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media_reg.php
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media_reg.php
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<html>
<head>
<title></title>
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags -->
<title>1Assam</title>
<!-- Bootstrap -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<!-- Template style.css -->
<link rel="stylesheet" type="text/css" href="css/style.css">
<link rel="stylesheet" type="text/css" href="css/owl.carousel.css">
<link rel="stylesheet" type="text/css" href="css/owl.theme.css">
<link rel="stylesheet" type="text/css" href="css/owl.transitions.css">
<link rel="stylesheet" type="text/css" href="css/fontello.css">
<link rel="stylesheet" type="text/css" href="css/jquery-ui.css">
<link rel="stylesheet" type="text/css" href="css/custom.css">
<!-- Font used in template -->
<link href='https://fonts.googleapis.com/css?family=Montserrat:400,700' rel='stylesheet' type='text/css'>
<link href='https://fonts.googleapis.com/css?family=Roboto:400,400italic,500,500italic,700,700italic,300italic,300' rel='stylesheet' type='text/css'>
<!--font awesome icon -->
<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/font-awesome/4.4.0/css/font-awesome.min.css">
<!-- favicon icon -->
<link rel="shortcut icon" href="images/favicon.ico" type="image/x-icon">
<link rel="icon" href="images/logo-icon.png" type="image/x-icon" />
<title>WomenInPolitics</title>
<!-- StyleSheets Start -->
<link href="css1/custom.css" rel="stylesheet">
<link href="css1/color.css" rel="stylesheet">
<link href="css1/responsive.css" rel="stylesheet">
<link href="css1/bootstrap.min.css" rel="stylesheet">
<link href="css1/owl.carousel.min.css" rel="stylesheet">
<link href="css1/font-awesome.min.css" rel="stylesheet">
<link href="css1/prettyPhoto.css" rel="stylesheet">
<!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script>
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<script type="text/javascript">
function checkForm(form)
{
...
if(!form.captcha.value.match(/^\d{5}$/)) {
alert('Please enter the CAPTCHA digits in the box provided');
form.captcha.focus();
return false;
}
...
return true;
}
</script>
<body>
<div class="wrapper">
<!--Header Start-->
<header id="header" class="header">
<div class="side-icon"><a href="#"> <i class="fa fa-bars"></i></a> </div>
<div class="logo"><a href="index-2.html"> <span class="logo-icon"><img src="images/logo-icon.png" alt=""></span> <span class="logo-txt"> <img src="images/logo-txt.png" alt=""> </span> </a> </div>
<!--Site Nav Start-->
<div class="site-nav">
<nav class="navbar">
<div class="navbar-header">
<button type="button" class="navbar-toggle collapsed" data-toggle="collapse" data-target="#bs-example-navbar-collapse-1" aria-expanded="false"> <i class="fa fa-bars"></i> </button>
</div>
<div class="collapse navbar-collapse" id="bs-example-navbar-collapse-1">
<ul class="nav">
<li><a href="#"> Home </a>
<ul class="sub-menu">
<li><a href="index-2.html">Home One</a></li>
<li><a href="home-two.html">Home Two</a></li>
<li><a href="location-map.html">Home Three</a></li>
</ul>
</li>
<li><a href="locations.html"> Explore Laton</a></li>
<li> <a href="#">Causes</a>
<ul class="sub-menu">
<li><a href="causes-grid.html">Causes</a></li>
<li><a href="causes-grid-two.html">Causes Grid</a></li>
<li><a href="causes-details.html">Causes Details</a></li>
</ul>
</li>
<li> <a href="#">Departments</a>
<ul class="sub-menu">
<li><a href="departments.html">Departments</a></li>
<li><a href="department-details.html">Department Details</a></li>
</ul>
</li>
<li> <a href="#">Events</a>
<ul class="sub-menu">
<li><a href="events.html">Events</a></li>
<li><a href="event-full.html">Event Full</a></li>
<li><a href="event-list.html">Events List</a></li>
<li><a href="event-grid.html">Event Grid</a></li>
<li><a href="event-details.html">Event Details</a></li>
</ul>
</li>
<li> <a href="#">Pages</a>
<ul class="sub-menu">
<li><a href="#">News</a>
<ul class="sub-menu">
<li><a href="news-coverage.html">News Coverage</a></li>
<li><a href="press-releases.html">Press Releases</a></li>
<li><a href="today-newspaper.html">Today NewsPaper</a></li>
<li><a href="latonthebeauty.html">City Updates</a></li>
</ul>
</li>
<li><a href="#">Blog</a>
<ul class="sub-menu">
<li><a href="blog.html">Blog</a></li>
<li><a href="blog-full.html">Blog Full</a></li>
<li><a href="blog-grid.html">Blog Grid</a></li>
<li><a href="blog-list.html">Blog List</a></li>
<li><a href="blog-sidebar.html">Blog Sidebar</a></li>
<li><a href="blog-details-two.html">Blog Details</a></li>
<li><a href="blog-details.html">Blog Details Tow</a></li>
</ul>
</li>
<li><a href="#">Shop</a>
<ul class="sub-menu">
<li><a href="shop.html">Shop</a></li>
<li><a href="product-detail.html">Shop Details</a></li>
</ul>
</li>
<li><a href="#">Team</a>
<ul class="sub-menu">
<li><a href="team.html">Team</a></li>
<li><a href="officials.html">Team Details</a></li>
</ul>
</li>
<li><a href="#">City</a>
<ul class="sub-menu">
<li><a href="city-forum.html">City Forum</a></li>
<li><a href="sports.html">City Sports</a></li>
<li><a href="locations.html">City Location</a></li>
<li><a href="location-map.html">City Map</a></li>
<li><a href="latonthebeauty.html">Laton The Beauty</a></li>
<li><a href="location-details.html">Details</a></li>
</ul>
</li>
<li><a href="#">Jobs</a>
<ul class="sub-menu">
<li><a href="jobs.html">Jobs</a></li>
<li><a href="job-details.html">Job Details</a></li>
</ul>
</li>
<li><a href="#">Gallery</a>
<ul class="sub-menu">
<li><a href="gallery-full.html">Gallery Full</a></li>
<li><a href="gallery-grid.html">Gallery Grid</a></li>
<li><a href="gallery.html">Gallery Grid Full</a></li>
<li><a href="gallery-filterable.html">Gallery Filterable</a></li>
</ul>
</li>
</ul>
</li>
<li><a href="#">Contact</a>
<ul class="sub-menu">
<li><a href="contact.html">Contact</a></li>
<li><a href="contact-two.html">Contact Two</a></li>
<li><a href="contact-three.html">Contact Three</a></li>
</ul>
</li>
</ul>
</div>
</nav>
</div>
<!--Site Nav End-->
<div class="header-right">
<ul>
<li>
<div class="h-weather"> <img src="images/cloud-icon.png" alt=""> <strong>15�</strong>C / <strong>59�</strong>F </div>
</li>
<li><a href="#"><img src="images/bus-icon.png" alt=""></a></li>
<li><a href="location-map.html"><img src="images/map-icon.png" alt=""></a></li>
<li>
<div class="search-icon"> <a role="button" data-toggle="collapse" href="#collapseExample" aria-expanded="false" aria-controls="collapseExample"> <i class="fa fa-search"></i> </a> </div>
</li>
</ul>
</div>
<div class="collapse" id="collapseExample">
<div class="search-holder">
<form method="get" >
<input type="text" placeholder="Search Here" class="search-input">
<button class="search-btn"><i class="fa fa-search" aria-hidden="true"></i></button>
</form>
</div>
</div>
<!--Alerts Start-->
<div class="alerts">
<div id="alert-btn" class="alert-btn"><span class="a-count">2</span> <i class="fa fa-bell-o" aria-hidden="true"></i></div>
<ul class="alerts-list">
<li>
<p>Some community centers are open. The Copley Square library is open from 1 - 5 p.m. All other municipal buildings and libraries are closed.</p>
<span>Education Department</span> </li>
<li>
<p>Some community centers are open. The Copley Square library is open from 1 - 5 p.m. All other municipal buildings and libraries are closed.</p>
<span>Education Department</span> </li>
</ul>
</div>
<!--Alerts End-->
</header>
<!--Header End-->
<!--Sub Header Start-->
<div class="sub-header">
<div class="container">
<h1>Team</h1>
<p>Before long, credit histories may be replaced by 'life scores', determined by the nature of your Airbnb reviews.</p>
</div>
</div>
<div class="fl-breadcrumps">
<div class="container">
<ul>
<li><a href="#"><i class="fa fa-home"></i> Home</a></li>
<li><a href="#">Team</a></li>
</ul>
</div>
</div>
<div class="main-container">
<div class="container">
<div class="row" style=" text-align:center;">
<div class="aboutus " id="aboutus">
<h1>Why Register as Media Partner with 1 Assam?</h1>
<p class="lead">
Welcome to the world of Opportunities for Volunteer</p>
<ul class="check-circle" style="text-align:justify;padding-right: 71px;text-align:center;">
<li>Get number of projects to work for</li>
<li>Earn experience, share your knowledge & experience for the betterment of others.</li>
<li>Spread Joy & Happines through slefless services for people.</li>
</ul>
</div><br>
</div>
<div class="row">
<div class="col-md-7">
<div class="col-md-12 how-it-works" id="howwork">
<div class="row">
<div class="col-md-8 how-it-desc">
<h2>Personal Benefits </h2>
<ul class="check-circle">
<li>Make a difference to the lives of others</li>
<li>Help others less fortunate or without a voice</li>
<li>Feel valued and part of a team</li>
<li>Spend quality time away from work or a busy lifestyle</li>
<li>Gain confidence and self-esteem</li>
</ul>
</div>
<div class="col-md-3 text-center how-it-icon" style="height:150px; width:150px; top:100px;">
<div class="vendor-total-thumb">
<!-- vendor-total-thumb -->
<a href="#"><div class="feature-icon" style="text-align: center;margin-top: 40px;"> <i class="icon icon-size-60 icon-photo-camera icon-default"></i></div></a>
</div>
</div>
</div>
<div class="row">
<div class="col-md-3 text-center how-it-icon" style="height:150px; width:150px; top:100px;">
<div class="vendor-total-thumb">
<!-- vendor-total-thumb -->
<a href="#"><div class="feature-icon" style="text-align: center;margin-top: 40px;"> <i class="icon icon-size-60 icon-photo-camera icon-default"></i></div></a>
</div>
</div>
<div class="col-md-8 how-it-desc">
<h2>Social Benefits </h2>
<ul class="check-circle">
<li>Meeting new people and making new friends</li>
<li>A chance to socialise</li>
<li>Getting to know the local community</li>
</ul>
</div>
</div>
<div class="row">
<div class="col-md-8 how-it-desc">
<h2>Career Benefits</h2>
<ul class="check-circle">
<li>Gaining new skills, knowledge and experience</li>
<li>Developing existing skills and knowledge</li>
<li>Enhancing a CV</li>
<li>Improving one's employment prospects</li>
<li>Gaining an accreditation</li>
<li>Using one's professional skills and knowledge to benefit others (usually described as pro bono)</li>
</div>
<div class="col-md-3 text-center how-it-icon" style="height:150px; width:150px; top:100px;">
<div class="vendor-total-thumb">
<!-- vendor-total-thumb -->
<a href="#"><div class="feature-icon" style="text-align: center; margin-top:40px;"> <i class="icon icon-size-60 icon-photo-camera icon-default"></i></div></a>
</div>
</div>
</div>
</div>
</div>
<div class="col-md-5">
<div class="well-box">
<p>Please fill out the form below and we will get back to you as soon as possible.</p>
<form action="config1.php" method="post" onsubmit="return checkForm(this);">
<div class="form-group" id="types" >
<label for="inter" class=" control-label">Type </label>
<select class="form-control" required="" name="types">
<option id="edu">Freelancer</option>
<option id="edu">Company</option>
<option id="edu">Editor</option>
<option id="edu">Staff Writer</option>
<option id="edu">Reporter </option>
<option id="edu">Publisher</option>
<option id="edu">Technical Crew</option>
</select>
</div>
<!-- Text input-->
<div class="form-group" id="orgname">
<label class="control-label" for="volname">Organization Name:
<span class="required">*</span>
</label>
<input id="orgname" name="orgname" type="text" placeholder="Organization Name" class="form-control input-md" required="">
</div>
<!-- Text input-->
<div class="form-group" id="site">
<label class="control-label" for="volname">Website:
<span class="required">*</span>
</label>
<input id="site" name="site" type="text" placeholder="www.yourdomain.com" class="form-control input-md" required="">
</div>
<!-- Text input-->
<div class="form-group" id="city">
<label class="control-label" for="volname">City:
<span class="required">*</span>
</label>
<input id="city" name="city" type="text" placeholder="City" class="form-control input-md" required="">
</div>
<!-- Text input-->
<div class="form-group" id="media_name">
<label class="control-label" for="media_name">Contact Person Name:
<span class="required">*</span>
</label>
<input id="media_name" name="media_name" type="text" placeholder="Contact Person Name" class="form-control input-md" required="">
</div>
<!-- Text input-->
<div class="form-group" id="designation">
<label class="control-label" for="volname">Designation:
<span class="required">*</span>
</label>
<input id="designation" name="designation" type="text" placeholder="Designation" class="form-control input-md" required="">
</div>
<!-- Text input-->
<div class="form-group" id="email">
<label class=" control-label" for="volname">E-Mail:
<span class="required">*</span>
</label>
<input id="email" name="email" type="email" placeholder="E-Mail" class="form-control input-md" required="">
</div>
<!-- Tel input-->
<div class="form-group" id="input6">
<label class="control-label" for="mob">Mobile No.:
<span class="required">*</span>
</label>
<input id="mobile" name="mobile" type="tel" placeholder="Enter ur Mobile Number" class="form-control input-md" required="">
</div>
<label class="col-lg-12 control-label">Type of Media You Work for</label>
<div class="form-group">
<div class="row">
<div class="col-lg-5">
<label>
<input type="checkbox" name="media_type" id="media_type1" value="Print"/>Print</label>
<label>
<input type="checkbox" name="media_type" id="media_type2" value="TV"/>TV</label>
<label>
<input type="checkbox" name="media_type" id="media_type3" value="Radio"/>Radio</label>
<label>
<input type="checkbox" name="media_type" id="media_type4" value="Digital"/>Digital</label>
<label>
<input type="checkbox" name="media_type" id="media_type5" value="Magazineagazine"/>Magazine</label>
<label>
<input type="checkbox" name="media_type" id="media_type6" value="All"/>All</label>
</div>
</div>
</div>
<label class="col-lg-12 control-label">Expectations</label>
<div class="form-group">
<div class="row">
<div class="col-lg-6">
<label>
<input type="checkbox" name="expectations" id="expectations" value="Brand Awareness"/>Brand Awareness</label>
<label>
<input type="checkbox" name="expectations" id="expectations" value="Market Expansion"/>Market Expansion</label>
<label>
<input type="checkbox" name="expectations" id="expectations" value="Boost Sales"/>Boost Sales</label>
</div>
<div class="col-lg-6">
<label>
<input type="checkbox" name="expectations" id="expectations" value="New Market Entry"/>New Market Entry</label>
<label>
<input type="checkbox" name="expectations" id="expectations" value="Media Exposure"/>Media Exposure</label>
<label>
<input type="checkbox" name="expectations" id="expectations" value="All"/>All</label>
</div>
</div>
</div>
<div class="form-group">
<label for="info" class="control-label">Upload Logo/Photograph</label>
<input type="file" name="logo" id="logo">
</div>
<div class="form-group">
<label for="info" class="control-label">Upload Comapany Logo/Personal Profile</label>
<input type="file" name="profile" id="profile">
</div>
<!-- Terms and condition -->
<div class="col-xs-12 form-group m-bottom-0">
<div class="checkbox checkbox-warning">
<input type="checkbox" name="tnc" id="partner-tnc" value="true" tabindex="17">
<label for="tnc" class="text-normal text-light text-gray-darker">I agree to all
<a href="/terms/" target="_blank" class="text-info">terms and conditions</a>
</label>
</div>
</div>
<!-- Button -->
<p><img src="captcha.php" width="120" height="30" border="1" alt="CAPTCHA"></p>
<p><input type="text" size="6" maxlength="5" name="captcha" value=""><br>
<small>copy the digits from the image into this box</small></p>
<div class="form-group">
<button id="submit" name="submit" class="btn btn-primary btn-lg">Submit</button>
</div>
</form>
</div>
</div>
</div>
</div>
<footer class="footer">
<div class="container">
<div class="row">
<div class="col-md-3">
<div class="widget"> <img src="images/light-logo.png" alt=""> </div>
</div>
<div class="col-md-3">
<div class="widget textwidget">
<h6>Support the NewYork</h6>
<p>Each gift matters. Become a beacon for art education and talent.
love for the city , love for the people </p>
</div>
</div>
<div class="col-md-3">
<div class="widget">
<div class="widget textwidget">
<h6>Contact Info</h6>
<p> 1-877-783-1608<br>
[email protected] </p>
</div>
</div>
</div>
<div class="col-md-3">
<div class="widget">
<div class="widget textwidget">
<h6>Follow Us</h6>
<ul class="footer-social">
<li> <a href="#"><i class="fa fa-facebook-square"></i></a> </li>
<li> <a href="#"><i class="fa fa-twitter-square"></i></a> </li>
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