CINXE.COM
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Template Framework."> <title>Registration</title> <link href="/images/asset-2.png" rel="icon" type="image/vnd.microsoft.icon"> <link href="/media/vendor/joomla-custom-elements/css/joomla-alert.min.css?0.2.0" rel="stylesheet" /> <link href="/components/com_sppagebuilder/assets/css/animate.min.css?fe1856783311ac8a9e59ee2b3928a57b" rel="stylesheet" /> <link href="/components/com_sppagebuilder/assets/css/sppagebuilder.css?fe1856783311ac8a9e59ee2b3928a57b" rel="stylesheet" /> <link href="/media/com_convertforms/css/convertforms.css?70909931d1aba97bc6cf08ada2d5681d" rel="stylesheet" /> <link href="/media/plg_system_nrframework/css/vendor/choices.min.css" rel="stylesheet" /> <link href="/media/plg_system_nrframework/css/controls/phone.css" rel="stylesheet" /> <link href="/media/com_convertforms/css/vendor/flatpickr/flatpickr.css?70909931d1aba97bc6cf08ada2d5681d" rel="stylesheet" /> <link href="/media/com_sppagebuilder/css/page-6.css" rel="stylesheet" /> <link href="/templates/shaper_helixultimate/css/bootstrap.min.css" rel="stylesheet" /> <link href="/plugins/system/helixultimate/assets/css/system-j4.min.css" rel="stylesheet" /> <link href="/media/system/css/joomla-fontawesome.min.css?70909931d1aba97bc6cf08ada2d5681d" rel="stylesheet" /> <link href="/templates/shaper_helixultimate/css/template.css" rel="stylesheet" /> <link href="/templates/shaper_helixultimate/css/presets/preset1.css" rel="stylesheet" /> <link href="/components/com_sppagebuilder/assets/css/magnific-popup.css" rel="stylesheet" /> <style>@media(min-width: 1400px) {.sppb-row-container { max-width: 1320px; }}</style> <style> .flatpickr-input { cursor:default !important; background-color: var(--input-background-color) !important; } .flatpickr-current-month .flatpickr-monthDropdown-months{ height: auto !important; display: inline-block !important; min-width: auto !important; } .flatpickr-current-month .flatpickr-monthDropdown-months:hover { background: none; } .numInputWrapper { margin-left: 10px; } .numInputWrapper:hover { background: none; } .flatpickr-calendar input { box-shadow: none !important; } .flatpickr-calendar .flatpickr-time input { height: auto !important; border: none !important; box-shadow: none !important; font-size: 16px !important; margin: 0 !important; padding: 0 !important; line-height: inherit !important; background: none !important; color: #484848 !important; } .flatpickr-calendar.inline { margin-top:5px; } .flatpickr-calendar.open { z-index: 99999999; // EngageBox v4 uses z-index: 99999999; } .flatpickr-mobile { -webkit-appearance: none; // Remove iOS ugly button -moz-appearance: none; 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Please follow this pattern: 4+3+4","COM_SPPAGEBUILDER_LAYOUT_NO_LAYOUT_FOUND":"No Layout Bundles Found","COM_SPPAGEBUILDER_LAYOUT_BACK":"Back to layouts","COM_SPPAGEBUILDER_LAYOUT_FILTER_RESET":"Reset","COM_SPPAGEBUILDER_LAYOUT_FILTER_TITLE_ASC":"Title ASC","COM_SPPAGEBUILDER_LAYOUT_FILTER_TITLE_DESC":"Title DESC","COM_SPPAGEBUILDER_LAYOUT_FILTER_TITLE_POPULAR_FIRST":"Popular First","COM_SPPAGEBUILDER_INVALID_DEEP_ADDON":"Invalid Deep Addon","COM_SPPAGEBUILDER_TOTAL_ENTRIES":"Total Entries","COM_SPPAGEBUILDER_CREATED_DATE":"Created Date","COM_SPPAGEBUILDER_CREATED_BY":"Created By","COM_SPPAGEBUILDER_NO_ADDON_FOUND":"No Addon Found","COM_SPPAGEBUILDER_NO_SECTION_FOUND":"No Section Found","COM_SPPAGEBUILDER_NOTHING_FOUND_FOR_KEYWORD":"Nothing found for the keyword","COM_SPPAGEBUILDER_NOTHING_FOUND":"Nothing found","COM_SPPAGEBUILDER_NO_PAGE_FOUND":"No Page Found","COM_SPPAGEBUILDER_INTERACTION_FIND_OUT":"Find out what more you can do with the Interaction features","COM_SPPAGEBUILDER_INTERACTION_EXPLORE":"Explore Interaction","COM_SPPAGEBUILDER_OPEN_IN_NEW_TAB":"Open in new tab","COM_SPPAGEBUILDER_NO_FOLLOW":"Add nofollow","COM_SPPAGEBUILDER_NO_REFERRER":"Add noreferrer","COM_SPPAGEBUILDER_NO_OPENER":"Add noopener","COM_SPPAGEBUILDER_REPLACE_ICON":"Replace Icon","COM_SPPAGEBUILDER_CHOOSE_ICON":"Choose Icon","COM_SPPAGEBUILDER_ICON_LIBRARY":"Icon Library","COM_SPPAGEBUILDER_UPLOAD_ICON":"Upload Custom Icon Font","COM_SPPAGEBUILDER_SUPPORTED_ICON":"Supported icon fonts are IcoFont, IcoMoon & Fontello. You can build & use your custom icon fonts using IcoMoon or Fontello App.","COM_SPPAGEBUILDER_NO_ICON_FOUND":"No Icons Found","COM_SPPAGEBUILDER_ANIMATION":"Animation","COM_SPPAGEBUILDER_ANIMATION_DESC":"Apply various actions on one or multiple elements to create a sequenced animation.","COM_SPPAGEBUILDER_INTERACTION_SETTINGS":"Interaction Settings","COM_SPPAGEBUILDER_NO_ACTION_SELECTED":"No Action Selected","COM_SPPAGEBUILDER_SELECT_AN_ACTION":"Select an action in the list to adjust the settings.","COM_SPPAGEBUILDER_TIMELINE":"Timeline","COM_SPPAGEBUILDER_BLANK_SPACE":"Blank Space","COM_SPPAGEBUILDER_TOASTER_SUCCESS":"Success","COM_SPPAGEBUILDER_TOASTER_ERROR":"Error","COM_SPPAGEBUILDER_GLOBAL_FONT":"COM_SPPAGEBUILDER_GLOBAL_FONT","COM_SPPAGEBUILDER_GLOBAL_SIZE":"COM_SPPAGEBUILDER_GLOBAL_SIZE","COM_SPPAGEBUILDER_GLOBAL_LINE_HEIGHT":"COM_SPPAGEBUILDER_GLOBAL_LINE_HEIGHT","COM_SPPAGEBUILDER_GLOBAL_LETTER_SPACE":"COM_SPPAGEBUILDER_GLOBAL_LETTER_SPACE","COM_SPPAGEBUILDER_ADDON_TAB_STYLE":"COM_SPPAGEBUILDER_ADDON_TAB_STYLE","COM_SPPAGEBUILDER_GLOBAL_WEIGHT":"COM_SPPAGEBUILDER_GLOBAL_WEIGHT","COM_SPPAGEBUILDER_GLOBAL_FONT_WEIGHT":"COM_SPPAGEBUILDER_GLOBAL_FONT_WEIGHT","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_THIN":"Thin","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_EXTRA_LIGHT":"Extra Light","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_LIGHT":"Light","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_NORMAL":"Normal","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_MEDIUM":"Medium","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_SEMI_BOLD":"Semi Bold","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_BOLD":"Bold","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_EXTRA_BOLD":"Extra Bold","COM_SPPAGEBUILDER_TYPOGRAPHY_FONT_BLACK":"Black","COM_SPPAGEBUILDER_TYPOGRAPHY_SELECT_FONT_PLACEHOLDER":"COM_SPPAGEBUILDER_TYPOGRAPHY_SELECT_FONT_PLACEHOLDER","COM_SPPAGEBUILDER_DASHBOARD_PAGES_TITLE":"Pages","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SUBTITLE":"Create, edit, and manage all your pages","COM_SPPAGEBUILDER_DASHBOARD_ADD_NEW_PAGE":"Add New Page","COM_SPPAGEBUILDER_DASHBOARD_PAGES_DELETE_DIALOG_MSG":"Do you really want to delete the page?","COM_SPPAGEBUILDER_DASHBOARD_PAGES_TRASH_DIALOG_MSG":"Do you really want to trash the page?","COM_SPPAGEBUILDER_DASHBOARD_SEARCH_PAGES":"Search for pages","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_HITS":"Hits","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_ACCESS":"Access","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_AUTHOR":"Author","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_LANGUAGE":"Language","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_BULK_ACTION":"Bulk Action","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_PUBLISHED":"Published","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_PUBLISH":"Publish","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_UNPUBLISHED":"Unpublished","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_UNPUBLISH":"Unpublish","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_TRASHED":"Trashed","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FILTER_TRASH":"Trash","COM_SPPAGEBUILDER_DASHBOARD_PAGES_CHECK_OUT":"Check-out","COM_SPPAGEBUILDER_DASHBOARD_PAGES_APPLY":"Apply","COM_SPPAGEBUILDER_DASHBOARD_PAGES_CLEAR":"Clear","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ALL":"All","COM_SPPAGEBUILDER_PERMISSION_MODAL_TITLE":"Manage Permissions","COM_SPPAGEBUILDER_MANAGE_PERMISSION_BUTTON_LABEL":"Manage Permissions","COM_SPPAGEBUILDER_MANAGE_PERMISSION_HELP_MESSAGE":"Please save the page first before managing the permissions, and reload the page.","COM_SPPAGEBUILDER_PERMISSION_FIELD_LABEL":"Permissions","JGLOBAL_SORT_BY":"Sort Table By:","JGRID_HEADING_ORDERING_ASC":"Ordering ascending","JGRID_HEADING_ORDERING_DESC":"Ordering descending","JSTATUS_ASC":"Status ascending","JSTATUS_DESC":"Status descending","JGLOBAL_TITLE_ASC":"Title ascending","JGLOBAL_TITLE_DESC":"Title descending","JGRID_HEADING_ACCESS_ASC":"Access ascending","JGRID_HEADING_ACCESS_DESC":"Access descending","JAUTHOR_ASC":"Author ascending","JAUTHOR_DESC":"Author descending","JDATE_ASC":"Date ascending","JDATE_DESC":"Date descending","JGLOBAL_HITS_ASC":"Hits ascending","JGLOBAL_HITS_DESC":"Hits descending","JGRID_HEADING_ID_ASC":"ID ascending","JGRID_HEADING_ID_DESC":"ID descending","JGRID_HEADING_LANGUAGE_ASC":"Language ascending","JGRID_HEADING_LANGUAGE_DESC":"Language descending","JCATEGORY":"Category","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ADDONS_TITLE":"Addons","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ADDONS_SUBTITLE":"Enable your preferred addons to build pages","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ADDONS_SEARCH_PLACEHOLDER":"Search for addons","COM_SPPAGEBUILDER_LAYOUT_SEARCH_PLACEHOLDER":"Type to search","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_TITLE":"Custom Icons","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_SUBTITLE":"Upload, use, and manage your own custom icon pack","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_UPLOAD_BUTTON":"Upload Your Icon","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_CONTENT":"Use your custom icons built using IcoFont, IcoMoon & Fontello","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_DELETE_BUTTON":"Delete","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_DUPLICATE_BUTTON":"Duplicate","COM_SPPAGEBUILDER_DASHBOARD_PAGES_ICON_NOT_FOUND":"No custom icon pack found!","COM_SPPAGEBUILDER_DASHBOARD_PAGES_INTEGRATIONS_TITLE":"Integrations","COM_SPPAGEBUILDER_DASHBOARD_PAGES_INTEGRATIONS_SUBTITLE":"Integrations","COM_SPPAGEBUILDER_DASHBOARD_PAGES_INTEGRATIONS_PRO_BUTTON":"Buy Pro","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LANGUAGE_TITLE":"Languages","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LANGUAGE_SUBTITLE":"Install to use your preferred language","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LANGUAGE_COLUMN_TITLE":"Title","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LANGUAGE_COLUMN_STATUS":"Status","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LANGUAGE_COLUMN_VERSION":"Version","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_TITLE":"Settings","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_SUBTITLE":"Manage your settings, license & update","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_LOADING":"Saving...","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_SAVE_BUTTON":"Save Changes","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_SIDEBAR_OPTION":"Options","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_SIDEBAR_LICENSE":"License & Update","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_OPTION":"Options","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PRODUCTION_MODE":"Production Mode","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PRODUCTION_MODE_DESC":"The Production mode will compile and put all CSS code to a single file, while the development mode will render CSS code in the head tag.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PRODUCTION_MODE_LOADING":"Purging...","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PURGER_CSS":"Purge Cached CSS","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_INSTAGRAM_TOKEN":"Instagram Access Token","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_FACEBOOK_ID":"Facebook App ID","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_FACEBOOK_ID_DESC":"Enter the Facebook App ID for opengraph purpose.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_FACEBOOK_SECRET":"Facebook App Secret","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_GENERAL_TOKEN":"Generate Token","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_GOOGLE_FONT":"Disable Google Fonts","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_GOOGLE_FONT_DESC":"Select yes to disable Google fonts in the frontend edit view and backend edit view. Select no if you use Google Fonts.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_LOAD_FONT_AWESOME":"Load Font Awesome","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_LOAD_FONT_AWESOME_DESC":"Select yes to load FontAwesome in the frontend view. Select no if the FontAwesome already loaded.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_LAZY_LOAD":"Lazy Load","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_LAZY_LOAD_DESC":"Select 'Yes' if you want to lazy load page builder addon images, videos, background images, background videos, and iframes.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PLACEHOLDER_IMAGE":"Placeholder Image","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_PLACEHOLDER_IMAGE_DESC":"This is a fallback placeholder image for all images, videos, and bakgrounds. You must set this image, otherwise our default image will be displayed. You can add a .svg or base64 image for smaller size.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_CSS_ANIMATION":"Disable Animate CSS","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_CSS_ANIMATION_DESC":"Select no if you don't want to load animate CSS.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_DEFAULT_CSS":"Disable Default CSS","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_DEFAULT_CSS_DESC":"Select yes if you don't want to load default CSS.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_OPEN_GRAPH":"Open Graph","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_BUTTON":"Disable","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_BUTTON_DESC":"Select yes, if you don't want to load default Open Graph Settings.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_DISABLED_TWITTER_CARD":"Disable Twitter Card","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_GOOGLE_MAP_API":"Google Map API Key","COM_SPPAGEBUILDER_DASHBOARD_PAGES_SETTINGS_GOOGLE_MAP_API_DESC":"Enter Your Google Map API Key.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LICENSE_UPDATE":"License & Update","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MAIL_ADDRESS":"Email Address","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LICENSE_KEY":"License Key","COM_SPPAGEBUILDER_DASHBOARD_PAGES_FIND_LICENSE_KEY":"Find My License Key.","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_PAGES":"Pages","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_ADDONS":"Addons","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_CUSTOM_ICONS":"Custom Icons","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_INTEGRATIONS":"Integrations","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_LANGUAGES":"Languages","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_SETTINGS":"Settings","COM_SPPAGEBUILDER_DASHBOARD_SIDEBAR_CATEGORIES":"Categories","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_COPY_LINK":"Copy Link","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_COPY_LINK_SUCCESS_MSG":"Link copied successfully!","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_COPY_LINK_ERROR_MSG":"Link copy failed!","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_ADD_TO_MENU":"Add to Menu","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_VIEW":"View","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_DELETE":"Delete","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_EXPORT":"Export","COM_SPPAGEBUILDER_DASHBOARD_PAGES_RENAME":"Rename","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_ITEM":"Add To Menu Item","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_ITEM_ALIAS":"Menu Alias","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_ITEM_TITLE":"Menu Title","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU":"Menu","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_PARENT_ITEMS":"Parent Items","COM_SPPAGEBUILDER_DASHBOARD_PAGES_MENU_ASSIGNED_ERROR_MSG":"Error fetching assigned menu!","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_TITLE":"Title","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_DATE":"Create Date","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_STATUS":"Status","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_STATUS_ENABLED":"Enabled","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_STATUS_DISABLE":"Disable","COM_SPPAGEBUILDER_DASHBOARD_PAGES_COLUMN_ID":"ID","COM_SPPAGEBUILDER_DASHBOARD_PAGES_DIALOG_TITLE":"Create Page","COM_SPPAGEBUILDER_DASHBOARD_PAGES_DIALOG_CONTENT":"Enter the page title","COM_SPPAGEBUILDER_DASHBOARD_PAGES_DIALOG_SAVE_BUTTON":"Save & Go","COM_SPPAGEBUILDER_DASHBOARD_PAGES_DIALOG_CANCEL_BUTTON":"Cancel","COM_SPPAGEBUILDER_DASHBOARD_NEW_PAGES_DIALOG_TITLE":"Create Page","COM_SPPAGEBUILDER_DASHBOARD_NEW_PAGES_DIALOG_PLACEHOLDER":"Enter Page Title","COM_SPPAGEBUILDER_DASHBOARD_NEW_PAGES_DIALOG_ERROR":"Please enter a valid page title.","COM_SPPAGEBUILDER_DASHBOARD_PAGES_LOAD_MORE_BUTTON":"Load More","COM_SPPAGEBUILDER_DASHBOARD_BACK_TO_ADMIN":"Back to Admin","COM_SPPAGEBUILDER_ADDON_VIDEO_TITLE_DEFAULT_TEXT":"YouTube video 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Content","COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_WITH_AI":"COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_WITH_AI","COM_SPPAGEBUILDER_EDITOR_AI_TEXT_GENERATOR":"COM_SPPAGEBUILDER_EDITOR_AI_TEXT_GENERATOR","COM_SPPAGEBUILDER_EDITOR_AI_PROMPT":"COM_SPPAGEBUILDER_EDITOR_AI_PROMPT","COM_SPPAGEBUILDER_EDITOR_AI_KEYWORDS":"COM_SPPAGEBUILDER_EDITOR_AI_KEYWORDS","COM_SPPAGEBUILDER_EDITOR_AI_COMPLEXITY_LEVEL":"COM_SPPAGEBUILDER_EDITOR_AI_COMPLEXITY_LEVEL","COM_SPPAGEBUILDER_EDITOR_AI_SELECT_LANGUAGE":"COM_SPPAGEBUILDER_EDITOR_AI_SELECT_LANGUAGE","COM_SPPAGEBUILDER_EDITOR_AI_SELECT_TONE":"COM_SPPAGEBUILDER_EDITOR_AI_SELECT_TONE","COM_SPPAGEBUILDER_EDITOR_AI_SELECT_USE_CASE":"COM_SPPAGEBUILDER_EDITOR_AI_SELECT_USE_CASE","COM_SPPAGEBUILDER_EDITOR_AI_CHARACTER_LIMIT":"COM_SPPAGEBUILDER_EDITOR_AI_CHARACTER_LIMIT","COM_SPPAGEBUILDER_EDITOR_AI_CHARACTER_LIMIT_HELP_TEXT":"The maximum number of characters allowed is 16000, summing input and output characters.","COM_SPPAGEBUILDER_EDITOR_AI_LANGUAGE":"COM_SPPAGEBUILDER_EDITOR_AI_LANGUAGE","COM_SPPAGEBUILDER_EDITOR_AI_LANGUAGE_PLACEHOLDER":"COM_SPPAGEBUILDER_EDITOR_AI_LANGUAGE_PLACEHOLDER","COM_SPPAGEBUILDER_EDITOR_AI_GENERATE":"COM_SPPAGEBUILDER_EDITOR_AI_GENERATE","COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_VARIATIONS":"COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_VARIATIONS","COM_SPPAGEBUILDER_EDITOR_AI_REGENERATE":"COM_SPPAGEBUILDER_EDITOR_AI_REGENERATE","COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_TEXT":"COM_SPPAGEBUILDER_EDITOR_AI_GENERATE_TEXT","COM_SPPAGEBUILDER_EDITOR_AI_WRITE_NEW_PROMPT":"COM_SPPAGEBUILDER_EDITOR_AI_WRITE_NEW_PROMPT","COM_SPPAGEBUILDER_EDITOR_AI_PLACE_TEXT":"COM_SPPAGEBUILDER_EDITOR_AI_PLACE_TEXT","COM_SPPAGEBUILDER_EDITOR_AI_NEW_PROMPT":"COM_SPPAGEBUILDER_EDITOR_AI_NEW_PROMPT","COM_SPPAGEBUILDER_EDITOR_AI_EDITOR_SCALE_SIZE":"COM_SPPAGEBUILDER_EDITOR_AI_EDITOR_SCALE_SIZE","COM_SPPAGEBUILDER_EDITOR_AI_WHAT_TO_GENERATE":"COM_SPPAGEBUILDER_EDITOR_AI_WHAT_TO_GENERATE","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_WIDTH":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_WIDTH","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_HEIGHT":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_HEIGHT","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_STYLE":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_STYLE","COM_SPPAGEBUILDER_EDITOR_AI_ASPECT_RATIO":"COM_SPPAGEBUILDER_EDITOR_AI_ASPECT_RATIO","COM_SPPAGEBUILDER_EDITOR_AI_EDITOR_BRUSH_SIZE":"COM_SPPAGEBUILDER_EDITOR_AI_EDITOR_BRUSH_SIZE","COM_SPPAGEBUILDER_EDITOR_AI_NUMBER_OF_IMAGES_TO_GENERATE":"COM_SPPAGEBUILDER_EDITOR_AI_NUMBER_OF_IMAGES_TO_GENERATE","COM_SPPAGEBUILDER_EDITOR_AI_INSERT_IMAGE":"COM_SPPAGEBUILDER_EDITOR_AI_INSERT_IMAGE","COM_SPPAGEBUILDER_EDITOR_AI_EDIT":"COM_SPPAGEBUILDER_EDITOR_AI_EDIT","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_VARIATIONS":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_VARIATIONS","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_MAGIC_FILL":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_MAGIC_FILL","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_EXPAND_IMAGE":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_EXPAND_IMAGE","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_BACK_TO_EDITOR":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_BACK_TO_EDITOR","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_GENERATOR":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_GENERATOR","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_MARK_AREA":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_MARK_AREA","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_SIZE":"COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_SIZE","COM_SPPAGEBUILDER_EDITOR_AI_IMAGE_INPUT_PLACEHOLDER":"A cute mini robot enjoying rain spreading hands","COM_SPPAGEBUILDER_TOP_PANEL_VALIDATE_CONTENT":"Check Content","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_TITLE_1":"Fix Content","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_TITLE_2":"Review & Confirm Content Changes","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_HEADING_1":"Do you want to fix your page content?","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_HEADING_2":"Please wait a moment, we\u2019re fixing your file!","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_HEADING_3":"Fixing is done!","COM_SPPAGEBUILDER_VALIDATE_JSON_NOW_FIXING":"Now fixing","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_WHAT_HAPPENED":"Fixing your page content may modify its structure to align with SP Page Builder 5.","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_RECOMMEND":"Hence, we recommend creating a backup of your JSON before proceeding.","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_CANCEL":"Cancel","COM_SPPAGEBUILDER_VALIDATE_JSON_FIX_JSON":"Fix Content","COM_SPPAGEBUILDER_VALIDATE_JSON_MODAL_SAVING_INSTRUCTION":"Please review the webpage. 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mobile_inputs.forEach(function(input) { input.setAttribute("style", input.previousSibling.getAttribute("style")); }); } }); </script> <script> ConvertForms.Helper.onReady(function() { flatpickr.l10ns.default.firstDayOfWeek = 1; flatpickr("input#form2_datetime8copyteuccopy23x4copylp6p", {"mode":"single","dateFormat":"d/m/Y H:i","defaultDate":"","minDate":"","maxDate":"","enableTime":true,"time_24hr":false,"minuteIncrement":5,"inline":false,"disableMobile":false,"allowInput":true}); // Fix the appearance of native date picker to match the design of the rest of the inputs. var mobile_inputs = document.querySelectorAll(".flatpickr-mobile"); if (mobile_inputs) { mobile_inputs.forEach(function(input) { input.setAttribute("style", input.previousSibling.getAttribute("style")); }); } }); </script> <script>template="shaper_helixultimate";</script> <meta property="article:author" content="Administrator"/> <meta property="article:published_time" content="2023-12-21 09:47:30"/> <meta 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<div id="system-message-container" aria-live="polite"> </div> <div id="sp-page-builder" class="sp-page-builder page-6" x-data="easystoreProductList"> <div class="page-content" x-data="easystoreProductDetails"> <section id="section-id-1703157273963" class="sppb-section" ><div class="sppb-row-container"><div class="sppb-row"><div class="sppb-row-column " id="column-wrap-id-1703157273962"><div id="column-id-1703157273962" class="sppb-column " ><div class="sppb-column-addons"><div id="sppb-addon-wrapper-1703157347315" class="sppb-addon-wrapper addon-root-module"><div id="sppb-addon-1703157347315" class="clearfix " ><div class="sppb-addon sppb-addon-module "><div class="sppb-addon-content"><h3 class="sppb-addon-title">Registration Form</h3> <div id="cf_2" class="convertforms cf cf-img-above cf-form-bottom cf-success-hideform cf-hasLabels cf-labelpos-top" data-id="2"> <form name="cf2" id="cf2" method="post" action="#"> <div class="cf-form-wrap cf-col-16 " style="background-color:none"> <div class="cf-response"></div> <div class="cf-fields"> <div class="cf-control-group " data-key="10" data-name="text_10" data-label="Title" data-type="text" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_text10"> Title <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_10]" id="form2_text10" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="11" data-name="text_10_copy733l" data-label="First Name" data-type="text" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_text10copy733l"> First Name <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_10_copy733l]" id="form2_text10copy733l" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="12" data-name="text_10_copy733l_copy50u4" data-label="Last Name" data-type="text" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_text10copy733lcopy50u4"> Last Name <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_10_copy733l_copy50u4]" id="form2_text10copy733lcopy50u4" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="13" data-name="tel_13" data-label="Phone Number" data-type="tel" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_tel13"> Phone Number <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <div class="cf-phone-number-wrapper " > <div class="tf-phone-control" data-flags-base-url="https://jopsychiatry.com/media/plg_system_nrframework/img/flags"> <div class="tf-phone-control--skeleton tf-phone-control--flag"> <img width="27" height="13.5" src="https://jopsychiatry.com/media/plg_system_nrframework/img/flags/sg.png"></img> <svg class="tf-arrow" xmlns="http://www.w3.org/2000/svg" viewBox="0 -960 960 960" width="19"><path fill="currentColor" d="M480-333 240-573l51-51 189 189 189-189 51 51-240 240Z"/></svg> <span class="tf-flag-calling-code">+65</span> </div> <select class="tf-phone-control--flag--selector noChosen" name="cf[tel_13][code]" > <option value="AF" data-custom-properties="{"key":"AF","label":"Afghanistan","calling_code":"93"}"></option> <option value="AX" data-custom-properties="{"key":"AX","label":"Aland Islands","calling_code":"358"}"></option> <option value="AL" data-custom-properties="{"key":"AL","label":"Albania","calling_code":"355"}"></option> <option value="DZ" data-custom-properties="{"key":"DZ","label":"Algeria","calling_code":"213"}"></option> <option value="AS" data-custom-properties="{"key":"AS","label":"American Samoa","calling_code":"1"}"></option> <option value="AD" data-custom-properties="{"key":"AD","label":"Andorra","calling_code":"376"}"></option> <option value="AO" data-custom-properties="{"key":"AO","label":"Angola","calling_code":"244"}"></option> <option value="AI" data-custom-properties="{"key":"AI","label":"Anguilla","calling_code":"1"}"></option> <option value="AQ" data-custom-properties="{"key":"AQ","label":"Antarctica","calling_code":"672"}"></option> <option value="AG" data-custom-properties="{"key":"AG","label":"Antigua and Barbuda","calling_code":"1"}"></option> <option value="AR" data-custom-properties="{"key":"AR","label":"Argentina","calling_code":"54"}"></option> <option value="AM" data-custom-properties="{"key":"AM","label":"Armenia","calling_code":"374"}"></option> <option value="AW" data-custom-properties="{"key":"AW","label":"Aruba","calling_code":"297"}"></option> <option value="AU" data-custom-properties="{"key":"AU","label":"Australia","calling_code":"61"}"></option> <option value="AT" data-custom-properties="{"key":"AT","label":"Austria","calling_code":"43"}"></option> <option value="AZ" data-custom-properties="{"key":"AZ","label":"Azerbaijan","calling_code":"994"}"></option> <option value="BS" data-custom-properties="{"key":"BS","label":"Bahamas","calling_code":"1"}"></option> <option value="BH" data-custom-properties="{"key":"BH","label":"Bahrain","calling_code":"973"}"></option> <option value="BD" data-custom-properties="{"key":"BD","label":"Bangladesh","calling_code":"880"}"></option> <option value="BB" data-custom-properties="{"key":"BB","label":"Barbados","calling_code":"1"}"></option> <option value="BY" data-custom-properties="{"key":"BY","label":"Belarus","calling_code":"375"}"></option> <option value="BE" data-custom-properties="{"key":"BE","label":"Belgium","calling_code":"32"}"></option> <option value="BZ" data-custom-properties="{"key":"BZ","label":"Belize","calling_code":"501"}"></option> <option value="BJ" data-custom-properties="{"key":"BJ","label":"Benin","calling_code":"229"}"></option> <option value="BM" data-custom-properties="{"key":"BM","label":"Bermuda","calling_code":"1"}"></option> <option value="BT" data-custom-properties="{"key":"BT","label":"Bhutan","calling_code":"975"}"></option> <option value="BO" data-custom-properties="{"key":"BO","label":"Bolivia","calling_code":"591"}"></option> <option value="BQ-BO" data-custom-properties="{"key":"BQ-BO","label":"Bonaire","calling_code":"599"}"></option> <option value="BA" data-custom-properties="{"key":"BA","label":"Bosnia and Herzegovina","calling_code":"387"}"></option> <option value="BW" data-custom-properties="{"key":"BW","label":"Botswana","calling_code":"267"}"></option> <option value="BV" data-custom-properties="{"key":"BV","label":"Bouvet Island","calling_code":"47"}"></option> <option value="BR" data-custom-properties="{"key":"BR","label":"Brazil","calling_code":"55"}"></option> <option value="IO" data-custom-properties="{"key":"IO","label":"British Indian Ocean Territory","calling_code":"246"}"></option> <option value="BN" data-custom-properties="{"key":"BN","label":"Brunei Darussalam","calling_code":"673"}"></option> <option value="BG" data-custom-properties="{"key":"BG","label":"Bulgaria","calling_code":"359"}"></option> <option value="BF" data-custom-properties="{"key":"BF","label":"Burkina Faso","calling_code":"226"}"></option> <option value="BI" data-custom-properties="{"key":"BI","label":"Burundi","calling_code":"257"}"></option> <option value="KH" data-custom-properties="{"key":"KH","label":"Cambodia","calling_code":"855"}"></option> <option value="CM" data-custom-properties="{"key":"CM","label":"Cameroon","calling_code":"237"}"></option> <option value="CA" data-custom-properties="{"key":"CA","label":"Canada","calling_code":"1"}"></option> <option value="CV" data-custom-properties="{"key":"CV","label":"Cape Verde","calling_code":"238"}"></option> <option value="KY" data-custom-properties="{"key":"KY","label":"Cayman Islands","calling_code":"1"}"></option> <option value="CF" data-custom-properties="{"key":"CF","label":"Central African Republic","calling_code":"236"}"></option> <option value="TD" data-custom-properties="{"key":"TD","label":"Chad","calling_code":"235"}"></option> <option value="CL" data-custom-properties="{"key":"CL","label":"Chile","calling_code":"56"}"></option> <option value="CN" data-custom-properties="{"key":"CN","label":"China","calling_code":"86"}"></option> <option value="CX" data-custom-properties="{"key":"CX","label":"Christmas Island","calling_code":"61"}"></option> <option value="CC" data-custom-properties="{"key":"CC","label":"Cocos (Keeling) Islands","calling_code":"61"}"></option> <option value="CO" data-custom-properties="{"key":"CO","label":"Colombia","calling_code":"57"}"></option> <option value="KM" data-custom-properties="{"key":"KM","label":"Comoros","calling_code":"269"}"></option> <option value="CG" data-custom-properties="{"key":"CG","label":"Congo","calling_code":"242"}"></option> <option value="CK" data-custom-properties="{"key":"CK","label":"Cook Islands","calling_code":"682"}"></option> <option value="CR" data-custom-properties="{"key":"CR","label":"Costa Rica","calling_code":"506"}"></option> <option value="CI" data-custom-properties="{"key":"CI","label":"Cote d'Ivoire","calling_code":"225"}"></option> <option value="HR" data-custom-properties="{"key":"HR","label":"Croatia","calling_code":"385"}"></option> <option value="CU" data-custom-properties="{"key":"CU","label":"Cuba","calling_code":"53"}"></option> <option value="CW" data-custom-properties="{"key":"CW","label":"Cura\u00e7ao","calling_code":"599"}"></option> <option value="CY" data-custom-properties="{"key":"CY","label":"Cyprus","calling_code":"357"}"></option> <option value="CZ" data-custom-properties="{"key":"CZ","label":"Czech Republic","calling_code":"420"}"></option> <option value="CD" data-custom-properties="{"key":"CD","label":"Democratic Republic of the Congo","calling_code":"243"}"></option> <option value="DK" data-custom-properties="{"key":"DK","label":"Denmark","calling_code":"45"}"></option> <option value="DJ" data-custom-properties="{"key":"DJ","label":"Djibouti","calling_code":"253"}"></option> <option value="DM" data-custom-properties="{"key":"DM","label":"Dominica","calling_code":"1"}"></option> <option value="DO" data-custom-properties="{"key":"DO","label":"Dominican Republic","calling_code":"1"}"></option> <option value="EC" data-custom-properties="{"key":"EC","label":"Ecuador","calling_code":"593"}"></option> <option value="EG" data-custom-properties="{"key":"EG","label":"Egypt","calling_code":"20"}"></option> <option value="SV" data-custom-properties="{"key":"SV","label":"El Salvador","calling_code":"503"}"></option> <option value="GQ" data-custom-properties="{"key":"GQ","label":"Equatorial Guinea","calling_code":"240"}"></option> <option value="ER" data-custom-properties="{"key":"ER","label":"Eritrea","calling_code":"291"}"></option> <option value="EE" data-custom-properties="{"key":"EE","label":"Estonia","calling_code":"372"}"></option> <option value="ET" data-custom-properties="{"key":"ET","label":"Ethiopia","calling_code":"251"}"></option> <option value="FK" data-custom-properties="{"key":"FK","label":"Falkland Islands (Malvinas)","calling_code":"500"}"></option> <option value="FO" data-custom-properties="{"key":"FO","label":"Faroe Islands","calling_code":"298"}"></option> <option value="FJ" data-custom-properties="{"key":"FJ","label":"Fiji","calling_code":"679"}"></option> <option value="FI" data-custom-properties="{"key":"FI","label":"Finland","calling_code":"358"}"></option> <option value="FR" data-custom-properties="{"key":"FR","label":"France","calling_code":"33"}"></option> <option value="GF" data-custom-properties="{"key":"GF","label":"French Guiana","calling_code":"594"}"></option> <option value="PF" data-custom-properties="{"key":"PF","label":"French Polynesia","calling_code":"689"}"></option> <option value="TF" data-custom-properties="{"key":"TF","label":"French Southern Territories","calling_code":"262"}"></option> <option value="GA" data-custom-properties="{"key":"GA","label":"Gabon","calling_code":"241"}"></option> <option value="GM" data-custom-properties="{"key":"GM","label":"Gambia","calling_code":"220"}"></option> <option value="GE" data-custom-properties="{"key":"GE","label":"Georgia","calling_code":"995"}"></option> <option value="DE" data-custom-properties="{"key":"DE","label":"Germany","calling_code":"49"}"></option> <option value="GH" data-custom-properties="{"key":"GH","label":"Ghana","calling_code":"233"}"></option> <option value="GI" data-custom-properties="{"key":"GI","label":"Gibraltar","calling_code":"350"}"></option> <option value="GR" data-custom-properties="{"key":"GR","label":"Greece","calling_code":"30"}"></option> <option value="GL" data-custom-properties="{"key":"GL","label":"Greenland","calling_code":"299"}"></option> <option value="GD" data-custom-properties="{"key":"GD","label":"Grenada","calling_code":"1"}"></option> <option value="GP" data-custom-properties="{"key":"GP","label":"Guadeloupe","calling_code":"590"}"></option> <option value="GU" data-custom-properties="{"key":"GU","label":"Guam","calling_code":"1"}"></option> <option value="GT" data-custom-properties="{"key":"GT","label":"Guatemala","calling_code":"502"}"></option> <option value="GN" data-custom-properties="{"key":"GN","label":"Guinea","calling_code":"224"}"></option> <option value="GW" data-custom-properties="{"key":"GW","label":"Guinea-Bissau","calling_code":"245"}"></option> <option value="GY" data-custom-properties="{"key":"GY","label":"Guyana","calling_code":"592"}"></option> <option value="HT" data-custom-properties="{"key":"HT","label":"Haiti","calling_code":"509"}"></option> <option value="HM" data-custom-properties="{"key":"HM","label":"Heard Island and McDonald Islands","calling_code":"0"}"></option> <option value="VA" data-custom-properties="{"key":"VA","label":"Holy See (Vatican City State)","calling_code":"39"}"></option> <option value="HN" data-custom-properties="{"key":"HN","label":"Honduras","calling_code":"504"}"></option> <option value="HK" data-custom-properties="{"key":"HK","label":"Hong Kong","calling_code":"852"}"></option> <option value="HU" data-custom-properties="{"key":"HU","label":"Hungary","calling_code":"36"}"></option> <option value="IS" data-custom-properties="{"key":"IS","label":"Iceland","calling_code":"354"}"></option> <option value="IN" data-custom-properties="{"key":"IN","label":"India","calling_code":"91"}"></option> <option value="ID" data-custom-properties="{"key":"ID","label":"Indonesia","calling_code":"62"}"></option> <option value="IR" data-custom-properties="{"key":"IR","label":"Iran, Islamic Republic of","calling_code":"98"}"></option> <option value="IQ" data-custom-properties="{"key":"IQ","label":"Iraq","calling_code":"964"}"></option> <option value="IE" data-custom-properties="{"key":"IE","label":"Ireland","calling_code":"353"}"></option> <option value="IM" data-custom-properties="{"key":"IM","label":"Isle of Man","calling_code":"44"}"></option> <option value="IL" data-custom-properties="{"key":"IL","label":"Israel","calling_code":"972"}"></option> <option value="IT" data-custom-properties="{"key":"IT","label":"Italy","calling_code":"39"}"></option> <option value="JM" data-custom-properties="{"key":"JM","label":"Jamaica","calling_code":"1"}"></option> <option value="JP" data-custom-properties="{"key":"JP","label":"Japan","calling_code":"81"}"></option> <option value="JO" data-custom-properties="{"key":"JO","label":"Jordan","calling_code":"962"}"></option> <option value="KZ" data-custom-properties="{"key":"KZ","label":"Kazakhstan","calling_code":"7"}"></option> <option value="KE" data-custom-properties="{"key":"KE","label":"Kenya","calling_code":"254"}"></option> <option value="KI" data-custom-properties="{"key":"KI","label":"Kiribati","calling_code":"686"}"></option> <option value="KP" data-custom-properties="{"key":"KP","label":"Korea, Democratic People's Republic of","calling_code":"850"}"></option> <option value="KR" data-custom-properties="{"key":"KR","label":"Korea, Republic of","calling_code":"82"}"></option> <option value="KW" data-custom-properties="{"key":"KW","label":"Kuwait","calling_code":"965"}"></option> <option value="KG" data-custom-properties="{"key":"KG","label":"Kyrgyzstan","calling_code":"996"}"></option> <option value="LA" data-custom-properties="{"key":"LA","label":"Lao People's Democratic Republic","calling_code":"856"}"></option> <option value="LV" data-custom-properties="{"key":"LV","label":"Latvia","calling_code":"371"}"></option> <option value="LB" data-custom-properties="{"key":"LB","label":"Lebanon","calling_code":"961"}"></option> <option value="LS" data-custom-properties="{"key":"LS","label":"Lesotho","calling_code":"266"}"></option> <option value="LR" data-custom-properties="{"key":"LR","label":"Liberia","calling_code":"231"}"></option> <option value="LY" data-custom-properties="{"key":"LY","label":"Libyan Arab Jamahiriya","calling_code":"218"}"></option> <option value="LI" data-custom-properties="{"key":"LI","label":"Liechtenstein","calling_code":"423"}"></option> <option value="LT" data-custom-properties="{"key":"LT","label":"Lithuania","calling_code":"370"}"></option> <option value="LU" data-custom-properties="{"key":"LU","label":"Luxembourg","calling_code":"352"}"></option> <option value="MO" data-custom-properties="{"key":"MO","label":"Macao","calling_code":"853"}"></option> <option value="MK" data-custom-properties="{"key":"MK","label":"Macedonia","calling_code":"389"}"></option> <option value="MG" data-custom-properties="{"key":"MG","label":"Madagascar","calling_code":"261"}"></option> <option value="MW" data-custom-properties="{"key":"MW","label":"Malawi","calling_code":"265"}"></option> <option value="MY" data-custom-properties="{"key":"MY","label":"Malaysia","calling_code":"60"}"></option> <option value="MV" data-custom-properties="{"key":"MV","label":"Maldives","calling_code":"960"}"></option> <option value="ML" data-custom-properties="{"key":"ML","label":"Mali","calling_code":"223"}"></option> <option value="MT" data-custom-properties="{"key":"MT","label":"Malta","calling_code":"356"}"></option> <option value="MH" data-custom-properties="{"key":"MH","label":"Marshall Islands","calling_code":"692"}"></option> <option value="MQ" data-custom-properties="{"key":"MQ","label":"Martinique","calling_code":"596"}"></option> <option value="MR" data-custom-properties="{"key":"MR","label":"Mauritania","calling_code":"222"}"></option> <option value="MU" data-custom-properties="{"key":"MU","label":"Mauritius","calling_code":"230"}"></option> <option value="YT" data-custom-properties="{"key":"YT","label":"Mayotte","calling_code":"262"}"></option> <option value="MX" data-custom-properties="{"key":"MX","label":"Mexico","calling_code":"52"}"></option> <option value="FM" data-custom-properties="{"key":"FM","label":"Micronesia, Federated States of","calling_code":"691"}"></option> <option value="MD" data-custom-properties="{"key":"MD","label":"Moldova, Republic of","calling_code":"373"}"></option> <option value="MC" data-custom-properties="{"key":"MC","label":"Monaco","calling_code":"377"}"></option> <option value="MN" data-custom-properties="{"key":"MN","label":"Mongolia","calling_code":"976"}"></option> <option value="ME" data-custom-properties="{"key":"ME","label":"Montenegro","calling_code":"382"}"></option> <option value="MS" data-custom-properties="{"key":"MS","label":"Montserrat","calling_code":"1"}"></option> <option value="MA" data-custom-properties="{"key":"MA","label":"Morocco","calling_code":"212"}"></option> <option value="MZ" data-custom-properties="{"key":"MZ","label":"Mozambique","calling_code":"258"}"></option> <option value="MM" data-custom-properties="{"key":"MM","label":"Myanmar","calling_code":"95"}"></option> <option value="NA" data-custom-properties="{"key":"NA","label":"Namibia","calling_code":"264"}"></option> <option value="NR" data-custom-properties="{"key":"NR","label":"Nauru","calling_code":"674"}"></option> <option value="NP" data-custom-properties="{"key":"NP","label":"Nepal","calling_code":"977"}"></option> <option value="NL" data-custom-properties="{"key":"NL","label":"Netherlands","calling_code":"31"}"></option> <option value="NC" data-custom-properties="{"key":"NC","label":"New Caledonia","calling_code":"687"}"></option> <option value="NZ" data-custom-properties="{"key":"NZ","label":"New Zealand","calling_code":"64"}"></option> <option value="NI" data-custom-properties="{"key":"NI","label":"Nicaragua","calling_code":"505"}"></option> <option value="NE" data-custom-properties="{"key":"NE","label":"Niger","calling_code":"227"}"></option> <option value="NG" data-custom-properties="{"key":"NG","label":"Nigeria","calling_code":"234"}"></option> <option value="NU" data-custom-properties="{"key":"NU","label":"Niue","calling_code":"683"}"></option> <option value="NF" data-custom-properties="{"key":"NF","label":"Norfolk Island","calling_code":"672"}"></option> <option value="MP" data-custom-properties="{"key":"MP","label":"Northern Mariana Islands","calling_code":"1"}"></option> <option value="NO" data-custom-properties="{"key":"NO","label":"Norway","calling_code":"47"}"></option> <option value="OM" data-custom-properties="{"key":"OM","label":"Oman","calling_code":"968"}"></option> <option value="PK" data-custom-properties="{"key":"PK","label":"Pakistan","calling_code":"92"}"></option> <option value="PW" data-custom-properties="{"key":"PW","label":"Palau","calling_code":"680"}"></option> <option value="PS" data-custom-properties="{"key":"PS","label":"Palestinian Territory","calling_code":"970"}"></option> <option value="PA" data-custom-properties="{"key":"PA","label":"Panama","calling_code":"507"}"></option> <option value="PG" data-custom-properties="{"key":"PG","label":"Papua New Guinea","calling_code":"675"}"></option> <option value="PY" data-custom-properties="{"key":"PY","label":"Paraguay","calling_code":"595"}"></option> <option value="PE" data-custom-properties="{"key":"PE","label":"Peru","calling_code":"51"}"></option> <option value="PH" data-custom-properties="{"key":"PH","label":"Philippines","calling_code":"63"}"></option> <option value="PN" data-custom-properties="{"key":"PN","label":"Pitcairn","calling_code":"870"}"></option> <option value="PL" data-custom-properties="{"key":"PL","label":"Poland","calling_code":"48"}"></option> <option value="PT" data-custom-properties="{"key":"PT","label":"Portugal","calling_code":"351"}"></option> <option value="PR" data-custom-properties="{"key":"PR","label":"Puerto Rico","calling_code":"1"}"></option> <option value="QA" data-custom-properties="{"key":"QA","label":"Qatar","calling_code":"974"}"></option> <option value="RE" data-custom-properties="{"key":"RE","label":"Reunion","calling_code":"262"}"></option> <option value="RO" data-custom-properties="{"key":"RO","label":"Romania","calling_code":"40"}"></option> <option value="RU" data-custom-properties="{"key":"RU","label":"Russian Federation","calling_code":"7"}"></option> <option value="RW" data-custom-properties="{"key":"RW","label":"Rwanda","calling_code":"250"}"></option> <option value="BQ-SA" data-custom-properties="{"key":"BQ-SA","label":"Saba","calling_code":"599"}"></option> <option value="SH" data-custom-properties="{"key":"SH","label":"Saint Helena","calling_code":"290"}"></option> <option value="KN" data-custom-properties="{"key":"KN","label":"Saint Kitts and Nevis","calling_code":"1"}"></option> <option value="LC" data-custom-properties="{"key":"LC","label":"Saint Lucia","calling_code":"1758"}"></option> <option value="PM" data-custom-properties="{"key":"PM","label":"Saint Pierre and Miquelon","calling_code":"508"}"></option> <option value="VC" data-custom-properties="{"key":"VC","label":"Saint Vincent and the Grenadines","calling_code":"1"}"></option> <option value="WS" data-custom-properties="{"key":"WS","label":"Samoa","calling_code":"685"}"></option> <option value="SM" data-custom-properties="{"key":"SM","label":"San Marino","calling_code":"378"}"></option> <option value="ST" data-custom-properties="{"key":"ST","label":"Sao Tome and Principe","calling_code":"239"}"></option> <option value="SA" data-custom-properties="{"key":"SA","label":"Saudi Arabia","calling_code":"966"}"></option> <option value="SN" data-custom-properties="{"key":"SN","label":"Senegal","calling_code":"221"}"></option> <option value="RS" data-custom-properties="{"key":"RS","label":"Serbia","calling_code":"381"}"></option> <option value="SC" data-custom-properties="{"key":"SC","label":"Seychelles","calling_code":"248"}"></option> <option value="SL" data-custom-properties="{"key":"SL","label":"Sierra Leone","calling_code":"232"}"></option> <option value="SG" data-custom-properties="{"key":"SG","label":"Singapore","calling_code":"65"}" selected></option> <option value="BQ-SE" data-custom-properties="{"key":"BQ-SE","label":"Sint Eustatius","calling_code":"599"}"></option> <option value="SK" data-custom-properties="{"key":"SK","label":"Slovakia","calling_code":"421"}"></option> <option value="SI" data-custom-properties="{"key":"SI","label":"Slovenia","calling_code":"386"}"></option> <option value="SB" data-custom-properties="{"key":"SB","label":"Solomon Islands","calling_code":"677"}"></option> <option value="SO" data-custom-properties="{"key":"SO","label":"Somalia","calling_code":"252"}"></option> <option value="ZA" data-custom-properties="{"key":"ZA","label":"South Africa","calling_code":"27"}"></option> <option value="GS" data-custom-properties="{"key":"GS","label":"South Georgia and the South Sandwich Islands","calling_code":"500"}"></option> <option value="SS" data-custom-properties="{"key":"SS","label":"South Sudan","calling_code":"211"}"></option> <option value="ES" data-custom-properties="{"key":"ES","label":"Spain","calling_code":"34"}"></option> <option value="LK" data-custom-properties="{"key":"LK","label":"Sri Lanka","calling_code":"94"}"></option> <option value="SD" data-custom-properties="{"key":"SD","label":"Sudan","calling_code":"249"}"></option> <option value="SR" data-custom-properties="{"key":"SR","label":"Suriname","calling_code":"597"}"></option> <option value="SJ" data-custom-properties="{"key":"SJ","label":"Svalbard and Jan Mayen","calling_code":"47"}"></option> <option value="SZ" data-custom-properties="{"key":"SZ","label":"Swaziland","calling_code":"268"}"></option> <option value="SE" data-custom-properties="{"key":"SE","label":"Sweden","calling_code":"46"}"></option> <option value="CH" data-custom-properties="{"key":"CH","label":"Switzerland","calling_code":"41"}"></option> <option value="SY" data-custom-properties="{"key":"SY","label":"Syrian Arab Republic","calling_code":"963"}"></option> <option value="TW" data-custom-properties="{"key":"TW","label":"Taiwan","calling_code":"886"}"></option> <option value="TJ" data-custom-properties="{"key":"TJ","label":"Tajikistan","calling_code":"992"}"></option> <option value="TZ" data-custom-properties="{"key":"TZ","label":"Tanzania, United Republic of","calling_code":"255"}"></option> <option value="TH" data-custom-properties="{"key":"TH","label":"Thailand","calling_code":"66"}"></option> <option value="TL" data-custom-properties="{"key":"TL","label":"Timor-Leste","calling_code":"670"}"></option> <option value="TG" data-custom-properties="{"key":"TG","label":"Togo","calling_code":"228"}"></option> <option value="TK" data-custom-properties="{"key":"TK","label":"Tokelau","calling_code":"690"}"></option> <option value="TO" data-custom-properties="{"key":"TO","label":"Tonga","calling_code":"676"}"></option> <option value="TT" data-custom-properties="{"key":"TT","label":"Trinidad and Tobago","calling_code":"1"}"></option> <option value="TN" data-custom-properties="{"key":"TN","label":"Tunisia","calling_code":"216"}"></option> <option value="TR" data-custom-properties="{"key":"TR","label":"Turkey","calling_code":"90"}"></option> <option value="TM" data-custom-properties="{"key":"TM","label":"Turkmenistan","calling_code":"993"}"></option> <option value="TC" data-custom-properties="{"key":"TC","label":"Turks and Caicos Islands","calling_code":"1"}"></option> <option value="TV" data-custom-properties="{"key":"TV","label":"Tuvalu","calling_code":"688"}"></option> <option value="UG" data-custom-properties="{"key":"UG","label":"Uganda","calling_code":"256"}"></option> <option value="UA" data-custom-properties="{"key":"UA","label":"Ukraine","calling_code":"380"}"></option> <option value="AE" data-custom-properties="{"key":"AE","label":"United Arab Emirates","calling_code":"971"}"></option> <option value="GB" data-custom-properties="{"key":"GB","label":"United Kingdom","calling_code":"44"}"></option> <option value="US" data-custom-properties="{"key":"US","label":"United States","calling_code":"1"}"></option> <option value="UM" data-custom-properties="{"key":"UM","label":"United States Minor Outlying Islands","calling_code":"246"}"></option> <option value="UY" data-custom-properties="{"key":"UY","label":"Uruguay","calling_code":"598"}"></option> <option value="UZ" data-custom-properties="{"key":"UZ","label":"Uzbekistan","calling_code":"998"}"></option> <option value="VU" data-custom-properties="{"key":"VU","label":"Vanuatu","calling_code":"678"}"></option> <option value="VE" data-custom-properties="{"key":"VE","label":"Venezuela","calling_code":"58"}"></option> <option value="VN" data-custom-properties="{"key":"VN","label":"Vietnam","calling_code":"84"}"></option> <option value="VG" data-custom-properties="{"key":"VG","label":"Virgin Islands, British","calling_code":"1"}"></option> <option value="VI" data-custom-properties="{"key":"VI","label":"Virgin Islands, U.S.","calling_code":"1"}"></option> <option value="WF" data-custom-properties="{"key":"WF","label":"Wallis and Futuna","calling_code":"681"}"></option> <option value="EH" data-custom-properties="{"key":"EH","label":"Western Sahara","calling_code":"212"}"></option> <option value="YE" data-custom-properties="{"key":"YE","label":"Yemen","calling_code":"967"}"></option> <option value="ZM" data-custom-properties="{"key":"ZM","label":"Zambia","calling_code":"260"}"></option> <option value="ZW" data-custom-properties="{"key":"ZW","label":"Zimbabwe","calling_code":"263"}"></option> </select> <input type="tel" class="tf-phone-control--number cf-input " required autocomplete="off" placeholder="_ _ _ _ _ _" value="" name="cf[tel_13][value]" /> </div> </div> </div> </div> <div class="cf-control-group " data-key="0" data-name="email" data-label="Email address" data-type="email" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_email"> Email address <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="email" name="cf[email]" id="form2_email" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="14" data-name="text_10_copy733l_copy50u4_copyg0bl" data-label="Nationality" data-type="text" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_text10copy733lcopy50u4copyg0bl"> Nationality <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_10_copy733l_copy50u4_copyg0bl]" id="form2_text10copy733lcopy50u4copyg0bl" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="15" data-name="text_10_copy733l_copy50u4_copyg0bl_copytet3" data-label="Institution" data-type="text" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_text10copy733lcopy50u4copyg0blcopytet3"> Institution <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_10_copy733l_copy50u4_copyg0bl_copytet3]" id="form2_text10copy733lcopy50u4copyg0blcopytet3" required class="cf-input " > </div> </div> <div class="cf-control-group " data-key="16" data-name="radio_16" data-label="REGISTRATION" data-type="radio" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_radio16"> REGISTRATION <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <div class="cf-list "> <div class="cf-radio-group"> <input type="radio" name="cf[radio_16][]" id="form2_radio16_0" value="JAUS Member 150 USD" data-calc-value="150" required class="cf-input " > <label class="cf-label" for="form2_radio16_0"> JAUS Member 150 USD </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_16][]" id="form2_radio16_1" value="Non Jordanian 200 USD" data-calc-value="200" required class="cf-input " > <label class="cf-label" for="form2_radio16_1"> Non Jordanian 200 USD </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_16][]" id="form2_radio16_2" value="Resident / Student / Other 100 USD" data-calc-value="100" required class="cf-input " > <label class="cf-label" for="form2_radio16_2"> Resident / Student / Other 100 USD </label> </div> </div> </div> </div> <div class="cf-control-group " data-key="17" data-name="heading_17" data-label="Optional" data-type="heading" > <div class="cf-control-input"> <h2 style="font-size: 22px;font-family: Arial;line-height: 22px;letter-spacing:0px;text-align:left">Optional</h2> </div> </div> <div class="cf-control-group " data-key="18" data-name="heading_18" data-label="A. Accommodation" data-type="heading" > <div class="cf-control-input"> <h6 style="font-size: 24px;font-family: Arial;line-height: 22px;letter-spacing:0px;text-align:left">A. Accommodation</h6> <div class="cf-control-input-desc"> The Organizing committee has secured preferential rates for the congress participants. Book your accommodation at these rates through the online registration system. We recommend reserving your accommodation at your earliest convenience. Sep 5th - 6th. 2024 </div> </div> </div> <div class="cf-control-group " data-key="19" data-name="number_19" data-label="Number of accompanying persons" data-type="number" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_number19"> Number of accompanying persons <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="number" name="cf[number_19]" id="form2_number19" required placeholder="" step="1" value="0" class="cf-input " > </div> </div> <div class="cf-control-group " data-key="20" data-name="text_20" data-label="Name of accompanying persons" data-type="text" > <div class="cf-control-label"> <label class="cf-label" for="form2_text20"> Name of accompanying persons </label> </div> <div class="cf-control-input"> <input type="text" name="cf[text_20]" id="form2_text20" class="cf-input " > <div class="cf-control-input-desc"> If more than one, separate them with comma </div> </div> </div> <div class="cf-control-group " data-key="34" data-name="Hotel" data-label="Hotel" data-type="text" > <div class="cf-control-label"> <label class="cf-label" for="form2_hotel"> Hotel </label> </div> <div class="cf-control-input"> <input type="text" name="cf[Hotel]" id="form2_hotel" value="Le Royal Hotel : (5 stars ) the main venue" readonly class="cf-input " > </div> </div> <div class="cf-control-group " data-key="35" data-name="heading_35" data-label="Room Type" data-type="heading" > <div class="cf-control-input"> <h6 style="font-size: 16px;font-family: Arial;line-height: 22px;letter-spacing:0px;text-align:left">Room Type</h6> </div> </div> <div class="cf-control-group " data-key="36" data-name="radio_22_hotel" data-label="Radio Buttons" data-type="radio" data-required> <div class="cf-control-input"> <div class="cf-list "> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_0" value="None" data-calc-value="0" checked required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_0"> None </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_1" value="One night Single Room/ US $ 140" data-calc-value="140" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_1"> One night Single Room/ US $ 140 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_2" value="2 nights Single Room/ US $280" data-calc-value="280" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_2"> 2 nights Single Room/ US $280 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_3" value="3 nights Single Room/ US $ 420" data-calc-value="420" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_3"> 3 nights Single Room/ US $ 420 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_4" value="4 nights Single Room/ US $ 560" data-calc-value="560" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_4"> 4 nights Single Room/ US $ 560 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_5" value="5 nights Single Room/ US $ 700" data-calc-value="700" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_5"> 5 nights Single Room/ US $ 700 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_6" value="One night Double Room/ US $ 155" data-calc-value="155" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_6"> One night Double Room/ US $ 155 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_7" value="2 nights Double Room/ US $ 310" data-calc-value="310" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_7"> 2 nights Double Room/ US $ 310 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_8" value="3 nights Double Room/ US $ 465" data-calc-value="465" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_8"> 3 nights Double Room/ US $ 465 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_9" value="4 nights Double Room/ US $620" data-calc-value="620" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_9"> 4 nights Double Room/ US $620 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22_hotel][]" id="form2_radio22hotel_10" value="5 nights Double Room/ US $775" data-calc-value="775" required class="cf-input " > <label class="cf-label" for="form2_radio22hotel_10"> 5 nights Double Room/ US $775 </label> </div> </div> <div class="cf-control-input-desc"> Above rates include buffet breakfast, service charge and sales tax </div> </div> </div> <div class="cf-control-group " data-key="37" data-name="datetime_8_" data-label="Arrival Date" data-type="datetime" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_datetime8"> Arrival Date <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[datetime_8_]" id="form2_datetime8" required autocomplete="off" class="cf-input " > </div> </div> <div class="cf-control-group " data-key="9" data-name="datetime_8" data-label="Departure Date" data-type="datetime" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_datetime8"> Departure Date <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[datetime_8]" id="form2_datetime8" required autocomplete="off" class="cf-input " > </div> </div> <div class="cf-control-group " data-key="21" data-name="heading_21" data-label="B. Transportation" data-type="heading" > <div class="cf-control-input"> <h6 style="font-size: 24px;font-family: Arial;line-height: 22px;letter-spacing:0px;text-align:left">B. Transportation</h6> </div> </div> <div class="cf-control-group " data-key="22" data-name="radio_22" data-label="Radio Buttons" data-type="radio" data-required> <div class="cf-control-input"> <div class="cf-list "> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22][]" id="form2_radio22_0" value="One Trip (one way) US - $ 45.00" data-calc-value="45" required class="cf-input " > <label class="cf-label" for="form2_radio22_0"> One Trip (one way) US - $ 45.00 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22][]" id="form2_radio22_1" value="2 Trips (pick-up & Drop Off) - $ 90.00" data-calc-value="90" required class="cf-input " > <label class="cf-label" for="form2_radio22_1"> 2 Trips (pick-up & Drop Off) - $ 90.00 </label> </div> <div class="cf-radio-group"> <input type="radio" name="cf[radio_22][]" id="form2_radio22_2" value="No - $ 0.00" data-calc-value="0" checked required class="cf-input " > <label class="cf-label" for="form2_radio22_2"> No - $ 0.00 </label> </div> </div> </div> </div> <div class="cf-control-group " data-key="23" data-name="datetime_8_copyteuc" data-label="Flight Arrival – Date" data-type="datetime" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_datetime8copyteuc"> Flight Arrival – Date <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[datetime_8_copyteuc]" id="form2_datetime8copyteuc" required autocomplete="off" class="cf-input " > </div> </div> <div class="cf-control-group " data-key="25" data-name="datetime_8_copyteuc_copy23x4_copylp6p" data-label="Flight Departure - Date" data-type="datetime" data-required> <div class="cf-control-label"> <label class="cf-label" for="form2_datetime8copyteuccopy23x4copylp6p"> Flight Departure - Date <span class="cf-required-label">*</span> </label> </div> <div class="cf-control-input"> <input type="text" name="cf[datetime_8_copyteuc_copy23x4_copylp6p]" 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