Registration | 9th Neurological Disorders Summit | Neurological Disorders Conference

<!DOCTYPE html> <html class="wide wow-animation" lang="en"> <head> <title>Registration | 9th Neurological Disorders Summit | Neurological Disorders Conference | NDS 2025</title> <meta name="keywords" content="Neurology conference Spain, neurology conference2025, international neurology meetings, neurological disorders conference 2025, neurological disorders congress, global neurology conferences, neurological disorders summit 2025, neurological disorder meetings" /> <meta name="description" content="To register for this conference, kindly fill out the NDS-2025, online registration form by following the instructions provided within it." /> <meta name="format-detection" content="telephone=no"> <meta name="viewport" content="width=device-width, height=device-height, initial-scale=1.0, maximum-scale=1.0, user-scalable=0"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta charset="utf-8"> <link rel="icon" href="images/favicon.png" type="image/x-icon"> <link rel="stylesheet" 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class="rd-navbar-aside-group list-units">  <li> <div class="unit flex-row unit-spacing-xs"> <div class="unit-left"><span class="icon icon-xxs icon-secondary fa-clock-o offset-top-2"></span></div> <div class="unit-body"> <a href="abstract_submission" target="_blank"> <p class="text-white font-accent">Second Round of Abstract Submission Ends: December 16, 2024</p> </a> </div> </div> </li> <li> <div class="unit flex-row unit-spacing-xs"> <div class="unit-left"><span class="icon icon-xxs icon-secondary fa-clock-o offset-top-2"></span></div> <div class="unit-body"> <a href="registration_form" target="_blank"> <p class="text-white font-accent">Early Bird Registration Ends: November 26, 2024</p> </a> </div> </div> </li>  </ul> <div class="rd-navbar-aside-group"> <ul class="list-inline list-inline-reset"> <li><a class="icon icon-round icon-san-juan-filled icon-xxs-smallest fa fa-facebook" href="#"></a></li> <li><a class="icon icon-round icon-san-juan-filled icon-xxs-smallest fa fa-twitter" 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href="https://nds.unitedscientificgroup.org/nds-2024">NDS-2024</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/nds-2023">NDS-2023</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/nds-2022/">NDS-2022</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/nds-2021/">NDS-2021</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/2019/">NDS-2019</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/2018/">NDS-2018</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/nds-2017/home.php">NDS-2017</a></li> <li><a target="_blank" href="https://nds.unitedscientificgroup.org/neurology-2016">NDS-2016</a></li> <li><a target="_blank" href="https://unitedscientificgroup.org/neurological-disorders-summit/nds-2015/">NDS-2015</a></li> </ul> </li> </ul> </div> </div> </div> </div> </nav> </div> </header> <script src='https://cdnjs.cloudflare.com/ajax/libs/jquery/1.12.4/jquery.min.js'></script> <script> $(document).ready(function() { var Participants; var registration_price; var registration_category; var Final_Reg_price = 0; var socialnetwork = 149; var No_of_Socialnetworking = 0; var No_of_accompanying = 0; var accompanying_price = 0; var accommodation_price = 0; var accommodation_category = ""; var No_of_days = 0; var total_price = 0; var discount_code = ""; var discount_applied = false; var discount_reg_price = 0; var discount_acc_price = 0; var discount_price = 0; var Live; var before_discount_total = 0; var discountedPrice = 0; var discount_category = ""; var check_in_date = ""; var check_out_date = ""; var Sponsor_price = 0; var Sponsor_category; var Sponsor_others; var Sponsor_disount = 0; var Sponsor_disount_code; var Sponsor_disount_applied = false; var Sponsor_disounted_price; var sponsorship_price; var spn_status; var form_reg_radio = $("input[id='reg_radio']").map(function() { return $(this).attr('name'); }).get(); var reg_radio_value = 'r2'; $("input[name='" + reg_radio_value + "']").prop("disabled", false); $("input[type='radio']").each(function() { var name = $(this).attr("name"); if (!reg_radio_value.includes(name)) { (reg_radio_value); $(this).prop("disabled", true); $("input[name='r5']").prop("disabled", false); } }); if (form_reg_radio.includes(reg_radio_value)) { $("input[name='" + form_reg_radio + "']").prop("disabled", true); } $("input[name='socialnetwork']").prop("checked", true); $("input[name='reg_check'][value='live']").prop("checked", true); $("input[name='reg_check'][value='not live']").prop("disabled", true); Live = $("input[name='reg_check'][value='live']").val(); check_box(); // $("#socialnetwork").val("0"); if (Participants != 0) { Participants = $("#participants_id").val(); getReg_price(); } if ($("#socialnetwork").prop("checked")) { No_of_Socialnetworking = $("#socialnetwork").val(); getSocial_networking_price(); } if (accompanying_price != 0) { accompanying_price = $("#accompanying").val(); get_accompanying_value(); } total(); $("input[name='reg_check'][value='live']").change(function() { check_box(); }); $('#participants_id').change(function() { getParticipants_value(); }); $('input[type=radio][name="r2"]').change(function() { getReg_price(); }); $('#socialnetwork').change(function() { getSocial_networking_price(); }); $('#accompanying').change(function() { get_accompanying_value(); }); $('input[type=radio][name=r5]').change(function() { get_accommodation_value(); }); $('#numberof_days').change(function() { number_of_days(); checkincheckout(); }); $('#amount').change(function() { Sponsor_price = $("#amount").val(); if (Sponsor_others) { Sponsor_price = $("#amount").val(); if ((Sponsor_price != "") && (Sponsor_disount_applied)) { spn_discount(); } } }); $('#discountregistration').change(function() { if (this.checked) { $('#display_discountinput').css("display", "block"); } else { $('#display_discountinput').css("display", "none"); } }); $('#form-check input[type="checkbox"]').change(function() { $('#collapseExample').toggle(this.checked); }); $('#extra_accommodation').change(function() { if (this.checked) { $('#acd_extrabox').css("display", "block"); } else { $('#acd_extrabox').css("display", "none"); } if ($('#extra_accommodation').prop('checked')) { number_of_days(); } }); $("#dateof_accommodation").on("change", function() { checkincheckout(); }); $("#spn_submit").click(function() { Sponsor_disount_code = $("#spn_discount_code").val(); console.log("Sponsor_disount_code = ", Sponsor_disount_code); if (Sponsor_disount_code != "") { Sponsor_disount_applied = true; spn_discount(); } }) function check_box() { if ($("input[name='reg_check'][value='live']").prop("checked")) { $.ajax({ type: "POST", url: "env_dev.php", data: { live: Live, }, success: function(result) { if (result == "Success") { $("input[name='r2']:first").prop("checked", true).trigger("click"); } getReg_price(); } }); } else { $("input[name='r2']").prop("checked", false); registration_price = 0; total(); if (discount_applied == true) { discount(); } } } function getParticipants_value() { Participants = $("#participants_id").val(); total(); if (discount_applied == true) { discount(); } } function getReg_price() { registration_category = $('input[type=radio][name="r2"]:checked').attr("data-value"); $.ajax({ type: "POST", url: "env_dev.php", data: { category: registration_category, }, success: function(result) { registration_price = result; total(); if (discount_applied == true) { discount(); } } }); } function getSocial_networking_price() { No_of_Socialnetworking = $('#socialnetwork').val(); $("#socialnetwork").prop("checked") ? No_of_Socialnetworking = 1 : No_of_Socialnetworking = 0; $.ajax({ type: "POST", url: "env_dev.php", data: { numberof_persons_socialnetwork: No_of_Socialnetworking, }, success: function(response) { socialnetwork = response; total(); if (discount_applied == true) { discount(); } } }); } function get_accompanying_value() { No_of_accompanying = $('#accompanying').val(); $.ajax({ type: "POST", url: "env_dev.php", data: { noof_accompanying: No_of_accompanying, }, success: function(response) { accompanying_price = response; total(); if (discount_applied == true) { discount(); } } }); } function get_accommodation_value() { accommodation_category = $('input[type=radio][name=r5]:checked').attr("data-value"); if ((accommodation_category == "Single Occupancy") || (accommodation_category == "Double Occupancy")) { $("#ead_checkbox").removeClass("hidden"); $("#acd_extrabox").css("display", "block"); number_of_days(); } else { window.location.href = "index.php"; $("#acd_extrabox").css("display", "none"); $("#ead_checkbox").addClass("hidden"); total(); } } function number_of_days() { if ($('input[name=r5]:checked')) { var number_of_days = parseInt($('#numberof_days :selected').text()); No_of_days = (isNaN(number_of_days)) ? 0 : number_of_days; $(".show_check_in_and_check_out_div").css("display", "block"); if (No_of_days < 2) { $('.datesecond').css("display", "none"); } else { $('.datesecond').css("display", "block"); } } else { $(".show_check_in_and_check_out_div").css("display", "none"); No_of_days = 0; total(); } $.ajax({ type: "POST", url: "env_dev.php", data: { Accommodation_type: accommodation_category, numberofdays: No_of_days }, success: function(result) { accommodation_price = result; console.log("result =", result); total(); if (discount_applied == true) { discount(); } } }); } function checkincheckout() { // Define the toInputFormat function before calling it Date.prototype.toInputFormat = function() { var yyyy = this.getFullYear().toString(); var mm = (this.getMonth() + 1).toString(); // getMonth() is zero-based var dd = this.getDate().toString(); var weekday = new Array(7); weekday[0] = "Sunday"; weekday[1] = "Monday"; weekday[2] = "Tuesday"; weekday[3] = "Wednesday"; weekday[4] = "Thursday"; weekday[5] = "Friday"; weekday[6] = "Saturday"; var n = weekday[this.getDay()]; var checkoutdayname = (mm[1] ? mm : "0" + mm[0]) + "-" + (dd[1] ? dd : "0" + dd[0]) + "-" + yyyy; $("#checkoutdate").attr('data', checkoutdayname); // check_in_date = checkin_date; $("#showcheckin").html(checkin_date); $("#showcheckout").html(checkoutdayname); console.log("checkoutdayname", checkoutdayname); check_out_date = checkoutdayname; total(); if (discount_applied == true) { discount(); } return (mm[1] ? mm : "0" + mm[0]) + "-" + (dd[1] ? dd : "0" + dd[0]) + "-" + yyyy; }; var checkin_date = $("#dateof_accommodation :selected").val(); check_in_date = checkin_date; if ((checkin_date == '')) { alert("Please select starting date of accommodation"); check_in_date = ""; check_out_date = ""; } else if (No_of_days == '') { alert("Please select No of nights"); $("#dateof_accommodation").val(0); check_in_date = ""; check_out_date = ""; $("#show_check_in_check_out").hide(); $("#checkoutdate").val("check out date"); } else { if (checkin_date != "0") { var clientDate = new Date(checkin_date); var utc = clientDate.toUTCString(); var date = new Date(utc); var days = parseInt(No_of_days, 10); if (!isNaN(date.getTime())) { date.setDate(date.getDate() + days); check_out_date = date.toInputFormat() $("#show_check_in_check_out").show(); // $("#checkoutdate").val(check_out_date); } else { alert("Invalid Date"); } } else { check_out_date = ""; check_in_date = ""; $("#show_check_in_check_out").hide(); $("#checkoutdate").val("check out date"); } } total(); } $(".discountcheck").click(function(e) { e.preventDefault(); discount_code = $("#discount_code").val(); if (discount_code == '') { alert("Please Enter Discount Code"); } else if (discount_applied == true) { alert("Discount Code Already Applied"); } else { discount(); } }); function discount() { discount_code = $("#discount_code").val(); var ajaxurl = "https://unitedscientificgroup.org/neurological-disorders-summit/payment.php"; var dataString = 'reg_price=' + Final_Reg_price + '&accommodation_price=' + accommodation_price + '&total_price=' + total_price + '&discount_code=' + discount_code + '&accompanying_totalprice=' + accompanying_price + '&socialnetwork_price=' + socialnetwork; $.ajax({ url: ajaxurl, type: "POST", data: dataString, success: function(data) { var jsonData = JSON.parse(data); if (typeof jsonData === "object") { // Update the HTML content in the appropriate element $('#jsonpResult').html(jsonData.html); $("#showdiscountcode").html(discount_code); discount_category = jsonData.discount_category; if (jsonData.discount_category == "registration") { $(".reg_discountsec").css("display", "block"); $(".discountsec").css("display", "block"); $("#registrationdiscount").html(jsonData.discountedPrice); discountedPrice = jsonData.discountedPrice; discount_reg_price = jsonData.discount_price; discount_price = jsonData.discount_price; $("#showdiscount_price").html(jsonData.discountedPrice); } else if (jsonData.discount_category == "accommodation") { $(".acc_discountsec").css("display", "block"); $(".discountsec").css("display", "block"); discountedPrice = jsonData.discountedPrice; discount_acc_price = jsonData.discount_price; discount_price = jsonData.discount_price; $("#showdiscount_price").html(jsonData.discountedPrice); $("#accommodationdiscount").html(jsonData.discountedPrice); } else { $(".acc_discountsec").css("display", "block"); $(".reg_discountsec").css("display", "block"); $(".discountsec").css("display", "block"); discountedPrice = jsonData.discountedPrice; discount_acc_price = jsonData.acc_discount_price; discount_reg_price = jsonData.reg_discount_price; discount_price = jsonData.discount_price; $("#showdiscount_price").html(jsonData.discountedPrice); $("#registrationdiscount").html(jsonData.reg_discountedPrice); $("#accommodationdiscount").html(jsonData.acc_discountedPrice); } if (jsonData.html != "<h2>The code entered is not valid. Please enter a valid code.</h2>") { discount_applied = true; } total_price = jsonData.final_price; total(); } else { console.log("No HTML data received or HTML data is empty."); total(); } return false; } }); } function spn_discount() { var ajaxurl = "https://unitedscientificgroup.org/neurological-disorders-summit/sponsor_discount.php"; Sponsor_price = $("#amount").val(); var dataString = 'amount=' + Sponsor_price + '&discount_code=' + Sponsor_disount_code; $.ajax({ url: ajaxurl, type: "POST", data: dataString, success: function(data) { try { var jsonData = JSON.parse(data); if (typeof jsonData === "object") { // Update the HTML content in the appropriate element $('#jsonpResult').html(jsonData.html); $("#amount").val(jsonData.final_price); Sponsor_disounted_price = jsonData.discountedPrice; // $("#showdiscountcode").html(discount_code); if (jsonData.html != "<h2>The code entered is not valid. Please enter a valid code.</h2>") {} total(); } else { console.log("No HTML data received or HTML data is empty."); total(); } } catch (e) { console.error("Parsing error:", e); console.error("Response data:", data); } return false; }, error: function(xhr, status, error) { console.error("AJAX error:", status, error); } }); } $('select[name=session]').change(function() { Sponsor_category = $(this).val(); $.ajax({ url: 'env_dev.php', type: 'POST', data: { Sponsor_category: Sponsor_category, }, success: function(response) { Sponsor_price = response; if (response == "others") { $("#amount").val(''); $('#amount').prop('readonly', false); Sponsor_others = true; if ((Sponsor_disount_applied == true) && (Sponsor_others)) { $('#jsonpResult').html(""); alert("Please enter amount"); spn_discount(); } } else { $("#amount").val(Sponsor_price); $('#amount').prop('readonly', true); if (Sponsor_disount_applied == true) { spn_discount(); } } }, error: function(xhr, status, error) { console.error("error = ", error); // Handle error response if needed } }); }); function total() { console.log("check out date ", check_out_date); console.log("check in date ", check_in_date); if ((Participants !== "") && (registration_price !== "") && (registration_category !== "") && (No_of_Socialnetworking !== "") && (socialnetwork !== "")) { Final_Reg_price = parseInt((Participants * registration_price)); if (discount_applied == false) { total_price = parseInt(Final_Reg_price) + parseInt(socialnetwork) + parseInt(accompanying_price) + parseInt(accommodation_price); } before_discount_total = parseInt(Final_Reg_price) + parseInt(socialnetwork) + parseInt(accompanying_price) + parseInt(accommodation_price); } $("#show_registration_price").html(Final_Reg_price); $("#shownumberof_participants").html(Participants); $("#showsocialnetwork_price").html(socialnetwork); $("#show_accompanying_price").html(accompanying_price); $("#showselected_numberofdays").html(No_of_days); $("#showaccommodation_price").html(accommodation_price); $("#showtotalprice").html(total_price); $("#displayprice").html(total_price); $("#showcheckin").html(check_in_date); $("#showcheckout").html(check_out_date); $("#checkoutdate").val(check_out_date); if (discount_code != "") { $("#show_discounts_code").show(); } else { $("#show_discounts_code").hide(); } } $("#reg_form").submit(function(e) { e.preventDefault(); // Prevent the form from submitting normally if ((accommodation_category != "") && (check_in_date == "") && (check_out_date == "")) { $("#dateof_accommodation").focus().css("border-color", "red"); alert("Please select No of Days and starting date of accommodation"); } else { other_p_scnt = $("input[name='p_scnt[]']") .map(function() { return $(this).val(); }) .get() .join(","); other_org_name = $("input[name='org_name[]']") .map(function() { return $(this).val(); }) .get() .join(","); var formDataArray = $(this).serializeArray(); // Additional values in JavaScript var additionalData = { // reg_type: "Standard Registration", participants: Participants, before_discount_reg_price: Final_Reg_price, registration_category: registration_category, before_discount_acc_price: accommodation_price, accommodation_category: accommodation_category, No_of_acc_days: No_of_days, showcheckin_date: check_in_date, showcheckout_date: check_out_date, total_price: total_price, socialnetwork_price: socialnetwork, no_of_socialnetworking: 1, accompanying_priceonly: accompanying_price, noof_accompanying: No_of_accompanying, discount_registrationprice: discount_reg_price, discount_accom: discount_acc_price, discount_price: discount_price, discount_code: discount_code, before_discount_total: before_discount_total, discountedPrice: discountedPrice, discount_category: discount_category, }; // Merge form data and additional data var postData = formDataArray.concat($.map(additionalData, function(value, key) { return { name: key, value: value }; })); // AJAX request $.ajax({ url: 'https://unitedscientificgroup.org/neurological-disorders-summit/register_payment.php', type: 'POST', dataType: 'json', data: { data: postData }, success: function(response) { if (response.status == "success") { $.ajax({ type: 'POST', url: "register_payment.php", data: JSON.stringify({ status: response.status, tot_price: response.tot_price, ins_id: response.ins_id }), success: function(response) { window.location.href = "register_payment.php" }, error: function(xhr, status, error) { console.error("error = ", error); // Handle error response if needed } }); } else { // alert(response); alert("Kindly try again after some time!"); } }, error: function(xhr, status, error) { console.error("error = ", error); // Handle error response if needed } }); } }); $("#sponsor_form").submit(function(e) { e.preventDefault(); var isValid = true; // Iterate over the form elements $(this).find(":input[required]").each(function() { if ($(this).val().trim() === "") { isValid = false; // Optionally, you can highlight the invalid field or display an error message $(this).addClass("error"); // Add a CSS class for styling } else { $(this).removeClass("error"); } }); if (isValid) { var formData = new FormData(this); // Create FormData object formData.append("spn_discount_code", Sponsor_disount_code); formData.append("spn_discounted_price", Sponsor_disounted_price); formData.append("sponsorship_price", Sponsor_price); var url = 'https://unitedscientificgroup.org/neurological-disorders-summit/sponsor_payment.php'; // URL to submit the form data // var url = 'https://unitedscientificgroup.org/neurological-disorders-summit/test.php'; // URL to submit the form data $.ajax({ type: 'POST', url: url, data: formData, processData: false, contentType: false, dataType: 'json', success: function(response) { spn_status = response.status; if (spn_status == "success") { $.ajax({ type: 'POST', url: "sponsor_payment.php", data: JSON.stringify({ status: spn_status, tot_price: response.tot_price, ins_id: response.ins_id }), success: function(response) { window.location.href = "sponsor_payment.php" } }) } else { alert("Kindly try again after some time!"); } // window.location.href = 'https://unitedscientificgroup.org/neurological-disorders-summit/supportestv.php'; }, error: function(xhr, status, error) {} }); } else { // Display an error message or perform other actions to indicate invalid fields alert('Please fill all required fields.'); } }); $("#reg_subscribe").submit(function(e) { e.preventDefault(); var isValid = true; // Iterate over the form elements $(this).find(":input[required]").each(function() { if ($(this).val().trim() === "") { isValid = false; // Optionally, you can highlight the invalid field or display an error message $(this).addClass("error"); // Add a CSS class for styling } else { $(this).removeClass("error"); } }); if (isValid) { // var formData = new FormData(this); // Create FormData object var formDataArray = $(this).serialize(); // formData.append("spn_discount_code", Sponsor_disount_code); // formData.append("spn_discounted_price", Sponsor_disounted_price); var url = 'subscribe_payment.php'; // URL to submit the form data $.ajax({ type: 'POST', url: 'subscribe_payment.php', data: formDataArray, success: function(response) { window.location.href = 'subscribe_payment.php'; }, error: function(xhr, status, error) {} }); } else { // Display an error message or perform other actions to indicate invalid fields alert('Please fill all required fields.'); } }); }); </script><style> .extra-nights-box { background: #19546b; color: #fff; padding: 10px; width: 320px; margin: 10px 0px 25px; } .summery-invisible { padding: 10px 20px 5px; } hr.style-one { border: 0; height: 1px; background: #333; background-image: linear-gradient(to right, #ccc, #333, #ccc); } .form-group select.form-control:not([size]):not([multiple]) { height: auto !important; } .box-heaD { background: #428bca; padding: 0px; color: #fff; } .panel-body label { width: 100% !important; } </style> <link rel="stylesheet" href="css/bootstrap-reg.css"> <script src="https://code.jquery.com/jquery-1.12.4.js" type="text/javascript"></script> <div id="banner-area" class="banner-area" style="background-image:url(images/banner.jpg)"> <div class="banner-text"> <div class="container"> <div class="row"> <div class="col-lg-12"> <div class="banner-heading"> <h1 class="banner-title">Registration Form</h1> <nav aria-label="breadcrumb"> <ol class="breadcrumb justify-content-center"> <li class="breadcrumb-item"><a href="#">Home</a></li>  <li class="breadcrumb-item active" aria-current="page">Registration Form</li> </ol> </nav> </div> </div> </div> </div> </div> </div> <section id="main-container" class="main-container"> <div class="container"> <div class="row content"> <div class="col-lg-12"> <div class="col-md-6"> <h2 class="text-center">Registration Form</h2> </div> <div class="col-md-3" style="padding-top:25px;"></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-lg-12 content"> <form class="form-horizontal" name="reg_form" id="reg_form" 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="Poster Presentation"> Poster Presentation </option> <option value="Oral Presentation"> Oral Presentation </option> <option value="Conducting Workshop"> Conducting Workshop </option> <option value="Conducting Symposium"> Conducting Symposium </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>  <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:0.4;"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center"> Pre Early Bird Registration<br /><small style="color:#fff;">Before September 24, 2024</small> </h4> <input type="checkbox" class="form-control card-checkbox" name="reg_check" id="reg_check" value="not live" /> </div> <div class="panel-body"> <div class="form-group"> <div class="text-center box-heaD"><strong>Academic</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r1" id="reg_radio" data-value="Academic"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 699</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Industry</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r1" id="reg_radio" data-value="Industry"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 799</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Student</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r1" id="reg_radio" data-value="Student"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 399</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Virtual</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r1" id="reg_radio" data-value="Virtual"> <span class="nonBold">Oral/Poster/Delegate</span>  <span class="priceBox">$ 329</span></label> </div>  </div> </div> </div> <div class="col-sm-3"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center"> Early Bird Registration<br /><small style="color:#fff;">Before November 26, 2024</small> </h4> <input type="checkbox" class="form-control card-checkbox" name="reg_check" id="reg_check" value="live" /> </div> <div class="panel-body"> <div class="form-group"> <div class="text-center box-heaD"><strong>Academic</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r2" id="reg_radio" data-value="Academic"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 799</span> </label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Industry</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r2" id="reg_radio" data-value="Industry"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 899</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Student</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r2" id="reg_radio" data-value="Student"> <span class="nonBold">Oral/Poster/Delegate</span>   <span class="priceBox">$ 449</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Virtual</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r2" id="reg_radio" data-value="Virtual"> <span class="nonBold">Oral/Poster/Delegate</span>  <span class="priceBox">$ 379</span></label> </div>  </div> </div> </div> <div class="col-sm-3"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center">Mid Term Registration<br /><small style="color:#fff;">Before February 13, 2025</small></h4> <input type="checkbox" class="form-control card-checkbox" name="reg_check" id="reg_check" value="not live" /> </div> <div class="panel-body"> <div class="form-group"> <div class="text-center box-heaD"><strong>Academic</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r3" id="reg_radio" data-value="Academic"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 999</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Industry</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r3" id="reg_radio" data-value="Industry"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 1049</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Student</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r3" id="reg_radio" data-value="Student"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 549</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Virtual</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r3" id="reg_radio" data-value="Virtual"> <span class="nonBold"> Oral/Poster/Delegate</span>  <span class="priceBox">$ 399</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 April 17, 2025</small></h4><input type="checkbox" class="form-control card-checkbox" name="reg_check" id="reg_check" value="not live" /> </div> <div class="panel-body"> <div class="form-group"> <div class="text-center box-heaD"><strong>Academic</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r4" id="reg_radio" data-value="Academic"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 1099</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Industry</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r4" id="reg_radio" data-value="Industry"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 1099</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Student</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r4" id="reg_radio" data-value="Student"> <span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 599</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Virtual</strong></div> <label class="control-label col-sm-12" style="text-align:left;"> <input type="radio" name="r4" id="reg_radio" data-value="Virtual"> <span class="nonBold"> Oral/Poster/Delegate</span>  <span class="priceBox">$ 449</span></label>  </div>  </div> </div> </div> <div class="col-sm-3" style="display: none;"> <div class="panel panel-primary"> <div class="panel-heading"> <h4 class="text-center">Pre Early Bird Registration<br /><small style="color:#fff;"> Pre Early Bird Registration</small></h4><input type="checkbox" class="form-control card-checkbox" name="reg_check" id="reg_check" value="not live" /> </div> <div class="panel-body"> <div class="form-group"> <div class="text-center box-heaD"><strong>Academic</strong></div> <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="Academic"><span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 1099</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Industry</strong></div> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="1149" onClick="return get_radio_value()" data-value="Business"><span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 1149</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Student</strong></div> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="599" onClick="return get_radio_value()" data-value="Student-Post-Doc/Ph.D"><span class="nonBold"> Oral/Poster/Delegate</span>   <span class="priceBox">$ 599</span></label> </div> <div class="form-group"> <div class="text-center box-heaD"><strong>Virtual</strong></div> <label class="control-label col-sm-12" style="text-align:left;"><input type="radio" name="r4" value="399" onClick="return get_radio_value()" data-value="Online"> <span class="nonBold"> Oral/Poster/Delegate</span>  <span class="priceBox">$ 399</span></label>  </div>  </div> </div> </div> <div class="col-sm-4"> <div class="panel panel-danger"> <div class="panel-heading"> <h4 class="text-center" style="padding:10px 0;">Accommodation<br /><small>One-Night</small></h4> </div> <div class="panel-body"> <div class="form-group"> <div class="input-group"> <label class="control-label col-sm-10" style="text-align:left;">  <input type="radio" name="r5" data-value="Single Occupancy"> $195 Single Occupancy</label> <span class="input-group-addon"><i class="fa fa-bed"></i></span> <div> </div> </div> <span style="text-align:center; display:block; margin-top:2%;">Including Breakfast, VAT and City Taxes</span> </div> </div> </div> </div> <div class="col-sm-4"> <div class="panel panel-danger"> <div class="panel-heading"> <h4 class="text-center" style="padding:10px 0;">Accommodation<br /><small>One-Night </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;"> <input type="radio" name="r5" data-value="Double Occupancy"> $215 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>   </div> </div> <span style="text-align:center; display:block; margin-top:2%;">Including Breakfast, VAT and City Taxes</span> </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">Number of 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"> <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" class="fivenights">5</option> <option value="6" class="sixnights">6</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"> <option value="0" selected="selected">Select Date</option> <option value="04-26-2025">04-26-25</option> <option value="04-27-2025" class="datethird">04-27-25</option> <option value="04-28-2025" class="datesecond">04-28-25</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> <p style="font-size:17px; background:#005bb6; color:#fff;width:28%; margin-bottom:10px; padding:0.8% 2%;"><input type="checkbox" name="socialnetwork" id="socialnetwork" class="checkbox-custom" value="149"> Social & Networking Event $149</p> <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="discountcategory_type" id="discountcategory_type" /> <input type="hidden" name="selectcategory_type" id="selectcategory_type" /> <input type="hidden" name="accommodationcategory_type" id="accommodationcategory_type" /> <input type="hidden" name="showcheckin_date" id="showcheckin_date" /> <input type="hidden" name="showcheckout_date" id="showcheckout_date" /> <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" style="display:none;"> <label class="control-label col-sm-3" for="participants" style="padding:0; margin:0;">Accompanying ($200 for each person):</label> <div class="col-sm-8"> <div class="input-group"> <span class="input-group-addon"><i class="fa fa-plus"></i></span> <select class="form-control" name="accompanying_name" id="accompanying" style="width:auto;"> <option value="0">0</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> </select> </div> </div> </div> <span id="jsonpResult"></span> </div> <div class="card panel-danger mt-4 summarypanel"> <h1 class="text-center text-uppercase text"><strong>Summary</strong></h1> <div class="col-md-12 mt-3"> <div class="row">  <div class="col-md-6"> <div class="row pl-4 pr-4"> <div class="col-md-8 mb-3"> Registration Price: </div> <div class="col-md-4"> <strong style="float:right;">$ <span id="show_registration_price"></span></strong> </div> <div class="clearfix"></div> <div class="reg_discountsec col-md-12" style="display:none;"> <div class="row"> <div class="col-md-8 mb-3"> Discount Amount: </div> <div class="col-md-4"> <strong style="float:right;">- $ <span id="registrationdiscount"></span></strong> </div> </div>  </div> <div class="clearfix"></div>  <div class="col-md-8 mb-3"> Accommodation: </div> <div class="col-md-4"> <strong style="float:right;">$ <span id="showaccommodation_price"></span></strong> </div> <div class="clearfix"></div> <div class="discountsec col-md-12" style="display:none;"> <div class="row"> <div class="col-md-8 mb-3"> Discount Amount: </div> <div class="col-md-4"> <strong style="float:right;">- $ <span id="accommodationdiscount"></span></strong> </div> </div>  </div> <div class="clearfix"></div>  <div class="col-md-8 mb-3"> Social & Networking Events: </div> <div class="col-md-4"> <strong style="float:right;">$ <span id="showsocialnetwork_price"></span></strong> </div> <div class="clearfix"></div>  <div class="discountsec col-md-12" style="display:none;"> <div class="row"> <div class="col-md-8 mb-3"> Total Discount: </div> <div class="col-md-4"> <strong style="float:right;">- $ <span id="showdiscount_price"></span></strong> </div> </div>  </div> <div class="clearfix"></div> </div>  </div>  <div class="col-md-6"> <div class="row pl-4 pr-4"> <div class="col-md-8 mb-3"> Participants: </div> <div class="col-md-4"> <strong style="float:right;"> <span id="shownumberof_participants"></span></strong> </div> <div class="col-md-8 mb-3"> Total No. Nights: </div> <div class="col-md-4"> <strong style="float:right;"> <span id="showselected_numberofdays"></span></strong> </div> </div>  </div>  <div class="col-md-6 show_check_in_and_check_out_div" style="display: none;"> <div class="row pl-4 pr-4"> <div class="col-md-7 mb-3"> Check-in Date: </div> <div class="col-md-5"> <strong style="float:right;"> <span id="showcheckin"></span></strong> </div> <div class="col-md-7 mb-3"> Check-out Date: </div> <div class="col-md-5"> <strong style="float:right;"> <span id="showcheckout"></span></strong> </div> </div>  </div>  <div class="col-md-6 discountsec" style="display:none;"> <div class="row pl-4 pr-4"> <div class="col-md-8 mb-3"> Discounts Code: </div> <div class="col-md-4"> <strong style="float:right;"> <span id="showdiscountcode"></span></strong> </div> </div>  </div>  <div class="clearfix"></div> <hr class="col-md-8 text-center"> <div class="clearfix"></div> <div class="col-md-12 text-center"> <h2><strong>Total Price:</strong> <strong>$ <span id="showtotalprice"></span></strong></h2> </div> </div> <br /> </div><br /> </div> <br /> <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" title="Terms & Conditions" target="_blank" class="text-dark">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 col-md-3" style="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="" placeholder="" required style="width:80%;" /> </div> <br> <div class="row"> <div class="col-md-3"></div> <div class="col-md-3"> <div class="input-group" style="display: flex; margin-bottom: 1%;"> <button type="submit" class="btn btn-primary btn-lg" style="width:100% !important;" name="register">Pay</button> </div> </div> <div class="col-md-3"> <div class="input-group" style="display: flex; margin-bottom: 1%;"> <button type="reset" class="btn btn-secondary btn-lg" style="width:100% !important; background:#900; color:#fff;">Reset</button> </div> </div> <div class="col-md-3"></div> </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>Welcome coffee</li> <li>Access to main conference sessions, exhibits, poster sessions and round table discussions</li> <li>Conference material</li> <li>Lunch, tea / coffee breaks during the conference days</li> <li>WiFi in meeting rooms</li> </ul> </div> <div id="cancellation"></div> <div style="background:#fff; padding:10px; margin:5px 0; border:1px solid #ddd;"> <p style="padding:5px 0 0 0; margin:5px 0 0 0; font-size:16px;" class="text-uppercase"><strong>Accommodation includes ↓</strong></p> <p style="color:#54805c; font-size:16px; margin:1.5% 0 4px;">For delegates who are accommodated in <span><strong>NH Collection Frankfurt Spin Tower, Gu虉terplatz 1, d-60327 Frankfurt Am Main, Frankfurt, Germany<br /></strong></span></p> <ul> <li>Including VAT, Buffet Breakfast, and WiFi</li> </ul> </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 style="margin: 1% 0 4px;">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 60 days of receipt of cancellation notification.<br> </p> </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>Accommodation Cancellation policy ↓</strong></p> <p style="margin: 1% 0 4px;">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 style="margin: 1% 0 4px;">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, organic pathogens, 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> </section> <script type="text/javascript"> function enquiry() { // var name = document.enqform.name.value; var email = document.enqform.email.value; /*if (document.enqform.name.value == "") { alert("Please enter your Name"); document.enqform.name.focus(); return false; }*/ if (document.enqform.email.value == "") { alert("Please enter your Email"); document.enqform.email.focus(); return false; } var id = document.enqform.email.value; //The regular expression for a valid e-mail address var re = /^.+\@.+\..{2,4}$/gi; if (!id.match(re)) { //If it is NOT a match //flag++; //errors = errors + "Invalid E-Mail\n"; 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Registration | 9th Neurological Disorders Summit | Neurological Disorders Conference | NDS 2025