Today’s Technician , Wound Management

Principles of Wound Care & Bandaging Techniques

Principles of Wound Care & Bandaging Techniques



Jessica Bosco, CVT

Wound care in veterinary medicine is an essential part of patient management with great potential to impact the duration and extent of an animal’s recovery from surgery or traumatic injury.

A wound is defined as a break in the continuity of a tissue of the body.1 A wound occurs when the integrity of any tissue is compromised (see Anatomy Review).

Because veterinary technicians are directly involved in patient monitoring and treatment, they play an integral role in the care and treatment of wounds. Understanding the general principles of wounds, wound healing, and various wound care techniques enables technicians to better assess patient progress and promptly recognize and address complications.



Classifying wounds and assessing the duration and degree of contamination allows veterinary professionals to determine the appropriate treatment plan for their patients. Wounds are classified as either open or closed.

Open Wounds

  • Abrasion: Skin damage with a loss of epidermis and a portion of the dermis
  • Avulsion: Tearing of tissue from its attachments
  • Incision: Wound created by a sharp tool, resulting in wound edges with minimal tissue trauma
  • Laceration: Irregular wound caused by tearing, which produces superficial and underlying tissue damage
  • Puncture: Penetrating wound caused by a sharp object; punctures cause minimal skin damage but underlying tissue damage may be severe, resulting in a higher risk of subsequent infection by contamination introduced at time of puncture1

Closed Wounds

  • Contusion: Blunt-force trauma that doesn’t break the skin but causes damage to the skin and underlying tissue
  • Crushing Injury: Force applied to an area of the body over a period of time; commonly seen in bite wounds

Duration & Degree of Contamination

Duration refers to the length of time between the infliction of a wound and wound treatment. Duration and degree of contamination are divided into 3 classes.1 However, the degree of contamination is more important than the duration; a relatively new wound that has gross debris or devitalized tissue should be assigned a higher wound classification.

Class 1: Clean wound with minimal contamination and a 0 to 6 H duration
Class 2: Wound with significant contamination or 6 to 12 H duration
Class 3: Wound with gross contamination or > 12 H duration




Phases of Wound Healing

There are 3 phases of wound healing; healing can take place on its own or with medical or surgical intervention.

Phase 1 — Inflammatory Phase: This phase occurs immediately after injury and is mainly directed at minimizing blood loss from the injured area by hemostasis—vasoconstriction, platelet aggregation, and clot formation—followed by vasodilation and phagocytosis.

Phase 2 — Proliferative Phase: In this phase, granulation, contraction, and epithelialization of the injured tissues occurs.

Phase 3 — Remodeling Phase: This phase involves formation of new collagen, wound tissue strengthening, and scar formation.

Methods of Wound Healing

  • First Intention: Describes primary wound healing or closure; this type of healing is the best choice for healthy wounds in well-vascularized areas.
  • Second Intention: Describes secondary wound healing or spontaneous healing. In this process the open wound is allowed to close by epithelialization and contraction (granulation tissue); this process of healing is best for contaminated or infected wounds (Figure 1).


  • Secondary Closure: Wound closure > 5 days after injury; granulation tissue and epithelialized skin edges are excised and fresh tissue edges closed.
  • Third Intention: Describes tertiary wound healing or delayed primary closure; it is best for infected or unhealthy wounds that are too contaminated for primary closure, but appear clean and well vascularized after approximately 2 to 5 days.
  • Epithelialization: Describes healing of partial-thickness wounds, including first-degree burns and abrasions.


How a wound is treated initially and the bandaging technique employed will greatly impact the outcome of a patient’s injury. Poor treatment and bandaging techniques will delay healing, negatively affect patient outcome, and accrue unnecessary charges for the client.

Initial Treatment

The initial treatment of a wound should include:

  • Clipping Around the Wound: A water-soluble gel (ie, K-Y Jelly, is placed in the wound and a large area of skin around the wound is clipped. The gel clumps the clipped hair together and prevents further wound contamination during clipping.
  • Cleaning Around the Wound: The gel is flushed from the wound with sterile saline (see below) and the skin around the wound is scrubbed with chlorhexidine until debris is removed. Care should be taken to avoid introducing the surgical scrub into the wound as this may cause tissue damage.
  • Cleaning the Wound: Irrigating the wound with adequate volumes of a sterile, balanced electrolyte solution will help decrease bacteria and flush debris from the wound.
    • The wound should be irrigated using a 20-mL syringe and an 18-gauge needle or catheter to provide the appropriate pressure.
    • It is important to remember that higher-pressure irrigation can cause tissue trauma and seed bacteria into the wound.

Wound Debridement
All dead and devitalized tissue should be surgically removed from the wound by debridement (Figure 2). This is best performed with a scalpel or sharp scissors under aseptic surgical conditions.



  • The wound and surrounding surgical field is draped.
  • Debridement is started superficially. While debridement of skin can be somewhat conservative, fat and muscle tissue that does not bleed should be removed.
  • Once the entire wound has been debrided to healthy tissue, it is again irrigated under appropriate pressure.

A decision on closing the wound is then made.

  • Wounds that are deemed healthy and can be closed without tension indicate primary closure. One or more gravity or closed suction drains (discussed later in the text) may be required to prevent fluid accumulation in wound dead space.
  • If the wound is still considered contaminated or if, when closure is attempted, there is excessive tension on the wound edges, the wound should initially be left “open” and, ideally, bandaged.

Bandaging Technique

Once initial care is completed, the clinician determines the most appropriate type of bandage to apply (see The Benefits of Bandaging). The most common types of bandages are the modified Robert Jones bandage and the tie-over bandage. Tie-over bandages can be used anywhere on the body and are convenient for wounds occurring in areas that would preclude the use of a modified Robert Jones bandage (ie, the head, flank, or inguinal region). Tie-over bandages (Figure 3) used for contaminated wounds usually have:


  1. A primary/contact layer of sterile gauze packed into and on the wound
  2. A secondary layer of sterile laparotomy sponges
  3. A tertiary layer of waterproof material, which can be a surgical drape or an absorbent pad cut to cover the other layers.

Stay sutures are placed in a circular pattern around the wound and umbilical tape is tied over to secure all of the layers in place.

Bandage Layers

All bandages are comprised of a contact layer, secondary layer, and a tertiary layer. The specific material used in each layer is determined by the type of wound and the bandage’s particular function. The frequency of bandage changes depends on bandage type and wound exudate.

Primary (Contact) Layer

Primary layers may be adherent, nonadherent, or semi-occlusive.

  • Adherent bandages include both dry-to-dry and wet-to-dry bandages; they are created with sterile gauze squares. It is important to remember that these sponges debride the wound and their removal may be painful to the patient.
    • Dry-to-dry bandages are used for wounds producing increased amounts of low-viscosity fluid/exudate and if foreign debris and necrotic tissue are present; for example, wounds that are producing a large volume of noninfected serum-like fluid.
    • Wet-to-dry bandages are indicated for wounds producing higher viscosity fluid/exudate and if loose debris is present; for example, wounds that are still contaminated after debridement and producing purulent exudate. The gauze sponges are moistened with a sterile, balanced electrolyte solution.
  • Nonadherent bandages, such as Telfa pads (Kendall Brands,, are used to cover a wound for protection but do not provide any additional benefits.
  • Nonadherent, semi-occlusive bandages can be created using Vaseline-impregnated gauze, which is a material that allows fluid to absorb into the intermediate layer of the bandage. It keeps the wound moist and allows atraumatic removal of the dressing.
  • Other semi-occlusive bandages can be created using hydrocolloid- and hydrogel-type bandages.
    • Hydrocolloids form a nonadherent, semi-occlusive gel. The dressings are permeable to oxygen, carbon dioxide, and water and are comprised of a polyurethane layer, colloid matrix, and sterile backing. After wound contact, they become gel-like and form a protective layer.
    • Hydrogel is a nonadhesive, absorbent polyethylene oxide membrane that covers a gelatinous membrane, which absorbs exudate and keeps the wound moist.2

Both hydrocolloids and hydrogel may speed epithlialization on acute, partial-thickness wounds.

Secondary Layer

Secondary layers are comprised of bandage materials that can absorb exudate, secure the contact layer, and provide some pressure to decrease dead space and/or prevent edema. Examples of materials commonly used to create this layer are cast padding and roll cotton (Figure 4).

Tertiary Layer

The purpose of the tertiary layer is primarily to secure other parts of the bandage. Conforming, stretch-gauze bandage (Figure 5) is used. An outer layer (Figure 6) of either Vetrap ( or Elastikon ( is used to secure the 3 layers of the bandage.


Drainage Systems

When there is an abundance of dead space related to the wound or a seroma formation secondary to the wound or surgical intervention, an active or passive draining system is needed for optimal success in wound healing.

Several types of draining systems are currently available in veterinary medicine.

  • Passive drains do not involve suction but instead simply rely on the pressure differentials between body cavities and the exterior of the body to function.
  • Active drains are maintained under either low- or high-pressure suction.

Passive Drains

The most common type of passive drain is the Penrose ( drain (Figure 7).


  • The Penrose drain is a length of soft rubber tubing that is applied by inserting one end of the tubing into the wound or surgical site; then tunneling the tubing ventrally toward a small skin incision where it exits the body.
  • The drain prevents the accumulation of fluid (ie, serosanguinous fluid, blood, purulent material) under the skin.
  • The fluid doesn’t exit through the tube itself, but rather around the tube, draining at the incision sites.
  • The Penrose drain relies solely on gravity to function; there is no collection system associated with it.

Active Drains

Jackson-Pratt ( drains are an active drain with a collection system attached. Although more expensive than passive drains, active drains may decrease the likelihood of an ascending wound infection developing through the drain. They also minimize the need for a band-age to absorb fluid, which is the case with a passive drain.

  • This drain pulls excess fluid from the body using constant suction.
  • The part of the drain in the wound or body cavity is made of Teflon ( and designed with a series of holes or openings that allow appropriate draining.
  • The drain is connected to plastic tubing that is sutured to the skin at the insertion site; the exterior end of the tubing is connected to a plastic bulb, which creates negative pressure when squeezed and released, providing suction.

Economical alternatives to the Jackson-Pratt drain can be made; two setups are commonly used:

  • Both setups use a 30-inch or longer, sterile macrobore IV extension set that the surgeon alters by placing cuts in the tubing to create multiple fenestrations. The sterile line is surgically placed in the body.
  • In the first setup, a 10- or 20-mL luer-lok syringe is used to generate negative pressure.
    • The syringe is altered by boring a hole through the barrel to allow an 18-gauge needle to pass through the barrel to act as a stopper.
    • The modified syringe is placed on the female end of the extension line; then the syringe is aspirated until it creates constant suction.
    • When the syringe is filled with fluid, it is emptied, the fluid quantified, and the syringe reset.
  • The second setup involves placing an 18- or 20-gauge needle on the male end of the extension line; then inserting the needle into a vacutainer tube to provide constant suction. When the vacutainer tube fills it is simply removed and a new one inserted.
    To read about the newest, specialized innovation in wound care, negative-pressure wound therapy (also known as vacuum-assisted closure or VAC), see Vacuums in Veterinary Medicine.

Screen Shot 2015-04-29 at 7.49.00 PM


Good nursing care ex-tends beyond the basics of patient monitoring and administering prescribed treatments.


Providing a clean, comfortable environment and minimizing stress are important for every patient; those requiring wound care are no exception. In fact, because patients with wounds have a high risk of acquiring infection, the importance of cleanliness cannot be overstated.

  • Clean, dry bedding should be provided and the patient should be kept free of urine, fecal material, and other contaminants that promote the proliferation of bacteria.
  • Care should be taken when providing water to keep the patient from stepping into or spilling water and soaking its bandage.
  • The veterinary technician’s ability to assess patient comfort is an important skill (see Pain Management Guidelines). Anxious and/or painful animals may be especially restless. Their increased activity may result in disruption of bandages and drain systems, causing additional trauma and delayed recovery.

Bandage & Drain Care

Bandage Care

Bandages need to be frequently monitored to identify abnormal swelling of limbs or areas surrounding the bandage. Swelling proximally or distally to the bandage can indicate improper distribution of the bandage material, resulting in tissue damage. Inappropriately placed modified Robert Jones bandages are very likely to cause swelling of the toes, indicating an emergency and immediate notification of the clinician.

Drain Care

When monitoring patients with drains the technician should be evaluating the volume and character or the fluid being produced (ie, serous, serosanguinous, purulent) and paying close attention to abrupt changes, such as significant increase in fluid volume or difference in fluid type (ie, serous to hemorrhagic).

Pain Management Guidelines

In 2007, the American Animal Hospital Association (AAHA) and American Association of Feline Practitioners (AAFP) released the AAHA/AAFP Pain Management Guidelines for Dogs & Cats. This article, published in the Journal of the American Animal Hospital Association (43:235-248, 2007), not only provides extensive information on the topic, but also includes tables that cover topics, such as frequently overlooked causes of pain and signs of pain, and a pain management algorithm. Read the article at managementguidelines.pdf.


The proper care of wounds, bandages, and drains is critical to ensuring optimal success in wound healing and restoration of good health. From the initial assessment and treatment of a wound through all stages of its care, the veterinary technician greatly impacts the patient’s recovery through diligent monitoring and careful observation. Knowing the principles of wound care and the various treatment techniques enables the technician to provide the highest level of care, which helps ensure the best outcome for thepatient.


Figures 1, 2, 4–6: Courtesy Dr. Todd Hamilton, Veterinary Hospital of University of Pennsylvania
Figure 3: Courtesy Dr. Georga Karbe, Veterinary Hospital of University of Pennsylvania
Figure 7: Courtesy Dr. Meghan Kruse, Veterinary Hospital of University of Pennsylvania


  1. Slatter D. Wound management of superficial skin wounds. Textbook of Small Animal Surgery, 3rd ed. Philadelphia: Saunders Elsevier, 2002, p 269.
  2. Basser JM, McCurnin DM. Wound management, wound healing, and bandaging. McCurnin’s Clinical Textbook for Veterinary Technicians, 7th ed. Philadelphia: Saunders Elsevier, 2009, pp 1235-1237.
  3. VAC therapy for wounds.; accessed December 2011.
c05_BoscoJessica Bosco, CVT, is a veterinary nurse at Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania. She is focused on the perioperative care of patients in the Soft Tissue Surgery Ward and assists the 8 surgeons/professors that are part of the ward’s team. Ms. Bosco graduated from Camden County College’s Animal Science Program with an Associate’s degree in allied health. She has worked in the veterinary field for 15 years. Protection Status
[gravityform id="6" title="false" description="false"]
<div class='gf_browser_unknown gform_wrapper' id='gform_wrapper_6' style='display:none'><form method='post' enctype='multipart/form-data' id='gform_6' action='/todays-technician-principles-of-wound-care-bandaging-techniques/'> <div class='gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id='field_6_1' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' >Name<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_6_1'> <span id='input_6_1_3_container' class='name_first' > <input type='text' name='input_1.3' id='input_6_1_3' value='' aria-label='First name' aria-required="true" aria-invalid="false" /> <label for='input_6_1_3' >First</label> </span> <span id='input_6_1_6_container' class='name_last' > <input type='text' name='input_1.6' id='input_6_1_6' value='' aria-label='Last name' aria-required="true" aria-invalid="false" /> <label for='input_6_1_6' >Last</label> </span> </div></li><li id='field_6_2' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_2' >Email<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_6_2' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></li><li id='field_6_7' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_6_7' >Profession / Role<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_6_7' class='medium gfield_select' aria-required="true" aria-invalid="false"><option value='Veterinarian' >Veterinarian</option><option value='Veterinary Nurse / Technician' >Veterinary Nurse / Technician</option><option value='Practice Manager / Veterinary Assistant / Support Staff' >Practice Manager / Veterinary Assistant / Support Staff</option><option value='Student (Veterinarian or Veterinary Nurse)' >Student (Veterinarian or Veterinary Nurse)</option><option value='Other' >Other</option></select></div></li><li id='field_6_20' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><br></li><li id='field_6_15' class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' >Inbox Preferences</label><div class='gfield_description' id='gfield_description_6_15'>Customize your inbox by selecting the areas you are most interested in. </div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_15'><li class='gchoice_6_15_1'> <input name='input_15.1' type='checkbox' value='NAVC Better Care Weekly&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;A weekly roundup of the new and noteworthy innovations and educational opportunities in the veterinary industry.&lt;/div&gt;' checked='checked' id='choice_6_15_1' /> <label for='choice_6_15_1' id='label_6_15_1'>NAVC Better Care Weekly<br><div style="font-size: 12px; color: #808080;">A weekly roundup of the new and noteworthy innovations and educational opportunities in the veterinary industry.</div></label> </li><li class='gchoice_6_15_2'> <input name='input_15.2' type='checkbox' value='Today&#039;s Veterinary Business eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Covers topics relating to practice management, financial metrics, marketing, retailing and merchandising, and industry news.&lt;/div&gt;' id='choice_6_15_2' /> <label for='choice_6_15_2' id='label_6_15_2'>Today's Veterinary Business eNewsletter<br><div style="font-size: 12px; color: #808080;">Covers topics relating to practice management, financial metrics, marketing, retailing and merchandising, and industry news.</div></label> </li><li class='gchoice_6_15_3'> <input name='input_15.3' type='checkbox' value='Today&#039;s Veterinary Nurse eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Provides practical, peer-reviewed companion animal educational CE for veterinary nurses, technicians and assistants.&lt;/div&gt;' id='choice_6_15_3' /> <label for='choice_6_15_3' id='label_6_15_3'>Today's Veterinary Nurse eNewsletter<br><div style="font-size: 12px; color: #808080;">Provides practical, peer-reviewed companion animal educational CE for veterinary nurses, technicians and assistants.</div></label> </li><li class='gchoice_6_15_4'> <input name='input_15.4' type='checkbox' value='Today&#039;s Veterinary Practice eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Provides practical, peer-reviewed articles focused on the latest diagnostic and treatment techniques to enhance your knowledge and confidence.&lt;/div&gt;' id='choice_6_15_4' /> <label for='choice_6_15_4' id='label_6_15_4'>Today's Veterinary Practice eNewsletter<br><div style="font-size: 12px; color: #808080;">Provides practical, peer-reviewed articles focused on the latest diagnostic and treatment techniques to enhance your knowledge and confidence.</div></label> </li><li class='gchoice_6_15_5'> <input name='input_15.5' type='checkbox' value='VetFolio eNewsletter&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Discover online CE resources offered in a variety of formats including videos, podcasts, webinars and more.&lt;/div&gt;' id='choice_6_15_5' /> <label for='choice_6_15_5' id='label_6_15_5'>VetFolio eNewsletter<br><div style="font-size: 12px; color: #808080;">Discover online CE resources offered in a variety of formats including videos, podcasts, webinars and more.</div></label> </li><li class='gchoice_6_15_6'> <input name='input_15.6' type='checkbox' value='Partner Emails&lt;br&gt;&lt;div style=&quot;font-size: 12px;color: #808080&quot;&gt;Exclusive deals and information from our partners.&lt;/div&gt;' id='choice_6_15_6' /> <label for='choice_6_15_6' id='label_6_15_6'>Partner Emails<br><div style="font-size: 12px; color: #808080;">Exclusive deals and information from our partners.</div></label> </li></ul></div></li><li id='field_6_19' class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible' ><br></li><li id='field_6_22' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' >Do you want to be added to our postal mailing list?</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_22'><li class='gchoice_6_22_1'> <input name='input_22.1' type='checkbox' value='Yes, I love mail!' id='choice_6_22_1' /> <label for='choice_6_22_1' id='label_6_22_1'>Yes, I love mail!</label> </li><li class='gchoice_6_22_2'> <input name='input_22.2' type='checkbox' value='No thank you.' id='choice_6_22_2' /> <label for='choice_6_22_2' id='label_6_22_2'>No thank you.</label> </li></ul></div></li><li id='field_6_10' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' >Please provide your mailing address below.<span class='gfield_required'>*</span></label> <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_6_10' > <span class='ginput_full address_line_1' id='input_6_10_1_container' > <input type='text' name='input_10.1' id='input_6_10_1' value='' aria-required="true"/> <label for='input_6_10_1' id='input_6_10_1_label' >Street Address</label> </span><span class='ginput_full address_line_2' id='input_6_10_2_container' > <input type='text' name='input_10.2' id='input_6_10_2' value='' /> <label for='input_6_10_2' id='input_6_10_2_label' >Address Line 2</label> </span><span class='ginput_left address_city' id='input_6_10_3_container' > <input type='text' name='input_10.3' id='input_6_10_3' value='' aria-required="true"/> <label for='input_6_10_3' id='input_6_10_3_label' >City</label> </span><span class='ginput_right address_state' id='input_6_10_4_container' > <input type='text' name='input_10.4' id='input_6_10_4' value='' aria-required="true"/> <label for='input_6_10_4' id='input_6_10_4_label' >State / Province / Region</label> </span><span class='ginput_left address_zip' id='input_6_10_5_container' > <input type='text' name='input_10.5' id='input_6_10_5' value='' aria-required="true"/> <label for='input_6_10_5' id='input_6_10_5_label' >ZIP / Postal Code</label> </span><span class='ginput_right address_country' id='input_6_10_6_container' > <select name='input_10.6' id='input_6_10_6' aria-required="true"><option value='' selected='selected'></option><option value='Afghanistan' >Afghanistan</option><option value='Åland Islands' >Åland Islands</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Congo, Republic of the' >Congo, Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Côte d&#039;Ivoire' >Côte d&#039;Ivoire</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czech Republic' >Czech Republic</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard and McDonald Islands' >Heard and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macau' >Macau</option><option value='Macedonia' >Macedonia</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Korea' >North Korea</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Réunion' >Réunion</option><option value='Romania' >Romania</option><option value='Russia' >Russia</option><option value='Rwanda' >Rwanda</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena' >Saint Helena</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia' >South Georgia</option><option value='South Korea' >South Korea</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen Islands' >Svalbard and Jan Mayen Islands</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria' >Syria</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania' >Tanzania</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkey' >Turkey</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Vietnam' >Vietnam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option></select> <label for='input_6_10_6' id='input_6_10_6_label' >Country</label> </span> <div class='gf_clear gf_clear_complex'></div> </div></li> </ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Sign Up' onclick='if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} window["gf_submitting_6"]=true; jQuery("#gform_6").trigger("submit",[true]); }' /> <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='6' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjNkNTNhNjhlOThlOGY4N2JlZWZiNTRmZDhlZDQ5OWI3Il0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> </form> </div><script type='text/javascript'> jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 6) {gf_global["number_formats"][6] = {"1":{"price":false,"value":false},"2":{"price":false,"value":false},"7":{"price":false,"value":false},"20":{"price":false,"value":false},"15":{"price":false,"value":false},"19":{"price":false,"value":false},"22":{"price":false,"value":false},"10":{"price":false,"value":false}};if(window['jQuery']){if(!window['gf_form_conditional_logic'])window['gf_form_conditional_logic'] = new Array();window['gf_form_conditional_logic'][6] = { logic: { 10: {"field":{"actionType":"show","logicType":"any","rules":[{"fieldId":"22","operator":"is","value":"Yes, I love mail!"}]},"nextButton":null,"section":null} }, dependents: { 10: [10] }, animation: 1, defaults: {"1":{"1.2":"","1.3":"","1.4":"","1.6":"","1.8":""},"15":["choice_6_15_1"],"10":{"10.1":"","10.2":"","10.3":"","10.4":"","10.5":"","10.6":""}}, fields: {"1":[],"2":[],"7":[],"20":[],"15":[],"19":[],"22":[10],"10":[]} }; if(!window['gf_number_format'])window['gf_number_format'] = 'decimal_dot';jQuery(document).ready(function(){gf_apply_rules(6, [10], true);jQuery('#gform_wrapper_6').show();jQuery(document).trigger('gform_post_conditional_logic', [6, null, true]);} );} gformInitChosenFields('#input_6_7','No results matched');} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){gformInitChosenFields('#input_6_7','No results matched');} );</script><script type='text/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [6, 1]) } ); </script>