Registration Script
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2.7 kB
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File type
text/html
File contents
<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN">
<html>
<head>
<title>Mu2e Collaboration Meeting Registration</title>
</head>
<body background="back18.jpg">
<center>
<br>
<br>
<center>
<br>
<font face="Arial, Geneva, Helvetiva" size="6">Mu2e Collaboration Meeting<br>
Fermilab, June 3, 2008<br>
Registration</font>
</center>
<br>
<form action="http://www.fnal.gov/cgi-bin/formmail/fnalformmail.pl" method="post">
<input name="recipient" value="prebys@fnal.gov" type="hidden">
<input name="required" value="recipient,First Name,Last Name,email" type="hidden">
<input name="bgcolor" value="#FFFFFF" type="hidden">
<input name="subject" value="[Formmail] Mu2e Collaboration Registration, June 2008" type="hidden">
<input name="print_config" value="email" type="hidden">
<input name="print_blank_fields" value="1" type="hidden">
<br>
<blockquote>
<h2><font color="indigo" face="Arial, Geneva, Helvetica" size="4">Registration Information</font>
<hr>
<table border="0">
<tbody>
<tr>
<td><b>Last Name:</b></td>
<td><input name="Last Name" size="25"><br>
</td>
<td><b>First Name:</b></td>
<td><input name="First Name" size="25"><br>
</td>
</tr>
<tr>
<td><b>Email:</b></td>
<td><input name="email" size="25"><br>
</td>
</tr>
<tr>
<td><b>Institution:</b><i><font size="1">(for nametag)</font></i></td>
<td><input name="Institution" size="25"><br>
</td>
</tr>
<tr>
<td><b>Arrival date/time:</b></td>
<td><input name="Arrival" size="25"><br>
</td>
<td><b>Departure date/time:</b></td>
<td><input name="Departure" size="25"><br>
</td>
</tr>
<tr>
<td><b>Number for dinner <br>
(barbeque at Eric's house):<b><br>
</b></b></td>
<td><input name="Dinner" size="5"></td>
<td><b>Dietary restrictions<br>
(veg., kosher, etc):<b><br>
</b></b></td>
<td><input name="Diet" size="25"></td>
</tr>
</tbody>
</table>
<hr>
</h2>
</blockquote>
<input name="sort" value="order:Last Name,First Name,Institution,Arrival, Departure,Dinner,Diet" type="hidden">
<input name="SubmitButton" value="Register" type="submit">
<input name="ClearButton" value="Clear Form" type="reset">
</form>
<br>
<br>
</center>
</body>
</html>
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Collaboration Meeting, June 3, 2008