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</div> </a> --> </div> <style> #app_disp_styles { color: white; font: 15px arial; font-weight: 500; padding: 5px 6px; margin: 10px; width: 124px; background: #0b0988; z-index: 101; border-radius: 6px; left: 0; border: 5px solid #fff; border-style: outset; } .a_icon_android { background: #00b4ff; text-align: center; display: inline-block; padding: 6px 5px; border-radius: 5px; margin-left: 32px; } #target a { text-decoration: none; margin: 0 3px; } .a_icon_android span .fa { font-size: 30px; color: #fff; } .a_icon_apple { background: #f6941d; } </style><!-- Inner Page Banner Area Start Here --> <div class="inner-page-banner-area registration-banner"> <div class="container"> <div class="pagination-area"> <h1>Registration</h1> <div class="backrow cnt-head" style="color: #fff;"> <span class="con-location"> Apr 16-17, 2025&nbsp;&nbsp;</span> <span class="con-location">&nbsp;Tokyo, Japan</span> </div> <i><span class="edition-title cnt-head">4th International Conference on </span></i> <h1 class="main_title1 cnt-head">Physical medicine and Rehabilitation</h1> <ul> <li><a href="https://www.longdom.com/physicalmedicine">Home</a> -</li> <li>Registration</li> </ul> </div> </div> </div> <!--style="background-image: url('https://www.longdom.com/assets/conference/img/banner/3.jpg');"--> <!-- Inner Page Banner Area End Here --><style> h1{ color:white; } #registartion .form-section-block{ background:white; } </style> <!-- About Event Area Start Here --> <div class="about-event-area2"> <div class="container"> <div class="row"> <form id="registartion" role="form" method="post" action="" class="form-horizontal" enctype="multipart/form-data"> <div> <div class="form-section-block"> <div class="step-container"> <i><img src="https://www.longdom.com/assets/conference/img/img-step1of2.png" alt="step one"/></i> </div> <div id="currencies" class="martop-50"> <div class="col-xs-12 padding-0 currency-block"> <span class="finance-head"> For any registration queries and other payment methods 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PayPal is to make your registration?</a> </div> </div> </div> --> </div> <br/> <div class="table-responsive registration"> <table class="table table-bordered table-striped table-dark"> <thead> <tr> <th>Category</th> <th>Item Name</th> <th>Earlybird<br/> <span> Dec 01, 2024 </span> </th> <th>Normal<br/> <span> Jan 16, 2025 </span> </th> <th>Final<br/> <span> Apr 15, 2025 </span> </th> <th>Select</th> <th style="min-width:113px;">Qty</th> <th>Sub Total</th> </tr> </thead> <tbody id="product_list"> <tbody> </table> </div> <div class="error" id="product_error"></div> </div> <div class="form-section-block billing first"> <h3 id="bill">Billing Information</h3> <div class="billing-container registratation"> <div class="row"> <div class="col-xs-4"> <div class="form-group"> <label for="title" class="control-label">Title <span class="red">*</span></label> <select class="form-control" name="billing_title" id="billing_title"> <option value="0">Select Title</option> <option value="Prof">Prof</option> <option value="Assoc Prof Dr">Assoc Prof</option> <option value="Assist Prof Dr">Assist Prof</option> <option value="Dr">Dr</option> <option value="Mr">Mr</option> <option value="Ms">Ms</option> <option value="Mrs">Mrs</option> </select> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="fname" class="control-label">First Name <span class="red">*</span></label> <input type="text" class="form-control" name="billing_fname" id="billing_fname" value="" placeholder="Your First Name" size="40"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label notrequired">Last Name</label> <input type="text" class="form-control" name="billing_lname" id="billing_lname" value="" placeholder="Your Last Name"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="country" class="control-label">Country <span class="red">*</span></label> <select class="form-control country_name" name="billing_country" id="billing_country"> <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 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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='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='Palestine' >Palestine</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='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='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> <!-- <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="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="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="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label ">City</label> <input type="text" class="form-control" name="billing_city" id="billing_city" value="" placeholder="City"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label ">State</label> <input type="text" class="form-control" name="billing_state" id="billing_state" value="" placeholder="State"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="email" class="control-label">Email <span class="red">*</span></label> <input type="email" class="form-control" name="billing_email" id="billing_email" value="" placeholder="Your email"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="phno" class="control-label">Mobile No <span class="red">*</span></label> <input type="tel" class="form-control" id="billing_contact_no" name="billing_contact_no" value="" placeholder="Mobile Number"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="address" class="control-label">Postal Address</label> <textarea rows="3" class="form-control" id="billing_address" name="billing_address"></textarea> <div class="error"></div> </div> </div> </div> </div> </div> <div class="form-section-block billing"> <h3 id="ship">Shipping Information</h3> <div class="billing-container registratation"> <div class="row"> <div class="col-xs-12"> <div class="form-group copy-btn"> <div class="checkbox1"><i><input type="checkbox" class="copy-address" value="68" id="copy_billing"></i></div> <span>Copy from Billing Address</span> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="title" class="control-label">Title <span class="red">*</span></label> <select class="form-control" name="shipping_title" id="shipping_title"> <option value="">Select Title</option> <option value="Prof">Prof</option> <option value="Assoc Prof Dr">Assoc Prof</option> <option value="Assist Prof Dr">Assist Prof</option> <option value="Dr">Dr</option> <option value="Mr">Mr</option> <option value="Ms">Ms</option> <option value="Mrs">Mrs</option> </select> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="fname" class="control-label">First Name <span class="red">*</span></label> <input type="text" class="form-control" name="shipping_fname" id="shipping_fname" value="" placeholder="Your First Name" size="40"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label notrequired">Last Name</label> <input type="text" class="form-control" name="shipping_lname" id="shipping_lname" value="" placeholder="Your Last Name"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="country" class="control-label">Country <span class="red">*</span></label> <select class="form-control country_name" name="shipping_country" id="shipping_country"> <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='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='Palestine' >Palestine</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='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='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> <!-- <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="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="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="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label ">City</label> <input type="text" class="form-control" name="shipping_city" id="shipping_city" value="" placeholder="City"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="lname" class="control-label ">State</label> <input type="text" class="form-control" name="shipping_state" id="shipping_state" value="" placeholder="State"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="email" class="control-label">Email <span class="red">*</span></label> <input type="email" name="shipping_email" class="form-control" id="shipping_email" value="" placeholder="Your email"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="phno" class="control-label">Mobile No <span class="red">*</span></label> <input type="tel" class="form-control" id="shipping_contact_no" name="shipping_contact_no" value="" placeholder="Mobile Number"> <div class="error"></div> </div> </div> <div class="col-xs-4"> <div class="form-group"> <label for="address" class="control-label">Postal Address</label> <textarea rows="3" class="form-control" id="shipping_address" name="shipping_address"></textarea> <div class="error"></div> </div> </div> <div class="col-xs-12 text-center"> <div class="form-group copy-btn"> <div class="checkbox1"><i><input type="checkbox" class="copy-address" id="terms" name="terms"></i></div> <span>I have read and agree to the <a href="https://www.longdom.com/terms-and-conditions" target="_blank">terms and conditions</a></span> <div class="error" id="terms_errors"></div> </div> </div> </div> </div> <div class="btn-submit-registraion col-xs-12"> <input type="hidden" name="cart" id="cart" value="" /> <input type="hidden" name="amount" id="amount" value="" /> <input type="hidden" name="currency_symbol" id="currency_symbol" value="" /> <input type="hidden" id="stripe" value="" name="gateway_stripe" /> <input type="hidden" id = "ccavenue" value="" name="gateway_ccavenue" /> <input type="hidden" id = "razorpay" value="razorpay" name="razorpay" /> <input type="hidden" name="currency_symbol" id="currency_symbol" value="" /> <input class="btn btn-primary btn-large" type="button" value="Next >>" name="submit_registration" id="submit_registration" title="Please click on next to verify your details" /> <!-- <a href="javascript:void(0);" class="btn-proceed"> <img src="https://www.longdom.com/assets/conference/img/img-proceed.png" alt="proceed button" /> </a> --> <p class="blinking" style="color:#865000;">Please click on next to verify your details</p> </div> </div> <div class="form-section-block"> <div style="text-align:justify"><span style="color:#c0392b"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong>Group Discounts:</strong></span></span></span><span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong> 3 or more members from the same lab/institute/university (or) anyone who wish to attend Physical Medicine</strong>&nbsp;<strong>Conference 2025&nbsp;is eligible to get special benefits from Longdom Conferences Please contact us</strong></span></span></span></div> <div style="text-align:justify"><span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif">Package A(Registration + 2 Nights of Accommodation)<br /> Package B(Registration + 3 Nights of Accommodation)</span></span></span></div> <div style="text-align:justify"><span style="color:#c0392b"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong>Only Registration(oral/poster) Privileges:</strong></span></span></span></div> <div style="text-align:justify"><span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif">1. Access (Entry) to all conference sessions, poster and exhibition area<br /> 2.&nbsp;Online abstract publication on supporting journals and proceedings<br /> 3. Organization logo will be added to the conference backdrop<br /> 4. Best networking opportunity.<br /> 5. Lunch and breakfast included in registration and packages<br /> 6. Certificate, abstract book, and event kit will be given<br /> 7. Latest hot topics will get recognition&nbsp;with special awards<br /> 8.&nbsp;15% abatement on the registration fees for the next annual conference<br /> 9. For Bussiness category Advertisement of Company logo at conference website for&nbsp;<strong>three months</strong><br /> <br /> <strong>Note:</strong><strong>&nbsp;</strong>Participants registered under Listener and accompanying category are not allowed to present their papers in Oral or Poster sessions.</span></span></span></div> <div style="text-align:justify"><span style="color:#c0392b"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong>Delegates:</strong></span></span></span><br /> <span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif">1. Access to All Sessions<br /> 2. Coffee break during the conference<br /> 3. Conference Kit<br /> 4. Lunch during the conference</span></span></span></div> <div style="text-align:justify"><span style="color:#c0392b"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong>E-Posters&nbsp;and Video Presentation:&nbsp;</strong></span></span></span><br /> <span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif"><strong>(</strong>Only<strong>&nbsp;</strong>applicable to those who are unable to travel to the venue)</span></span></span></div> <div style="text-align:justify"><span style="color:#000000"><span style="font-size:16px"><span style="font-family:Times New Roman,Times,serif">1. The amount charged for E-posters and Video&nbsp;is to display on the website as well as on the conference<br /> 2. The abstract will be published in the conference proceeding book<br /> 3. The presenter is not required to be present in person at the conference</span></span></span></div> </div> </div> </form> </div> </div> </div> <!-- About Event Area End Here --> <script> var data = 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<h3>News</h3> <div id="wrapper"> <div class="newstape"> <div class="newstape-content"> <div class="news-block"> <h4>A multidisciplinary approach to pelvic health: Prenatal, acute and postpartum care</h4> <small>2024-10-04 - 2024-10</small> <p class="text-justify"> The goal of peripartum pelvic physical therapy and occupational therapy is to reduce the long-term sequelae associated with postpartum pelvic floor dysfunction and to optimize and expedite return to function. To do this effectively, Nikki J. Ron, P.T., D.P.T., WCS-ABPTS, a physical therapist at Mayo Clinic in Rochester, Minnesota, urges clinicians to be mindful of the significant body changes that patients have experienced during pregnancy and childbirth. "From a musculoskeletal perspective, women who have gone through pregnancy and childbirth are athletes," says Dr. Ron. "Daily tasks for parents include lifting, squatting, carrying wiggly 20-pound toddlers, and they need care specific to the muscles that were torn, stretched and disrupted during pregnancy and delivery in order to perform those athletic endeavors appropriately." </p> <!--<div class="text-right"> <a href="javascript:void(0);">Read more</a> </div> --> <hr /> </div> <div class="news-block"> <h4>Evaluating the efficacy of physical therapy to treat symptomatic thoracic radiculopathy</h4> <small>2024-05-30 - 2024-05</small> <p class="text-justify"> Radiculopathy is a relatively common condition that arises from injury or damage to the nerve root in the spine. Although it can occur within any segment of the spine, cervical and lumbar radiculopathy are more common than thoracic radiculopathy (TR). Symptoms of TR can include any of the following, all of which can be exacerbated by movement: pain, paresthesia, allodynia or numbness affecting the abdomen, flank, chest, back or even breast. Because TR is less common, physical medicine and rehabilitation (PM&R) physicians may be less familiar with the treatment options available for this specific diagnosis and how they differ from the treatments for cervical and lumbar radiculopathy. To address this knowledge gap, Mayo Clinic researchers conducted a systematic review analysis evaluating the impact of physical therapy (PT), without invasive procedures, to alleviate symptomatic TR. 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