Exhibitor Registration | International Environmental Conference

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data-bs-dismiss="modal" style=" width: 31px; height: 30px; background: -webkit-linear-gradient( 40deg , #0a81d1, #18a473); color: #fff; text-align: end; border-radius: 100px; padding-left: 9px; line-height: 18px; "><i class="fa fa-times" aria-hidden="true"></i></div> </div> </div> </div> <form class="form-horizontal form-card mt-4" action="unitedbrochure.php" enctype="multipart/form-data" method="post" > <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Enter Your Name :</label> <div class="col-sm-9"> <input type="text" id="bro_name" class="form-control" placeholder="Enter Your Name " name="Name" required=""> <input type="hidden" id="bro_date" name="Date" value="2024-11-24" > <input type="hidden" id="bro_form" name="Form" value="Brochure" > </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Email ID :</label> <div class="col-sm-9"> <input type="email" id="bro_email" class="form-control" placeholder="Enter email" name="Email" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Mobile Number :</label> <div class="col-sm-9"> <input type="text" id="bro_phone" class="form-control" placeholder="Mobile Number" name="Phone" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Select Country :</label> <div class="col-sm-9"> <select name="Country" class="form-control" required="" id="bro_country" value=""> <option value="" selected="selected">Select Country</option> <option value="Afghanistan">Afghanistan</option> <option value="Aland Islands">Aland 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 The">Bahamas The</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">Brunei</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 (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo The Democratic Republic Of The">Congo The Democratic Republic Of The</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">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji Islands">Fiji Islands</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 The">Gambia The</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 and Alderney">Guernsey and Alderney</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 S.A.R.">Hong Kong S.A.R.</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="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="Korea North">Korea North </option> <option value="Korea South">Korea South</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 S.A.R.">Macau S.A.R.</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="Man (Isle of)">Man (Isle of)</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 Antilles">Netherlands Antilles</option> <option value="Netherlands The">Netherlands The</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="Palestinian Territory Occupied">Palestinian Territory Occupied</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 Island">Pitcairn Island</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="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russia">Russia</option> <option value="Rwanda">Rwanda</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 Pierre and Miquelon">Saint Pierre and Miquelon</option> <option value="Saint Vincent And The Grenadines">Saint Vincent And The Grenadines</option> <option value="Saint-Barthelemy">Saint-Barthelemy</option> <option value="Saint-Martin (French part)">Saint-Martin (French part)</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="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 Sudan">South Sudan</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suricountry">Suricountry</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="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="United States Minor Outlying Islands">United States Minor Outlying Islands</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="Vietnam">Vietnam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Virgin Islands (US)">Virgin Islands (US)</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="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">State :</label> <div class="col-sm-9"> <input type="text" id="bro_state" class="form-control" placeholder="State" name="State" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Department :</label> <div class="col-sm-9"> <input type="text" id="bro_dept" class="form-control" placeholder="Department" name="Department" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Designation :</label> <div class="col-sm-9"> <input type="text" id="bro_desi" class="form-control" placeholder="Designation" name="Designation" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">University / Organization :</label> <div class="col-sm-9"> <input type="text" id="bro_univ" class="form-control" placeholder="University / Organization" name="University" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Conference :</label> <div class="col-sm-9"> <select class="form-control" name="Source" id="bro_conf_type" onchange="brochure(this.options[this.selectedIndex].value)" required=""> <option value="">How did you get to know about the Conference ?</option> <option value="conference Alerts">Conference Alerts</option> <option value="Email">Email</option> <option value="Google Search">Google Search</option> <option value="Google Advertisement">Google Advertisement</option> <option value="Social Media">Social Media</option> <option value="Through the University/ Institute or College">Through the University/ Institute or College</option> <option value="Friend">Friend</option> <option value="Othfoot">Other</option></select> </div> </div> <div class="g-recaptcha brochure__form__captcha" data-sitekey="6LdHWG0bAAAAAJqb4b51tKUhW5Z1igYg8GiJhXSs" style="width:10%"></div> <div class="form-group col-sm-12 mb-5 text-center" style="margin-bottom: 38px;margin-top: 20px;"> <button class="btn btn-bg btn-primary default-btn btn-txt" name="submit" id="submit" style=" background: #c90828;border: 1px solid #000;padding: 10px 23px;font-size: 16px;margin-top: 19px;"> Submit <i class="fa fa-paper-plane"></i></button> </div> </form> </div> </div> </div>  <div class="modal fade" id="modal" aria-hidden="true" aria-labelledby="..." tabindex="-1"> <div class="modal-dialog modal-dialog-centered modal-lg"> <div class="modal-content" style="padding:24px; border-radius: 23px; border: 13px solid #00021399;"> <div class="col-sm-12"> <div class="row" style=" background: #eeeeee; padding-top: 7px; margin-bottom: 16px; "> <div class="col-sm-10"> <h4 style=" font-size: 20px; font-weight: 600; ">Brochure Download</h4> </div> <div class="col-sm-2" style=" text-align: end; "> <div class="btn" data-bs-target="#modal2" data-bs-toggle="modal" data-bs-dismiss="modal" style=" width: 31px; height: 30px; background: -webkit-linear-gradient( 40deg , #0a81d1, #18a473); color: #fff; text-align: end; border-radius: 100px; padding-left: 9px; line-height: 18px; "><i class="fa fa-times" aria-hidden="true"></i></div> </div> </div> </div> <form class="form-horizontal form-card mt-4" enctype="multipart/form-data" method="post" action="unitedbrochure.php"> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Enter Your Name :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="Enter Your Name " name="name" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Email ID :</label> <div class="col-sm-9"> <input type="email" class="form-control" placeholder="Enter email" name="email" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Mobile Number :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="Mobile Number" name="mobile" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3" for="email">Select Country :</label> <div class="col-sm-9"> <select name="country" class="form-control" required="" id="country" value=""> <option value="" selected="selected">Select Country</option> <option value="Afghanistan">Afghanistan</option> <option value="Aland Islands">Aland 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 The">Bahamas The</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">Brunei</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 (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo The Democratic Republic Of The">Congo The Democratic Republic Of The</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">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji Islands">Fiji Islands</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 The">Gambia The</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 and Alderney">Guernsey and Alderney</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 S.A.R.">Hong Kong S.A.R.</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="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="Korea North">Korea North </option> <option value="Korea South">Korea South</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 S.A.R.">Macau S.A.R.</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="Man (Isle of)">Man (Isle of)</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 Antilles">Netherlands Antilles</option> <option value="Netherlands The">Netherlands The</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="Palestinian Territory Occupied">Palestinian Territory Occupied</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 Island">Pitcairn Island</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="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russia">Russia</option> <option value="Rwanda">Rwanda</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 Pierre and Miquelon">Saint Pierre and Miquelon</option> <option value="Saint Vincent And The Grenadines">Saint Vincent And The Grenadines</option> <option value="Saint-Barthelemy">Saint-Barthelemy</option> <option value="Saint-Martin (French part)">Saint-Martin (French part)</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="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 Sudan">South Sudan</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suricountry">Suricountry</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="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="United States Minor Outlying Islands">United States Minor Outlying Islands</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="Vietnam">Vietnam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Virgin Islands (US)">Virgin Islands (US)</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="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">State :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="State" name="state" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Department :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="Department" name="dept" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Designation :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="Designation" name="designation" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">University / Organization :</label> <div class="col-sm-9"> <input type="text" class="form-control" placeholder="University / Organization" name="university" required=""> </div> </div> <div class="form-group col-sm-12 row"> <label class="control-label col-sm-3">Conference :</label> <div class="col-sm-9"> <select class="form-control" name="conference" onchange="brochure(this.options[this.selectedIndex].value)" required=""> <option value="">How did you get to know about the Conference ?</option> <option value="conference Alerts">Conference Alerts</option> <option value="Email">Email</option> <option value="Google Search">Google Search</option> <option value="Google Advertisement">Google Advertisement</option> <option value="Social Media">Social Media</option> <option value="Through the University/ Institute or College">Through the University/ Institute or College</option> <option value="Friend">Friend</option> <option value="Othfoot">Other</option></select> </div> </div> <div class="form-group col-sm-12 mb-5 text-center" style="margin-bottom: 38px;margin-top: 20px;"> <button class="btn btn-bg btn-primary" name="submit" id="submit" style=" background: linear-gradient(316.24deg,#000213 24.99%,#f85f0a 100%);border: 1px solid #000;padding: 10px 23px;font-size: 16px;margin-top: 19px;"> Submit <i class="fa fa-paper-plane"></i></button> </div> </form> </div> </div> </div> <div class="cmt-page-title-row"> <div class="cmt-page-title-row-inner"> <div class="container"> <div class="row"> <div class="col-lg-12"> <div> <h2 class="title">11<sup>th</sup> Gogreen Summit</h2> </div> <div class="page-title-heading"> <span> <p class="page-title-desc" style="color: #fff;font-size: 16px;"> <a href="index.php" style="color: #fff;">Home</a> <span style="color: #fff;padding: 0 6px;"> | </span> Exhibitor Registration </p> </span> </div></div> </div> </div> </div> </div> <div class="abt" style=" margin: 30px 0 40px;"> <div class="container"> <div class="col-sm-11 mx-auto"> <div class=" pl-3 pr-3 mb-0"> <h3 class="title" style=" text-align: center; margin-top: 30px; font-size: 28px; color:#000; font-weight:600; margin-bottom: 22px; ">Exhibitor<span style="color:#cc1d1a;"> Registration </span></h3> <div class="row"> <div class="col-sm-12"> <p><img src="img/r-icon.png" width="13px"> “11th GoGreen Summit” will be a remarkable conference with 100+ Presentations and more than 500+ Delegates and it will be a great chance to promote and exhibit your brands. This conference allows exhibitors to show their trusting and reliable side of the products to the participants for promoting the brand’s business.</p> <p><img src="img/r-icon.png" width="13px"> Exhibitors have a great chance to exhibit and market their brand and showcase their products to the delegates at the conference. It will be a better trading opportunity to get their products promoted.</p> </div> </div> <div class="table-responsive"> <table class="bank-detl table-bordered mb-4" style="width: 100%;"> <tbody class="dett spon1"> <tr style=" background: #195f9e; "> <td class="head">Categories </td> <td class="head">Start Up </td> <td class="head">Basic</td> <td class="head">Premium</td> </tr> <tr> <td rowspan="2"><strong>Price</strong></td> <td>260 USD</td> <td>645 USD</td> <td>1030 USD</td> </tr> <tr> <td>240 Euro</td> <td>610 Euro</td> <td>970 Euro</td> </tr> <tr> <td><strong>Recognition of logo </strong></td> <td> <strong>--</strong></td> <td>Conference website</td> <td>Conference website</td> </tr> <tr> <td><strong>Complimentary Registrations</strong></td> <td class="text-center">2</td> <td class="text-center">6</td> <td class="text-center">10</td> </tr> <tr> <td><strong>Keynote Session</strong></td> <td class="text-center">-</td> <td class="text-center">-</td> <td class="text-center">Yes</td> </tr> </tbody> </table> </div> <p><strong>All exhibitors are required to be registered and will receive a badge displaying the exhibiting company’s name. Exhibitor registrations allow access to the exhibition area only, and shall only be used by company staff.</strong></p> <div class="col-sm-12" style="padding: 30px 17px; box-shadow: 1px 2px 2px 3px rgb(0 0 0 / 13%), 0 2px 2px 0 rgb(0 0 0 / 0%); margin-bottom: 30px; border-radius: 7px;"> <div class="committee-form"> <form method="post" action="exhisubmission.php" class="form-a"> <div class=""> <h4 style=" color: #d82424; border-bottom: 1px dashed #333; font-size: 20px; padding-bottom: 11px; margin-bottom: 27px; font-weight: 600; ">Contact Information</h4> </div> <div class="row"> <div class="col-md-12 mb-3"> <div class=""> <input type="text" class="form-control" name="company" id="inputName" placeholder="Company Name *" required=""> </div> </div> <div class="col-sm-12"> <h4 style=" color: #000; font-size: 16px; padding-bottom: 11px; margin-bottom: 11px; font-weight: 600; margin-top: 18px; ">Head of the Organization (CEO/MD/CMD/Director Etc.)</h4> </div> <div class="col-md-6"> <div class=""> <select class="form-control" name="title"> <option>-- Select Title --</option> <option>Dr</option> <option>Prof</option> <option>Mr</option> <option>Ms</option> </select> </div> </div> <div class="col-md-6"> <div class=""> <input type="text" class="form-control" name="fname" id="inputName" placeholder="First Name *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="lname" id="inputName" placeholder="Last Name *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="des" id="inputName" placeholder="Designation *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="cname" id="inputName" placeholder="Contact Name *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="cdes" id="inputName" placeholder="Contact Designation *" required="" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)"> </div> </div> <div class="col-md-12"> <div class="form-group"> <input type="text" class="form-control" name="address1" id="inputName" placeholder="Address Line1 *" required=""> </div> </div> <div class="col-md-12"> <div class="form-group"> <input type="text" class="form-control" name="address2" id="inputName" placeholder="Address Line2 *" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="city" id="inputName" placeholder="City *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="Pin/Zip Code *" name="zipcode" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" name="state" id="inputName" placeholder="State *" onkeypress="return (event.charCode > 64 && event.charCode < 91) || (event.charCode > 96 && event.charCode < 123) || (event.charCode==32)" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <select id="country" name="country" class="form-control" required=""> <option value="">-- Select Country --</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="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 (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'ivoire">Cote D'ivoire</option> <option value="Croatia">Croatia</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="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="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 Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option> <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</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, Islamic Republic of">Iran, Islamic Republic of</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="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option> <option value="Korea, Republic of">Korea, Republic of</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Lao People's Democratic Republic">Lao People'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="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macao">Macao</option> <option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</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, Federated States of">Micronesia, Federated States of</option> <option value="Moldova, Republic of">Moldova, Republic of</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="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="Palestinian Territory, Occupied">Palestinian Territory, Occupied</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="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</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 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="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 and The South Sandwich Islands">South Georgia and The South Sandwich Islands</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">Svalbard and Jan Mayen</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syrian Arab Republic">Syrian Arab Republic</option> <option value="Taiwan, Province of China">Taiwan, Province of China</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania, United Republic of">Tanzania, United Republic of</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="United States Minor Outlying Islands">United States Minor Outlying Islands</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</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> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="number" class="form-control" name="phone" id="inputName" pattern="[789][0-9]{9}" placeholder="Telephone Number *" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="number" class="form-control" name="mobile" id="inputName" pattern="[789][0-9]{9}" placeholder="Mobile Number *" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="email" class="form-control" name="email" id="inputEmail1" placeholder="Email *" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="email" class="form-control" id="inputEmail1" placeholder="Alternate Email *" name="eemail" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="Website *" name="website" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="PAN Number *" name="pan" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="TAN Number *" name="tan" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="GST Number *" name="gst" required=""> </div> </div> <div class="col-sm-12"> <h4 style=" color: #d82424; border-bottom: 1px dashed #333; padding-bottom: 11px; margin-bottom: 35px; font-weight: 600; font-size: 20px; margin-top: 15px; ">Exhibit Information</h4> </div> <div class="col-md-6"> <div class=""> <select class="form-control" name="scheme"> <option>-- Select Scheme --</option> <option>Bare</option> <option>Shell</option> </select> </div> </div> <div class="col-md-6"> <div class=""> <input type="text" class="form-control" id="inputName" placeholder="Area *" name="area" required=""> </div> </div> <div class="col-md-6"> <div class="form-group"> <input type="text" class="form-control" id="inputName" placeholder="Industry Experience *" name="industry" required=""> </div> </div> <div class="col-md-12"> <div class="form-check mb-2 mr-sm-2" style=" display: flex; "> <input class="form-check-input" type="checkbox" id="inlineFormCheck" style=" width: 32px; height: 17px; margin-left: -4px; "> <span class="form-check-label" for="inlineFormCheck" style=" padding-left: 29px; "> <p style=" font-size: 13px; line-height: 24px; margin-bottom: 0px; ">*I have carefully read and understood the General Exhibitor Rules PDF and I agree to abide by them without any reservations whatsoever. 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