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International Conference on<br>Osteoporosis Arthritis and Musculoskeletal Disorders</h1> </div> </div> <div class="col-md-3"> <p class="event text-right text-shadow h3"> <strong class="text-success ">Apr 18- 19, 2024 </strong><br> <span class="text-primary">Dubai, UAE</span> </p> </div> </div> </div> </div> </header><script src="https://ajax.aspnetcdn.com/ajax/jQuery/jquery-3.2.0.min.js"></script> <link rel="stylesheet" href="https://d2cax41o7ahm5l.cloudfront.net/cme/css/registration.css" /> <script type="text/javascript" src="https://d2cax41o7ahm5l.cloudfront.net/cme/js/registration.js"></script> <div class="main-content"> <div class ="container"> <div class="row"> <div class="col-md-9"> <div class="abs-sub"> <div class="padding-md conf-form"> <h2 class="text-uppercase text-center h3 text-info heading2" style="margin:0px;">Registration</h2> <p class="text-success" style="font-weight:bold; font-size:18px; text-align:center; margin-top:20px;">For any registration queries and other payment methods like bank transfers and PayPal <br/>feel free to reach us at <a href="mailto:invoice@pulsus.com">invoice@pulsus.com</a></p> <br/> <div > </div> <div class="thumbnail text-center choose-currency"> <div class="h4 text-primary" style="margin-top: 0;"> <strong>Choose your Currency</strong> </div> <div> <label> <input type="radio" id="USD" class="currency" name="currency" value="USD" /> USD </label> <label> <input type="radio" id="EUR" class="currency" name="currency" value="EUR" checked />Euro </label> <label> <input type="radio" id="GBP" class="currency" name="currency" value="GBP" /> GBP </label> </div> </div> <div class="form-head clearfix"> <p class="pull-right">* Marked fields are required</p> </div> <p></p> <form role="form" method="post" action="https://www.pulsusconference.com/razorpay/index.php" class="form-horizontal"> <fieldset class="box-shadow"> <legend> <span class="label label-warning">1</span>Your Primary Details </legend> <div class="form-group"> <label for="selectTitle" class="col-md-3 control-label">Title * </label> <div class="col-md-9"> <select class="form-control" id="Title" name="title" required> <option selected="selected" value="">Select Title</option> <option value="Mr">Mr</option> <option value="Ms">Ms</option> <option value="Mrs">Mrs</option> <option value="Prof">Prof</option> <option value="Dr">Dr</option> <option value="Assist Prof Dr">Assist Prof Dr</option> <option value="Assoc Prof Dr">Assoc Prof Dr</option> </select> </div> </div> <div class="form-group"> <label for="inputFirstName" class="col-md-3 control-label">First Name* </label> <div class="col-md-9"> <input type="text" required class="form-control" id="fname" name="fname" placeholder="Your First Name" value=""> </div> </div> <div class="form-group"> <label for="inputLastName" class="col-md-3 control-label notrequired">Last Name</label> <div class="col-md-9"> <input type="text" class="form-control" id="lname" name="lname" placeholder="Your Last Name" value=""> </div> </div> <div class="form-group"> <label for="selectCountry" class="col-md-3 control-label">Country*</label> <div class="col-md-9"> <select class="form-control country_name" id="country" name="country" required> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</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="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="Canadian Nunavut Territory">Canadian Nunavut Territory</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 (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</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="East Timor">East Timor</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="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</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="France, Metropolitan">France, Metropolitan</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="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="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="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kosovo">Kosovo</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</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="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="Netherlands Antilles">Netherlands Antilles</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="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="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="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</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="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="Somaliland">Somaliland</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</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="Swaziland">Swaziland</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="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="US Minor Outlying Islands">US Minor Outlying Islands</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="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-md-3 control-label">Email * </label> <div class="col-md-9"> <input type="email" class="form-control" id="Authors_Email" name="Authors_Email" placeholder="Your email" value="" required> </div> </div> <div class="form-group"> <label for="inputPhoneNumber" class="col-md-3 control-label">Phone Number * </label> <div class="col-md-9"> <input type="tel" class="form-control" id="phone" name="phone" placeholder="Phone Number" value="" required> </div> </div> <div class="form-group"> <label for="address" class="col-md-3 control-label notrequired">Postal Address<br><small>(<em>to receive printed Final Program</em>)</small></label> <div class="col-md-9"> <textarea rows="3" class="form-control" id="Full_Postal_Address" name="address"></textarea> </div> </div> <a data-toggle="collapse" href="#collapseExample" aria-expanded="false" aria-controls="collapseExample"><strong id="display_billing_address">Want to add other Address for billing?</strong></a> <div class="collapse billing-info" id="collapseExample"> <div class="form-group"> <label for="selectTitle" class="col-md-3 control-label">Title * </label> <div class="col-md-9"> <select class="form-control" id="selectTitleSame" name="stitle"> <option selected="selected" value="">Select Title</option> <option value="Mr">Mr</option> <option value="Ms">Ms</option> <option value="Mrs">Mrs</option> <option value="Prof">Prof</option> <option value="Dr">Dr</option> <option value="Assist Prof Dr">Assist Prof Dr</option> <option value="Assoc Prof Dr">Assoc Prof Dr</option> </select> </div> </div> <div class="form-group"> <label for="inputFirstName" class="col-md-3 control-label">First Name* </label> <div class="col-md-9"> <input type="text" class="form-control" id="SFName" name="sfname" placeholder="Your First Name" value=""> </div> </div> <div class="form-group"> <label for="inputLastName" class="col-md-3 control-label notrequired">Last Name</label> <div class="col-md-9"> <input type="text" class="form-control" id="SLName" name="slname" placeholder="Your Last Name" value=""> </div> </div> <div class="form-group"> <label for="selectCountry" class="col-md-3 control-label">Country* </label> <div class="col-md-9"> <select class="form-control country_name" id="Scountry" name="Scountry"> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</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="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="Canadian Nunavut Territory">Canadian Nunavut Territory</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 (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</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="East Timor">East Timor</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="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</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="France, Metropolitan">France, Metropolitan</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="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="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="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kosovo">Kosovo</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</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="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="Netherlands Antilles">Netherlands Antilles</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="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="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="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</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="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="Somaliland">Somaliland</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</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="Swaziland">Swaziland</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="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="US Minor Outlying Islands">US Minor Outlying Islands</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="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-md-3 control-label">Email * </label> <div class="col-md-9"> <input type="email" name="SAuthors_Email" class="form-control" id="inputEmail" placeholder="Your email" value=""> </div> </div> <div class="form-group"> <label for="inputPhoneNumber" class="col-md-3 control-label">Phone Number * </label> <div class="col-md-9"> <input type="tel" class="form-control" id="Sphone" name="Sphone" placeholder="Phone Number" value=""> </div> </div> <div class="form-group"> <label for="address" class="col-md-3 control-label notrequired">Postal Address</label> <div class="col-md-9"> <textarea rows="3" class="form-control" id="SFull_Postal_Address" name="SFull_Postal_Address"></textarea> </div> </div> </div> </fieldset> <fieldset class="box-shadow"> <legend> <span class="label label-warning">2</span>Your Talk Details </legend> <div class="form-group"> <label for="inputAbsCategory" class="col-md-3 control-label notrequired">Abstract Category</label> <div class="col-md-9"> <input type="text" class="form-control" name="Abstact_Category" id="Abstact_Category" placeholder="Your Abstract Category" value=""> </div> </div> <div class="form-group"> <label for="titleSpeech" class="col-md-3 control-label notrequired">Title of the speech</label> <div class="col-md-9"> <input type="text" class="form-control" name="Conference_Title" id="Conference_Title" placeholder="Your title of the proposed talk" value=""> </div> </div> </fieldset> <fieldset class="box-shadow"> <legend> <span class="label label-warning">3</span>Choose Package </legend> <div class="reg-category-main"> <div class="reg-main"> <div class="reg-type"> <h3 class="text-center">Academic</h3> <div class="time clearfix hidden-xs hidden-xs"> <div class="col-md-3 col-sm-3"> <p>Type</p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>On/Before</em></small><br> Nov 15 , 2023 </p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>On/Before</em></small><br> Apr 05, 2024 </p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>Final Call</em></small><br> Apr 18, 2024 </p> </div> </div> <div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Speaker Registration</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="option1" class="btnselectacm reg_data_val" value="Speaker Registration"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€750</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€850</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€950</span> </p><input class="selectedplan reg_data_val" type="radio" name="reg[]" data-producttype="final" data-priceval ="950" id="option3" value="48474"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Delegate Registration</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="option1" class="btnselectacm reg_data_val" value="Delegate Registration"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€550</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€660</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€770</span> </p><input class="selectedplan reg_data_val" type="radio" name="reg[]" data-producttype="final" data-priceval ="770" id="option3" value="48475"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Video Presentation</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="option1" class="btnselectacm reg_data_val" value="Video Presentation"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€250</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€320</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€420</span> </p><input class="selectedplan reg_data_val" type="radio" name="reg[]" data-producttype="final" data-priceval ="420" id="option3" value="48476"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Poster Presentation</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="option1" class="btnselectacm reg_data_val" value="Poster Presentation"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€276</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€376</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€476</span> </p><input class="selectedplan reg_data_val" type="radio" name="reg[]" data-producttype="final" data-priceval ="476" id="option3" value="48478"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>2 night stay</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="option1" class="btnselectacm reg_data_val" value="2 night stay"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€350</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€350</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€350</span> </p><input class="selectedplan reg_data_val" type="radio" name="reg[]" data-producttype="final" data-priceval ="350" id="option3" value="48485"></div></div></div> </div> <div class="reg-type"> <h3 class="text-center">Business</h3> <div class="time clearfix hidden-xs hidden-xs"> <div class="col-md-3 col-sm-3"><p>Type</p></div> <div class="col-md-3 col-sm-3"><p> <small><em>On/Before</em></small><br> Nov 15 , 2023</p> </div> <div class="col-md-3 col-sm-3"> <p><small><em>On/Before</em></small><br> Apr 05, 2024</p> </div> <div class="col-md-3 col-sm-3"> <p><small><em>Final Call</em></small><br> Apr 18, 2024</p> </div> </div> <div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Delegate Registration</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="busmoption1" class="btnselectbusn reg_data_val"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€850</span> </p> </div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€950</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€1050</span> </p><input type="radio" class="selectedplan reg_data_val" data-producttype="final" data-priceval ="1050" name="reg[]" id="busoption3" value="48479"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Exhibitor</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="busmoption1" class="btnselectbusn reg_data_val"><span class="regselect">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€2474</span> </p> </div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€2474</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€2474</span> </p><input type="radio" class="selectedplan reg_data_val" data-producttype="final" data-priceval ="2474" name="reg[]" id="busoption3" value="48480"></div></div></div> </div> <div class="reg-type"> <h3 class="text-center">Student</h3> <div class="time clearfix hidden-xs hidden-xs"> <div class="col-md-3 col-sm-3"> <p>Type</p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>On/Before</em></small><br> Nov 15 , 2023 </p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>On/Before</em></small><br> Apr 05, 2024 </p> </div> <div class="col-md-3 col-sm-3"> <p> <small><em>Final Call</em></small><br> Apr 18, 2024 </p> </div> </div> <div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Delegate Registration</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="busmoption1" class="btnselectbusn"><span class="regselect reg_data_val">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€190</span> </p> </div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€290</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€390</span> </p><input type="radio" class="selectedplan reg_data_val" data-producttype="final" data-priceval ="390" name="reg[]" id="busoption3" value="48481"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Speaker Registration</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="busmoption1" class="btnselectbusn"><span class="regselect reg_data_val">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€250</span> </p> </div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€350</span> </p></div></div><div class="col-md-3 col-sm-3"><div class="reg-sub"><p><mark class="visible-xs">Final Call<br> Apr 18, 2024 </mark><span>€450</span> </p><input type="radio" class="selectedplan reg_data_val" data-producttype="final" data-priceval ="450" name="reg[]" id="busoption3" value="48482"></div></div></div><div class="reg-sub-main clearfix"><div class="col-md-3 col-sm-3"><h4>Video Presentation</h4><label class="btn btn-danger"><input type="checkbox" name="reg[]" id="busmoption1" class="btnselectbusn"><span class="regselect reg_data_val">Select</span></label></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Nov 15 , 2023 </mark><span>€280</span> </p> </div></div><div class="col-md-3 col-sm-3"><div class="reg-sub time-over"><p><mark class="visible-xs">On/Before<br> Apr 05, 2024 </mark><span>€340</span> </p></div></div><div class="col-md-3 col-sm-3"><div 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