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<span>Registration Form <i class="fa fa-chevron-right"></i></span></p> </div> </div> </div> </section> <section class="ftco-section bg-light"> <div class="container"> <h1 class="text-center">Registration Form</h1> <div class="row justify-content-center"> <div class="col-md-12"> <div class="wrapper"> <div class="row align-items-center"> <div class="cont-details col-md-12 mt-2"> <div class="heading mb-lg-4 mb-4 col-md-6"> <!-- <h3 class="head">Registration Form</h3>--> </div> <div class="col-md-3" style="padding-top:25px;"><!--<span id="siteseal"><script type="text/javascript" src="https://seal.godaddy.com/getSeal?sealID=2nKQ5j6bTPtmZtFfPtdoaB2wcWAfiGEb3EQQM5hjBkWrbmhRivWvObD8kNL4"></script></span>--></div> <div class="col-md-3" style="margin-bottom:25px;"><img src="images/logo-stripe.png" alt="Stripe" style="text-align:center; width:100%;" /></div> <span class="w3-line black"></span> </div> <div class="col-md-12 col-sm-12 col-lg-12"> <div class="w-100"> <form action="https://unitedscientificgroup.org/optics-and-lasers/register-payment" class="form-horizontal" name="form1" id="form1" method="post"> <div class="form-group"> <label class="control-label col-sm-2" for="title">Title:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-asterisk"></i></span> <select class="form-control" name="title" style="width:auto;"> <option value="Dr.">Dr.</option> <option value="Mr.">Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> </select> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="name">Name:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-user"></i></span> <input type="text" class="form-control" id="Name" placeholder="Enter your name" name="name" required="required"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="email">Email:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-envelope"></i></span> <input type="email" class="form-control" id="email" placeholder="Enter your email" name="email" required="required"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="organization">Organization:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-briefcase"></i></span> <input type="text" class="form-control" id="Organization" placeholder="Organization/Institution" name="organization" required="required"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="phone">Telephone:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-phone-square"></i></span> <input type="tel" class="form-control" id="Telephone" placeholder="Enter your phone number" name="phone" required="required"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="city">City:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-home"></i></span> <input type="text" class="form-control" id="City" placeholder="Enter your city name" name="city" required="required"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="country">Country:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-map-marker"></i></span> <select class="form-control" name="country" data-country="US" style="width:auto;"> <option value="Select Any" selected="selected">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="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="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> <div class="form-group"> <label class="control-label col-sm-2" for="interest">Interested In:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-list"></i></span> <select class="form-control" name="interest" style="width:auto;"> <option value="Oral Presentation"> Oral Presentation </option> <option value="Poster Presentation"> Poster Presentation </option> <option value="Others"> Others </option> </select> </div> </div> </div> <div class="form-group" style="display:none;"> <label class="control-label col-sm-2" for="interest">Subject</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-list"></i></span> <input type="text" class="form-control" id="subject" placeholder="Enter subject" name="subject"> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="address">Billing Address:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-globe"></i></span> <textarea class="form-control" name="address" rows="5" required="required" /></textarea> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="participants">Participants:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-plus"></i></span> <select class="form-control" name="participants" id="participants_id" style="width:auto;"> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> </select> </div> </div> </div> <!-- <div class="form-group"> <div class="col-sm-10"> <div class="input-group"> <div id="name_scents" class="control-label col-sm-2 regDetails"></div> <div id="pn_input" class="form-control abformTitle"></div><br /><br /> <div id="name_organization" class="control-label col-sm-2 regDetails"></div> <div id="pn_organization" class="form-control abformTitle"></div> </div> </div> </div> --> <style> .nonBold { font-weight: normal; } .priceBox { border: 1px solid #ebccd1; padding: 5px 10px; float: right; color: #a94442; background: #fff; } </style> <div class="form-group"> <div class="col-sm-3" style="opacity: 0.3;"> <div class="panel panel-primary"> <div class="panel-heading"> <s> <h4 class="text-center">Early Bird Registration<br /><small style="color:#fff;">September 30, 2024 </small></h4> </s> <input type="checkbox" class="form-control" name="earlybird" id="check_earlybird" disabled /> </div> <div class="panel-body"> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r1" value="699" onClick="return get_radio_value()" data-value="Academic"> <span class="nonBold">Academic</span> <span class="priceBox">$ 699</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r1" value="799" onClick="return get_radio_value()" data-value="Industrial"> <span class="nonBold">Industrial</span> <span class="priceBox">$ 799</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r1" value="349" onClick="return get_radio_value()" data-value="Student"> <span class="nonBold">Student</span> <span class="priceBox">$ 349</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r1" value="399" onClick="return get_radio_value()" data-value="Virtual"> <span class="nonBold">Virtual</span> <span class="priceBox">$ 399</span></label> </div> </div> </div> </div> <div class="col-sm-3" style="opacity: 0.3;"> <div class="panel panel-primary"> <div class="panel-heading"> <s> <h4 class="text-center">Mid Term Registration<br /><small style="color:#fff;">October 17, 2024</small></h4> </s> <input type="checkbox" class="form-control" name="midterm" id="check_virtualreg" disabled /> </div> <div class="panel-body"> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r2" value="799" onClick="return get_radio_value()" data-value="Academic"> <span class="nonBold">Academic </span> <span class="priceBox">$ 799</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r2" value="899" onClick="return get_radio_value()" data-value="Industrial"> <span class="nonBold">Industrial</span> <span class="priceBox">$ 899</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r2" value="449" onClick="return get_radio_value()" data-value="Student"> <span class="nonBold">Student</span> <span class="priceBox">$ 449</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r2" value="499" onClick="return get_radio_value()" data-value="Virtual"> <span class="nonBold">Virtual</span> <span class="priceBox">$ 499</span></label> </div> </div> </div> </div> <div class="col-sm-3"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center">Late Registration<br /><small style="color:#fff;">Before November 24, 2024</small></h4> <input type="checkbox" class="form-control" name="latereg" id="check_latereg" /> </div> <div class="panel-body"> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r3" value="899" onClick="return get_radio_value()" data-value="Academic"> <span class="nonBold">Academic</span> <span class="priceBox">$ 899</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r3" value="999" onClick="return get_radio_value()" data-value="Industrial"> <span class="nonBold">Industrial</span> <span class="priceBox">$ 999</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r3" value="599" onClick="return get_radio_value()" data-value="Student"> <span class="nonBold">Student</span> <span class="priceBox">$ 599</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r3" value="549" onClick="return get_radio_value()" data-value="Virtual"> <span class="nonBold">Virtual</span> <span class="priceBox">$ 549</span></label> </div> </div> </div> </div> <div class="col-sm-3"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center">On-Spot Registration<br /><small style="color:#fff;"> November 25, 2024</small></h4> <input type="checkbox" class="form-control" name="on-spot" id="check_midterm" disabled /> </div> <div class="panel-body"> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="999" onClick="return get_radio_value()" data-value="Academic"> <span class="nonBold">Academic</span> <span class="priceBox">$ 999</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="1099" onClick="return get_radio_value()" data-value="Industrial"> <span class="nonBold">Industrial</span> <span class="priceBox">$ 1099</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="699" onClick="return get_radio_value()" data-value="Student"> <span class="nonBold">Student</span> <span class="priceBox">$ 699</span></label> </div> <div class="form-group"> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="649" onClick="return get_radio_value()" data-value="Virtual"> <span class="nonBold">Virtual</span> <span class="priceBox">$ 649</span></label> </div> </div> </div> </div> <!-- <div class="col-sm-12 mb-4"><a href="invitation-payment" target="_blank"><span class="bg-dark text-white py-2 px-2"> If you need hardcopy of invitation letter through courier pay <b>$100 USD</b> <i class="fa fa-info-circle"></i></span></a></div> --> <div class="col-sm-4 d-none"> <div class="panel panel-danger"> <div class="panel-heading"> <h4 class="text-center" style="padding:10px 0;">Accommodation<br /><small> November 24-26, 2024</small></h4> </div> <div class="panel-body" style="margin-bottom:10px !important;"> <div class="form-group"> <div class="input-group"> <label class="control-label col-sm-12" style="text-align:left; font-size:15px;"><input type="radio" name="r5" value="420" data-value="Single Occupancy"> $420 Single Occupancy</label> <span class="input-group-addon"><i class="fa fa-bed"></i></span> <div class="col-sm-2"> </div> </div> </div> </div> </div> </div> <div class="col-sm-4 d-none"> <div class="panel panel-danger"> <div class="panel-heading"> <h4 class="text-center" style="padding:10px 0;">Accommodation<br /><small> November 24-26, 2024 </small></h4> </div> <div class="panel-body"> <div class="form-group"> <div class="input-group"> <label class="control-label col-sm-12" style="text-align:left; font-size:15px;"><input type="radio" name="r5" value="470" data-value="Double Occupancy"> $470 Double Occupancy</label> <span class="input-group-addon"><i class="fa fa-bed"></i></span> <span class="input-group-addon"><i class="fa fa-bed"></i></span> <div class="col-sm-2"> </div> </div> </div> </div> </div> </div> <div class="col-sm-4"> </div> </div> <div id="ead_checkbox" class="extra-nights-box" style="display:none;"><input type="checkbox" name="extraaccommodation" id="extra_accommodation" style="margin-top:-2px; margin-left:1px; vertical-align: middle;" /><span style="margin-left:2px;">Need Extra Nights Accommodation</span></div> <div class="accommodation_extrabox" id="acd_extrabox" style="display: none;"> <div class="form-group"> <label class="control-label col-sm-2" for="title">Extra Nights:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-calendar"></i></span> <select class="form-control" name="numberofdays" id="numberof_days" onChange="days_accomodation();" style="width:auto;"> <option value="0" selected="selected">Select Nights</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> </select> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="Check-in">Check-in Date:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-calendar"></i></span> <select class="form-control" name="dateofaccommodation" id="dateof_accommodation" style="width:auto;"> <option value="" selected="selected">Select Date</option> <option value="11/22/2024" class="datesecond">11-22-24</option> <option value="11/23/2024">11-23-24</option> <option value="11/24/2024">11-24-24</option> <option value="11/25/2024">11-25-24</option> </select> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="Checkout-date">Check-out Date:</label> <div class="col-sm-10"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-calendar"></i></span> <input type="text" class="form-control" placeholder="Check-out Date" name="checkoutdate" data="" id="checkoutdate" readonly> </div> </div> </div> </div> <div id="afterdiscount" style="display:none;"></div> <div id="afterdiscount_accm" style="display:none;"></div> <input type="hidden" name="discount_accom" id="discount_accom" /> <input type="hidden" name="discount_registrationprice" id="discount_registrationprice" /> <input type="hidden" name="discount_price" id="discount_price" /> <input type="hidden" name="apply_discountcode" id="apply_discountcode" /> <input type="hidden" name="showcheckin_date" id="showcheckin_date" /> <input type="hidden" name="showcheckout_date" id="showcheckout_date" /> <input type="hidden" name="accm_totalnumdays" id="accm_totalnumdays" value="0" /> <input type="hidden" name="discountcategory_type" id="discountcategory_type" /> <input type="hidden" name="selectcategory_type" id="selectcategory_type" /> <input type="hidden" name="accommodationcategory_type" id="accommodationcategory_type" /> <div id="discountpercentage" style="display:none;"></div> <div id="discounttype_category" style="display:none;"></div> <div> <div id="discount_checkbox" class="extra-nights-box"><input type="checkbox" name="discountregistration" id="discountregistration" style="margin-top:-2px; margin-left:1px; vertical-align: middle;" /><span style="margin-left:2px;">Have a promo code?</span></div> <div id="display_discountinput" style="display:none;"> <div class="panel-body"> <div class="form-group"> <div class="col-sm-8 text-center"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-barcode"></i></span> <input type="text" name="discount_code" id="discount_code" value="" class="form-control" placeholder="Enter Discount Code" /> </div> </div> <div class="col-sm-4 text-center"> <input type="submit" value="Apply" class="discountcheck control-label" style="width:125px; background:#900; color:#fff; text-align: center; padding: 10px; border: 0px; margin: -5px;" /> </div> </div> </div> </div> <div class="form-group"> <label class="control-label col-sm-4" for="participants">Accompanying ($249 for each person):</label> <div class="col-sm-8"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-plus"></i></span> <select class="form-control" name="accompanying_name" id="accompanying" style="width:auto;"> <option value="0">0</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> </select> </div> </div> </div> <span id="jsonpResult"></span> </div> <div class="panel panel-danger"> <h1 class="text-center text-uppercase text"><strong>Summary</strong></h1> <div class="row" style="margin-left:7px !important;"> <div class="col-md-6"> <p class="summery-invisible" style="text-align:left; margin-bottom: 0px;">Registration Price:<strong style="float:right;">$ <span id="showregistration_price"></span></strong> <span class="disocuntsec" style="text-align:left; display:none;"><small>Discount Amount:</small><strong style="float:right;">$ <span id="registrationdiscount"></span></strong></span> </p> <div class="clearfix"></div> <p class="summery-invisible" style="text-align:left; margin-bottom:0px;">Accommodation:<strong style="float:right;">$ <span id="showaccommodation_price"></span></strong> <span class="disocuntsec" style="text-align:left; display:none;"><small>Discount Amount:</small><strong style="float:right;">$ <span id="accommodationdiscount"></span></strong></span> </p> <div class="clearfix"></div> <p class="summery-invisible disocuntsec" style="text-align:left; display:none;"><strong>Total Discounts:</strong><strong style="float:right;">$ <span id="showdiscount_price"></span></strong> <div class="clearfix"></div> </p> </div> <div class="col-md-6"> <p class="summery-invisible" style="text-align:left;">Participants:<strong style="float:right;"> <span id="shownumberof_participants"></span></strong> <div class="clearfix"></div> </p> <p class="summery-invisible" style="text-align:left;">Total No. Nights:<strong style="float:right;"> <span id="showselected_numberofdays"></span></strong></p> <div class="clearfix"></div> </div> <div class="col-md-6"> <p class="summery-invisible" style="text-align:left;"><strong>Check-in Date:</strong><strong style="float:right;"> <span id="showcheckin"></span></strong><br /> <span class="summery-invisible" style="text-align:left; width: 50%; padding-right: 0;"><strong>Check-out Date:</strong></span><strong style="float:right;"> <span id="showcheckout" style="padding-right:0;"></span></strong> </p> <div class="clearfix"></div> <p class="summery-invisible"><span class="disocuntsec" style="display:none; float:left;"><strong>Discounts Code:</strong></span><strong style="float:right;"> <span id="showdiscountcode" style="padding-right: 17px; float: right; margin-top: 13%;"></span></strong> </p> <div class="clearfix"></div> </div> <div class="col-md-6"> </div> <div class="clearfix"></div> <style> hr.style-one { border: 0; border-bottom: 1px dashed #333; background: #fff; width: 90%; margin: 0px auto; padding: 0px; } </style> <hr class="style-one"> <div class="col-md-4"> </div> <div class="col-md-4 text-center"> <div class="summery-invisible"> <h3><strong>Total Price:</strong><strong style="float:right;">$ <span id="showtotalprice"></span></strong></h3> </div> </div> <div class="col-md-4"> </div> </div> <br /> </div> <div class="well well-lg"> <h4 class="text-center">By clicking "pay", you agree to the <a href="https://unitedscientificgroup.org/privacy-policy.php" target="_blank" title="Privacy Policy" style="color:#000;">privacy policy</a>,<a href="https://unitedscientificgroup.org/conferences-terms-and-conditions" class="text-dark" target="_blank" title="Terms & Conditions">terms & conditions</a> and <span id="cpolicy" class="text-dark" title="Cancellation Policy" style="cursor: pointer;">cancellation policy</span></h4> <p class="text-center">Selected Price $: <small>Inclusive of all taxes.</small></p> <div class="input-group" style="width:320px; margin:0 auto;"> <span class="input-group-addon"><i class="fa fa-usd"></i></span> <div id="displayprice" class="form-control"></div> <input class="form-control" type="hidden" readonly name="price" id="price" value="899" placeholder="899" required style="width:80%;" /> <input type="hidden" id="participants_regtotal" name="participants_regtotal" value="899"> <input type="hidden" name="registration_price" id="registration_price" value="899"> <input type="hidden" name="accompanying_priceonly" id="accompanying_priceonly" value="0"> <input type="hidden" name="accommodation_total" id="accommodation_total" value="0"> </div> <br> <div class="input-group" style="width:325px; margin:0 auto;"> <button type="submit" class="btn btn-primary btn-lg" style="width:125px;" name="register">Pay</button>   <button type="reset" class="btn btn-info btn-lg" style="width:125px; color:#fff;">Reset</button> </div> </div> </form> <div class="clearfix"></div> <div class="row"> <div class="col-md-12" style="padding-top:20px;"> <div style="background:#eee; padding:10px; margin:5px 0; border:1px solid #ddd;"> <p style="padding:5px 0; margin:5px 0; font-size:16px;" class="text-uppercase"><strong>Registration includes ↓</strong></p> <ul> <li>Access to conference sessions, poster sessions and panel discussion</li> <li>Conference material</li> <li>Access to Conference Recording</li> <li>E-Copy of the Abstract Book</li> <li>Participation E-Certificate (if opted)</li> <!-- <li>Access to video conference platform for one year</li> --> <!-- <li>Conference app</li> --> </ul> </div> <div id="cancellation"></div> <div id="tconditions"></div> <div style="background:#eee; padding:10px; margin:5px 0; border:1px solid #ddd;"> <p style="padding:5px 0; margin:5px 0; font-size:16px;" class="text-uppercase"><strong>Registration Cancellation policy ↓</strong></p> <p>Cancellation policy is strictly followed and all cancellations must be made in writing. <br> Cancellation before 120 days of the conference start date will receive a full refund, less a $100 towards administrative fee.<br> Cancellation between 119 to 90 days prior to the conference start date will receive 50 % refund.<br> Cancellations received below 89 days of the conference start date are non-refundable.<br> Refunds will be made within 28 days of receipt of cancellation notification.</p> <p style="padding:5px 0; margin:5px 0; font-size:16px;" class="text-uppercase"><strong>Accommodation cancellation policy ↓</strong></p> <p>Please be advised that any accommodation cancellation requests received within 10 days prior to the conference start date are deemed non-refundable.</p> </div> <div style="background:#fff; padding:10px; margin:5px 0; border:1px solid #ddd;"> <p style="padding:5px 0; margin:5px 0; font-size:16px;" class="text-uppercase"><strong>Cancellation policy in the events of natural disasters or unpredictable activity ↓</strong></p> <p>Organizer is not responsible for any loss or damage as a result of substitution, alteration, postponement, or cancellation of an event due to causes beyond its control including without limitation, force majeure, natural disasters, sabotage, accident, trade or industrial disputes, terrorism, or hostilities.<br /> The organizer reserve the right to cancel or postpone the conference in case of any natural disasters, calamities or terrorism activity. In this case, organizer cannot accept refund requests from the conference delegates, speakers or attendees that result from cancelled flights and or natural disasters, calamities, terrorism activity. The organizer will provide opportunity for the registered delegates and attendees to transfer their registration fee and accommodation charges to any future or related conferences.<br /> The organizer will not accept any liability for personal injuries or for loss or damage to property belonging to the delegates, either during, or as a result of the conference. </p> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </section> <!-- info section --> <section class="info_section "> <div class="container"> <div class="row"> <div class="col-md-4"> <div class="info_logo"> <a class="navbar-brand" href="index.html"> <span> Contact </span> </a> <p class="text-justify"> <i class="fa fa-globe" aria-hidden="true"></i> USG United Scientific Group<br /> A non-profit organization, 8105, Suite 112,<br /> Rasor Blvd, Plano, TX 75024, USA </p> <p class="text-justify"> <i class="fa fa-phone" aria-hidden="true"></i> +1-469-854-2280/81,+1-844-395-4102 </p> <p class="text-justify"> <i class="fa fa-envelope" aria-hidden="true"></i> <a href="mailto:opl@uniscigroup.org" class="text-white">opl@uniscigroup.org</a> </p> </div> </div> <div class="col-md-1"></div> <div class="col-md-3"> <div class="info_links"> <h5> Quick Links </h5> <ul> <li> <a href="./"> Home </a> </li> <li> <a href="about"> About </a> </li> <li> <a href="dates-to-note"> Dates to Note </a> </li> <li> <a href="committee"> Scientific Committee </a> </li> <li> <a href="featured-speakers"> Speakers </a> </li> <li> <a href="registration_form"> Registration </a> </li> </ul> </div> </div> <div class="col-md-4"> <div class="info_form "> <h5> Subscribe </h5> <div class="form"> <div id="enqmsg" class="text-white"></div> <form class="subscribe-form" name="enqform"> <input type="text" name="sub_name" id="sub_name" placeholder="Enter your name" class="mb-3"> <input type="email" name="sub_email" id="sub_email" placeholder="Enter your email"> <button type="submit" class="btn btn-primary btn-lg w-50" onclick="return enquiry();"> Subscribe </button> </form> <!-- <div id="enqmsg" style="color:#fff;font-size:20px;margin-right:10%;margin-top:8px;"></div> --> <!-- <div class="social_box"> <a href=""> <i class="fa fa-facebook" aria-hidden="true"></i> </a> <a href=""> <i class="fa fa-twitter" aria-hidden="true"></i> </a> <a href=""> <i class="fa fa-youtube" aria-hidden="true"></i> </a> <a href=""> <i class="fa fa-instagram" aria-hidden="true"></i> </a> </div> --> </div> </div> </div> </div> </section> <!-- footer section --> <footer class="container-fluid footer_section"> <p>OPL-2024 © <span id="currentYear"></span> Powered by USG <a href="https://unitedscientificgroup.org/">United Scientific Group </a> </p> </footer> <!-- footer section --> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.7.1/jquery.min.js"></script> <script src="js/jquery-3.4.1.min.js"></script> <script src="js/bootstrap.js"></script> <script src="js/custom.js"></script> <script src="js/jquery.min.js"></script> <script src="js/jquery-migrate-3.0.1.min.js"></script> <script src="js/popper.min.js"></script> <script src="js/bootstrap.min.js"></script> <script src="js/jquery.easing.1.3.js"></script> <script src="js/jquery.waypoints.min.js"></script> <script src="js/jquery.stellar.min.js"></script> <script src="js/jquery.animateNumber.min.js"></script> <script src="js/owl.carousel.min.js"></script> <script src="js/scrollax.min.js"></script> <script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyBVWaKrjvy3MaE7SQ74_uJiULgl1JY0H2s&sensor=false"></script> <script src="js/google-map.js"></script> <script src="js/main.js"></script> <script type="text/javascript"> function enquiry() { var name = document.enqform.sub_name.value; 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