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lee2015:registration_form [2014-08-21 12:31]
Wilhelm Hofer To guarantee ... conference fee is due until August 1st
lee2015:registration_form [2018-06-14 18:54] (current)
Michael Schmid
Line 1: Line 1:
-<html> +====== Registration Closed ======
- +
-</p> +
-<h1 class="blau"><big>LEE2015 Registration Form</big></h1> +
- +
-<h2>On-line Registration</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:LEE2015&#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:LEE2015&#64;iap.tuwien.ac.at">organizers</a>.</li>  +
-  <li>To guarantee your participation, payment of the conference fee is due until  +
-        <b>August 1st 2015</b> +
-        (refund upon cancellation will not be possible). 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/LEE2015/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:3S10&#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>(Most participants will be granted a single room, if the available single rooms are exhausted you will be assigned a double room with a room mate indicated here)   +
-<!--(please check availability via e-mail to <a href="mai&#108;to:aumayr&#64;iap.tuwien.ac.at">F. Aumayr</a> before;  +
- <font color="red">(sorry, single rooms are sold out, Sep. 10, 2011!)</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="Sunday" />   +
-                                                                              Sunday, September 6th, 2015 (extra fee !) <br /> +
-        <input type="radio" name="SSS_ARRIVAL" value="Monday" checked="checked" /> +
-                                                                              Monday, September 7th, 2015 </td> +
- +
-  </tr> +
- <tr>  +
-    <td><b>Other</b></td> +
-    <td><input type="text" name="SSS_OTHER_DAY" size="40" maxlength="40" /></td> +
-  </tr> +
- +
- +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Menu style :</b></td> +
-    <td><input type="radio" name="SSS_FOOD" value="regular" checked="checked" /> regular &nbsp;   +
-        <input type="radio" name="SSS_FOOD" value="vegetarian" /> vegetarian &nbsp; +
-        <input type="radio" name="SSS_FOOD" value="vegan" /> vegan &nbsp; </td> +
-  </tr> +
-  <tr> +
-    <td colspan="2"><hr /></td> +
-  </tr> +
-  <tr>  +
-    <td><b>Title of contribution:</b></td> +
-    <td>  +
-        <input type="text" name="SSS_CONTRIBUTION" size="40" /> +
-    </td> +
- +
-  <tr>  +
-    <td><b>Prefered type of presentation:</b></td> +
-    <td><input type="radio" name="SSS_PRESENTATION" value="poster" checked="checked" /> poster &nbsp;   +
-        <input type="radio" name="SSS_PRESENTATION" value="oral" /> oral &nbsp; </td> +
-  </tr> +
- +
- +
-    <td>  +
-        (an abstract will be due until July 1st, 2015)  +
-    </td> +
- +
-  </tr> +
-  <tr>  +
- +
-  </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 Entries" /></td> +
-  </tr> +
-</table> +
- +
-</form> +
- +
-<hr /> +
- +
-<p>&nbsp; +
- +
-</html>+
lee2015/registration_form.txt · Last modified: 2018-06-14 18:54 by Michael Schmid