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<script src='https://www.recaptcha.net/recaptcha/api.js'></script> <script> if ($post['g-recaptcha-response']) { $captcha = $post['g-recaptcha-response']; $secretKey = '6LdqqFQoAAAAAPu7_ceEEQdkIZet1Suag6b2knAA'; $response = file_get_contents("https://www.google.com/recaptcha/api/siteverify?secret=" . $secretKey . "&response=" . $captcha); $responseKeys = json_decode($response, true); if (intval($responseKeys["success"]) !== 1) { return "failed"; } else { return "success"; } } else { return "failed"; } </script> <script> function checkCaptcha() { var response = grecaptcha.getResponse(); if(response.length == 0) { document.getElementById('g-recaptcha-error').innerHTML = '<span style="color:red;">This field is required.</span>'; return false; } return true; } function verifyCaptcha() { document.getElementById('g-recaptcha-error').innerHTML = ''; } </script> <!DOCTYPE html> <html lang="en" > <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Registration | GRCTAM2024 | Foster Research</title> <meta name="description" content=""> <meta name="keywords" content=""> <link rel="apple-touch-icon" sizes="180x180" href="images/fav/apple-touch-icon.png"> <link rel="icon" type="image/png" sizes="32x32" href="images/fav/favicon-32x32.png"> <link rel="icon" type="image/png" sizes="16x16" href="images/fav/favicon-16x16.png"> <link rel="manifest" href="images//site.webmanifest"> <meta name="msapplication-TileColor" content="#da532c"> <meta name="theme-color" content="#ffffff"> <link href="https://fosterresearch.org/2024/css/font-awesome.min.css" rel="stylesheet"> <link href="https://fosterresearch.org/2024/css/bootstrap.min.css" rel="stylesheet"> <link href="https://fosterresearch.org/2024/css/owl.transitions.css" rel="stylesheet" /> <link href="https://fosterresearch.org/2024/css/owl.carousel.css" rel="stylesheet" /> <link href="https://fosterresearch.org/2024/css/owl.theme.css" rel="stylesheet" /> <link href="https://fosterresearch.org/2024/css/style2.css" rel="stylesheet" /> <link href="https://fosterresearch.org/2024/css/responsive.css" rel="stylesheet" /> <style> .carousel-btns { margin-top: 2em; } .carousel-btns .btn { width: 150px; } .carousel-inner .imgOverlay { position: absolute; top: 0; width: 100%; height: 100%; background-color: rgba(6, 28, 38, 0.5); } .carousel-inner img { width: 100%; } /*CONTROL*/ .carousel-control { width: auto; } .carousel-control .icon-prev, .carousel-control .icon-next, .carousel-control .fa-chevron-left, .carousel-control .fa-chevron-right { position: absolute; top: 47%; right: 0; z-index: 5; display: inline-block; background-color: #000; width: 38px; height: 38px; line-height: 40px; font-size: 14px; } .carousel-control .icon-prev, .carousel-control .fa-chevron-left { left: 0; } .carousel-indicators li { width: 12px; height: 12px; margin: 0 1px; border: 2px solid #fff; opacity: .8; } .carousel-indicators .active { background-color: #28ace2; border-color: #28ace2; } .carousel-control .icon-prev, .carousel-control .fa-chevron-left, .carousel-control .icon-right, .carousel-control .fa-chevron-right { border-radius: 50px; } .carousel-control .icon-prev, .carousel-control .fa-chevron-left { left: 30px; } .carousel-control .icon-right, .carousel-control .fa-chevron-right { right: 30px; } </style> <style> /** * Tabs */ .tabs { display: flex; flex-wrap: wrap; // make sure it wraps } .tabs label { order: 1; // Put the labels first display: block; padding: 1rem 2rem; margin-right: 0.2rem; cursor: pointer; background: #90CAF9; font-weight: bold; transition: background ease 0.2s; } .tabs .tab { order: 99; // Put the tabs last flex-grow: 1; width: 100%; display: none; padding: 1rem; background: #fff; } .tabs input[type="radio"] { display: none; } .tabs input[type="radio"]:checked + label { background: #005dc9; } .tabs input[type="radio"]:checked + label + .tab { display: block; } @media (max-width: 45em) { .tabs .tab, .tabs label { order: initial; } .tabs label { width: 100%; margin-right: 0; margin-top: 0.2rem; } } .slide-text > h1 { padding: 0; color: #ffffff; font-size: 70px; font-style: normal; line-height: 84px; margin-bottom: 30px; letter-spacing: 1px; display: inline-block; -webkit-animation-delay: 0.7s; 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} } else { for (var j=0; j < document.form1.r2.length; j++) { document.form1.r4[j].checked=false; document.form1.price.value=""; document.form1.reg_price.value= ""; document.form1.reg_description.value= ""; document.form1.r4[j].disabled=true; document.form1.r5[j].checked=false; } document.form1.accompnyingperson.disabled = true; document.form1.accompnyingperson.checked = false; } } function accompnyingperson_reg() { var amount=parseInt(document.form1.price.value); if (document.form1.accompnyingperson.checked == true) { if(amount>0) { var total_amount=parseInt(document.form1.price.value)+249; document.form1.price.value=total_amount; document.form1.acc_price.value=parseInt(249); } else { document.form1.price.value=249; } } else { var total_amount=parseInt(document.form1.price.value)-249; document.form1.price.value=total_amount; document.form1.acc_price.value=parseInt(0); } } function update_price() { for (var i=0; i < document.form1.r1.length; i++) { if (document.form1.r1[i].checked==true) { if( document.form1.accompnyingperson.checked == true) { document.form1.price.value=parseInt(document.form1.r1[i].value)+249; } else { document.form1.price.value=document.form1.r1[i].value; document.form1.reg_price.value=document.form1.r1[i].value; document.form1.reg_description.value="Speaker Registration"; } } if (document.form1.r2[i].checked==true) { if( document.form1.accompnyingperson.checked == true) { document.form1.price.value=parseInt(document.form1.r2[i].value)+249; } else { document.form1.price.value=document.form1.r2[i].value; document.form1.reg_price.value=document.form1.r2[i].value; document.form1.reg_description.value="Poster Registration"; } } if (document.form1.r3[i].checked==true) { if( document.form1.accompnyingperson.checked == true) { document.form1.price.value=parseInt(document.form1.r3[i].value)+249; } else { document.form1.price.value=document.form1.r3[i].value; document.form1.reg_price.value=document.form1.r3[i].value; document.form1.reg_description.value="Delegate Registration"; } } if (document.form1.r4[i].checked==true) { if( document.form1.accompnyingperson.checked == true) { document.form1.price.value=parseInt(document.form1.r4[i].value)+249; } else { document.form1.price.value=document.form1.r4[i].value; document.form1.reg_price.value=document.form1.r4[i].value; document.form1.reg_description.value="Student Registration"; } } } } function update_price1() { var amount_ori=""; if(document.form1.accompnyingperson.checked==true) var acc_price=249; else var acc_price=0; for (var i=0; i < document.form1.r1.length; i++) { if (document.form1.r1[i].checked==true) { var amount_ori=parseInt(document.form1.r1[i].value)+acc_price; } } for (var i=0; i < document.form1.r1.length; i++) { if (document.form1.r2[i].checked==true) { var amount_ori=parseInt(document.form1.r2[i].value)+acc_price; } } for (var i=0; i < document.form1.r1.length; i++) { if (document.form1.r3[i].checked==true) { var amount_ori=parseInt(document.form1.r3[i].value)+acc_price; } } for (var i=0; i < document.form1.r1.length; i++) { if (document.form1.r4[i].checked==true) { var amount_ori=parseInt(document.form1.r4[i].value)+acc_price; } } for (var i=0; i < document.form1.r6.length; i++) { if (document.form1.r6[i].checked==true) { var amount_ori=parseInt(document.form1.r6[i].value); } } for (var i=0; i < document.form1.r5.length; i++) { if (document.form1.r5[i].checked==true) { if(amount_ori!="") { document.form1.price.value=parseInt(amount_ori)+parseInt(document.form1.r5[i].value); document.form1.accommodation_price.value=parseInt(document.form1.r5[i].value); } else { document.form1.price.value=parseInt(document.form1.r5[i].value); document.form1.accommodation_price.value=parseInt(document.form1.r5[i].value); } } } } function update_sponsor() { for (var j=0; j < document.form1.r2.length; j++) { document.form1.r1[j].disabled=true; document.form1.r2[j].disabled=true; document.form1.r3[j].disabled=true; document.form1.r4[j].disabled=true; document.form1.r1[j].checked=false; document.form1.r2[j].checked=false; document.form1.r3[j].checked=false; document.form1.r4[j].checked=false; document.form1.speaker.checked = false; document.form1.poster.checked = false; document.form1.delegate.checked = false; document.form1.student.checked = false; document.form1.accompnyingperson.checked = false; } var sponsor_value = document.getElementById('form1')['r6'].value; var acc_value = document.getElementById('form1')['r5'].value; if(sponsor_value=="") { var sponsor_value = 0; } else {} if(acc_value=="") { var acc_value = 0; } //document.getElementById('lblTotalPrice').innerHTML=parseInt(sponsor_value)+parseInt(acc_value); document.form1.price.value=parseInt(sponsor_value)+parseInt(acc_value); document.form1.sponsor.value="Sponsorship Price: $"+sponsor_value+" , Accommodation Price: $"+acc_value; } function disable_radio() { for (var j=0; j < document.form1.r2.length; j++) { document.form1.r1[j].disabled=true; document.form1.r2[j].disabled=true; document.form1.r3[j].disabled=true; document.form1.r4[j].disabled=true; document.form1.accompnyingperson.disabled = true; } } function select_gateway() { document.getElementById('paypal').style.display = 'none'; document.getElementById('stripe').style.display = 'block'; /*document.getElementById('fee').style.display = 'none';*/ document.form1.action = "stripe-payment.php"; } function select_gateway1() { document.getElementById('paypal').style.display = 'block'; document.getElementById('stripe').style.display = 'none'; /*document.getElementById('fee').style.display = 'block'; */ document.form1.action = "/payments/checkout.php"; } </script> <script src='https://www.recaptcha.net/recaptcha/api.js'></script> <script> if ($post['g-recaptcha-response']) { $captcha = $post['g-recaptcha-response']; $secretKey = '6LdqqFQoAAAAAPu7_ceEEQdkIZet1Suag6b2knAA'; $response = file_get_contents("https://www.google.com/recaptcha/api/siteverify?secret=" . $secretKey . "&response=" . $captcha); $responseKeys = json_decode($response, true); if (intval($responseKeys["success"]) !== 1) { return "failed"; } else { return "success"; } } else { return "failed"; } </script> <script> function checkRegCaptcha() { var response = grecaptcha.getResponse(); if(response.length == 0) { document.getElementById('g-recaptcha-error').innerHTML = '<span style="color:red;">This field is required.</span>'; return false; } return true; } function verifyCaptcha() { document.getElementById('g-recaptcha-error').innerHTML = ''; } </script> </head>  <style> .error { display: block; margin-bottom: 10px; color: red; } .block-title { text-align: center; } .form-control { border-radius: 15px; } element.style { width: 250px; background-color: #D53535; } .register-now-btn { /* margin-left: 540px; */ } .table-bordered>tbody>tr>td, .table-bordered>tbody>tr>th, .table-bordered>tfoot>tr>td, .table-bordered>tfoot>tr>th, .table-bordered>thead>tr>td, .table-bordered>thead>tr>th { border: 1px solid #ddd; font-size: 14px !important; } .table>tbody>tr>td, .table>tbody>tr>th, .table>tfoot>tr>td, .table>tfoot>tr>th, .table>thead>tr>td, .table>thead>tr>th { padding: 8px !important; line-height: 1.42857143; vertical-align: top; border-top: 1px solid #ddd; } </style>  <body style="color: #000"> <div class="se-pre-con"></div> <section id="home" class="home drawer drawer--left inner-page" style="padding:50px;"> <div class="banner-title "> <h1><strong style="color: #FFFFFF">GRCTAM2024</strong></h1> </div> <style> .float{ position:fixed; width:60px; height:60px; bottom:150px; right:40px; background-color:#25d366; color:#FFF; border-radius:50px; text-align:center; font-size:30px; /* box-shadow: 2px 2px 3px #999; */ z-index:100; } .nav>li>a { position: relative; display: block; padding: 10px 10px; } .navbar { position: relative; min-height: 50px; margin-bottom: 0px !important; border: 1px solid transparent; } .navbar-custom-global { background-color: #005dc9; border: 0; border-radius: 0; min-height: 60px; /* border-bottom: 6px solid #6BD69B; */ font-family: Arial, sans-serif; box-sizing: content-box; /* for bottom border */ } .navbar-custom-global .container { position: relative; } .navbar-custom-global .navbar-nav>li>a, .navbar-custom-global .navbar-nav>li>a:visited { color: #ffffff; } .navbar-custom-global .navbar-nav>li>a:hover { color: #fff; } /* .navbar-brand { position: absolute; top: 20px; padding: 0; margin: 0; height: auto; } */ @media only screen and (max-width : 992px) { .navbar-brand { top: 15px; left: 15px; font-size: 18px; margin: 0; } } .navbar-custom-global .brand-skcc { position: absolute; top: 25px; left: 150px; color: #ffffff; font-size: 9px; text-transform: uppercase; letter-spacing: 1px; } @media only screen and (max-width : 992px) { .navbar-custom-global .brand-skcc { top: 40px; left: 15px; font-size: 8px; } } .navbar-nav>li>a { padding-top: 20px; padding-bottom: 20px; } .navbar-nav { } .navbar-custom-global .navbar-collapse { } @media only screen and (max-width : 768px) { .navbar-custom-global .navbar-collapse { border: 0; box-shadow: none; } } .navbar-custom-global .navbar-collapse .nav { } @media only screen and (max-width : 768px) { .dropdown>.dropdown-menu, .dropdown.open>.dropdown-menu { display: block !important; opacity: 0; visibility: hidden; transition: all ease 0.2s; } .dropdown:hover>.dropdown-menu, .dropdown.open:hover>.dropdown-menu { opacity: 1; visibility: visible; } .navbar-custom-global .navbar-collapse .nav { padding-top: 40px; padding-bottom: 40px; width: 80%; max-width: 300px; text-align: center; font-size: 16px; text-transform: uppercase; letter-spacing: 4px; margin: 0 auto; } .navbar-custom-global .navbar-collapse .nav a:link, .navbar-custom-global .navbar-collapse .nav a:visited { color: #fff; border-bottom: 2px solid #fff; } } /* Large Devices, Wide Screens */ @media only screen and (max-width : 1200px) { } /* Medium Devices, Desktops */ @media only screen and (max-width : 992px) { } /* Small Devices, Tablets */ @media only screen and (max-width : 768px) { } /* Extra Small Devices, Phones */ @media only screen and (max-width : 480px) { } /* Custom, iPhone Retina */ @media only screen and (max-width : 320px) { } .navbar-custom-global .navbar-toggle { padding: 5px; margin-top: 15px; margin-right: 15px; background-color: #fff; border-radius: 12px; border-width: 0px; } .navbar-custom-global .navbar-toggle:hover, .navbar-custom-global .navbar-toggle:focus { background-color: #fff; } .navbar-custom-global .navbar-toggle .icon-bar { display: inline-block; width: 8px; height: 8px; border-radius: 4px; margin: 2px; background-color: #005dc9; } </style> <nav class="navbar navbar-default navbar-custom-global"> <div class="container">  <div class="navbar-header"> <button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#bs-example-navbar-collapse-1" aria-expanded="false"> <span class="sr-only">Toggle navigation</span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </button> </div> <div class="collapse navbar-collapse" id="bs-example-navbar-collapse-1"> <ul class="nav navbar-nav"> <li><a href="https://fosterresearch.org/2024/traditionalmedicine">Home</a></li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine/abstract-submission">Submit Abstract</a> </li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine#sessions">Topics</a> </li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine/committee">Committee</a> </li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine#speakers">Speakers</a> </li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine/registration">Register</a></li> <li><a href="https://fosterresearch.org/registration-policies.html" target="_blank">Registration Policy</a></li> <li><a target="_blank" href="https://fosterresearch.org/2024/traditionalmedicine/download-brochure" class="about-btn scrollto">Brochure</a> </li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine/sponsors-exhibitors">Sponsors Exhibitors</a></li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine#venue">Venue</a></li> <li><a href="https://fosterresearch.org/guidelines.html" target="_blank">Guidelines</a></li> <li><a href="https://fosterresearch.org/2024/traditionalmedicine/visa-information">Visa Information</a></li> </li> </ul> </div> </div> </nav> </section>   <section style="padding: 0px;"> <div class="well"> <div class="container"> <div class="row"> <h2 class="block-title" style="margin-bottom: 0px;"><strong>Registration</strong></h2> <section id="speakers-section sp-se-4" > <div class="container"> <div class="row" align="center"> <div class="col-md-12" align="center"> <div class="col-md-6" align="center"> <img src="https://fosterresearch.org/stripe-secured.png" class="img-responsive" style="width:220px;"> </div> <div class="col-md-6"> <img src="https://fosterresearch.org/cc-avenue-secured.png" class="img-responsive" style="width:220px;"> </div> </div> </div> <div class="row" style="margin-top: 10px;"> <form action="https://fosterresearch.org/2024/traditionalmedicine/payment" method="post" name="form1" id="form1" enctype="multipart/form-data" class="registrationForm" onSubmit="return checkRegCaptcha();"> <div class="row"> <div class="col-lg-8" style="background-color: #fff;padding-top: 20px;"> <div class="row"> <div class="col-lg-6" style="background-color: #fff;padding-top: 20px;"> <div class="form-group"> <span id="error"></span> <select name="title" class="form-control" placeholder="Title" id="title"> <option value="" selected> Select Title </option> <option value="Dr."> Dr. </option> <option value="Mr."> Mr. </option> <option value="Mrs."> Mrs. </option> <option value="Ms."> Ms. </option> </select> <p class="help-block text-danger"></p> </div> </div> <div class="col-lg-6" style="background-color: #fff;padding-top: 20px;"> <div class="form-group"> <span id="error"></span> <input type="text" class="form-control" placeholder="Your Name *" name="name" id="name"> <p class="help-block text-danger"></p> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <span id="error"></span> <input type="email" class="form-control" placeholder="Your Email *" name="Email" id="email"> <p class="help-block text-danger"></p> </div> </div> <div class="col-md-6"> <div class="form-group"> <span id="error"></span> <input type="tel" class="form-control" placeholder="Your Phone *" name="phno" id="phno"> <p class="help-block text-danger"></p> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <span id="error"></span> <input type="text" class="form-control" placeholder="Your Org *" name="org" id="phno"> <p class="help-block text-danger"></p> </div> </div> <div class="col-md-6"> <div class="form-group"> <span id="error"></span> <select class="form-control" name="country" id="country" placeholder="Select country"> <option value="" selected="selected">Select country</option> <option value="United States" >United States</option> <option value="United Kingdom" >United Kingdom</option> <option value="Afghanistan" >Afghanistan</option> <option value="Albania" >Albania</option> <option value="Algeria" >Algeria</option> <option value="American Samoa" >American Samoa</option> <option value="Andorra" >Andorra</option> <option value="Angola" >Angola</option> <option value="Anguilla" >Anguilla</option> <option value="Antarctica" >Antarctica</option> <option value="Antigua and Barbuda" >Antigua and Barbuda</option> <option value="Argentina" >Argentina</option> <option value="Armenia" >Armenia</option> <option value="Aruba" >Aruba</option> <option value="Australia" >Australia</option> <option value="Austria" >Austria</option> <option value="Azerbaijan" >Azerbaijan</option> <option value="Bahamas" >Bahamas</option> <option value="Bahrain" >Bahrain</option> <option value="Bangladesh" >Bangladesh</option> <option value="Barbados" >Barbados</option> <option value="Belarus" >Belarus</option> <option value="Belgium" >Belgium</option> <option value="Belize" >Belize</option> <option value="Benin" >Benin</option> <option value="Bermuda" >Bermuda</option> <option value="Bhutan" >Bhutan</option> <option value="Bolivia" >Bolivia</option> <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option> <option value="Botswana" >Botswana</option> <option value="Bouvet Island" >Bouvet Island</option> <option value="Brazil" >Brazil</option> <option value="British Indian Ocean Territory" >British Indian Ocean Territory</option> <option value="Brunei Darussalam" >Brunei Darussalam</option> <option value="Bulgaria" >Bulgaria</option> <option value="Burkina Faso" >Burkina Faso</option> <option value="Burundi" >Burundi</option> <option value="Cambodia" >Cambodia</option> <option value="Cameroon" >Cameroon</option> <option value="Canada" >Canada</option> <option value="Canadian Nunavut Territory" >Canadian Nunavut Territory</option> <option value="Cape Verde" >Cape Verde</option> <option value="Cayman Islands" >Cayman Islands</option> <option value="Central African Republic" >Central African Republic</option> <option value="Chad" >Chad</option> <option value="Chile" >Chile</option> <option value="China" >China</option> <option value="Christmas Island" >Christmas Island</option> <option value="Cocos (Keeling Islands)" >Cocos (Keeling Islands)</option> <option value="Colombia" >Colombia</option> <option value="Comoros" >Comoros</option> <option value="Congo" >Congo</option> <option value="Cook Islands" >Cook Islands</option> <option value="Costa Rica" >Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)" >Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)" >Croatia (Hrvatska)</option> <option value="Cuba" >Cuba</option> <option value="Cyprus" >Cyprus</option> <option value="Czech Republic" >Czech Republic</option> <option value="Denmark" >Denmark</option> <option value="Djibouti" >Djibouti</option> <option value="Dominica" >Dominica</option> <option value="Dominican Republic" >Dominican Republic</option> <option value="East Timor" >East Timor</option> <option value="Ecuador" >Ecuador</option> <option value="Egypt" >Egypt</option> <option value="El Salvador" >El Salvador</option> <option value="Equatorial Guinea" >Equatorial Guinea</option> <option value="Eritrea" >Eritrea</option> <option value="Estonia" >Estonia</option> <option value="Ethiopia" >Ethiopia</option> <option value="Falkland Islands (Malvinas)" >Falkland Islands (Malvinas)</option> <option value="Faroe Islands" >Faroe Islands</option> <option value="Fiji" >Fiji</option> <option value="Finland" >Finland</option> <option value="France" >France</option> <option value="France, Metropolitan" >France, Metropolitan</option> <option value="French Guiana" >French Guiana</option> <option value="French Polynesia" >French Polynesia</option> <option value="French Southern Territories" >French Southern Territories</option> <option value="Gabon" >Gabon</option> <option value="Gambia" >Gambia</option> <option value="Georgia" >Georgia</option> <option value="Germany" >Germany</option> <option value="Ghana" >Ghana</option> <option value="Gibraltar" >Gibraltar</option> <option value="Greece" >Greece</option> <option value="Greenland" >Greenland</option> <option value="Grenada" >Grenada</option> <option value="Guadeloupe" >Guadeloupe</option> <option value="Guam" >Guam</option> <option value="Guatemala" >Guatemala</option> <option value="Guinea" >Guinea</option> <option value="Guinea-Bissau" >Guinea-Bissau</option> <option value="Guyana" >Guyana</option> <option value="Haiti" >Haiti</option> <option value="Heard and McDonald Islands" >Heard and McDonald Islands</option> <option value="Honduras" >Honduras</option> <option value="Hong Kong" >Hong Kong</option> <option value="Hungary" >Hungary</option> <option value="Iceland" >Iceland</option> <option value="India" >India</option> <option value="Indonesia" >Indonesia</option> <option value="Iran" >Iran</option> <option value="Iraq" >Iraq</option> <option value="Ireland" >Ireland</option> <option value="Israel" >Israel</option> <option value="Italy" >Italy</option> <option value="Jamaica" >Jamaica</option> <option value="Japan" >Japan</option> <option value="Jordan" >Jordan</option> <option value="Kazakhstan" >Kazakhstan</option> <option value="Kenya" >Kenya</option> <option value="Kiribati" >Kiribati</option> <option value="Korea (North)" >Korea (North)</option> <option value="Korea (South)" >Korea (South)</option> <option value="Kuwait" >Kuwait</option> <option value="Kyrgyzstan" >Kyrgyzstan</option> <option value="Laos" >Laos</option> <option value="Latvia" >Latvia</option> <option value="Lebanon" >Lebanon</option> <option value="Lesotho" >Lesotho</option> <option value="Liberia" >Liberia</option> <option value="Libya" >Libya</option> <option value="Liechtenstein" >Liechtenstein</option> <option value="Lithuania" >Lithuania</option> <option value="Luxembourg" >Luxembourg</option> <option value="Macau" >Macau</option> <option value="Macedonia" >Macedonia</option> <option value="Madagascar" >Madagascar</option> <option value="Malawi" >Malawi</option> <option value="Malaysia" >Malaysia</option> <option value="Maldives" >Maldives</option> <option value="Mali" >Mali</option> <option value="Malta<" >Malta</option> <option value="Marshall Islands" >Marshall Islands</option> <option value="Martinique" >Martinique</option> <option value="Mauritania" >Mauritania</option> <option value="Mauritius" >Mauritius</option> <option value="Mayotte" >Mayotte</option> <option value="Mexico" >Mexico</option> <option value="Micronesia" >Micronesia</option> <option value="Moldova" >Moldova</option> <option value="Monaco" >Monaco</option> <option value="Mongolia" >Mongolia</option> <option value="Montserrat" >Montserrat</option> <option value="Morocco" >Morocco</option> <option value="Mozambique" >Mozambique</option> <option value="Myanmar" >Myanmar</option> <option value="Namibia" >Namibia</option> <option value="Nauru" >Nauru</option> <option value="Nepal" >Nepal</option> <option value="Netherlands" >Netherlands</option> <option value="Netherlands Antilles" >Netherlands Antilles</option> <option value="New Caledonia" >New Caledonia</option> <option value="New Zealand" >New Zealand</option> <option value="Nicaragua" >Nicaragua</option> <option value="Niger" >Niger</option> <option value="Nigeria" >Nigeria</option> <option value="Niue" >Niue</option> <option value="Norfolk Island" >Norfolk Island</option> <option value="Northern Mariana Islands" >Northern Mariana Islands</option> <option value="Norway" >Norway</option> <option value="Oman" >Oman</option> <option value="Pakistan" >Pakistan</option> <option value="Palau" >Palau</option> <option value="Panama" >Panama</option> <option value="Papua New Guinea" >Papua New Guinea</option> <option value="Paraguay" >Paraguay</option> <option value="Peru" >Peru</option> <option value="Philippines" >Philippines</option> <option value="Pitcairn" >Pitcairn</option> <option value="Poland" >Poland</option> <option value="Portugal" >Portugal</option> <option value="Qatar" >Qatar</option> <option value="Reunion" >Reunion</option> <option value="Romania" >Romania</option> <option value="Russian Federation" >Russian Federation</option> <option value="Rwanda" >Rwanda</option> <option value="S. Georgia and S. Sandwich Isls." >S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option> <option value="Saint Lucia" >Saint Lucia</option> <option value="Saint Vincent and The Grenadines" >Saint Vincent and The Grenadines</option> <option value="Samoa" >Samoa</option> <option value="San Marino" >San Marino</option> <option value="Sao Tome and Principe" >Sao Tome and Principe</option> <option value="Saudi Arabia" >Saudi Arabia</option> <option value="Senegal" >Senegal</option> <option value="Seychelles" >Seychelles</option> <option value="Sierra Leone" >Sierra Leone</option> <option value="Singapore" >Singapore</option> <option value="Slovak Republic" >Slovak Republic</option> <option value="Slovenia" >Slovenia</option> <option value="Solomon Islands" >Solomon Islands</option> <option value="Somalia" >Somalia</option> <option value="South Africa" >South Africa</option> <option value="Spain" >Spain</option> <option value="Sri Lanka" >Sri Lanka</option> <option value="St. Helena" >St. Helena</option> <option value="St. Pierre and Miquelon" >St. Pierre and Miquelon</option> <option value="Sudan" >Sudan</option> <option value="Suriname" >Suriname</option> <option value="Svalbard and Jan Mayen Islands" >Svalbard and Jan Mayen Islands</option> <option value="Swaziland" >Swaziland</option> <option value="Sweden" >Sweden</option> <option value="Switzerland" >Switzerland</option> <option value="Syria" >Syria</option> <option value="Taiwan" >Taiwan</option> <option value="Tajikistan" >Tajikistan</option> <option value="Tanzania" >Tanzania</option> <option value="Thailand" >Thailand</option> <option value="Togo" >Togo</option> <option value="Tokelau" >Tokelau</option> <option value="Tonga" >Tonga</option> <option value="Trinidad and Tobago" >Trinidad and Tobago</option> <option value="Tunisia" >Tunisia</option> <option value="Turkey" >Turkey</option> <option value="Turkmenistan" >Turkmenistan</option> <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option> <option value="Tuvalu" >Tuvalu</option> <option value="US Minor Outlying Islands" >US Minor Outlying Islands</option> <option value="Uganda" >Uganda</option> <option value="Ukraine" >Ukraine</option> <option value="United Arab Emirates" >United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay" >Uruguay</option> <option value="Uzbekistan" >Uzbekistan</option> <option value="Vanuatu" >Vanuatu</option> <option value="Vatican City State (Holy See)" >Vatican City State (Holy See)</option> <option value="Venezuela" >Venezuela</option> <option value="Viet Nam" >Viet Nam</option> <option value="Virgin Islands (British)" >Virgin Islands (British)</option> <option value="Wallis and Futuna Islands" >Wallis and Futuna Islands</option> <option value="Western Sahara" >Western Sahara</option> <option value="Yemen" >Yemen</option> <option value="Yugoslavia" >Yugoslavia</option> <option value="Zaire" >Zaire</option> <option value="Zambia" >Zambia</option> <option value="Zimbabwe" >Zimbabwe</option> </select> <p class="help-block text-danger"></p> </div> </div> </div> <div class="row"> <div class="col-md-12"> <div class="form-group"> <span id="error"></span> <textarea class="form-control" placeholder="Address" name="address" id="address"></textarea> <p class="help-block text-danger"></p> </div> </div> </div> </div>  <div class="col-md-4" style="padding:28px;background-color:#fff;border-left: 10px solid #ccc;"> <strong>Only Registration Includes</strong> <ul> <li><i class="icofont-checked"></i>Reception banquet</li> <li>Conference E-Material</li> <li>Lunch & Coffee breaks during the conference</li> <li>Wi-Fi during the conference</li> </ul> <div> <strong>Accommodation Includes</strong> <ul> <li>Accomodation during the conference</li> <li>Breakfast during the conference</li> <li>Wi-Fi during the accommodation days</li> </ul> </div> </div> </div> </div> </div> <div class="clearfix"></div> <div class="" style="width:100%;margin-left: 0px;"> <table class="table table-bordered" style="border: 5px solid #ccc;"> <thead> <tr style="background-color: #005dc9; color: #fff;"> <th style="width:250px" > </th> <th style="width:250px" colspan="0"> 1<sup>st</sup> Round Registration<br>September 25, 2024 </th> <th style="width:250px" colspan="0"> 2<sup>nd</sup> Round Registration<br>November 25, 2024 </th> <th style="width:250px" colspan="0"> On Spot Registration on<br>December 12, 2024 </th> </thead>      <tbody> <tr style="background-color: #fff; color:#000;"> <td> <input type="checkbox" name="speaker" id="speaker" onClick="return speaker_reg()"/> Speaker Registration </td> <td> <input type="radio" name="r1" value="749" disabled="disabled" onClick="return update_price()" /> $749 </td>  <td> <input type="radio" name="r1" value="849" onClick="return update_price()"/> $849 </td>  <td colspan="0"> <input type="radio" name="r1" value="949" onClick="return update_price()"/> $949 </td>  </tr> <tr style="background-color: #fff; color:#000;"> <td> <input type="checkbox" name="delegate" id="delegate" onClick="return delegate_reg()"/> Delegate/Listener Registration </td> <td> <input type="radio" name="r3" value="899" disabled="disabled" onClick="return update_price()"/> $899 </td>  <td> <input type="radio" name="r3" value="999" onClick="return update_price()"/> $999 </td>  <td colspan="0"> <input type="radio" name="r3" value="1099" onClick="return update_price()"/> $1099 </td>  </tr> <tr style="background-color: #fff; color:#000;"> <td> <input type="checkbox" name="poster" id="poster" onClick="return poster_reg()"/> Poster Registration </td> <td> <input type="radio" name="r2" value="449" disabled="disabled" onClick="return update_price()"/> $449 </td>  <td> <input type="radio" name="r2" value="549" onClick="return update_price()"/> $549 </td>  <td colspan="0"> <input type="radio" name="r2" value="649" onClick="return update_price()"/> $649 </td>  </tr> <tr style="background-color: #fff; color:#000;"> <td> <input type="checkbox" name="student" id="student" onClick="return student_reg()"/> Student Delegate </td> <td> <input type="radio" name="r4" value="299" disabled="disabled" onClick="return update_price()"/> $299 </td>  <td> <input type="radio" name="r4" value="399" onClick="return update_price()"/> $399 </td>  <td colspan="0"> <input type="radio" name="r4" value="499" onClick="return update_price()"/> $499 </td>  </tr> <tr style="background-color: #fff; color:#000;"> <td> <input type="checkbox" name="accompnyingperson" onClick="return accompnyingperson_reg()"/> Accompanying Person </td> <td> $249 </td>  <td> $249 </td>  <td colspan="0"> $249 </td>  </tr> <tr style="background-color: #005dc9; color:#fff;"> <th colspan="0"><strong>Accommodation</strong></th> <th colspan="0"><strong>Single Occupancy</strong></th> <th colspan="0"><strong>Double Occupancy</strong></th> <th colspan="0"><strong>Triple Occupancy</strong></th> </tr> <tr style="background-color: #fff; color:#000;"> <td>For 2 Nights </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="360" onClick="return update_price1()"/> $360 </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="400" onClick="return update_price1()"/> $400 </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="440" onClick="return update_price1()"/> $440 </td> </tr> <tr style="background-color: #fff; color:#000;"> <td>For 3 Nights </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="540" onClick="return update_price1()"/> $540 </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="600" onClick="return update_price1()"/> $600 </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="660" onClick="return update_price1()"/> $660 </tr> <tr style="background-color: #fff; color:#000;"> <td>For 4 Nights </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="720" onClick="return update_price1()"/> $720 </td> <td colspan="0"> <input type="radio" name="r5" id="r5" value="800" onClick="return update_price1()"/> $800 </td> <td colspan=""> <input type="radio" name="r5" id="r5" value="880" onClick="return update_price1()"/> $880 </td> </tr> </tbody> </table> <table class="table table-bordered" style="border: 5px solid #ccc;"> <tr width="10" style="background-color: #005dc9; color:#fff;"> <th></th> <th style="width:254px;" colspan="0">Platinum Sponsor</th> <th style="width:200px;" colspan="0">Gold Sponsor</th> <th style="width:200px;" colspan="0">Silver Sponsor</th> <th style="width:200px;" colspan="0">Exhibitor</th> </tr> <tr width="20"" style="background-color: #fff; color:#000;"> <td><strong>Sponsorship Registration</strong></td> <td> <input type="radio" name="r6" id="r6" value="7500" onClick="return update_sponsor()"/> $7,500 </td> <td> <input type="radio" name="r6" id="r6" value="6000" onClick="return update_sponsor()"/> $6,000 </td> <td> <input type="radio" name="r6" id="r6" value="5000" onClick="return update_sponsor()"/> $5,000 </td> <td> <input type="radio" name="r6" id="r6" value="3799" onClick="return update_sponsor()"/> $3,799 </td> </tr> </tbody> </table>  <div class="col-md-6" style="text-align:right;"><h5>Price in $: </h5></div> <div class="col-md-6" style="width:189px;"> <div class="form-group"> <input class="form-control" name="price" type="text" id="price" size="20" autocomplete="off" readonly style="color:#000; 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