Realscreen Summit 2025 Registration Form

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font-weight: bold;">We found that promo code. Here is the rate:</p> <style> input#RegistrationOption { margin-top: 8px!important; } @media screen and (max-width:480px) { input#RegistrationOption { margin-top: 4px!important; margin-right: 5px!important; } } </style> <table style="border-collapse: separate!important;border-spacing: 0 15px!important;margin: 0!important;padding: 0!important;border: 0!important;outline: 0!important;font-size: 100%!important;vertical-align: baseline!important;background: transparent!important;"> <tr style="border-bottom: 0!important;"> <td style="white-space: initial!important;width:80%;text-align:left!important;margin: 0!important;padding: 0!important;border: 0!important;outline: 0!important;font-size: 100%!important;vertical-align: baseline!important;background: transparent!important;"> <b>Realscreen Summit 2025: Exclusive Black Friday Rate</b><br /> </td> <td style="font-weight: normal!important;white-space: initial!important;text-align:left!important;margin: 0!important;padding: 0!important;border: 0!important;outline: 0!important;font-size: 100%!important;vertical-align: middle!important;background: transparent!important;"> <input checked='checked' type="radio" name="RegistrationOption" id="RegistrationOption_10374" class="registrationoption" style="margin-bottom: 7px;min-width: 0%;" value="10374" /> <span id="10374">US$1625</span><br /> </td> </tr> </table> </div> <p></p> <div class="regNav" style="margin-top: 10px;"> <button id="next1" class="btn-large">Next »</button> </div> </div> <div id="step2"> <h7>Step 2/6</h7> <p><strong>Are you already in our database?</strong></p> <table> <tr> <td>Please enter your email address:</td> <td><input class="required email" data-val="true" data-val-required="The emailaddresstocheck field is required." id="checkattendeeemailaddress" name="emailaddresstocheck" size="25" type="text" value="" /></td> </tr><tr> <td><span class="field-validation-valid" data-valmsg-for="emailaddresstocheck" data-valmsg-replace="false">E-mail not valid</span></td> <td><button class="btn" id="emailaddressvalidatebutton">Check Email</button></td> </tr> </table> <div id="validateemailresults"> <div class="loading" style="display:none;"> <p>Please Wait...</p> </div> </div> <div class="regNav" style="margin-top: 10px;"> <button id="prev2" class="btn-large">« Prev</button> <button id="next2" class="btn-large">Next »</button> </div> </div> <div id="step3"> <h7>Step 3/6</h7> <p><strong>Delegate Information</strong></p> <p><b><span style="font-weight: bold;">Fields marked with red asterisks (<span style="color: #ff0000;">*</span>) are required. Read the fine print for cancellation and substitution policies.</span></b></p>  <div class="control-group"> <label class="control-label">First Name</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The First Name field is required." id="FirstName" name="FirstName" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Last Name</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Last Name field is required." id="LastName" name="LastName" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Job Title</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Job Title field is required." id="JobTitle" name="JobTitle" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="JobTitle" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Job Function</label> <div class="controls"> <select class="attendeeinfo input-xlarge" data-val="true" data-val-number="The field Job Function must be a number." data-val-required="The Job Function field is required." id="DemoFunctionOptionID" name="DemoFunctionOptionID"><option value="">Select One</option> <option value="1000078">Agent</option> <option value="1000074">Buyer/Acquisitions Executive</option> <option value="1000080">Creative Services (Stock Footage, Music, Graphics, Post, etc)</option> <option value="1000079">Director</option> <option value="1000076">Distributor</option> <option value="1000081">Equipment Manufacturer/Reseller</option> <option value="1000098">Marketer: Brand Manager, Brand Consultant</option> <option value="1000077">Producer</option> <option value="1000082">Professional Services (Lawyer, Finance, Insurance)</option> <option value="1000075">Scheduler</option> <option value="1000083">other</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="DemoFunctionOptionID" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group" id="demofunctionotherrow" style="display:none;"> <label class="control-label">Job Function (Other)</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-requiredifjobfunctionother="Required" id="DemoFunctionOtherText" name="DemoFunctionOtherText" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="DemoFunctionOtherText" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Company</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Company field is required." id="Company" name="Company" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="Company" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Primary Business</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="PrimaryBusiness" name="PrimaryBusiness" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label">Business Activity</label> <div class="controls"> <select class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Business Activity field is required." id="BusinessActivityOptionText" name="BusinessActivityOptionText"><option value="">Select One</option> <option value="ASSOC AND UNIONS: INDUSTRY">associations and unions: industry</option> <option value="FILM AUDIO ENTERTAIN: ANIMATION FOR HIRE">production and distribution: animation for hire</option> <option value="FILM AUDIO ENTERTAIN: AUDIO POST MUSIC COMPOSITION">production and distribution: audio post music composition</option> <option value="FILM AUDIO ENTERTAIN: BROADCAST DESIGN">production and distribution: broadcast design</option> <option value="FILM AUDIO ENTERTAIN: COMMERCIAL REP">production and distribution: commercial rep</option> <option value="FILM AUDIO ENTERTAIN: DIGITAL-FIRST PRODUCERS">production and distribution: digital-first producers</option> <option value="FILM AUDIO ENTERTAIN: FREELANCE PRODUCERS AND DIRECTORS">production and distribution: freelance producers and directors</option> <option value="FILM AUDIO ENTERTAIN: FREELNCE ACTING WRIT">production and distribution: freelance acting/writing</option> <option value="FILM AUDIO ENTERTAIN: PROD DISTRIB-NONCOMMCL">production and distribution: not tv commercials</option> <option value="FILM AUDIO ENTERTAIN: TV COMMERCIAL">production and distribution: television commercials</option> <option value="FILM AUDIO ENTERTAIN: VIDEO POST CGI SFX">production and distribution: video post/cgi/sfx</option> <option value="GOV: FILM COMMISSION">government: film commision</option> <option value="GOV: FUNDING AGENCY">government: funding agency</option> <option value="GOV: MISC GOV-OTH THAN FILM COMMSN">government: misc government-other than film commision</option> <option value="LOCATION PROD SERVIC: FILM PROCESSING DUPL">location or production services: film processing duplication</option> <option value="LOCATION PROD SERVIC: MISC OTHER PROD SERV">location or production services: misc other production service</option> <option value="LOCATION PROD SERVIC: PRODUCTION TALENT">location or production services: production talent</option> <option value="LOCATION PROD SERVIC: STOCK FOOTAGE">location or production services: stock footage</option> <option value="LOCATION PROD SERVIC: STUDIO FACILITY">location or production services: studio facility</option> <option value="LOCATION PROD SERVIC: TALENT CASTING AGCY">location or production services: talent casting agency</option> <option value="MARKETER CONS or B2B: APPAREL FOOT ACC">marketer consumer or b2b: apparel, footware, accessories</option> <option value="MARKETER CONS or B2B: AUTOMOTIVE">marketer consumer or b2b: automotive</option> <option value="MARKETER CONS or B2B: BOOKS AND REC MUSIC/VIDEO RETAIL">marketer consumer or b2b: books and rec music/video retail</option> <option value="MARKETER CONS or B2B: COURIER POST">marketer consumer or b2b: courier post</option> <option value="MARKETER CONS or B2B: DIGITAL CONTENT MANAGEMENT and DELIVERY">marketer consumer or b2b: digital content management and delivery</option> <option value="MARKETER CONS or B2B: ENTERT VENUES SHOWS GAMBLING">marketer consumer or b2b: entertainment venues/shows/gambling</option> <option value="MARKETER CONS or B2B: FINANCIAL SERVICES">marketer consumer or b2b: financial services</option> <option value="MARKETER CONS or B2B: FOOD AND BEVERAGE">marketer consumer or b2b: food and beverage</option> <option value="MARKETER CONS or B2B: GENERAL MERCHANDISE">marketer consumer or b2b: general merchandise</option> <option value="MARKETER CONS or B2B: HARDWARE">marketer consumer or b2b: hardware</option> <option value="MARKETER CONS or B2B: HEALTH AND BEAUTY">marketer consumer or b2b: health and beauty</option> <option value="MARKETER CONS or B2B: HOUSEHOLD GDS SERV">marketer consumer or b2b: household goods/services</option> <option value="MARKETER CONS or B2B: MARKETER CONGLOMERATE">marketer consumer or b2b: conglomerate</option> <option value="MARKETER CONS or B2B: MISC OTHER CONS OR B2B">marketer consumer or b2b: misc other consumer or b2b</option> <option value="MARKETER CONS or B2B: OFFICE PROD">marketer consumer or b2b: office products</option> <option value="MARKETER CONS or B2B: PUB ADVCY NON-PROFIT">marketer consumer or b2b: public advocacy non-profit</option> <option value="MARKETER CONS or B2B: RESTAURANT">marketer consumer or b2b: restaurant</option> <option value="MARKETER CONS or B2B: SHOPPING CENTRE">marketer consumer or b2b: shopping centre</option> <option value="MARKETER CONS or B2B: SOFTWARE PUBLISHER">marketer consumer or b2b: software publisher</option> <option value="MARKETER CONS or B2B: TELEPHONE TELECOMMUNICATIONS">marketer consumer or b2b: telephone telecommunications</option> <option value="MARKETER CONS or B2B: TOYS SPORT GDS">marketer consumer or b2b: toys, sporting goods</option> <option value="MARKETER CONS or B2B: TRAVEL AND HOSPITALITY">marketer consumer or b2b: travel and hospitality</option> <option value="MEDIA: B-to-B PRINT OR ELECTRONIC">media: print-b2b</option> <option value="MEDIA: CABLE SATELLITE CARRIER">media: cable satellite carrier</option> <option value="MEDIA: CAMPUS">media: campus</option> <option value="MEDIA: DOTCOM">media: dotcom</option> <option value="MEDIA: MCN">media: mcn</option> <option value="MEDIA: MEDIA CONGLOMERATE">media: conglomerate</option> <option value="MEDIA: OUT OF HOME">media: out of home</option> <option value="MEDIA: PRINT-CONSUMER">media: print-consumer</option> <option value="MEDIA: RADIO">media: radio</option> <option value="MEDIA: REP HOUSE">media: rep house</option> <option value="MEDIA: SYNDICATOR">media: syndicator</option> <option value="MEDIA: TV">media: tv</option> <option value="MKTNGPROF: Branded Content">advertising agency: branded content</option> <option value="MKTNGPROF: CONGLOMERATE">advertising agency: conglomerate</option> <option value="MKTNGPROF: CSR AGENCY">advertising agency: csr agency</option> <option value="MKTNGPROF: DESIGN CREATIVE SPECIALIST">advertising agency: design creative specialist</option> <option value="MKTNGPROF: DIR MKTNG AGENCY">advertising agency: direct marketing agency</option> <option value="MKTNGPROF: GENERAL AGENCY">advertising agency: general agency</option> <option value="MKTNGPROF: INTERACTIVE or MOBILE AGENCY">advertising agency: interactive or mobile agency</option> <option value="MKTNGPROF: MEDIA BUYING">advertising agency: media buying</option> <option value="MKTNGPROF: PR FIRM">advertising agency: pr firm</option> <option value="MKTNGPROF: PROMO EVNT SPON AGENCY">advertising agency: promo event spon agency</option> <option value="MKTNGSERV: MISC MKTNG SERVICES">marketing services: misc marketing services</option> <option value="MKTNGSERV: PRINTING AND PAPER">marketing services: printing and paper</option> <option value="MKTNGSERV: RESEARCH SERVICES">marketing services: research services</option> <option value="OTHER: EVENT B2B">other: event b2b</option> <option value="OTHER: INTELECTUAL PROPERTY OWNER">other: intellectual property owner</option> <option value="OTHER: INVESTMENT CAPITAL">other: investment capital</option> <option value="OTHER: INVESTMENT CAPITAL TV/FILM">other: investment capital tv/film</option> <option value="OTHER: LIBRARY-PUBLIC">other: library-public</option> <option value="OTHER: LICENSING AGENCY">other: licensing agency</option> <option value="OTHER: OTHER UNCLASSIFIED">other: other</option> <option value="OTHER: PRINT OR ELECTRONIC INFO OR REFERENCE">other: print or electronic info or reference</option> <option value="OTHER: RECRUITMENT">other: recruitment</option> <option value="OTHER: SCHOOL">other: school</option> <option value="OTHER: STILL TO CODE OR VERIFY SECTOR">other: uncoded or unverified</option> <option value="OTHER: STUDENT">other: student</option> <option value="PROF SERVICES: ACCOUNTING">professional services: accounting</option> <option value="PROF SERVICES: LAW">professional services: law</option> <option value="PROF SERVICES: MNGMT CONSULTING">professional services: management consulting</option> <option value="COMP: BRUNICO INVESTMENT">complimentary: brunico investors</option> <option value="COMP: FREELANCE BRUNICO">complimentary: brunico freelancers</option> <option value="COMP: STAFF AND SEED">complimentary: brunico staff</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BusinessActivityOptionText" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Address</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Address field is required." id="Address" name="Address" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="Address" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Address 2</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="Address2" name="Address2" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label">City</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The City field is required." id="City" name="City" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="City" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Country</label> <div class="controls"> <select data-val="true" data-val-required="The Country field is required." id="Country" name="Country"><option value="">Select One</option> <option value="Canada">Canada</option> <option value="USA">USA</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</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="Bolivia ">Bolivia </option> <option value="Bolivia, Plurinational State of">Bolivia, Plurinational State Of</option> <option value="Bosnia and Herzegovina">Bosnia And Herzegovina</option> <option value="Bosnia Herzegovina">Bosnia Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Brazil">Brazil</option> <option value="British Virgin Islands">British Virgin Islands</option> <option value="Brunei">Brunei</option> <option value="Bulgaria">Bulgaria</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canary Islands">Canary Islands</option> <option value="Cayman Island">Cayman Island</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Colombia">Colombia</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote d'Ivoire">Cote D'ivoire</option> <option value="Croatia">Croatia</option> <option value="Cuba">Cuba</option> <option value="Cura莽ao">Curaçao</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Dominican Republic">Dominican Republic</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="England">England</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Polynesia">French Polynesia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Greece">Greece</option> <option value="Grenada">Grenada</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Holland">Holland</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="Iran, Islamic Republic of">Iran, Islamic Republic Of</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Isle of Man">Isle Of Man</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="Korea">Korea</option> <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic Of</option> <option value="Kosovo">Kosovo</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Malaysia">Malaysia</option> <option value="Malta">Malta</option> <option value="Mauritius">Mauritius</option> <option value="Mexico">Mexico</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montenegro">Montenegro</option> <option value="Morocco">Morocco</option> <option value="MOZAMBIQUE">MOZAMBIQUE</option> <option value="Myanmar">Myanmar</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Nigeria">Nigeria</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rica">Puerto Rica</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Republic of Korea">Republic Of Korea</option> <option value="Republic of North Macedonia">Republic Of North Macedonia</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Saint Kitts and Nevis">Saint Kitts And Nevis</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Scotland">Scotland</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="South Africa">South Africa</option> <option value="South Korea">South Korea</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Suriname">Suriname</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syrian Arab Republic">Syrian Arab Republic</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Tanzania, United Republic of">Tanzania, United Republic Of</option> <option value="Thailand">Thailand</option> <option value="Timor-Leste">Timor-Leste</option> <option value="Togo">Togo</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="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="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Venezuela">Venezuela</option> <option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic Of</option> <option value="Vietnam">Vietnam</option> <option value="Wales">Wales</option> <option value="West Africa">West Africa</option> <option value="Zimbabwe">Zimbabwe</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="Country" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">State/Province</label> <div class="controls"> <select data-val="true" data-val-required="The State/Province field is required." id="ProvState" name="ProvState"><option value="">Select One</option> <option value="AB">AB</option> <option value="BC">BC</option> <option value="MB">MB</option> <option value="NB">NB</option> <option value="NF">NF</option> <option value="NS">NS</option> <option value="NT">NT</option> <option value="NU">NU</option> <option value="ON">ON</option> <option value="PE">PE</option> <option value="QC">QC</option> <option value="SK">SK</option> <option value="YT">YT</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="ProvState" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Zip/Postal Code</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Zip/Postal Code field is required." id="ZipPostalCode" name="ZipPostalCode" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="ZipPostalCode" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Company Phone</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Company Phone field is required." id="CompanyPhone" name="CompanyPhone" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="CompanyPhone" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Direct Phone</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-required="The Direct Phone field is required." id="DirectPhone" name="DirectPhone" size="25" type="text" value="" /> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="DirectPhone" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Email Address</label> <div class="controls"> <input class="required email attendeeinfo input-xlarge" data-val="true" data-val-email="Invalid Email Address" data-val-required="The Email Address field is required." id="EmailAddress" name="EmailAddress" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="EmailAddress" data-valmsg-replace="false">Invalid Email Address</span> </div> </div>  <div class="control-group"> <label class="control-label"><i>Please verify the email address</i></label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-emailmatches="Addresses don't match" data-val-required="The Please verify the email address field is required." id="VerifyEmailAddress" name="VerifyEmailAddress" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="VerifyEmailAddress" data-valmsg-replace="false">Does not match</span> </div> </div> <input id="AuditAnswer" name="AuditAnswer" type="hidden" value="default" /> <style> input#CompletedBySelfYes, input#CompletedBySelfNo { min-width: 0%!important; margin-top:7px!important; } @media screen and (max-width:480px) { input#CompletedBySelfYes, input#CompletedBySelfNo { margin-top: 4px!important; } } </style> <div class="control-group"> <label class="control-label">Please indicate how you learned about this event</label> <div class="controls"> <select class="attendeeinfo" data-val="true" data-val-required="The Please Indicate how you learned about this event field is required." id="learnedabout" name="LearnedAbout"><option value="">Select One</option> <option>Ad in Realscreen</option> <option>Event Website</option> <option>Email</option> <option>Referral</option> <option>Sales Call</option> <option>Social Media</option> <option>Realscreen Website</option> <option>Other</option> </select>  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="LearnedAbout" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group" id="learnedaboutother" style="display:none;"> <label class="control-label">Please specify:</label> <div class="controls"> <input class="attendeeinfo input-xlarge" data-val="true" data-val-requirediflearnedaboutother="Required" id="LearnedAboutOther" maxlength="20" name="LearnedAboutOther" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="LearnedAboutOther" data-valmsg-replace="false">Required</span> </div> </div>  <h4>Your Delegate Badge Information</h4>  <div class="control-group"> <label class="control-label">Name on Badge</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="NameOnBadge" name="NameOnBadge" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label">Company on Badge</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="CompanyOnBadge" name="CompanyOnBadge" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label">Company Website on Badge</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="CompanyWebsiteOnBadge" name="CompanyWebsiteOnBadge" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label">Twitter Username</label> <div class="controls"> <input class="attendeeinfo input-xlarge" id="TwitterUserName" name="TwitterUserName" size="25" type="text" value="" /> </div> </div>  <div class="control-group"> <label class="control-label" id="headshotLabel">Add Headshot</label> <div id="headshotUpload" class="controls"> <div class="form-group" id="headshotUploadButton"> <input class="image attendeeinfo input-xlarge" data-val="true" data-val-image="Image file required. File size limit: 5 MB." id="fileData" name="fileData" type="file" value="" /> <span class="field-validation-valid" data-valmsg-for="fileData" data-valmsg-replace="false">Image file required. File size limit: 5 MB.</span> </div> <div id="headshotUploadCancelWrapper" class="form-group" style="display: none;"> <input id="headshotUploadCancel" type="button" class="btn btn-secondary" value="Cancel" /> </div> <div id="headshotUploadLoading" style="display: none;"> <img src="" style='vertical-align: middle' />  Loading... </div> <div id="headshotUploadCrop" style="display: none;"> <div class="form-group"> <div id="cropArea" class="crop-area"></div> <div id="cropResult" class="crop-result"></div> </div> <div class="form-group"> <a> <input id="headshotUploadCropConfirm" type="button" value="Crop" class="btn btn-secondary" /> </a> <a > <input id="headshotUploadCropAgain" type="button" value="Crop Again" class="btn btn-secondary" style="display: none;"/> </a> <a> <input id="headshotUploadCropCancel" type="button" value="Cancel" class="btn btn-secondary" /> </a> </div> </div> </div> <div id="existingHeadshot" class="controls" style="display: none;"> <div id="headshotUploadThumbnail" class="headshot-wrapper"> <img src="" /> </div> <div id="headshotButtons" class="form-group"> <a> <input type="button" value="Change" class="btn btn-secondary" id="changeHeadshotButton" /> </a> </div> </div> </div> <script> $(function () { if (window.File && window.FileReader && window.FileList && window.Blob) { $('#fileData').on('change', handleHeadshotUploadFileChanged); $('#headshotUploadCropCancel').on('click', handleHeadshotUploadCropCancel); $('#headshotUploadCropConfirm').on('click', handleHeadshotUploadCropConfirm); $('#headshotUploadCropAgain').on('click', handleHeadshotUploadCropAgain); $('#headshotUploadCancel').on('click', handleHeadshotUploadCancel); $('#changeHeadshotButton').on('click', handleChangeHeadshotButton); } }); function handleHeadshotUploadFileChanged(event) { var files = event.target.files; if (files.length == 0) return; var file = files[0]; if (file != null && (!file.type.match('image.*') || file.size > 5242880)) { return; } var reader = new FileReader(); reader.onload = (function (theFile) { var image = new Image(); image.src = theFile.target.result; image.onload = function (e) { if (this.width < 20 || this.height < 20) { $('#headshotUploadCropCancel').click(); return; } $('#headshotUploadLoading').hide(); $('#cropArea').imageCropper({ imageSize: { width: this.width, height: this.height }, imageSrc: this.src, containTo: { width: 300, height: 300 }, sizeRatioLock: 1 }); $('#headshotUploadCrop').show(); } }); reader.readAsDataURL(file); $('#cropArea').show(); $('#cropResult').hide(); $('#headshotUploadButton').hide(); $('#headshotUploadCancel').hide(); $('#headshotUploadLoading').show(); } function handleHeadshotUploadCropCancel(event) { event.preventDefault(); $('#headshotUploadCrop').hide(); $('#cropResult').empty(); $('#cropResult').hide(); $('#headshotUploadCropAgain').hide(); $('#headshotUploadCropConfirm').show(); $('#cropArea').show(); $('#headshotUploadButton').show(); $('#headshotUploadCancel').show(); $("#fileData").val(''); } function handleHeadshotUploadCancel(event) { event.preventDefault(); $('#headshotUpload').hide(); $('#existingHeadshot').show(); $('#headshotButtons').show(); $("#fileData").val(''); } function handleChangeHeadshotButton(event) { event.preventDefault(); $('#existingHeadshot').hide(); $('#headshotButtons').hide(); $('#headshotUpload').show(); } function handleHeadshotUploadCropConfirm(event) { event.preventDefault(); var currentCropData = $('#cropArea').imageCropper('getCropData'); var imageSrc = $('#cropArea .photo-upload-crop-img').attr('src'); if (!currentCropData || !imageSrc) { alert("Please perform the crop first."); return; } var canvas = document.createElement('canvas'); var ctx = canvas.getContext('2d'); canvas.width = currentCropData.width; canvas.height = currentCropData.height; var img = new Image(); img.src = imageSrc; ctx.drawImage( img, currentCropData.x, currentCropData.y, currentCropData.width, currentCropData.height, 0, 0, currentCropData.width, currentCropData.height ); var $croppedImage = $('<img class="cropped-image" />'); $croppedImage.attr('src', canvas.toDataURL()); $('#cropArea').hide(); $('#headshotUploadCropConfirm').hide(); $('#headshotUploadCropAgain').show(); $('#cropResult').empty().append($croppedImage); $('#cropResult').show(); } function handleHeadshotUploadCropAgain(event) { event.preventDefault(); $('#cropResult').hide(); $('#headshotUploadCropAgain').hide(); $('#headshotUploadCropConfirm').show(); $('#cropArea').show(); } </script> <div class="regNav" style="margin-top: 10px;"> <button id="prev3" class="btn-large">« Prev</button> <button id="next3" class="btn-large">Next »</button> </div> </div> <div id="step4"> <h7>Step 4/6</h7> <p><strong>Credit Card Details</strong></p> <p><b><span style="font-weight: bold;">Fields marked with red asterisks (<span style="color: #ff0000;">*</span>) are required. Read the fine print for cancellation and substitution policies.</span></b></p> <style> input#MethodOfPayment { min-width: 0%!important; margin-top:7px!important; } @media screen and (max-width:480px) { input#MethodOfPayment { margin-top: 4px!important; } } </style>  <div class="control-group"> <label class="control-label">Method of Payment</label> <div class="controls"> <input data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="MethodOfPayment" name="MethodOfPayment" type="radio" value="Visa" /> Visa<br /> <input id="MethodOfPayment" name="MethodOfPayment" type="radio" value="MasterCard" /> MasterCard<br /> <input id="MethodOfPayment" name="MethodOfPayment" type="radio" value="Amex" /> American Express<br /> <span style="color: #ff0000;">*</span> <span class="field-validation-valid" data-valmsg-for="MethodOfPayment" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Card Number</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-creditcard="The Card Number field is not a valid credit card number." data-val-requiredifamountgreaterthanzero="Required" id="CreditCardNumber" name="CreditCardNumber" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="CreditCardNumber" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Expiry Date</label> <div class="controls"> <label class="control-label"> <select class="creditcarddetails" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="CreditCardExpiryMonth" name="CreditCardExpiryMonth" style="width: 80px;"><option value="01">Jan</option> <option value="02">Feb</option> <option value="03">Mar</option> <option value="04">Apr</option> <option value="05">May</option> <option value="06">Jun</option> <option value="07">Jul</option> <option value="08">Aug</option> <option value="09">Sep</option> <option value="10">Oct</option> <option selected="selected" value="11">Nov</option> <option value="12">Dec</option> </select>  <font color="#ff0000">*</font><span class="field-validation-valid" data-valmsg-for="CreditCardExpiryMonth" data-valmsg-replace="false">Required</span> </label> <label class="control-label"> <select class="creditcarddetails" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="CreditCardExpiryYear" name="CreditCardExpiryYear" style="width: 80px;"><option value="24">2024</option> <option value="25">2025</option> <option value="26">2026</option> <option value="27">2027</option> <option value="28">2028</option> <option value="29">2029</option> <option value="30">2030</option> <option value="31">2031</option> <option value="32">2032</option> <option value="33">2033</option> <option value="34">2034</option> </select>  <font color="#ff0000">*</font><span class="field-validation-valid" data-valmsg-for="CreditCardExpiryYear" data-valmsg-replace="false">Required</span> </label> </div> </div>  <div class="control-group"> <label class="control-label">Cardholder Name</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="CreditCardHolderName" name="CreditCardHolderName" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="CreditCardHolderName" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label"> If the name on credit card is someone else, then what is your relationship to this person? </label> <div class="controls"> <input class="creditcarddetails input-xlarge" id="RelationToCreditCardHolder" name="RelationToCreditCardHolder" size="25" type="text" value="" /> </div> </div> <div class="control-group"> <label class="control-label">Billing Contact</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToContact" name="BillToContact" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToContact" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing Contact Email</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-email="Invalid Email Address" data-val-requiredifamountgreaterthanzero="Required" id="BillToContactEmail" name="BillToContactEmail" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToContactEmail" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing Company</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToCompany" name="BillToCompany" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToCompany" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing Address</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToAddress" name="BillToAddress" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToAddress" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing Address 2</label> <div class="controls"> <input class="creditcarddetails input-xlarge" id="BillToAddress2" name="BillToAddress2" size="25" type="text" value="" /> </div> </div> <div class="control-group"> <label class="control-label">Billing City</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToCity" name="BillToCity" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToCity" data-valmsg-replace="false">Required</span> </div> </div>  <div class="control-group"> <label class="control-label">Billing Country</label> <div class="controls"> <select class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToCountry" name="BillToCountry"><option value="">Select One</option> <option value="Canada">Canada</option> <option value="USA">USA</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</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="Bolivia ">Bolivia </option> <option value="Bolivia, Plurinational State of">Bolivia, Plurinational State Of</option> <option value="Bosnia and Herzegovina">Bosnia And Herzegovina</option> <option value="Bosnia Herzegovina">Bosnia Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Brazil">Brazil</option> <option value="British Virgin Islands">British Virgin Islands</option> <option value="Brunei">Brunei</option> <option value="Bulgaria">Bulgaria</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canary Islands">Canary Islands</option> <option value="Cayman Island">Cayman Island</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Colombia">Colombia</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote d'Ivoire">Cote D'ivoire</option> <option value="Croatia">Croatia</option> <option value="Cuba">Cuba</option> <option value="Cura莽ao">Curaçao</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Dominican Republic">Dominican Republic</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="England">England</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Polynesia">French Polynesia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Greece">Greece</option> <option value="Grenada">Grenada</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Holland">Holland</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="Iran, Islamic Republic of">Iran, Islamic Republic Of</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Isle of Man">Isle Of Man</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="Korea">Korea</option> <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic Of</option> <option value="Kosovo">Kosovo</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Malaysia">Malaysia</option> <option value="Malta">Malta</option> <option value="Mauritius">Mauritius</option> <option value="Mexico">Mexico</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montenegro">Montenegro</option> <option value="Morocco">Morocco</option> <option value="MOZAMBIQUE">MOZAMBIQUE</option> <option value="Myanmar">Myanmar</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Nigeria">Nigeria</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rica">Puerto Rica</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Republic of Korea">Republic Of Korea</option> <option value="Republic of North Macedonia">Republic Of North Macedonia</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Saint Kitts and Nevis">Saint Kitts And Nevis</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Scotland">Scotland</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="South Africa">South Africa</option> <option value="South Korea">South Korea</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Suriname">Suriname</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syrian Arab Republic">Syrian Arab Republic</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Tanzania, United Republic of">Tanzania, United Republic Of</option> <option value="Thailand">Thailand</option> <option value="Timor-Leste">Timor-Leste</option> <option value="Togo">Togo</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="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="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Venezuela">Venezuela</option> <option value="Venezuela, Bolivarian Republic of">Venezuela, Bolivarian Republic Of</option> <option value="Vietnam">Vietnam</option> <option value="Wales">Wales</option> <option value="West Africa">West Africa</option> <option value="Zimbabwe">Zimbabwe</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToCountry" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing State/Prov</label> <div class="controls"> <select class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToProvState" name="BillToProvState"><option value="">Select One</option> <option value="AB">AB</option> <option value="BC">BC</option> <option value="MB">MB</option> <option value="NB">NB</option> <option value="NF">NF</option> <option value="NS">NS</option> <option value="NT">NT</option> <option value="NU">NU</option> <option value="ON">ON</option> <option value="PE">PE</option> <option value="QC">QC</option> <option value="SK">SK</option> <option value="YT">YT</option> </select> <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToProvState" data-valmsg-replace="false">Required</span> </div> </div> <div class="control-group"> <label class="control-label">Billing Zip/Postal Code</label> <div class="controls"> <input class="creditcarddetails input-xlarge" data-val="true" data-val-requiredifamountgreaterthanzero="Required" id="BillToPostalCode" name="BillToPostalCode" size="25" type="text" value="" />  <font color="#ff0000">*</font> <span class="field-validation-valid" data-valmsg-for="BillToPostalCode" data-valmsg-replace="false">Required</span> </div> </div> <div class="regNav" style="margin-top: 10px;"> <button id="prev4" class="btn-large">« Prev</button> <button id="next4" class="btn-large">Next »</button> </div> </div> <div id="step5"> <h7>Step 5/6</h7> <h5>Complete Order</h5> <div id="confirmation"> <p style="color: red; font-size: 1.1em; font-weight: bold;">Your credit card will be charged <span id="amount"></span> once you click on the 'Complete Order' button below. The charge on your credit card will appear as Brunico Marketing Inc.</p> <p>Upon clicking 'Complete Order' please do not refresh your browser or click the back button. Please wait for the process to finish. Failure to do so may result in duplicate charges to your credit card.</p> </div> <div id="confirmationNoCharge" style="display:none;"> <p>Upon clicking 'Complete Order' please do not refresh your browser or click the back button. Please wait for the process to finish.</p> </div> <div class="regNav" style="margin-top: 10px;"> <button id="prev5" class="btn-large">« Prev</button> <input type="submit" id="completeorder" class="btn-large btn-primary" value="Complete Order" style="min-width: 0%!important;" /> </div> </div> <div id="step6"> <h7>Step 6/6</h7> <p>Order submitted, please wait.</p> <div id="submittedConfirmation"> <p><b>Please do not refresh your browser or click the Back button as this may result in duplicate charges on your credit card.</b></p> </div> <div id="submittedConfirmationNoCharge" style="display:none;"> <p><b>Please do not refresh your browser or click the Back button as this may result in duplicate registration.</b></p> </div> </div> <div id="step7"> <p><a href="">Click here to register someone else</a></p> </div>  <div id="cancellationPolicy" class="well policyBox"> <p class="small policyHeader"><strong>Cancellation Policy</strong></p> <p class="small">Should you be unable to attend this event, we require notice in writing (<a href="mailto:customersupport@realscreensummit.com">customersupport@realscreensummit.com</a>) on or before January 3, 2025 at 5:00pm ET. Cancellations made after this date will not be eligible for a refund. All cancellations are subject to an administration fee equal to 50% of the invoiced purchase price. If the event is cancelled and not postponed, or if government travel restrictions/border closures prevent you from attending, all registration fees can be transferred to Realscreen Summit 2026, or fully refunded. All prices are quoted in US$. Your registration may be transferred to another individual at no charge. Should you wish to transfer your registration to another person, please inform us by email (<a href="mailto:customersupport@realscreensummit.com">customersupport@realscreensummit.com</a>) a minimum of 48 hours prior to the event. The following details will be required: First/Last Name of the person using your registration, their Professional Title, their Email Address and Phone Number, and their Company Details (Name, Address and Phone Number). If for any reason whatsoever the event is cancelled, the liability of Brunico Marketing Inc. shall be limited to reimbursement of the registration fees. Brunico reserves the right, with reasonable notice, to change program dates and assumes no liability for the changes. <br /><br />NOTE: Registration fees must be paid in full in order to gain entry to the event. No exceptions will be made.</p> </div> <div id="badge" class="well policyBox"> <p class="small policyHeader"><strong>DO NOT LOSE YOUR DELEGATE BADGE - IT'S WORTH A LOT OF MONEY!</strong></p> <p class="small" style="padding-top:20px;">Please be aware that significant reprint fees are in place. Keep your lanyard and badge on you at all times during the Summit. You are required to wear it for the entire event. Onsite reprinting badge fees will apply per transaction: $1500 from February 3-4, 2025; $900 on February 5, 2025.</p> </div> <div id="meeting" class="well policyBox"> <p class="small policyHeader"><strong>MEETING WITH PEOPLE WHO ARE NOT REGISTERED TO ATTEND THE SUMMIT</strong></p> <p class="small" style="padding-top:20px;">Out of respect to the people who have paid their way to attend Realscreen Summit, the speakers who give their time and the sponsors who support the event year after year, the conference floors are strictly reserved for registered delegates. If you have made arrangements to meet with people who are not registered, please do so off-site.</p> </div>  <div id="HSWaiverPolicy" class="well policyBox"> <p class="small policyHeader"><strong>HEALTH & SAFETY WAIVER</strong></p> <p class="small" style="padding-top:20px;">Your participation in this event is completely voluntary. As such, you are voluntarily assuming any and all risks and hazards, including personal injury and illness without limitation, and you hereby release the organizing company and it's officers, directors, employees, representatives, of any liability related to your attendance.</p> </div>  <div id="privacyPolicy" class="well policyBox"> <p class="small policyHeader"><strong>Privacy Policy</strong></p> <p class="small">Information collected through this web form is subject to our <a class="black" target="_new" href="http://www.brunico.com/privacy/">privacy policy</a> and is collected for the following express purposes:</p> <ol> <li class="small">To fulfill your registration request</li> <li class="small">To accurately obtain your information</li> <li class="small">To contact you regarding your registration: to verify the information supplied by you; to allow you to make changes to your information; to confirm your registration; to issue a payment receipt; to issue an invoice; to solicit your feedback regarding the event; to inform you of changes to the schedule or new developments related to the event. Contact may be made via email, mail, fax or telephone.</li> <li class="small">To include your information on the event's published delegate list</li> </ol> </div> <p style="font-size: 1.3rem;">By registering for the event you understand and accept these policies.</p> <p class="small"> Brunico Marketing Inc. (the Event organizer) plans to take photographs and video material at REALSCREEN SUMMIT and reproduce them in REALSCREEN-branded news or promotional material, whether in print, electronic or other media, including, but not limited to, REALSCREEN, REALSCREEN SUMMIT, REALSCREEN.COM, REALXCHANGE, REALSCREEN WEST, REALSCREEN AWARDS, and also to be shared on Social Media. By participating in the Event, you grant Brunico Marketing Inc. the right to use your image, name, business title and organization name for such purposes. All postings become the property of Brunico Marketing Inc. Postings may be displayed, distributed or used by Brunico Marketing Inc. for any purpose. </p> <p class="small"> Please note that the use of any electronic recording device of any kind is strictly prohibited during sessions. If you are seen operating such devices you will be asked to refrain and if it persists you may be removed. If you are reporting on behalf of any media outlet please familiarize yourself with the press policy. You can view our press policy online. </p> </form> </div> </div> </div> <img src="https://s3.amazonaws.com/brunicoextranet/Matrix/Realscreen/tcsPTLHEQCG2usCFSaZE_RSS.FOF.Mobile.png" class="mobileOnly bottomFOF" /> </div> <div id="sidebar"> <div id="sidebarTop"> <div id="jcarousel-loading"></div> <div id="sidebarCarousel"> <h4>2025 Advisory Board</h4> <div class="wrapper clearfloat"> <div id="carouselSidebar-wrapper" class="jcarousel-wrapper"> <a href="#" class="jcarousel-control-prev">&lsaquo;</a> <div id="carouselSidebar" class="jcarousel"> <ul> <li class="advisor"> <a href="/2025/advisory_board/990580/DonovanChan/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/662550.jpg" alt="head shot of Donovan Chan" /> </div>  <div class="carousel-caption"> <p>Donovan Chan</p> <p>Creative Director</p> <p>Beach House Pictures</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990581/JenniferDaly/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/639439.jpg" alt="head shot of Jennifer Daly" /> </div>  <div class="carousel-caption"> <p>Jennifer Daly</p> <p>President</p> <p>Critical Content</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990582/ThomasDey/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/638009.jpg" alt="head shot of Thomas Dey" /> </div>  <div class="carousel-caption"> <p>Thomas Dey</p> <p>CEO & Founder</p> <p>ACF Investment Bank</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990583/BrettDismuke/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/841658.jpg" alt="head shot of Brett Dismuke" /> </div>  <div class="carousel-caption"> <p>Brett Dismuke</p> <p>Head of Content (ALLBLK & WEtv)</p> <p>AMC Networks</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990584/JeffGaspin/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/675910.jpg" alt="head shot of Jeff Gaspin" /> </div>  <div class="carousel-caption"> <p>Jeff Gaspin</p> <p>VP, Unscripted Series</p> <p>Netflix</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990585/SallyHabbershaw/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/587653.jpg" alt="head shot of Sally Habbershaw" /> </div>  <div class="carousel-caption"> <p>Sally Habbershaw</p> <p>EVP, Americas</p> <p>All3Media International</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990586/KevinHill/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/770165.jpg" alt="head shot of Kevin Hill" /> </div>  <div class="carousel-caption"> <p>Kevin Hill</p> <p>Head of Television</p> <p>Maximum Effort</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990587/RaKumar/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/727165.jpg" alt="head shot of Ra Kumar" /> </div>  <div class="carousel-caption"> <p>Ra Kumar</p> <p>Agent, Unscripted Television</p> <p>UTA United Talent Agency</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990588/MikikoNishiyama/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/834525.jpg" alt="head shot of Mikiko Nishiyama" /> </div>  <div class="carousel-caption"> <p>Mikiko Nishiyama</p> <p>Executive Advisor, Global Strategy Headquarters</p> <p>Nippon Television Network Corporation</p> </div>  </a> </li>  <li class="advisor"> <a href="/2025/advisory_board/990579/AllisonWallach/" target="_self"> <div class="backing"></div> <div class="carouselPic"> <img src="https://www.brunico.com//gimages/delegatephotos/large/695847.jpg" alt="head shot of Allison Wallach" /> </div>  <div class="carousel-caption"> <p>Allison Wallach</p> <p>Head, Unscripted Entertainment</p> <p>FOX Entertainment</p> </div>  </a> </li>  </ul> </div> <a href="#" class="jcarousel-control-next">&rsaquo;</a> <p class="jcarousel-pagination"></p> </div> </div> </div> </div> <div id="sidebarBottom"> <div id="sidebarSponsors"> <h3>Marquee</h3><div style="height:80px;"><a id="sponsor_sidebar_link_Marquee" href="http://www.aenetworks.com/" target="_blank"><img style="max-height:80px; max-width:150px;" id="sponsor_sidebar_img_Marquee" src="/Content/Image_Sponsors/Medium/11070_10801_AE_Networks_stack_2017_BK_FIN.png" alt="A+E Networks" border="0" /></a></div><br /><h3>Diamond</h3><div style="height:80px;"><a id="sponsor_sidebar_link_Diamond" href="https://corporate.discovery.com/" target="_blank"><img style="max-height:80px; max-width:150px;" id="sponsor_sidebar_img_Diamond" src="/Content/Image_Sponsors/Medium/11064_Discovery.png" alt="Discovery" border="0" /></a></div><br /><h3>Platinum</h3><div style="height:80px;"><a id="sponsor_sidebar_link_Platinum" href="https://extremereach.com/" target="_blank"><img style="max-height:80px; max-width:150px;" id="sponsor_sidebar_img_Platinum" src="/Content/Image_Sponsors/Medium/11047_ExtremeReach_Resized.png" alt="Extreme Reach" border="0" /></a></div><br /><h3>Diversity</h3><div style="height:80px;"><a id="sponsor_sidebar_link_Diversity" href="http://www.nbcuniversal.com/" target="_blank"><img style="max-height:80px; max-width:150px;" id="sponsor_sidebar_img_Diversity" src="/Content/Image_Sponsors/Medium/11048_NBCUniversal_violet.png" alt="NBCUNIVERSAL" border="0" /></a></div><br /><h3>Gold</h3><div style="height:80px;"><a id="sponsor_sidebar_link_Gold" href="http://www.ap.org/" target="_blank"><img style="max-height:80px; max-width:150px;" id="sponsor_sidebar_img_Gold" src="/Content/Image_Sponsors/Medium/11057_AP-logo_rev.png" alt="Associated Press" border="0" /></a></div><script type="text/javascript">$(document).ready(function (){var val_img_src_Gold=new Array();var val_img_alt_Gold=new Array();var val_link_href_Gold=new Array();val_img_src_Gold[0]="/Content/Image_Sponsors/Medium/11057_AP-logo_rev.png";val_img_alt_Gold[0]="Associated Press";val_link_href_Gold[0]="http://www.ap.org/";val_img_src_Gold[1]="/Content/Image_Sponsors/Medium/11021_Blue_Ant_Media_Logo_sized.png";val_img_alt_Gold[1]="Blue ant";val_link_href_Gold[1]="http://blueantmedia.ca/";val_img_src_Gold[2]="/Content/Image_Sponsors/Medium/10967_GSlogoCMYK Hrz-RGB.png";val_img_alt_Gold[2]="GreenSlate, LLC";val_link_href_Gold[2]="https://gslate.com/";val_img_src_Gold[3]="/Content/Image_Sponsors/Medium/11049_RAS-logos-red-RGB-f3 main.jpg";val_img_alt_Gold[3]="Red Arrow";val_link_href_Gold[3]="http://www.redarrow.tv/";val_img_src_Gold[4]="/Content/Image_Sponsors/Medium/11060_SCRIPPS2015Horizontal (2).jpg";val_img_alt_Gold[4]="Scripps - Food Network";val_link_href_Gold[4]="http://www.scrippsnetworks.com/";var total_count_Gold=5;var n_Gold=0; 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