<p class="font-weight-light float-left w-100 mb-3">Please fill out the following form to create your one-time paper submission and conference reminder.</p> <form method="post" action="https://waset.org/dentistry-conference-in-july-2025-in-melbourne/reminder" class="frmProgressAjax" autocomplete="off"> <div class="form-group"> <label class="control-label" required>Name Surname</label> <input type="text" name="name" maxlength="100" class="form-control" required /> </div> <div class="form-group"> <label class="control-label" required>E-Mail Address</label> <input type="email" name="email" maxlength="100" class="form-control" required /> </div> <div class="form-group"> <label class="control-label required">Send this reminder (X) day(s) before the conference paper submission deadline:</label> <select name="interval" class="form-control" required> <option value="1">1 day</option> <option value="2">2 day</option> <option value="3">3 day</option> <option value="4">4 day</option> </select> </div> <div class="form-group text-center"> <button type="submit" class="btn btn-primary">Create Reminder</button> </div> </form> <p class="font-weight-light text-center w-100">The information provided here will not be used for any other purposes.</p>