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and barbuda">antigua and barbuda</option> <option value="argentina">argentina</option> <option value="armenia">armenia</option> <option value="aruba">aruba</option> <option value="australia">australia</option> <option value="austria">austria</option> <option value="azerbaijan">azerbaijan</option> <option value="bahamas">bahamas</option> <option value="bahrain">bahrain</option> <option value="bangladesh">bangladesh</option> <option value="barbados">barbados</option> <option value="belarus">belarus</option> <option value="belgium">belgium</option> <option value="belize">belize</option> <option value="benin">benin</option> <option value="bermuda">bermuda</option> <option value="bhutan">bhutan</option> <option value="bolivia">bolivia</option> <option value="bosnia and herzegovina">bosnia and herzegovina</option> <option value="botswana">botswana</option> <option value="brazil">brazil</option> <option value="british indian ocean territory">british indian ocean territory</option> <option value="british virgin islands">british virgin islands</option> <option value="brunei">brunei</option> <option value="bulgaria">bulgaria</option> <option value="burkina faso">burkina faso</option> <option value="burundi">burundi</option> <option value="cambodia">cambodia</option> <option value="cameroon">cameroon</option> <option value="canada">canada</option> <option value="cape verde">cape verde</option> <option value="cayman islands">cayman islands</option> <option value="central african republic">central african republic</option> <option value="chad">chad</option> <option value="chile">chile</option> <option value="china">china</option> <option value="christmas island">christmas island</option> <option value="cocos islands">cocos islands</option> <option value="colombia">colombia</option> <option value="comoros">comoros</option> <option value="cook islands">cook islands</option> <option value="costa rica">costa rica</option> <option value="croatia">croatia</option> <option 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value="nauru">nauru</option> <option value="nepal">nepal</option> <option value="netherlands">netherlands</option> <option value="netherlands antilles">netherlands antilles</option> <option value="new caledonia">new caledonia</option> <option value="new zealand">new zealand</option> <option value="nicaragua">nicaragua</option> <option value="niger">niger</option> <option value="nigeria">nigeria</option> <option value="niue">niue</option> <option value="north korea">north korea</option> <option value="northern mariana islands">northern mariana islands</option> <option value="norway">norway</option> <option value="oman">oman</option> <option value="pakistan">pakistan</option> <option value="palau">palau</option> <option value="panama">panama</option> <option value="papua new guinea">papua new guinea</option> <option value="paraguay">paraguay</option> <option value="peru">peru</option> <option value="philippines">philippines</option> <option value="pitcairn">pitcairn</option> <option value="poland">poland</option> <option value="portugal">portugal</option> <option value="puerto rico">puerto rico</option> <option value="qatar">qatar</option> <option value="republic of the congo">republic of the congo</option> <option value="romania">romania</option> <option value="russia">russia</option> <option value="rwanda">rwanda</option> <option value="saint barthelemy">saint barthelemy</option> <option value="saint helena">saint helena</option> <option value="saint kitts and nevis">saint kitts and nevis</option> <option value="saint lucia">saint lucia</option> <option value="saint martin">saint martin</option> <option value="saint pierre and miquelon">saint pierre and miquelon</option> <option value="saint vincent and the grenadines">saint vincent and the grenadines</option> <option value="samoa">samoa</option> <option value="san marino">san marino</option> <option value="sao tome and principe">sao tome and principe</option> <option value="saudi arabia">saudi arabia</option> 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value="syria">syria</option> <option value="taiwan">taiwan</option> <option value="tajikistan">tajikistan</option> <option value="tanzania">tanzania</option> <option value="thailand">thailand</option> <option value="togo">togo</option> <option value="tokelau">tokelau</option> <option value="tonga">tonga</option> <option value="trinidad and tobago">trinidad and tobago</option> <option value="tunisia">tunisia</option> <option value="turkey">turkey</option> <option value="turkmenistan">turkmenistan</option> <option value="turks and caicos islands">turks and caicos islands</option> <option value="tuvalu">tuvalu</option> <option value="u.s. virgin islands">u.s. virgin islands</option> <option value="uganda">uganda</option> <option value="ukraine">ukraine</option> <option value="united arab emirates">united arab emirates</option> <option value="united kingdom">united kingdom</option> <option value="united states">united states</option> <option value="uruguay">uruguay</option> <option value="uzbekistan">uzbekistan</option> <option value="vanuatu">vanuatu</option> <option value="vatican">vatican</option> <option value="venezuela">venezuela</option> <option value="vietnam">vietnam</option> <option value="wallis and futuna">wallis and futuna</option> <option value="western sahara">western sahara</option> <option value="yemen">yemen</option> <option value="zambia">zambia</option> <option value="zimbabwe">zimbabwe</option> </select> </div> <div class="form-group col-md-6"> <input type="text" class="form-control brch-ctrl" name="org" placeholder="Company/University" required=""> </div> </div> <div class="form-row"> <div class="form-group col-md-12"> <textarea class="form-control brch-ctrl" rows="3" placeholder="Address" name="address" required></textarea> </div>  </div> </div> <div class="col-md-4"> <div align="center" class="col-md-12"> <img src="https://apexglobalmeetings.com/stripe-secured.png" width="220" style="margin-top: 10px;"> </div> <div align="center" class="col-md-12"> <img src="https://apexglobalmeetings.com/secure-razorpay.jpg" width="220" style="margin-top: 10px;"> </div> </div> </div> <div class="row"> <div class="col-md-12 text-center" > <h3 style="margin-top:10px;background-color:#45037e;color:white;height:60px;width:100%;padding-top:20px;">Select from various categories below</h3> </div> <div class="table-responsive table-bordered movie-table col-md-12"> <table class="table movie-table"> <tbody> <tr> <td> <input type="checkbox" name="student1" id="student1" value="399" onClick="return student1_reg()"/> Speaker Virtual </td> <td id="r1_399"> $ 399 </td> </tr> <tr> <td> <input type="checkbox" name="delegate_vir" id="delegate_vir" value="299" onClick="return delegate_vir_reg()"/> Delegate Virtual </td> <td id="r2_299"> $ 299 </td> </tr> <tr> <th style="background-color: #0a1026; color: #FFF">Add-On's</th> <th colspan="3"></th> </tr> </tbody> <div class="table-responsive table-bordered movie-table col-md-12"> <table class="table movie-table"> <tbody> </tbody> </table> </div> </div> <div class="row"> <div class="col-md-6 text-right"><label><strong>TOTAL PRICE($) :</strong> </label></div> <div class="col-md-6"><label name="lblTotalPrice" id="lblTotalPrice">0</label><input type="hidden" name="price" id="price"><input type="hidden" name="reg_desc" id="reg_desc"><input type="hidden" name="addon_desc"><input type="hidden" name="offline1_desc"><input type="hidden" name="offline2_desc"><input type="hidden" name="acc_desc"><input type="hidden" name="currency" value="USD"></div>  </div> <div class="row"> <div class="col-md-3"> </div> <div style="padding: 20px;" class="col-md-6 text-center"><input type="checkbox" name="accept" required> I've read and accept the <a style="color: #f82249;" href="https://apexglobalmeetings.com/refund-cancellation-policy.html" target="_blank">refund & cancellation policy</a>.</div><br>                    </div> <div class="row"> <div style="padding: 20px; color: red" class=" col-md-6 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