{"id":5243,"date":"2025-08-28T09:40:55","date_gmt":"2025-08-28T10:40:55","guid":{"rendered":"https:\/\/www.multiplesclerosis.cz\/?page_id=5243"},"modified":"2025-10-15T16:57:02","modified_gmt":"2025-10-15T14:57:02","slug":"registration-for-the-3-neuro-ophthalmology-forum","status":"publish","type":"page","link":"https:\/\/www.multiplesclerosis.cz\/en\/registrace-na-3-neuro-oftalmologicke-forum\/","title":{"rendered":"Registrace na 3. neuro-oftalmologick\u00e9 forum"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"5243\" class=\"elementor elementor-5243\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-78531c1c e-flex e-con-boxed e-con e-parent\" data-id=\"78531c1c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-023b174 e-flex e-con-boxed e-con e-child\" data-id=\"023b174\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e5d428c elementor-widget elementor-widget-text-editor\" data-id=\"1e5d428c\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-5274 forminator-design--default  forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-5274\" data-uid=\"69dde1c0aaf6f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-5274\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-5274 forminator-design--default  forminator_ajax draft-enabled\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"5274\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69dde1c0aaf6f\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><h2>Registration form<\/h2><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-1\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-1_69dde1c0aaf6f\" name=\"hidden-1\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-2\" class=\"forminator-field-hidden  forminator-col-12\"><input type=\"hidden\" id=\"hidden-2_69dde1c0aaf6f\" name=\"hidden-2\" value=\"\" \/><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-form-5274__field--select-1_69dde1c0aaf6f\" id=\"forminator-form-5274__field--select-1_69dde1c0aaf6f-label\" class=\"forminator-label\">Ticket type <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-5274__field--select-1_69dde1c0aaf6f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"V\u00fdb\u011br typu vstupenky\" data-search=\"false\" data-search-placeholder=\"V\u00fdb\u011br typu vstupenky\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-5274__field--select-1_69dde1c0aaf6f-label\"><option value=\"\"  >Choice of ticket type<\/option><option value=\"clen\"  data-calculation=\"2200\">Expert - Member of the \u010cLK\/SLK<\/option><option value=\"neclen\"  data-calculation=\"4500\">Expert - Non-member of the \u010cLK\/SLK<\/option><option value=\"neatest\"  data-calculation=\"1500\">Uncertified doctor<\/option><option value=\"partner\"  data-calculation=\"0\">Partner<\/option><option value=\"other\"  data-calculation=\"0\">Lecturers in training courses, members of the CSO Committee, invited guests<\/option><\/select><\/div><\/div><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"calculation-3-field_69dde1c0aaf6f\" id=\"calculation-3-field_69dde1c0aaf6f-label\" class=\"forminator-label\">Ticket price:<\/label><div class=\"forminator-input forminator-input-with-prefix\"><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69dde1c0aaf6f\" class=\"forminator-calculation\" data-formula=\"{select-1}\" data-required=\"\" data-decimal-point=\",\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039; &#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">CZK<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-9\" class=\"forminator-field-radio forminator-col forminator-col-12  remus-main remus-main-1001\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-9-69dde1c0aaf6f-label\" aria-describedby=\"forminator-radiogroup-radio-9-69dde1c0aaf6f-description\"><span id=\"forminator-radiogroup-radio-9-69dde1c0aaf6f-label\" class=\"forminator-label\">Specializations <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-9-69dde1c0aaf6f-description\" class=\"forminator-description\">Select your specialisation \/ interest<\/span><label id=\"forminator-field-radio-9-label-1\" for=\"forminator-field-radio-9-1-69dde1c0aaf6f\" class=\"forminator-radio forminator-radio-inline\" title=\"Neurology\"><input type=\"radio\" name=\"radio-9\" value=\"neuro\" id=\"forminator-field-radio-9-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-9-label-1\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69dde1c0aaf6f-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Neurology<\/span><\/label><label id=\"forminator-field-radio-9-label-2\" for=\"forminator-field-radio-9-2-69dde1c0aaf6f\" class=\"forminator-radio forminator-radio-inline\" title=\"Ophthalmology\"><input type=\"radio\" name=\"radio-9\" value=\"oft\" id=\"forminator-field-radio-9-2-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-9-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-9-69dde1c0aaf6f-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Ophthalmology<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69dde1c0aaf6f\" id=\"forminator-field-text-1_69dde1c0aaf6f-label\" class=\"forminator-label\">ID of the relevant chamber <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-1_69dde1c0aaf6f-description\" class=\"forminator-description\">If you are not a member of the chamber, leave 0000<span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><input type=\"text\" name=\"text-1\" value=\"0000\" placeholder=\"0000\" id=\"forminator-field-text-1_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" aria-describedby=\"forminator-field-text-1_69dde1c0aaf6f-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-5274__field--name-1_69dde1c0aaf6f\" id=\"forminator-field-5274__field--name-1_69dde1c0aaf6f-label\" class=\"forminator-label\">Contact details<\/label><span id=\"forminator-field-5274__field--name-1_69dde1c0aaf6f-description\" class=\"forminator-description\">Reaching out<\/span><select name=\"name-1-prefix\" id=\"forminator-field-5274__field--name-1_69dde1c0aaf6f\" class=\"forminator-select2\" data-multi=\"1\" autocomplete=\"honorific-prefix\" aria-describedby=\"forminator-field-5274__field--name-1_69dde1c0aaf6f-description\" aria-labelledby=\"forminator-field-5274__field--name-1_69dde1c0aaf6f-label\" data-default-value=\"Mr\"><option value=\"Pan\" >Mr.<\/option><option value=\"Pan\u00ed\" >Mrs.<\/option><option value=\"Jin\u00e9\" >Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-3\"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69dde1c0aaf6f\" id=\"forminator-field-name-4_69dde1c0aaf6f-label\" class=\"forminator-label\">Title before name<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-3\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69dde1c0aaf6f\" id=\"forminator-field-name-3_69dde1c0aaf6f-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-3\"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69dde1c0aaf6f\" id=\"forminator-field-name-6_69dde1c0aaf6f-label\" class=\"forminator-label\">Last name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-3\"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69dde1c0aaf6f\" id=\"forminator-field-name-5_69dde1c0aaf6f-label\" class=\"forminator-label\">The title behind the name<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69dde1c0aaf6f\" id=\"forminator-field-email-1_69dde1c0aaf6f-label\" class=\"forminator-label\">Email address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"example@mail.com\" id=\"forminator-field-email-1_69dde1c0aaf6f\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69dde1c0aaf6f\" id=\"forminator-field-phone-1_69dde1c0aaf6f-label\" class=\"forminator-label\">Telephone number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"123 456 789\" id=\"forminator-field-phone-1_69dde1c0aaf6f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"cz\" data-validation=\"international\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12  event-1001-addons\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69dde1c0aaf6f-label\"><span id=\"forminator-field-checkbox-1-69dde1c0aaf6f-description\" class=\"forminator-description\">Check only if you need to issue an invoice to an ID number (company \/ sole trader). Leave unchecked for private payment. When checked, the field for billing information will be displayed.<\/span><label id=\"forminator-field-checkbox-1-1-69dde1c0aaf6f-label\" for=\"forminator-field-checkbox-1-1-69dde1c0aaf6f\" class=\"forminator-checkbox\" title=\"Invoice to an ID number (company or self-employed)\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-checkbox-1-1-69dde1c0aaf6f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-1-69dde1c0aaf6f-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Invoice to an ID number (company or self-employed)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12\"><label class=\"forminator-label forminator-repeater-label\">Invoicing data - VAT number (company \/ VAT number)<\/label><span class=\"forminator-description forminator-repeater-description\">The data is used exclusively for issuing an invoice to an ID number. It is not about company registration or tax settings.<\/span><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-country\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-5274__field--address-2-country_69dde1c0aaf6f\" id=\"forminator-field-5274__field--address-2-country_69dde1c0aaf6f-label\" class=\"forminator-label\">State<\/label><select name=\"address-2-country\" id=\"forminator-field-5274__field--address-2-country_69dde1c0aaf6f\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\u010cesk\u00e1 republika\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People&#8217;s Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d&#8217;Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre &#038; Miquelon\" data-country-code=\"PM\" >Saint Pierre &#038; Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69dde1c0aaf6f\" id=\"forminator-field-text-3_69dde1c0aaf6f-label\" class=\"forminator-label\">ID<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69dde1c0aaf6f\" id=\"forminator-field-text-2_69dde1c0aaf6f-label\" class=\"forminator-label\">Name of company \/ name of self-employed person <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12\"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_69dde1c0aaf6f\" id=\"forminator-field-address-1-street_address_69dde1c0aaf6f-label\" class=\"forminator-label\">Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_69dde1c0aaf6f\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_69dde1c0aaf6f\" id=\"forminator-field-address-1-city_69dde1c0aaf6f-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_69dde1c0aaf6f\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_69dde1c0aaf6f\" id=\"forminator-field-address-1-zip_69dde1c0aaf6f-label\" class=\"forminator-label\">Postcode \/ postal code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_69dde1c0aaf6f\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69dde1c0aaf6f\" id=\"forminator-field-text-4_69dde1c0aaf6f-label\" class=\"forminator-label\">VAT NUMBER<\/label><span id=\"forminator-field-text-4_69dde1c0aaf6f-description\" class=\"forminator-description\">(if you are a VAT payer)<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_69dde1c0aaf6f\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-describedby=\"forminator-field-text-4_69dde1c0aaf6f-description\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12  remus-courses remus-courses-1001\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69dde1c0aaf6f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-3-69dde1c0aaf6f-label\" class=\"forminator-label\">Additional courses (extra charge)<\/span><span id=\"forminator-field-checkbox-3-69dde1c0aaf6f-description\" class=\"forminator-description\">Courses in Czech language will be in the format of multidisciplinary panel teaching (neurology, ophthalmology, neurosurgery, etc.) and will be part of the so-called Pre-courses. They will be held jointly for neurologists and ophthalmologists and will lay the theoretical foundation for the topics of the second day of case studies. When ticked, the price will be added to the registration (400 CZK).<\/span><label id=\"forminator-field-checkbox-3-1-69dde1c0aaf6f-label\" for=\"forminator-field-checkbox-3-1-69dde1c0aaf6f\" class=\"forminator-checkbox\" title=\"Theoretical courses\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"O2N2\" id=\"forminator-field-checkbox-3-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-checkbox-3-1-69dde1c0aaf6f-label\" data-calculation=\"400\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-checkbox-3-69dde1c0aaf6f-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Theoretical courses<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-69dde1c0aaf6f-label\" aria-describedby=\"forminator-radiogroup-radio-7-69dde1c0aaf6f-description\"><span id=\"forminator-radiogroup-radio-7-69dde1c0aaf6f-label\" class=\"forminator-label\">Active participation <span class=\"forminator-required\">*<\/span><\/span><span id=\"forminator-radiogroup-radio-7-69dde1c0aaf6f-description\" class=\"forminator-description\">The abstract for active participation can be submitted in the following step or additionally.<\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-7\" value=\"ano\" id=\"forminator-field-radio-7-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69dde1c0aaf6f-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-7\" value=\"ne\" id=\"forminator-field-radio-7-2-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-7-69dde1c0aaf6f-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69dde1c0aaf6f\" id=\"forminator-field-textarea-1_69dde1c0aaf6f-label\" class=\"forminator-label\">Space for your comments on the registration<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_69dde1c0aaf6f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:40px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-8\" class=\"forminator-field-radio forminator-col forminator-col-4\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-8-69dde1c0aaf6f-label\"><span id=\"forminator-radiogroup-radio-8-69dde1c0aaf6f-label\" class=\"forminator-label\">Method of payment <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-8-label-1\" for=\"forminator-field-radio-8-1-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Immediate payment by card\"><input type=\"radio\" name=\"radio-8\" value=\"card\" id=\"forminator-field-radio-8-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-8-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Immediate payment by card<\/span><\/label><label id=\"forminator-field-radio-8-label-2\" for=\"forminator-field-radio-8-2-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Later payment by bank transfer\"><input type=\"radio\" name=\"radio-8\" value=\"later\" id=\"forminator-field-radio-8-2-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-8-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Later payment by bank transfer<\/span><\/label><\/div><\/div><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"calculation-1-field_69dde1c0aaf6f\" id=\"calculation-1-field_69dde1c0aaf6f-label\" class=\"forminator-label\">Final price<\/label><div class=\"forminator-input forminator-input-with-prefix\"><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69dde1c0aaf6f\" class=\"forminator-calculation\" data-formula=\"{select-1}+{checkbox-3}\" data-required=\"\" data-decimal-point=\",\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039; &#039;, &#039;radixPoint&#039;: &#039;,&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><span class=\"forminator-suffix\">CZK<\/span><\/div><\/div><\/div><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"calculation-4-field_69dde1c0aaf6f\" id=\"calculation-4-field_69dde1c0aaf6f-label\" class=\"forminator-label\">Final price<\/label><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69dde1c0aaf6f\" class=\"forminator-calculation forminator-input\" data-formula=\"{select-1}+{checkbox-3}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"1\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"stripe-ocs-1\" class=\"forminator-field-stripe-ocs forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"stripe-ocs-1-field\" id=\"stripe-ocs-1-field-label\" class=\"forminator-label\">Credit\/Debit Card <span class=\"forminator-required\">*<\/span><\/label><div id=\"payment-element-69dde1c0aaf6f\" data-elements-options=\"{    &quot;loader&quot;: &quot;always&quot;,    &quot;locale&quot;: &quot;auto&quot;,    &quot;paymentMethodCreation&quot;: &quot;manual&quot;,    &quot;appearance&quot;: {        &quot;theme&quot;: &quot;stripe&quot;,        &quot;variables&quot;: {            &quot;fontWeightNormal&quot;: &quot;400&quot;,            &quot;fontSizeBase&quot;: &quot;16px&quot;,            &quot;iconColor&quot;: &quot;#777771&quot;,            &quot;iconHoverColor&quot;: &quot;#097BAA&quot;,            &quot;iconCardErrorColor&quot;: &quot;#E51919&quot;,            &quot;iconCardCvcErrorColor&quot;: &quot;#E51919&quot;,            &quot;colorTextPlaceholder&quot;: &quot;#888888&quot;        }    }}\" data-payment-options=\"{    &quot;layout&quot;: {        &quot;type&quot;: &quot;tabs&quot;,        &quot;defaultCollapsed&quot;: false    }}\" data-field-id=\"69dde1c0aaf6f\" data-is-payment=\"true\" data-payment-type=\"stripe\" data-is-ocs=\"1\" data-secret=\"\" data-paymentid=\"\" data-currency=\"czk\" data-key=\"pk_live_51Qd7dxIb26xuV0lpLNAUjsQl9exTXJucfsy8mUMUfVyJ2BRoQIvzJjsquzcDp5dg6VEr2MdCzHFVbwv9A6bQ62pl00nKw5gKNj\" data-receipt=\"\" data-receipt-email=\"\" data-billing=\"\" data-billing-name=\"\" data-billing-email=\"\" data-billing-phone=\"\" data-billing-address=\"\" data-return-url=\"https:\/\/stripe.com\" class=\"forminator-stripe-element forminator-stripe-payment-element\"><\/div><input type=\"hidden\" name=\"paymentid\" value=\"\" id=\"forminator-stripe-paymentid\"\/><input type=\"hidden\" name=\"paymentmethod\" value=\"\" id=\"forminator-stripe-paymentmethod\"\/><input type=\"hidden\" name=\"subscriptionid\" value=\"\" id=\"forminator-stripe-subscriptionid\"\/><span class=\"forminator-card-message\"><span class=\"forminator-error-message\" aria-hidden=\"true\"><\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-69dde1c0aaf6f-label\"><span id=\"forminator-radiogroup-radio-6-69dde1c0aaf6f-label\" class=\"forminator-label\">payment_status<\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Paid\"><input type=\"radio\" name=\"radio-6\" value=\"Paid\" id=\"forminator-field-radio-6-1-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Paid<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Unpaid\"><input type=\"radio\" name=\"radio-6\" value=\"Unpaid\" id=\"forminator-field-radio-6-2-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Unpaid<\/span><\/label><label id=\"forminator-field-radio-6-label-3\" for=\"forminator-field-radio-6-3-69dde1c0aaf6f\" class=\"forminator-radio\" title=\"Refunded\"><input type=\"radio\" name=\"radio-6\" value=\"Refunded\" id=\"forminator-field-radio-6-3-69dde1c0aaf6f\" aria-labelledby=\"forminator-field-radio-6-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Refunded<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><div id=\"captcha-1\" class=\"forminator-field-captcha  forminator-col-12\"><div class=\"forminator-captcha-left forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomleft\" data-sitekey=\"6LeXW_MrAAAAALprG0G51IE8bjDkx4Yh7qQMHv65\" data-size=\"invisible\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Bindingly register<\/button><a href=\"#\" class=\"forminator-save-draft-link disabled\" title=\"Fill in form fields before saving it as a draft\" formnovalidate>Ulo\u017eit jako rozpracovan\u00e9<\/a><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"b2b269430e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/5243\" \/><input type=\"hidden\" name=\"form_id\" value=\"5274\"><input type=\"hidden\" name=\"page_id\" value=\"5243\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.multiplesclerosis.cz\/en\/registrace-na-3-neuro-oftalmologicke-forum\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"save_draft\" value=\"false\"><label for=\"input_29\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_29\" type=\"text\" name=\"input_29\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-5243","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/pages\/5243","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/comments?post=5243"}],"version-history":[{"count":27,"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/pages\/5243\/revisions"}],"predecessor-version":[{"id":6753,"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/pages\/5243\/revisions\/6753"}],"wp:attachment":[{"href":"https:\/\/www.multiplesclerosis.cz\/en\/wp-json\/wp\/v2\/media?parent=5243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}