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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="u.s. virgin islands">u.s. virgin 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">vatican</option> <option value="venezuela">venezuela</option> <option value="vietnam">vietnam</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 class="form-group col-md-6"> <input type="text" class="form-control brch-ctrl" name="org" placeholder="Company/University" required=""> </div> </div> <div class="form-row"> <div class="form-group col-md-12"> <textarea class="form-control brch-ctrl" rows="3" placeholder="Address" name="address" required></textarea> </div>  </div> </div> <div class="col-md-4"> <div align="center" class="col-md-12"> <img src="https://apexglobalmeetings.com/stripe-secured.png" width="220" style="margin-top: 10px;"> </div> <div align="center" class="col-md-12"> <img src="https://apexglobalmeetings.com/secure-razorpay.jpg" width="220" style="margin-top: 10px;"> </div> </div> </div> <div class="row"> <div class="col-md-12 text-center" > <h3 style="margin-top:10px;background-color:#45037e;color:white;height:60px;width:100%;padding-top:20px;">Select from various categories below</h3> </div> <div class="table-responsive table-bordered movie-table col-md-12"> <table class="table movie-table"> <tbody> <tr> <td> <input type="checkbox" name="student1" id="student1" value="399" onClick="return student1_reg()"/> Speaker Virtual </td> <td id="r1_399"> $ 399 </td> </tr> <tr> <td> <input type="checkbox" name="delegate_vir" id="delegate_vir" value="299" onClick="return delegate_vir_reg()"/> Delegate Virtual </td> <td id="r2_299"> $ 299 </td> </tr> <tr> <th style="background-color: #0a1026; color: #FFF">Add-On's</th> <th colspan="3"></th> </tr> </tbody> <div class="table-responsive table-bordered movie-table col-md-12"> <table class="table movie-table"> <tbody> </tbody> </table> </div> </div> <div class="row"> <div class="col-md-6 text-right"><label><strong>TOTAL PRICE($) :</strong> </label></div> <div class="col-md-6"><label name="lblTotalPrice" id="lblTotalPrice">0</label><input type="hidden" name="price" id="price"><input type="hidden" name="reg_desc" id="reg_desc"><input type="hidden" name="addon_desc"><input type="hidden" name="offline1_desc"><input type="hidden" name="offline2_desc"><input type="hidden" name="acc_desc"><input type="hidden" name="currency" value="USD"></div>  </div> <div class="row"> <div class="col-md-3"> </div> <div style="padding: 20px;" class="col-md-6 text-center"><input type="checkbox" name="accept" required> I've read and accept the <a style="color: #f82249;" href="https://apexglobalmeetings.com/refund-cancellation-policy.html" target="_blank">refund & cancellation policy</a>.</div><br>                    </div> <div class="row"> <div style="padding: 20px; color: red" class=" col-md-6 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