Workshop2010:registrationform

Please do not fill the form yet as it is not working yet!

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{{#form: action=http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer.cgi | method=post}}

Title: {{#input:type=textarea|name=dr|cols=5|style=width:auto|rows=1}}

Name: {{#input:type=textarea|name=name|cols=30|style=width:auto|rows=1}}

Affiliation: {{#input:type=textarea|name=affiliation|cols=30|style=width:auto|rows=1}}

Address: {{#input:type=textarea|rows=3|cols=30|style=width:auto}}

{{#input:type=hidden|name=dupa}}

{{#input:type=select|name=contribution|

• none
• talk
• poster

}}

{{#input:type=submit|value=Send}}

{{#formend:}}