CINXE.COM

Online Registration Form

 <!DOCTYPE html> <html> <head> <meta charset="UTF-8"> <title>Online Registration Form</title> <link rel='stylesheet prefetch' href='https://fonts.googleapis.com/css?family=Roboto:400,100,300,500,700,900|RobotoDraft:400,100,300,500,700,900'> <link rel='stylesheet prefetch' href='https://maxcdn.bootstrapcdn.com/font-awesome/4.3.0/css/font-awesome.min.css'> <link rel="stylesheet" href="../../EventsAir_Template/style.css"> <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-5Q7B4BX');</script> <!-- End Google Tag Manager --> </head> <body ng-app="myApp" ng-cloak> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-5Q7B4BX" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <!-- End Google Tag Manager (noscript) --> <div ng-controller="categoryListCtrl as main"> <div class="container"> <div class="card"> <img src="https://kenesvm.azureedge.net/blobs2/General/900x90px_RGB_140923-01.png" width="100%" title="{{congressTitle}}" /> <h2 class="title">Online Registration Form</h2> <div style="padding-left:30px; padding-bottom:10px"> <p> Please complete the registration form in order to register. <br /> Please select your registration type. </p> </div> <form method="post" id="RegForm" action="" style="padding-left:15px" ng-submit="main.beginClicked()" ng-init="main.isShowMemberFields = false;"> <div category-accordion style="width:90%;" category-list="main.categoryList" selected-category-id="main.selectedCategoryId" selected-sub-category="main.selectedSubCategory" is-show-member-fields="main.isShowMemberFields"></div> <br> <div style="padding-left:30px;" ng-if="main.isShowMemberFields == true" > <div ng-if="main.isShowInputEmail == true" style="padding-right:35px"> <p>Please type your <strong>login Email address</strong> and <strong>Member password</strong> exactly as they appear on your membership account.</p> <label>E-mail:</label> <br /> <input type="email" required ng-model="main.memberEmail" /> <br /> <br /> </div> <div ng-if="main.isShowMemberId == true"> <label>Member Id:</label> <br /> <input type="text" required ng-model="main.memberId" /> <br /> <br /> </div> <div ng-if="main.isShowInputLastName == true"> <label>Surname / Family Name:</label> <br /> <input type="text" required ng-model="main.memberLastName" /> <br /> <br /> </div> <div ng-if="main.isShowInputPassword == true"> <p> <label>Member Password:</label> <br /> <input type="password" required ng-model="main.memberPassword" /> </p> </div> </div> <div ng-if="main.selectedCategoryId == 1" style="padding-left:15px;padding-right: 30px "> <hr/> <p><span style="color:red">*</span> The country group is based upon the official classification of the World Bank and refers to your work and correspondence address: <a href="https://data.worldbank.org/country" target="_blank">click here</a> to see the Country Classification data. <br><ul><li>Group A – High Income Countries</li> <li>Group B – Upper-middle-income countries</li> <li>Group C – Lower-middle-income countries</li> <li>Group D – Low income countries</li></ul></p> <p><span style="color:red">**</span> Local & International Students of medicine, psychology & social work - Can take advantage of a reduced fee. Provide a copy of their student ID together with the registration</p> <p><span style="color:red">***</span> Residents - Are asked to provide a copy of the certificate from the supervisor or head of the department together with the registration.</p> </div> <br> <div style="padding-left:15px"> <button type="submit" class="myButton SubmitButton" ng-disabled="main.selectedCategoryId == -1"> Begin </button> </div> <hr style="color:#e9e9e9"> <div class="footer"> <br> <img src="https://kenesvm.azureedge.net/blobs2/General/logo-kenes-footer-1.png" border="0" style="display: block !important; font-size: 0px; font-weight: 300; font-family: 'Open Sans', Arial, Helvetica, sans-serif;" /><br> 7, rue Francois-Versonnex C.P. 6053, 1211 Geneva 6, Switzerland<br /> Tel: +41 22 9080488 - Fax: +41 22 906 9140<br /> Email: <a href="mailto:reg_wcp24@kenes.com" title="Email us"> reg_wcp24@kenes.com</a> </div> </form> </div> <div ng-show="main.isShowSpinner == true" ng-cloak style="width:345px; position: absolute; top: 280px; left: 178px;"> <div class="DarkBackground" ng-click="main.isShowPaymentModal = false"></div> <div class="ModalWindow" style=" z-index: 1000; top: 30%; bottom: 30%; border: 0; box-shadow: none; "> <img src="../../EventsAir_Template/images/spinner.gif" style="height: 37%; display:block; filter: alpha(opacity=60); margin:auto; border: 0;" /> <br /> <div style="font-size: 50px; width: 100px; ">Loading...</div> </div> </div> </div> <script type="text/javascript" src="https://reg.kenes.com/online_reg/js/jquery-1.8.2.min.js"></script> <script type="text/javascript" src="https://reg.kenes.com/online_reg/js/jquery.tooltipster.min.js"></script> <script type="text/javascript" src="https://reg.kenes.com/online_reg/js/libs/angular/angular.min.js"></script> <script> var app = angular.module("myApp", []); </script> <script src="https://reg.kenes.com/online_reg/js/libs/angular/services/dataService2.js"></script> <script src="https://reg.kenes.com/online_reg/js/libs/angular/scripts/directives2.js"></script> <script> /// MemberShip Module var congressTitle = "WCP 2024"; var congressBannerUrl = "https://kenesvm.azureedge.net/blobs2/General/900x90px_RGB_140923-01.png"; ///////unmark this section to activate M.W.C authentycation/////////////////// var isMembershipPortal = false; var congressName = "checkChestnet"; var isShowInputEmail = true; var isShowInputPassword = true; var isShowInputLastName = false; var isShowMemberId = false; var serviceUrl = 'https://reg.kenes.com/Membership/'; //var serviceUrl = 'https://localhost:53544/'; app.controller("categoryListCtrl", function ($scope, registrationService2) { var that = this; var functionName = ""; that.userDetails = {}; that.congressTitle = congressTitle; that.congressBannerUrl = congressBannerUrl; that.isShowInputLastName = isShowInputLastName; that.isShowInputPassword = isShowInputPassword; that.isShowInputEmail = isShowInputEmail; that.isShowMemberId = isShowMemberId; that.beginClicked = function () { if (that.isShowMemberFields == true) { var myData = { 'email': that.memberEmail, 'password': that.memberPassword }; registrationService2.checkMember('checkChestnet', myData, function(result){ that.userDetails = result; that.isShowPaymentModal = true; that.isAuthFailed = false; $scope.$apply(); }, function(data){ that.isShowPaymentModal = false; that.isAuthFailed = true; $scope.$apply(); }); } else debugger; that.isShowSpinner = true; document.forms["RegForm"].action = that.selectedSubCategory.creditCardUrl; document.forms["RegForm"].submit(); } that.creditCardClicked = function () { debugger; that.isShowPaymentModal = false; that.isShowSpinner = true; setTimeout(function () { document.forms["RegForm"].action = that.selectedSubCategory.creditCardUrl; document.forms["RegForm"].submit(); that.isShowSpinner = false; }, 1000); } that.bankTransferClicked = function () { debugger; that.isShowPaymentModal = false; that.isShowSpinner = true; setTimeout(function () { document.forms["RegForm"].action = that.selectedSubCategory.bankTransferUrl; document.forms["RegForm"].submit(); that.isShowSpinner = false; }, 1000); } //// list of categories and sub-categories /// that.selectedCategoryId = -1; that.categoryList = []; var subCategoryList1 = []; subCategoryList1.push({ id: 1, redText:"*", title: "Full Participant Group A country", creditCardUrl: "https://kenes.eventsair.com/wcp24/fullparticipants", tooltip:"" }); subCategoryList1.push({ id: 2,redText:"*", title: "Full Participant Group B country", creditCardUrl: "https://kenes.eventsair.com/wcp24/fullparticipants", tooltip:"" }); subCategoryList1.push({ id: 3,redText:"*", title: "Full Participant Group C country", creditCardUrl: "https://kenes.eventsair.com/wcp24/fullparticipants", tooltip:"" }); subCategoryList1.push({ id: 4,redText:"*", title: "Full Participant Group D country", creditCardUrl: "https://kenes.eventsair.com/wcp24/fullparticipants", tooltip:"", }); subCategoryList1.push({ id: 1, isMember: false, redText: "", title: "Local Psychiatrists - Members of APM (Asociación Psiquiátrica Mexicana)", creditCardUrl: "https://kenes.eventsair.com/wcp24/localpsychiatristsmembers", }); subCategoryList1.push({ id: 1, isMember: false, redText: "", title: "Local Psychiatrists – Non Members of APM (Asociación Psiquiátrica Mexicana)", creditCardUrl: "https://kenes.eventsair.com/wcp24/localpsychiatristsnonmembers", }); subCategoryList1.push({ id: 1, isMember: false, redText:"**", title: "Local & International Students of medicine, psychology & social work", creditCardUrl: "https://kenes.eventsair.com/wcp24/students", }); subCategoryList1.push({ id: 1, isMember: false, redText: "", title: "Service users and family carers", creditCardUrl: "https://kenes.eventsair.com/wcp24/serviceusersandfamilycarers", }); subCategoryList1.push({ id: 1, isMember: false, redText: "***", title: "Residents", creditCardUrl: "https://kenes.eventsair.com/wcp24/residents", }); subCategoryList1.push({ id: 1, isMember: false, redText: "", title: "Other Mental Health professionals", creditCardUrl: "https://kenes.eventsair.com/wcp24/othermentalhealthprofessionals", }); ////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// that.categoryList.push({ id: 1, title: "IN-PERSON", subCategoryList: subCategoryList1, isMember: false}); ////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// }); </script> </body> </html>

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