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index.html
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<!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=1.0">
<title>Annual Technology Conference Registration</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<div class="form-container">
<h1>Annual Technology Conference Registration</h1>
<form action="process.php" method="POST" enctype="multipart/form-data" id="registrationForm">
<!-- Personal Information Section -->
<h2>Personal Information</h2>
<input type="text" name="fullName" placeholder="Full Name" required>
<input type="email" name="email" placeholder="Email Address" required>
<input type="tel" name="phone" placeholder="Phone Number" required>
<select name="gender">
<option value="" disabled selected>Gender (optional)</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Other">Other</option>
</select>
<input type="text" name="affiliation" placeholder="University/Company Affiliation" required>
<!-- Workshop Selection Section -->
<h2>Workshop Selection (Choose up to 2)</h2>
<select name="workshops[]" multiple required>
<option value="AI & Machine Learning">AI & Machine Learning</option>
<option value="Cloud Computing">Cloud Computing</option>
<option value="Cybersecurity">Cybersecurity</option>
<option value="Data Science">Data Science</option>
<option value="Web Development">Web Development</option>
</select>
<!-- Meal Preferences Section -->
<h2>Meal Preferences</h2>
<label><input type="radio" name="meal" value="Vegetarian" required> Vegetarian</label>
<label><input type="radio" name="meal" value="Vegan"> Vegan</label>
<label><input type="radio" name="meal" value="Gluten-Free"> Gluten-Free</label>
<label><input type="radio" name="meal" value="Standard"> Standard</label>
<!-- Payment Section -->
<h2>Payment Details</h2>
<select name="paymentMethod" required>
<option value="" disabled selected>Payment Method</option>
<option value="Credit Card">Credit Card</option>
<option value="Bank Transfer">Bank Transfer</option>
<option value="Mpesa">Mpesa</option>
<option value="PayPal">PayPal</option>
</select>
<!-- File Upload -->
<h2>Upload Special Documentation (Optional)</h2>
<input type="file" name="document" accept=".pdf,.jpg,.png">
<!-- Terms and Conditions -->
<label>
<input type="checkbox" name="terms" required>
I agree to the <a href="#">Terms and Conditions</a>
</label>
<!-- CAPTCHA Placeholder -->
<div class="captcha">
<!-- Implement CAPTCHA service here -->
<p>CAPTCHA will be implemented here.</p>
</div>
<!-- Submit Button -->
<button type="submit">Register Now</button>
</form>
</div>
<script src="script.js"></script>
</body>
</html>