CINXE.COM
BioSpectrum India - Subscription
<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>BioSpectrum India - Subscription</title> <link rel="stylesheet" href="https://biospectrumindia.com/subscription/assets/css/select2.min.css" type="text/css"> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css"> <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.bundle.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-validate/1.19.5/jquery.validate.min.js"></script> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.0.3/css/font-awesome.css"> <link rel="stylesheet" href="https://biospectrumindia.com/subscription/assets/css/css.css"> <script src="https://biospectrumindia.com/subscription/assets/js/select2.min.js" type="text/javascript"></script> <script src="https://biospectrumindia.com/subscription/assets/js/javascript.js" type="text/javascript"></script> </head> <body> <!-- MultiStep Form --> <div class="container-fluid" id="grad1"> <div class="row justify-content-center mt-0"> <div class="col-11 col-sm-9 col-md-7 col-lg-6 text-center p-0 mt-3 mb-2"> <div class="card px-0 pt-4 pb-0 mt-3 mb-3"> <div class="logo"><img src="https://biospectrumindia.com/subscription/assets/images/logo.jpg" /></div> <!-- <h2><strong>Subscription Plans</strong></h2> --> <div class="row"> <div class="col-md-12 mx-0"> <div id="subscriptionDiv"> <form id="subscriptionForm" name="subscriptionForm" action="step-2.php" method="POST"> <!-- progressbar --> <div id="subscriptionDiv"> <ul id="progressbar"> <li id="subscription" class="active"><strong>Subscription Plans</strong></li> <li id="personal" class=""><strong>Personal Information</strong></li> <li id="address" class=""><strong>Online Magazine Delivery</strong></li> <li id="invoice" class=""><strong>Invoice</strong></li> </ul> <!-- fieldsets --> <fieldset id="step-1" > <div class="form-card"> <h2 class="fs-title">Subscription Plans</h2> <table class="table"> <tr><td colspan="3"><strong></scrong>1 Year Plan</strong></td></tr> <tr> <td><input type="radio" name="subscription[subscription-plan]" value="1 Year Online" required="required" /></td> <td>Online</td> <td>INR 600.00</td> </tr> <tr> <td><input type="radio" name="subscription[subscription-plan]" value="1 Year Offline" required="required" /></td> <td>Offline</td> <td>INR 1,450.00</td> </tr> <tr> <td><input type="radio" name="subscription[subscription-plan]" value="1 Year Online + Offline" required="required" /></td> <td>Online + Offline</td> <td>INR 1,800.00</td> </tr> <tr><td colspan="3"><strong></scrong>2 Year Plan</strong></td></tr> <tr> <td><input type="radio" name="subscription[subscription-plan]" value="2 Year Offline" required="required" /></td> <td>Offline</td> <td>INR 2,280.00</td> </tr> <tr><td colspan="3"><strong></scrong>3 Year Plan</strong></td></tr> <tr> <td><input type="radio" name="subscription[subscription-plan]" value="3 Year Offline" required="required" /></td> <td>Offline</td> <td>INR 3,060.00</td> </tr> </table> </div> <input type="button" name="next" id="next-1" class="next action-button" data-step="1" value="Next Step"/> </fieldset> <fieldset id="step-2"> <div class="form-card"> <h2 class="fs-title">Personal Information</h2> <input type="text" name="subscription[firstname]" id="firstname" value="" placeholder="First Name" required="required" /> <input type="text" name="subscription[lastname]" id="lastname" value="" placeholder="Last Name" required="required" /> <input type="number" name="subscription[cellno]" id="cellno" value="" placeholder="Contact No." required="required" /> <input type="email" name="subscription[email]" id="email" value="" placeholder="Email Address" required="required" /> </div> <input type="button" name="previous" class="previous action-button-previous" value="Previous"/> <input type="submit" name="next" id="next-2" class="next action-button" data-step="2" value="Pay Now"/> </fieldset> <fieldset id="step-3" style="display: none; position: relative; opacity: 0;"> <div class="form-card"> <h2 class="fs-title">Magazine Delivery Address</h2> <input type="text" name="subscription[addr]" value="" placeholder="Address" required="required" /> <input type="text" name="subscription[state]" value="" placeholder="State" required="required" /> <input type="text" name="subscription[city]" value="" placeholder="City" required="required" /> <input type="text" name="subscription[pin]" value="" placeholder="Pin Code" required="required" /> <input type="text" name="subscription[jobtitle]" value="" placeholder="Job Title" required="required" /> <input type="text" name="subscription[company]" value="" placeholder="Organization" required="required" /> <p style="color: #000;">Job Functions</p> <select name="subscription[job_functions][]" id="job_functions" style="width: 100%" multiple="multiple" class="selectpicker" data-live-search="true" required="required"> <option value="Biotechnology">Biotechnology</option> <option value="BioServices">BioServices</option> <option value="Research">Research</option> <option value="Venture Capitalist / Investor">Venture Capitalist / Investor</option> <option value="BioPharma">BioPharma</option> <option value="Distributor / Dealer / Supplier">Distributor / Dealer / Supplier</option> <option value="Healthcare">Healthcare</option> <option value="Consultation">Consultation</option> <option value="Medical Technology">Medical Technology</option> <option value="Training / Education Institute">Training / Education Institute</option> <option value="Medical Technology">Medical Technology</option> <option value="Training / Education Institute">Training / Education Institute</option> <option value="Legal Services / Patent Services">Legal Services / Patent Services</option> <option value="Bioinformatics">Bioinformatics</option> <option value="Government">Government</option> <option value="Media / Event Organisers">Media / Event Organisers</option> <option value="Other">Other</option> </select> <input name="subscription[jobfun_other_name]" id="div_jobfun_other" placeholder="Other Job Functions" type="text" style="display: none;"/> <p style="color: #000;">Category</p> <select style="width: 100%" id="categories" name="subscription[catagory][]" class="selectpicker" data-live-search="true" multiple="multiple" required="required"> <option value="Corporate Management">Corporate Management</option> <option value="Finance/Legal">Finance/Legal</option> <option value="Academia">Academia</option> <option value="Sales & Marketing">Sales & Marketing</option> <option value="HR Administration">HR Administration</option> <option value="QA & QC">QA & QC</option> <option value="Scientific / Research Management">Scientific / Research Management</option> <option value="Non - Managerial">Non - Managerial</option> <option value="Other">Other</option> </select> <input name="subscription[cat_other_name]" id="div_cat_other" type="text" placeholder="Other Catagory" style="display: none;"/> <input type="hidden" name="srno" value="" /> <input type="hidden" name="tin_no" value="" /> </div> <input type="button" name="make_payment" id="next-3" class="next action-button" data-step="3" value="Invoice"/> </fieldset> <fieldset id="step-4" > <div class="form-card"> <h2 class="fs-title text-center">!</h2> <br> <div class=""> <p>Dear <strong class="style1"> ,</strong></p> <p>Security Error. Illegal access detected</p> <p>Reason : </p> <p><a href="https://biospectrumindia.com/subscription/payment-form.php?tin_no="><strong>Retry Payment</strong></a></p> </div> </div> </fieldset> </form> </div> </div> </div> </div> </div> </div> </div> </body><!-- This templates was made by Colorlib (https://colorlib.com) --> </html> <!-- end document-->