www.scitechseries.com Open in urlscan Pro
13.234.38.25  Public Scan

Submitted URL: http://mail1.conference-abstract.com/index.php/88075569917247414951189120422
Effective URL: https://www.scitechseries.com/orthodontics-dental-medicine/registration?utm_source=Scitech1&utm_medium=Scitech1&utm_campaign=S...
Submission: On August 30 via api from US — Scanned from NL

Form analysis 1 forms found in the DOM

POST

<form role="form" action="" method="post" accept-charset="utf-8" enctype="multipart/form-data">
  <!-- online registration form wrapper-->
  <div class="online-reg-form-wrapper">
    <div class="container">
      <div class="row">
      </div>
      <div class="row">
      </div>
      <div class="row">
      </div>
      <div class="online-reg-form rounded-8 bg-white p-lg-5 py-5 px-4">
        <div class="row row-cols-1 row-cols-sm-1 row-cols-sm-2 row-cols-lg-2 row-cols-xl-2">
          <div class="mb-3 col">
            <label for="title" class="form-label">Title: <span class="text-danger">*</span></label>
            <select class="form-select mb-3" name="title" id="title">
              <option value="" selected="">Select</option>
              <option value="Dr">Dr.</option>
              <option value="Mr">Mr.</option>
              <option value="Miss">Miss.</option>
              <option value="Mrs">Mrs.</option>
            </select>
            <span class="text-danger">
            </span>
          </div>
          <div class="mb-3 col">
            <label for="name" class="form-label">Name: <span class="text-danger">*</span></label>
            <input type="text" class="form-control form-control-lg" name="name" id="name" value="" placeholder="Enter Name">
            <span class="text-danger">
            </span>
          </div>
          <div class="mb-3 col">
            <label for="email" class="form-label">Email: <span class="text-danger">*</span></label>
            <input type="text" class="form-control form-control-lg" name="email" id="email" value="" placeholder="Enter Email">
            <span class="text-danger">
            </span>
          </div>
          <div class="mb-3 col">
            <label for="alteremail" class="form-label">Alternative Email</label>
            <input type="email" class="form-control form-control-lg" name="alteremail" id="alteremail" value="" placeholder="Enter Alternative Email">
          </div>
          <div class="mb-3 col">
            <label for="phone" class="form-label">Phone: <span class="text-danger">*</span></label>
            <input type="text" class="form-control form-control-lg" name="phone" id="phone" value="" placeholder="Enter Phone">
            <span class="text-danger">
            </span>
          </div>
          <div class="mb-3 col">
            <label for="whatsupnumber" class="form-label">WhatsAppp Number</label>
            <input type="text" class="form-control form-control-lg" name="whatsupnumber" id="whatsupnumber" value="" placeholder="Enter WhatsApp No">
          </div>
          <div class="mb-3 col">
            <label for="institution" class="form-label">Institution: <span class="text-danger">*</span></label>
            <input type="text" class="form-control form-control-lg" name="institution" id="institution" value="" placeholder="Enter Institution">
            <span class="text-danger">
            </span>
          </div>
          <div class="mb-3 col">
            <label for="country" class="form-label">Select Country: <span class="text-danger">*</span></label>
            <select class="form-control" name="country" id="country">
              <option value="" selected="">Select</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 The">Bahamas The</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">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 (Keeling) Islands">Cocos (Keeling) Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Republic Of The Congo">Republic Of The Congo</option>
              <option value="Democratic Republic Of The Congo">Democratic Republic Of The 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="External Territories of Australia">External Territories of Australia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji Islands">Fiji Islands</option>
              <option value="Finland">Finland</option>
              <option value="France">France</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 The">Gambia The</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="Guernsey and Alderney">Guernsey and Alderney</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="Jersey">Jersey</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 S.A.R.">Macau S.A.R.</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="Man (Isle of)">Man (Isle of)</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 Antilles">Netherlands Antilles</option>
              <option value="Netherlands The">Netherlands The</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="Palestinian Territory Occupied">Palestinian Territory Occupied</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 Island">Pitcairn Island</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="Reunion">Reunion</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</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 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>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Smaller Territories of the UK">Smaller Territories of the UK</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia">South Georgia</option>
              <option value="South Sudan">South Sudan</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</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="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="UAE">UAE</option>
              <option value="UK">UK</option>
              <option value="USA">USA</option>
              <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</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="Vietnam">Vietnam</option>
              <option value="Virgin Islands (British)">Virgin Islands (British)</option>
              <option value="Virgin Islands (US)">Virgin Islands (US)</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="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
              <option value="Europe">Europe</option>
            </select>
            <span class="text-danger">
            </span>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!-- online registration form wrapper-->
  <!--===============spacing==============-->
  <div class="pd_top_20"></div>
  <!--===============spacing==============-->
  <!-- Currency-->
  <div class="choose-your-currency">
    <div class="container">
      <div class="bg-white py-4 rounded-8">
        <div class="row">
          <div class="col-12 text-center">
            <h2>Choose Your Currency</h2>
          </div>
          <div class="col-12 text-center">
            <div class="method d-flex align-items-center justify-content-center">
              <div class="me-3">
                <label for="usd" class="d-flex align-items-center"><input type="radio" class="me-1 form-check-input" id="usd" name="currency" value="USD" checked="">USD ($)</label>
              </div>
              <div class="me-3">
                <label for="eur" class="d-flex align-items-center"><input type="radio" class="me-1 form-check-input" id="eur" name="currency" value="EUR">EUR (€)</label>
              </div>
              <div>
                <label for="gbp" class="d-flex align-items-center"><input type="radio" class="me-1 form-check-input" id="gbp" name="currency" value="GBP">GBP (£)</label>
              </div>
              <input type="hidden" name="currency" id="currency" value="USD">
              <input type="hidden" name="symbol" id="symbol" value="&amp;#36;">
              <input type="hidden" name="product_type" id="product_type" value="Speaker / Poster (Physical)">
              <input type="hidden" name="product_price" id="product_price" value="549">
              <input type="hidden" name="particip" id="particip" value="1">
              <input type="hidden" name="occupancytype" id="occupancytype">
              <input type="hidden" name="occupancypernight" id="occupancypernight" value="">
              <input type="hidden" name="in_date" id="in_date" value="">
              <input type="hidden" name="out_date" id="out_date" value="">
              <input type="hidden" name="nonight" id="nonight" value="">
              <input type="hidden" name="totaloccom" id="totaloccom" value="0">
              <input type="hidden" name="no_of_accompersons" id="no_of_accompersons" value="0">
              <input type="hidden" name="accomamount" id="accomamount" value="0">
              <input type="hidden" name="total_product_price" id="total_product_price" value="549">
              <input type="hidden" name="total" id="total" value="549">
              <input type="hidden" name="reg_discount" id="reg_discount" value="">
              <input type="hidden" name="accom_discount" id="accom_discount">
              <input type="hidden" name="custom_discount" id="custom_discount">
              <input type="hidden" name="reg_disval" id="reg_disval" value="">
              <input type="hidden" name="accom_disval" id="accom_disval">
              <input type="hidden" name="discount_id" id="discount_id">
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!-- Currency-->
  <!--===============spacing==============-->
  <div class="pd_bottom_20"></div>
  <!--===============spacing==============-->
  <!--=== Types of registration===-->
  <div class="type-of-registration-wrapper mt-4">
    <div class="container">
      <div class="types-of-registration  rounded-8 bg-white">
        <div class="row row-cols-12 row-cols-lg-4 text-white rounded-top py-3 bg-blue align-items-center m-0">
          <div class="type-of-participants position-relative d-none d-lg-block">
            <h6 class="mb-0 text-white">Type of participation</h6>
            <div class="opacity"></div>
          </div>
          <input type="hidden" name="participation_type" value="Early Bird Registration">
          <div class="text-center ">
            <h6 class="mb-0">Early Bird Registration</h6>
            <span class="text-center">August 30, 2024</span>
          </div>
          <div class="text-center d-none d-lg-block">
            <h6 class="mb-0">Mid Term Registration</h6>
            <span class="text-center">September 16, 2024</span>
          </div>
          <div class="text-center d-none d-lg-block">
            <h6 class="mb-0">Late Registration</h6>
            <span class="text-center">September 02, 2025</span>
          </div>
        </div>
        <div id="pricedisplay">
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Speaker / Poster (Physical)" data-price="sub_549" id="sub_0_1" checked=""><label class="form-check-label" for="sub_0_1">Speaker / Poster
                  (Physical)</label></div>
            </div>
            <div id="0_1" class="yescolor early-bird-reg text-center active regtype_active"><span>$549</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$649</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$749</span></div>
          </div>
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Speaker / Poster (Virtual)" data-price="sub_249" id="sub_1_1"><label class="form-check-label" for="sub_1_1">Speaker / Poster (Virtual)</label>
              </div>
            </div>
            <div id="1_1" class="yescolor early-bird-reg text-center active"><span>$249</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$349</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$449</span></div>
          </div>
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Listener (Physical)" data-price="sub_649" id="sub_2_1"><label class="form-check-label" for="sub_2_1">Listener (Physical)</label></div>
            </div>
            <div id="2_1" class="yescolor early-bird-reg text-center active"><span>$649</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$749</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$849</span></div>
          </div>
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Listener (Virtual)" data-price="sub_349" id="sub_3_1"><label class="form-check-label" for="sub_3_1">Listener (Virtual)</label></div>
            </div>
            <div id="3_1" class="yescolor early-bird-reg text-center active"><span>$349</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$449</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$549</span></div>
          </div>
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Exhibitor (Physical)" data-price="sub_2549" id="sub_4_1"><label class="form-check-label" for="sub_4_1">Exhibitor (Physical)</label></div>
            </div>
            <div id="4_1" class="yescolor early-bird-reg text-center active"><span>$2549</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$2649</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$2749</span></div>
          </div>
          <div class="row row-cols-4 border-bottom py-3 align-items-center participation-list m-0">
            <div class="radio-item d-flex align-items-center">
              <div class="form-check"><input class="form-check-input" type="radio" name="member" value="Exhibitor (Virtual)" data-price="sub_1449" id="sub_5_1"><label class="form-check-label" for="sub_5_1">Exhibitor (Virtual)</label></div>
            </div>
            <div id="5_1" class="yescolor early-bird-reg text-center active"><span>$1449</span></div>
            <div class="mid-term-reg text-center d-none d-lg-block"><span>$1549</span></div>
            <div class="on-spot-reg text-center d-none d-lg-block"><span>$1649</span></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!--=== Types of registration===-->
  <!--=== Types of accomidation===-->
  <div class="type-of-accomidation-wrapper mt-4">
    <div class="container">
      <div class="types-of-accomidation bg-white rounded-8">
        <div class="row row-cols-12 text-white rounded-top py-3 bg-blue m-0">
          <h6 class="mb-0 text-white">Accommodation (Per Night)</h6>
        </div>
        <div id="occudisplay" class="d-flex justify-content-evenly bg-dark-25 text-white py-3">
          <div class="radio-item">
            <div class="form-check"><input type="checkbox" value="Single" class="occupancy" name="occupancy" id="acc_220"><label class="form-check-label text-white" for="acc_220">Single - $220</label></div>
          </div>
          <div class="radio-item">
            <div class="form-check"><input type="checkbox" value="Double" class="occupancy" name="occupancy" id="acc_240"><label class="form-check-label text-white" for="acc_240">Double - $240</label></div>
          </div>
          <div class="radio-item">
            <div class="form-check"><input type="checkbox" value="Triple" class="occupancy" name="occupancy" id="acc_260"><label class="form-check-label text-white" for="acc_260">Triple - $260</label></div>
          </div>
        </div>
        <div class="row px-4 py-3 justify-content-center" id="ifYes" style="display:none">
          <div class="col-md-4">
            <label for="checkin_date" class="form-label">Check In ( <span class="text-danger"> Select check in and check out dates </span> )</label>
            <select class="form-select mb-1 checkin_date" name="checkin_date" id="checkin_date">
              <option value="" disabled="" selected="">Select check in</option>
              <option value="31-08-2025">31-08-2025</option>
              <option value="01-09-2025">01-09-2025</option>
              <option value="02-09-2025">02-09-2025</option>
            </select>
          </div>
          <div class="col-md-4">
            <label for="checkout_date" class="form-label">Check Out</label>
            <select class="form-select mb-1 checkin_date" name="checkout_date" id="checkout_date">
              <option value="">Select check out</option>
              <option value="03-09-2025" disabled="">03-09-2025</option>
              <option value="04-09-2025" disabled="">04-09-2025</option>
              <option value="05-09-2025" disabled="">05-09-2025</option>
            </select>
          </div>
          <div class="col-md-4">
            <label for="nights" class="form-label">Number of Nights</label>
            <input type="text" class="form-control form-control-lg" value="0" readonly="" name="nights" id="nights">
          </div>
        </div>
        <div class="d-block d-lg-flex px-4 py-4">
          <div class="col-12 col-md-6">
            <label for="participants" class="form-label">No. of Participants <span id="noparticipants">($549 each under Speaker / Poster (Physical))</span> : </label>
            <select class="form-select mb-1" name="participants" id="participants">
              <option value="1">1</option>
              <option value="2">2</option>
              <option value="3">3</option>
              <option value="4">4</option>
              <option value="5">5</option>
              <option value="6">6</option>
              <option value="7">7</option>
              <option value="8">8</option>
              <option value="9">9</option>
              <option value="10">10</option>
            </select>
          </div>
          <div class="col-12 col-md-6">
            <label for="accompanying" class="form-label">No of Accompanying Persons ( $200 each )</label>
            <select class="form-select mb-1" name="accompanying" id="accompanying">
              <option value="0" selected="">0</option>
              <option value="1">1</option>
              <option value="2">2</option>
              <option value="3">3</option>
              <option value="4">4</option>
              <option value="5">5</option>
              <option value="6">6</option>
              <option value="7">7</option>
              <option value="8">8</option>
              <option value="9">9</option>
              <option value="10">10</option>
            </select>
          </div>
        </div>
        <div class="registration-summary px-4">
          <div class="registration-summary-heading p-3">
            <h3 class="text-blue">Registration Summary</h3>
          </div>
          <!-- Custom code   -->
          <div style="display: none;" id="custom-show">
            <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3 active">
              <div class="registration-summary-left">
                <h6 class="mb-0">Custom code has been applied</h6>
              </div>
            </div>
          </div>
          <!--    -->
          <div id="custom-hide"> <!-- This div is for custom value for hide -->
            <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
              <div class="registration-summary-left">
                <h6 class="mb-0">Registration Price: </h6>
              </div>
              <div class="registration-summary-right">
                <p class="mb-0 text-end product_price">$549</p>
              </div>
            </div>
            <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
              <div class="registration-summary-left">
                <h6 class="mb-0">Participants: </h6>
              </div>
              <div class="registration-summary-right">
                <p class="mb-0 text-end result_participants">1</p>
              </div>
            </div>
            <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3 active">
              <div class="registration-summary-left">
                <h6 class="mb-0">Total Registration Price: </h6>
              </div>
              <div class="registration-summary-right">
                <p class="mb-0 text-end total_product_price fw-bold">$549</p>
              </div>
            </div>
            <div id="occcom" style="display: none;">
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Accommodation Price Per Night: </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end occupancypernight">$undefined</p>
                </div>
              </div>
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Total No. Nights: </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end nonight"></p>
                </div>
              </div>
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Check-in Date: </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end in_date"></p>
                </div>
              </div>
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Check-out Date: </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end out_date"></p>
                </div>
              </div>
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3 active">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Total Accommodation Price: </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end totaloccom">$0</p>
                </div>
              </div>
            </div>
            <div id="accom" style="display: none;">
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3">
                <div class="registration-summary-left">
                  <h6 class="mb-0">No of Accompanying Persons ( <span class="symbol">$</span> 200 for each person ): </h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end no_of_accompersons">0</p>
                </div>
              </div>
              <div class="registration-summary-list d-flex align-items-center justify-content-between border-bottom align-items-center p-3 active">
                <div class="registration-summary-left">
                  <h6 class="mb-0">Total Accompanying Persons Price:</h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end accomamount">$0</p>
                </div>
              </div>
            </div>
            <!--  Discount  -->
            <div style="display: none;" id="ifregdiscount">
              <div class="registration-summary-list d-flex align-items-center justify-content-between  align-items-center p-3 bg-light">
                <div class="registration-summary-left">
                  <h6 class="mb-0 fw-bolder">Discount on Registration Price (<span class="percentage"></span>):</h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end regdiscount fw-bold"></p>
                </div>
              </div>
            </div>
            <div style="display: none;" id="ifaccomdiscount">
              <div class="registration-summary-list d-flex align-items-center justify-content-between  align-items-center p-3 bg-light">
                <div class="registration-summary-left">
                  <h6 class="mb-0 fw-bolder">Discount on Accomadation Price (<span class="percentage1"></span>):</h6>
                </div>
                <div class="registration-summary-right">
                  <p class="mb-0 text-end accomdiscount fw-bold"></p>
                </div>
              </div>
            </div>
            <!-- End discount -->
          </div>
          <div class="registration-summary-list d-flex align-items-center justify-content-between  align-items-center p-3 bg-light">
            <div class="registration-summary-left">
              <h6 class="mb-0 fw-bolder">Total Price: </h6>
            </div>
            <div class="registration-summary-right">
              <p class="mb-0 text-end total fw-bold">$549</p>
            </div>
          </div>
        </div>
        <div class="col-md-12">
          <div class="text-center">
            <div class="text-center mt-2">By clicking "Proceed to Pay", you agree to the privacy policy, terms &amp; conditions and cancellation policy. </div> <i class="fa fa-info-circle" aria-hidden="true"></i>&nbsp;
            <a href="https://climate.stripe.com/fQXnb7" class="blink" title="Scitechseries Publishing Limited, we contribute 0.5% of our revenue to carbon removal">Scitechseries Publishing Limited, we contribute 0.5% of our revenue to carbon removal</a>
            <div class="text-center mt-4">
              <button type="submit" class="btn btn-primary">Proceed Register</button>
            </div>
          </div>
        </div>
        <div class="registration-includes px-4 bg-white py-5">
          <div class="container">
            <div class="finance1">Note: For more information on registration queries, please contact: <a href="mailto:finance@scitechseries.com">finance@scitechseries.com</a></div>
            <div class="register-content">
              <p>
                <span class="fw-light mb-3 d-block fs-6">
                </span>
              </p>
              <h5 class="mb-4">Registration includes:</h5>
              <p></p>
              <p>
                <span class="fw-light mb-3 d-block fs-6">
                </span>
              </p>
              <h6>For In-person attendees</h6>
              <p></p>
              <ul>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">Entry to all conference sessions, poster presentations, and the exhibition area</span></p>
                </li>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">Conference kit comprising a name tag, program booklet, and abstract book</span></p>
                </li>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">Two coffee breaks and lunch are provided for each day of the conference</span></p>
                </li>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">Accreditation Certificate issued by the Organizing Committee</span></p>
                </li>
              </ul>
              <p>
                <span class="fw-light mb-3 d-block fs-6">
                </span>
              </p>
              <h6>For Virtual Attendees</h6>
              <p></p>
              <p>
              </p>
              <p> <span class="fw-light mb-3 d-block fs-6">This category enables participants to present virtually at the conference from the convenience of their home or workplace without the need for in-person attendance. It includes:</span>
              </p>
              <ul>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">Access to all presentations</span></p>
                </li>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">An E-abstract book and program</span></p>
                </li>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">An E-certificate for presentation and participation</span></p>
                </li>
              </ul>
              <p>
                <span class="fw-light mb-3 d-block fs-6">
                </span>
              </p>
              <h6>Terms and Conditions</h6>
              <p></p>
              <ul>
                <li>
                  <p> <span class="fw-light mb-3 d-block fs-6">By enrolling in the conference, you hereby express your acceptance of the terms and conditions stated herewith.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">The organization retains the authority to modify the program, date, and/or location at its discretion, without prior notification.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">The organization cannot be held accountable for any loss or damage incurred due to substitutions, adjustments, delays, or cancellations of an event caused by unforeseen factors beyond its
                      control. Such factors encompass, but are not limited to, force majeure, natural disasters, acts of sabotage, accidents, labor disputes, acts of terrorism, strikes, or hostilities.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">The organization reserves the right and possesses the exclusive discretion to cancel any conference at any time under circumstances that are unavoidable and unanticipated. The organizer
                      will not assume any additional liability towards the participant.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">Registrations will remain valid for rescheduled events or future editions if the conference must be postponed due to circumstances beyond the organizer's control. Refund policies do not
                      apply under these conditions.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">In the instance of cancellation, the organization will make reasonable and appropriate alternative arrangements, which may include posting the cancellation notice on the relevant event
                      website to inform those who have secured bookings or purchased tickets for the event.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">Attendees are responsible for reviewing this information before the event. We strongly recommend regularly checking the conference website for updates.</span></p>
                </li>
                <li>
                  <p><span class="fw-light mb-3 d-block fs-6">The organizers shall not be held responsible for personal injuries or for the loss or damage to personal belongings of attendees, either during the conference.</span></p>
                </li>
              </ul>
              <p>
                <span>
                  <span class="fw-light mb-3 d-block fs-6">
                  </span></span>
              </p>
              <h6>Important COVID-19 Update for Participants</h6>
              <p></p>
              <p>
                <span class="fw-light mb-3 d-block fs-6">In case of any natural calamities, those who are unable to attend in person due to travel restrictions or health concerns, enable your virtual participation. Details on accessing the virtual
                  platform will be provided 2 months prior to the conference. And on your request the registration will transfer to future editions.</span>
              </p>
              <p>
                <span class="fw-light mb-3 d-block fs-6">We will provide regular updates on the conference website regarding any changes to the event format, health and safety measures, and other relevant information. Please check the website
                  periodically for the latest updates.</span>
              </p>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!--=== Types of accomidation===-->
</form>

Text Content

2ND INTERNATIONAL CONFERENCE ON


ORTHODONTICS AND DENTAL MEDICINE

SEPTEMBER 02-03, 2025 | PHILADELPHIA, USA

Philadelphia, USA
Email: orthodontics@scitechconference.com
Phone: +44 2045874848
WhatsApp: +44 2045250803
 * Home
 * Speakers
   * Dental 2025
   * Dental 2024
 * Program
   * Scientific Sessions
 * Information
   * Venue
   * Accommodation
   * Guidelines
   * FAQ
   * Important Dates
   * Conference Brochure
 * About
   * Past Events
   * About Organizer
 * Contact
 * Submit Abstract
 * Register


DENTAL 2025

 * Home
 * Online registration

For more information on registration queries, please contact:
finance@scitechseries.com
Title: * Select Dr. Mr. Miss. Mrs.
Name: *
Email: *
Alternative Email
Phone: *
WhatsAppp Number
Institution: *
Select Country: * Select Afghanistan Albania Algeria American Samoa Andorra
Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia
Austria Azerbaijan Bahamas The Bahrain Bangladesh Barbados Belarus Belgium
Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet
Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso
Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African
Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia
Comoros Republic Of The Congo Democratic Republic Of The Congo Cook Islands
Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech
Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt
El Salvador Equatorial Guinea Eritrea Estonia Ethiopia External Territories of
Australia Falkland Islands Faroe Islands Fiji Islands Finland France French
Guiana French Polynesia French Southern Territories Gabon Gambia The Georgia
Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala
Guernsey and Alderney Guinea Guinea-Bissau Guyana Haiti Heard and McDonald
Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland
Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea North
Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
Liechtenstein Lithuania Luxembourg Macau S.A.R. Macedonia Madagascar Malawi
Malaysia Maldives Mali Malta Man (Isle of) Marshall Islands Martinique
Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia
Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles
Netherlands The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk
Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory
Occupied Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Island
Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena
Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And
The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal
Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Smaller Territories
of the UK Solomon Islands Somalia South Africa South Georgia South Sudan Spain
Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden
Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga
Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu
Uganda Ukraine UAE UK USA United States Minor Outlying Islands Uruguay
Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin
Islands (British) Virgin Islands (US) Wallis And Futuna Islands Western Sahara
Yemen Yugoslavia Zambia Zimbabwe Europe



CHOOSE YOUR CURRENCY

USD ($)
EUR (€)
GBP (£)


TYPE OF PARTICIPATION



EARLY BIRD REGISTRATION

August 30, 2024

MID TERM REGISTRATION

September 16, 2024

LATE REGISTRATION

September 02, 2025
Speaker / Poster (Physical)
$549
$649
$749
Speaker / Poster (Virtual)
$249
$349
$449
Listener (Physical)
$649
$749
$849
Listener (Virtual)
$349
$449
$549
Exhibitor (Physical)
$2549
$2649
$2749
Exhibitor (Virtual)
$1449
$1549
$1649

ACCOMMODATION (PER NIGHT)

Single - $220
Double - $240
Triple - $260
Check In ( Select check in and check out dates ) Select check in 31-08-2025
01-09-2025 02-09-2025
Check Out Select check out 03-09-2025 04-09-2025 05-09-2025
Number of Nights
No. of Participants ($549 each under Speaker / Poster (Physical)) : 1 2 3 4 5 6
7 8 9 10
No of Accompanying Persons ( $200 each ) 0 1 2 3 4 5 6 7 8 9 10


REGISTRATION SUMMARY

CUSTOM CODE HAS BEEN APPLIED

REGISTRATION PRICE:

$549

PARTICIPANTS:

1

TOTAL REGISTRATION PRICE:

$549

ACCOMMODATION PRICE PER NIGHT:

$undefined

TOTAL NO. NIGHTS:



CHECK-IN DATE:



CHECK-OUT DATE:



TOTAL ACCOMMODATION PRICE:

$0

NO OF ACCOMPANYING PERSONS ( $ 200 FOR EACH PERSON ):

0

TOTAL ACCOMPANYING PERSONS PRICE:

$0

DISCOUNT ON REGISTRATION PRICE ():



DISCOUNT ON ACCOMADATION PRICE ():



TOTAL PRICE:

$549

By clicking "Proceed to Pay", you agree to the privacy policy, terms &
conditions and cancellation policy.
  Scitechseries Publishing Limited, we contribute 0.5% of our revenue to carbon
removal
Proceed Register
Note: For more information on registration queries, please contact:
finance@scitechseries.com

REGISTRATION INCLUDES:





FOR IN-PERSON ATTENDEES



 * Entry to all conference sessions, poster presentations, and the exhibition
   area

 * Conference kit comprising a name tag, program booklet, and abstract book

 * Two coffee breaks and lunch are provided for each day of the conference

 * Accreditation Certificate issued by the Organizing Committee



FOR VIRTUAL ATTENDEES





This category enables participants to present virtually at the conference from
the convenience of their home or workplace without the need for in-person
attendance. It includes:

 * Access to all presentations

 * An E-abstract book and program

 * An E-certificate for presentation and participation



TERMS AND CONDITIONS



 * By enrolling in the conference, you hereby express your acceptance of the
   terms and conditions stated herewith.

 * The organization retains the authority to modify the program, date, and/or
   location at its discretion, without prior notification.

 * The organization cannot be held accountable for any loss or damage incurred
   due to substitutions, adjustments, delays, or cancellations of an event
   caused by unforeseen factors beyond its control. Such factors encompass, but
   are not limited to, force majeure, natural disasters, acts of sabotage,
   accidents, labor disputes, acts of terrorism, strikes, or hostilities.

 * The organization reserves the right and possesses the exclusive discretion to
   cancel any conference at any time under circumstances that are unavoidable
   and unanticipated. The organizer will not assume any additional liability
   towards the participant.

 * Registrations will remain valid for rescheduled events or future editions if
   the conference must be postponed due to circumstances beyond the organizer's
   control. Refund policies do not apply under these conditions.

 * In the instance of cancellation, the organization will make reasonable and
   appropriate alternative arrangements, which may include posting the
   cancellation notice on the relevant event website to inform those who have
   secured bookings or purchased tickets for the event.

 * Attendees are responsible for reviewing this information before the event. We
   strongly recommend regularly checking the conference website for updates.

 * The organizers shall not be held responsible for personal injuries or for the
   loss or damage to personal belongings of attendees, either during the
   conference.



IMPORTANT COVID-19 UPDATE FOR PARTICIPANTS



In case of any natural calamities, those who are unable to attend in person due
to travel restrictions or health concerns, enable your virtual participation.
Details on accessing the virtual platform will be provided 2 months prior to the
conference. And on your request the registration will transfer to future
editions.

We will provide regular updates on the conference website regarding any changes
to the event format, health and safety measures, and other relevant information.
Please check the website periodically for the latest updates.

Evolve a road map to explore solutions to your next-generation science and
technology challenges at a place where scientists, clinicians, scholars,
academicians, and policymakers shake hands to strategize visionary ideas and
life-saving formulas. Be part of the dynamic forum that knows no boundaries to
mastermind breakthroughs that the digital age is awaiting.

   
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QUICK LINKS

 * Scientific committee
 * Speakers
 * Contact
 * Submit abstract
 * Register
 * Program
 * Information


CONTACT US

Scitechseries Publishing Limited
71-75, Shelton, Covent Garden
London, WC2H 9JQ

Email: orthodontics@scitechconference.com
Phone: +44 2045874848
WhatsApp: +44 2045250803


© 2022 All Rights Reserved by Scitechseries
Terms and Conditions | Privacy Policy


 * Home
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 * Information
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 * About
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 * Submit Abstract
 * Register