortina Safety Products
Cor-Tuf UHPC
Cost Cast, Inc.
CostarHD
Crafco Inc
Cree Lighting
Crown USA, Inc.
CSL Silicones Inc.
Cubic ITS, Inc. (Gridsmart)
Cubic ITS, Inc. (Trafficware)
Currux Vision LLC
CWR Contracting, Inc.
D & R Electronics Ltd
D.S. Brown Company
Daktronics, Inc.
Daoming Optics & Chemical Co., Ltd
DarCole Products, Inc.
Dayton Superior Corp
Dayton Superior Corp. (Accessories)
DDD Erosion Control
DeAngelo Contracting Services
Deltrol Controls
Derq USA, Inc
Deschamps Mats Systems, Inc.
Detectable Warning Systems
DEWALT (Formerly Power Fasteners Inc)
Dialight Corporation
Diamond Traffic Products
Dicke Tool Co
Digi International
DITEK
Dow Chemical Company, The
DRILLCO NATIONAL GROUP, INC
Durant Performance Coatings
Eagle Eye Products
Earth Wall Products
Easi-Set Worldwide
East Coast Erosion Control
Eastern Metal of Elmira, Inc.
Eberle Design Inc.
E-Bond Epoxies, Inc.
Econolite
Eden Innovations, LLC
EDYSTON, LLC
Eko Yol
Electrotechnics Corporation dba ELTEC
Emeca SPE, USA
Empco Lite
Enclose Manufacturing
Energy Harness Corporation
Energy Lite, a Solais Group Brand
Engineered Plastics
Ennis-Flint, Inc (formerly Flint Trading Inc)
Ennis-Flint, Inc, (formerly Ennis Paint, Inc. dba Ennis-Flint)
Epoplex
ERECT-A-LINE
Ergon Asphalt /Garden City
Ergon Asphalt and Emulsions/Tampa
Ergon Terminaling/Mulga
Eric Hulli
ERICO International Corporation
Erosion Control Blanket.com
EtherWAN Systems Inc.
EVR International
Excellence Opto. Inc.
Extreme Networks
FDOT Statewide Aluminum Shop
Five Star Products, Inc.
Flexstake Inc
FLIR ITS (Traficon)
Florida Concrete Pipe Association
FORTA Corporation
Fortran Traffic Systems
FPT Infrastructure
Franklin Industries
Freedom ROC Industries (Distributor for RaynGuard Protective Materials)
Frey Manufacturing Corp.
Friendly Environmental
Fritz-Pak Corporation
Fuchs Lubricants Co.
Gardner Asphalt Supply, LLC
GCP Applied Technologies Inc.
GE Current
General Technologies, Inc.
General Traffic Equipment Corporation
General Work Products, Inc.
Geocell Suppliers
Geveko Markings Inc
Giatec Scientific
Gibralter Cable Barrier Systems, LP
Glasmasters, Inc.
Global Traffic Technologies, LLC
Glow Path Pavers LLC
GovComm, Inc.
Greentek Energy Systems
Gregory Industries
Gro-Green Solutions of Georgia, LLC.
Ground Improvement Systems, LLC
Hanes Geo Components
Hanwha Vision America, Inc.
Headed Reinforcement Corporation
Hebei Yan Xing Chemical Co., Ltd.
Henry Company
HESCO/RLS
Highway Safety Products
Highway Safety Specialist
Highway Technologies
Hill & Smith Inc.
Hilti Inc
Hirschmann
HNTB CORPORATION
Holcim
Holophane Lighting
Horizon Signal Technologies, Inc.
Houston Radar, LLC.
Howard Lighting Products
Huesker
Hunt Process Co
Hunt Refining/Bainbridge
Hunt Refining/Chickasaw
Hunt Refining/Perry
Hunt-Mobile
Image Sensing Systems (formerly EIS)
Impact Recovery Systems
IMRAE Corporation dba CoatMasters Coatings Installation Group
Indiana Soybean Alliance
Industrial Fabrics, Inc.
Ingevity
Inland Concrete Products
Innophos
Intech Anchoring
Intercomp
International Coastal Revetment Products
International Road Dynamics, Inc. (IRD)
IPsens, LLC
It Straps On, Inc.
Iteris, Inc.
ITS Express
ITS Plus, Inc.
ITW Commercial Construction North America
Jan Lighting Solutions
JBC Safety Plastic Inc
John Thomas, Inc.
K&K Systems,Inc.
KAO Specialties Americas
Kaufman Products Inc
Keysteel
Keystone Retaining Wall Systems, LLC.
Kistler Instrument Corp.
Korman Signs, Inc.
KOSTER American Corporation
Krete Industries, Inc.
Kyra Solutions, Inc. (IntelliRoad Division)
Lakeside Plastics, Inc.
Lambert Corp
Lanelight Traffic Technologies, Inc.
Lantronix (formerly Transition Networks)
Laura Metaal Road Safety Inc.
LED Roadway Lighting
Ledstar Inc.
Leetron Vision LLC
LEOTEK ELECTRONICS USA LLC
Lindsay Transportation Solutions/Barrier Systems
LiteSys, Inc.
Living Shoreline Solutions Inc.
Lumca
Lumecon
Lux Solar, Inc.
Major Concrete
MAPEI Corporation
Marathon Petroleum/Garyville
Marathon Petroleum/Tampa
Martin Asphalt Company,
Masci General Contractor
Master Builders Solutions US LLC
Matrix Construction Products, LLC
Maxwell Products, Inc.
MBC North America, Inc.
McMasters Concrete Products
MDI
Meadow Burke
Measurement Specialties, Inc.
Meter-Treater (dba MTI Surge)
MG-Squared Inc.
Microcom Design, Inc.
Mid-Park Highway
Miovision Technologies, Inc.
MKT Fastening, LLC
Mobile Barriers LLC
MoboTrex (formerly Brown Traffic Products, Inc. (formerly Siemens and Eagle))
Mohawk Valley Mining, LLC.
Mondo Polymer Technologies
Morningstar Corporation
MOTPlans.com, LLC
MOXA
MPH Industries www.mphindustries.com [Sale of products prohibited after 5/1/2012]
MS Sedco
Multilink, Inc.
Mutual Industries
Mutual Industries (Link Bridge, Co. LTD)
Navtech Radar Limited
Neenah Foundry Company
Niagara Global Inc.
Nippon Carbide Industries
North America Traffic, Inc.
North American Green
North American Signal
NoTraffic
Nouryon
Nucor Steel Sedalia
O Dowel
OCM, Incorporated
Oldcastle Coastal
Oldcastle Infrastructure
Omnisight
ORAFOL Americas Inc.
Orange Traffic
Oriux (formerly Peek Traffic)
OTT Hydromet
Owens Corning Trumbull Asphalt
Ozark Materials LLC
P & T Products
Panasonic iPro
Pattern Paving Products
Pavement Surface Coatings, LLC
Paveway Systems, Inc.
Pecora Corp.
PedRail Systems, LLC
PedSafety, a Campbell Company
Pelco Products, Inc.
Pencell Plastics, Inc. (Division of Hubbell)
Penetron USA
Pepperl+Fuchs, Inc.
Pexco, LLC
Phoscrete Corporation
Pilgrim Permocoat, Inc.
Pine Bluff Sand and Gravel Co. Cumberland River Quarry
Pinova Inc
Plasticade
PM Casting Ltd - Traffic Hardware + Design
Polara Enterprises, LLC
Poly Asphalt, Inc.
Polylok, Inc
Potters Industries
Power Distribution & Control (PDC)
PPG Protective & Marine Coatings
Pre Tech Industries
Preform LLC
Premiere Concrete Admixtures
Press Seal Corporation
Pride Enterprises dba Baker Paint
Propex Operating Company, LLC
PSP Products
PSS (formerly Plastic Safety Systems, Inc).
PurusNA Ecoraster Inc.
Q-Free America, Inc.
Quadex
Quazite (Division of Hubbell)
QUIKRETE Companies
Qwick Kurb Inc
Radarsign, LLC
Red Lion Controls
Reinforced Earth Company
Reno A&E
RETEM 3D Steel Grid LTD
Rhino Carbon Fiber Products
RHINO Global Company, LLC
Rhythm Engineering
RJ Watson, Inc.
Road safety llc
Road Systems Inc
ROIG Industrial SRL
Royal Adhesives & Sealants Canada Ltd, an H.B. Fuller company
RTB Safe Traffic, Inc.
RTC Manufacturing, Inc.
RubberForm Recycled Products
RUSSTECH, INC.
Ryan Richetti
s.m.s, smart microwave sensors GmbH
Safe Barriers North America LLC
Safety Products Inc
Safety Step TD, Inc
Safety Zone Holdings, Inc. (DBA Safety Zone Specialists)
Scepter Post
SELS USA
Seminole Precast
Sensys Networks, Inc.
Sentry Barricades
Sherwin Williams Co
SHUR-TITE Products
Sicom Industries USA LLC
Siemens Canada Limited (formerly RuggedCom)
Sighthound, Inc.
Signal Safe, Inc.
Signify North America Corporation
Signs and Safety Equipment, Inc.
Sika Corporation
Sika Corporation - Admixtures
Silt Saver Inc.
Simpson Strong-Tie Co
Sinwaves, Inc. DBA LYT
Siplast
Site 2020, Inc.
SKAPS Industries
Skidabrader Group, LLC
Sky Bracket
Skyline Products
Solar Technology Inc.
SolarMarkers, Co.
South Florida Materials / Ft. Lauderdale
South Florida Materials / Riviera Beach
Southeast Lighting & Design
Southern Mfg. Co. (Division of Earnest Products)
Sox Erosion Solutions
SpanPath
SpecChem
SpecGrade LED
Specialty Emulsions, Inc.
Specification Products
Spillman Company
Splice Sleeve North America
SSL LLC
StablWall Structural Strengthening System
STC, Inc.
Steelike, Inc.
STEICO
Stellux LED LLC
Sternberg Lighting
Stone Strong, LLC
Strata Systems
Streetleaf, LLC
Structural Technologies
Struthers-Dunn, LLC
Sunrise SESA
Super-Crete Systems
Surface Tech
SW Highway
Swarco McCain Inc
Swarco RMS
Synteen Technical Fabrics, Inc.
TAPCO
TAPE 4, LLC
TechPower Developments
TECNOVIA
TEG Safety, Inc.
Telegra, Inc.
Temple, Inc.
Tenax Corporation
TenCate Geosynthetics
Tensar International Corporation
Terram Geosynthetics Pvt. Ltd.
Tesco Controls Inc.
Tex-Cote LLC
The Euclid Chemical Co.
The Trenton Corporation
Thompson Lightning Protection, Inc.
Three D Traffic Works Inc
TKH Security LLC (Formerly SIQURA Inc)
Tnemec
Tomar Electronics, Inc.
TopShell LLC
Total Highway Maintenance, LLC
Trafcon Industries, Inc.
Traffic Control Products
Traffic Logix Corp
Traffic Materials Supplier, LLC
Traffic Safety Corp.
Trafficalm Systems
Traffix Devices Inc
TransCore
Transpo Industries Inc distributor Pilgrim Permocoat, Inc.
Transportation Control Systems (TCS)
Transportation Solutions & Lighting, Inc.
Transtector
TraStar, Inc.
TreeTopProducts
Trelleborg Pipe Seals Milford, Inc.
Tremco CPG Inc.
Tricon Precast Ltd
Trinity Construction Products
Truemont Materials
TufTile, Inc.
Turtle Creek Erosion Products, LLC
UAT LLC
Unigel, Inc.
Unipart Dorman (formerly Dorman Varitext)
Unitex, by Dayton Superior
US Fabrics
US Mix Co.
Utilicor Technologies Inc
Valtir, LLC
Verdegro USA LLC
Ver-Mac
Versilis
Vertex, Inc. (formerly Hail Mary Rubber Co)
Visionaire Lighting LLC
Vist-A-Wall Systems
Volta Energy Products (a Division of Viridi Parente, Inc.)
Voltaic Systems: High-performance Solar Power Solutions (Hardware Pieces)
W R Meadows, Inc.
W Z Equipment Inc
W.W. Grainger
Wanco, Inc.
Watson Bowman Acme Corp
Wavetronix, LLC
Western Excelsior
Whitaker Contracting
Willacoochee Industrial Fabrics, Inc.
Wireless Technology Inc.
X-Pose Safety
Yunex Traffic (formerly Siemens Industry)
ZICLA
ZincFive, Inc.
Zydex Industries
New Manufacturer
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Address Line 2
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United States
Canada
Mexico
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of The
Cook Islands
Costa Rica
Cote D'ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Province
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