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class="col-md-7 download-brochure_-main"> <div class="well well-sm download-brochure_"> <h2 class="heading pull-left"><i class="fa fa-download"></i> Download brochure_</h2> <div class="form-head clearfix"> <p class="pull-right">Marked fields are required</p> </div> <form name="form1" role="form" method="post" action="conference-brochure_.php" class="form-horizontal" id="brochure_-Download"> <input type="hidden" name="frmact" value="confbr" /> <div class="form-group"> <label for="selectTitle" class="col-md-3 control-label">Title</label> <div class="col-md-9"> <select class="form-control" id="title" name="title" required> <option value="">Select Title</option> <option value="Mr" >Mr</option> <option value="Ms" >Ms</option> <option value="Mrs" >Mrs</option> <option value="Prof" >Prof</option> <option value="Dr" >Dr</option> <option value="Assist Prof Dr" >Assist Prof Dr</option> </select> </div> </div> <div class="form-group"> <label for="inputFirstName" class="col-md-3 control-label">First Name</label> <div class="col-md-9"><input type="text" class="form-control" id="fname" name="fname" placeholder="Your First Name" value="" maxlength="15" required></div> </div> <div class="form-group"> <label for="inputLastName" class="col-md-3 control-label notrequired">Last Name</label> <div class="col-md-9"><input type="text" class="form-control" id="lname" name="lname" placeholder="Your Last Name" value="" maxlength="15" required> </div> </div> <div class="form-group"> <label for="inputCompany" class="col-md-3 control-label">Company/University</label> <div class="col-md-9"><input type="text" class="form-control" id="company" name="company" placeholder="Your Company/University" required value="" maxlength="100" required></div> </div> <div class="form-group"> <label for="selectCountry" class="col-md-3 control-label ">Country</label> <div class="col-md-9"> <select class="form-control js-example-tags" id="country" name="country" required> <option value="" >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 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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="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau">Palau</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-md-3 control-label">Email</label> <div class="col-md-9"> <input type="email" class="form-control" name="email" id="email" value="" placeholder="Your email" maxlength="30" required> </div> </div> <div class="form-group"> <label for="inputPhoneNumber" class="col-md-3 control-label">Mobile Number</label> <div class="col-md-9"><input type="tel" class="form-control" id="txtPhone" name="txtPhone" maxlength="10" value="" placeholder="Mobile Number" onkeyup="if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,'')" required></div> </div> <div class="form-group"> <label for="queries" class="col-md-3 control-label notrequired">Your Queries</label> <div class="col-md-9"> <textarea rows="3" class="form-control" id="comment" name="comment" maxlength="100" required style="resize: none;"></textarea> </div> </div> <div class="form-group"> <label for="address" class="col-md-3 control-label notrequired">Enter Antispam Code</label> <div class="col-md-9"> <div class="antispam"> <img src="captcha_code_file.php?rand=1473351321" id='captchaimg' style="display:inline-block;"> <input id="6_letters_code" name="6_letters_code" type="text" style="width:100px; display:inline-block;" class="form-control" required> <label><span style="color:#FF0000;"></span></label> <br>  <a href='javascript: refreshCaptcha();' class="btn btn-default" title="Refresh">Refresh</a> <div class="error"></div> </div> </div> </div> <input type="hidden" name="recaptcha_response" id="recaptchaResponse"> <p class="text-center"> <input type="hidden" name="token" id="token" value=""/> <button type="submit" name="submit" class="btn btn-info" >Download brochure_</button> </p> </form> </div> </div> <div class="col-md-5 download-brochure_-main"> <div class="well well-sm download-brochure_"> <h2 class="heading"><i class="fa fa-envelope-o"></i> Conference Contacts <i class="fa fa-phone"></i></h2> <div class="help-desk"> <img src="https://d2cax41o7ahm5l.cloudfront.net/cs/images/helpdesk.jpg" alt="Help Desk Image" title="Help Desk" style="width:450px !important;" /> <h2> Event Contact Desk</h2> <h4>Conference Series LLC Ltd</h4> <address> <p> 47 Churchfield Road, <br> W3 6AY, London. <br> </p> <div class="contact-num"> <ul class="list-unstyled">  <li>General : <a href="tel:+0044-2033180199">0044-2033180199</a></li>  <li>35 Ruddlesway, Windsor, Berkshire, SL4 5SF</li> </ul> </div> <p> <strong><i class="fa fa-envelope-o"></i> Email:</strong> <a href="mailto:" title="Click To Mail" style="text-decoration:none"></a> </p> </address> </div> </div> </div> </div> </section> </div>  <script type="text/javascript"> _atrk_opts = {atrk_acct: "AQs4j1a4ZP00a6", domain: "conferenceseries.net", dynamic: true}; 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