IAP logo

Differences

This shows you the differences between two versions of the page.

3s14:registration_form [2014-04-05 16:53]
Friedrich Aumayr
3s14:registration_form [2018-06-14 19:03] (current)
Michael Schmid
Line 1: Line 1:
-<html> +====== Registration Closed ======
- +
-</p> +
-<h1 class="blau"><big>3S Registration Form</big></h1> +
- +
-<h2>On-line Registration Sequence</h2> +
- +
- +
-<ol> +
-  <li>Fill in the following form.</li>  +
-  <li>Check the contents and press &lt;Submit&gt; button.</li>  +
-  <li>Confirmation page will be displayed and confirmation e-mail will +
-      be sent automatically to your mail address.</li>  +
-  <li>If you do not receive the confirmation mail after several hours,  +
-      please contact the  +
-      <a href="mai&#108;to:3S14&#64;iap.tuwien.ac.at">organizers</a>.  +
-      Do not re-submit this form to prevent multiple registration.</li>  +
-  <li>Cancellation or amendment of the registration is also accepted  +
-    via e-mail to the +
-      <a href="mai&#108;to:3S14&#64;iap.tuwien.ac.at">organizers</a>.</li>  +
-  <li>To guarantee your participation a deposit of <b>Euro 700.-</b> is due until  +
-        <b>November 1st, 2013</b> (will be refunded if cancelled before Dec. 1st,  +
-        2013). Registration without receipt of payment at this date will be  +
-        automatically cancelled. +
-        <br />&nbsp;<br /> +
-        <a href="payment.html" target="_blank">Instructions for paying the conference fee</a>. +
-        </li> +
-</ol> +
- +
-<h2>Caution</h2> +
- +
-<ul> +
-<li><span style="color:red;"><b>[*]</b></span> marked items are required fields +
-    and should not be empty.</li> +
-<li>Please use Unicode (UTF-8) Character Encoding with your Browser.  +
-      (Otherwise only 7-bit US-ASCII characters will be treated correctly.)</li> +
-</ul> +
- +
-<hr /> +
- +
-<form method="post" action="/bin/3S16/registration"> +
- +
-<table> +
-  <tr>  +
-    <td><b>Conference participant <span style="color:red;">[*]</span>:</b></td> +
-    <td><input type="radio" name="SSS_SEX" value="male" checked="checked" /> Male &nbsp;   +
-        <input type="radio" name="SSS_SEX" value="female" /> Female &nbsp; </td> +
-  </tr> +
- +
-  <tr>  +
-    <td><b>Title <span style="color:red;">[*]</span>:</b></td> +
-    <td>  +
-      <select name="SSS_TITLE"> +
-        <option>Prof.</option>  +
-        <option selected="selected">Dr.</option>  +
-        <option>Mr.</option>  +
-        <option>Mrs.</option>  +
-        <option>Ms.</option>  +
-      </select> +
-    </td> +
- +
-  </tr> +
-  <tr>  +
-    <td><b>Family name <span style="color:red;">[*]</span>:</b></td> +
-    <td><input type="text" name="SSS_FAMILY_NAME" size="40" maxlength="40" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Given name <span style="color:red;">[*]</span>:</b></td> +
- +
-    <td><input type="text" name="SSS_GIVEN_NAME" size="40" maxlength="40" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Middle name:</b></td> +
-    <td><input type="text" name="SSS_MIDDLE_NAME" size="20" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>E-mail <span style="color:red;">[*]</span>:</b></td> +
- +
-    <td><input type="text" name="SSS_EMAIL" size="40" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Affiliation:</b></td> +
-    <td><textarea name="SSS_AFFILIATION" cols="40" rows="2"></textarea></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Postal mail address:</b></td> +
- +
-    <td><textarea name="SSS_ADDRESS" cols="40" rows="2"></textarea></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Zip code &amp; City:</b></td> +
-    <td><input type="text" name="SSS_ZIP_CITY" size="40" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Country <span style="color:red;">[*]</span>:</b></td> +
- +
-    <td><input type="text" name="SSS_COUNTRY" size="40" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Phone:</b></td> +
-    <td><input type="text" name="SSS_PHONE" size="20" /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Fax:</b></td> +
-    <td><input type="text" name="SSS_FAX" size="20" /></td> +
- +
-  </tr> +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Number of accompanying persons:</b></td> +
-    <td><input type="text" name="SSS_ACCO_NR" size="2" value="0" /> +
-    </td> +
-    <td>  +
-        (if more than one please send details  +
-        <a href="mai&#108;to:3S14&#64;iap.tuwien.ac.at">per e-mail</a>.) +
-    </td>   +
- +
-  </tr> +
-  <tr>  +
-    <td><b>Accompanying person:</b></td> +
-    <td><input type="radio" name="SSS_ACCO_SEX" value="male" /> Male &nbsp;  +
-      <input type="radio" name="SSS_ACCO_SEX" value="female" checked="checked" /> Female &nbsp; </td> +
-  </tr> +
-  <tr>  +
-    <td><b>Name of accompanying person:</b></td> +
-    <td> <input type="text" name="SSS_ACCO_NAME" size="40" /></td> +
- +
-  </tr> +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>I would like to share my room with:</b></td> +
-    <td><input type="text" name="SSS_SHARED_WITH" size="40" /></td> +
-    <td>(if left blank, another conference participant will be assigned as your room mate, unless you have been granted one of the few single rooms <html><font color="red">(sorry, single rooms are sold out, Aug. 14, 2013!); <font color="red"></font></td> +
-  </tr> +
-  <tr> +
- +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Arrival day <span style="color:red;">[*]</span>:</b></td> +
-    <td><input type="radio" name="SSS_ARRIVAL" value="Saturday" />   +
-                                                                              Saturday, March 8, 2014 (extra fee !) <br /> +
-        <input type="radio" name="SSS_ARRIVAL" value="Sunday" checked="checked" /> +
-                                                                              Sunday, March 9, 2014 </td> +
- +
-  </tr> +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Titel of contribution:</b></td> +
-    <td>  +
-        <input type="text" name="SSS_CONTRIBUTION" size="40" /> +
-    </td> +
-    <td>  +
-        (an extended abstract will be due until Dec. 31, 2013)  +
-    </td> +
- +
-  </tr> +
-  <tr>  +
-    <td><b>I prefer: </b></td> +
-    <td>  +
-      <input type="radio" name="SSS_PRESENTATION" value="poster presentation" checked="checked" /> +
-      poster presentation &nbsp;  +
-      <input type="radio" name="SSS_PRESENTATION" value="oral presentation" /> +
-      oral presentation &nbsp; </td> +
-<td>  +
-        (Oral presentations will be selected from submitted abstracts at the end of January 2014.  All other contributions will be presented as posters)  +
-    </td> +
- +
-  </tr> +
- +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td align="center"> <input type="submit" value="Submit" /></td> +
-    <td> <input type="reset" value="Clear All Entry" /></td> +
-  </tr> +
-</table> +
- +
-</form> +
- +
-<hr /> +
- +
-<p>&nbsp; +
- +
-</html>+
3s14/registration_form.txt · Last modified: 2018-06-14 19:03 by Michael Schmid