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reg-form2005.html
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head> <title>Symmetry in Nonlinear Mathematical Physics - Registration Form</title> </head> <script language="JavaScript"> <!-- function formcheck() { if (document.forms['regform'].elements['ttl'].selectedIndex == 0) { alert ("Please select the 'Title' field"); return false; } else { if (document.forms['regform'].elements['f_name'].value == "") { alert ("Please fill the 'First name' field"); return false; } else { if (document.forms['regform'].elements['l_name'].value == "") { alert ("Please fill the 'Last Name' field"); return false; } else { if (document.forms['regform'].elements['position'].selectedIndex == 0) { alert ("Please select the 'Position' field"); return false; } else { if (document.forms['regform'].elements['aff1'].value == "") { alert ("Please fill the 'Affiliation' field"); return false; } else { if (document.forms['regform'].elements['post_addr'].value == "") { alert ("Please fill the 'Postal address' field"); return false; } else { if (document.forms['regform'].elements['eml1'].value == "") { alert ("Please fill the 'E-mail1' field"); return false; } else { if (document.forms['regform'].elements['fax'].value == "") { alert ("Please fill the 'Fax' field"); return false; } else { document.forms['regform'].submit(); }}}}}}}}} //--> </script> <body><form name="regform" method="post" action="check.php"> <table cellpadding="0" cellspacing="0" height="100%" border="0" align="center"> <tr> <td colspan="2" align="center" style="font-size: 18pt; font-weight: bold; font-family: 'Times New Roman', Times, serif;">Symmetry in Nonlinear Mathematical Physics - 2005<br>Registration Form<br> </td> </tr> <tr> <td colspan="2" align="left"> You can change your details at any time by resubmitting an updated registration form.<br>Alternatively you can send us an <a href="mailto:appmath@imath.kiev.ua">e-mail</a> containing information indicated in the form.<br>The fields marked with * are mandatory.<br> </td> </tr> <tr> <td>Title*</td> <td><select name="ttl" size="1"> <option>not selected</option> <option>Prof.</option> <option>Dr.</option> <option>Mr.</option> <option>Ms.</option> </select></td> </tr> <tr> <td>First Name*</td> <td><input type="text" name="f_name" size="55" maxlength="55"></td> </tr> <tr> <td>Middle Name(s)</td> <td><input type="text" name="m_name" size="55" maxlength="55"></td> </tr> <tr> <td>Last Name*</td> <td><input type="text" name="l_name" size="55" maxlength="55"></td> </tr> <tr> <td>Position*</td> <td><select name="position" size="1"> <option>not selected</option> <option>Faculty</option> <option>Research</option> <option>Admin</option> <option>Postdoc</option> <option>Student</option> <option>Other</option> </select></td> </tr> <tr> <td>Affiliation 1*</td> <td><input type="text" name="aff1" size="55" maxlength="55"></td> </tr> <tr> <td>Affiliation 2</td> <td><input type="text" name="aff2" size="55" maxlength="55"></td> </tr> <tr> <td valign="top">Postal address*</td> <td><textarea cols="55" rows="6" name="post_addr"></textarea></td> </tr> <tr> <td>E-mail 1*</td> <td><input type="text" name="eml1" size="55" maxlength="55"></td> </tr> <tr> <td>E-mail 2</td> <td><input type="text" name="eml2" size="55" maxlength="55"></td> </tr> <tr> <td>Fax *</td> <td><input type="text" name="fax" size="55" maxlength="55"></td> </tr> <tr> <td>Personal Web Page</td> <td><input type="text" name="pwp" size="55" maxlength="55"></td> </tr> <tr> <td nowrap>Title of suggested talk </td> <td><input type="text" name="ttatile" size="55" maxlength="150"></td> </tr> <tr> <td valign="top">Abstract</td> <td><textarea cols="55" rows="15" name="abstract"></textarea></td> </tr> <tr> <td valign="top">Additional information<br>and comments</td> <td><textarea cols="55" rows="10" name="info"></textarea></td> </tr> <tr> <td colspan="2" align="center"> <br><input type="button" name="subbutton" value="Submit" onclick="formcheck()"><input type="reset" name="resbutton" value="Clear form"></td> </tr> <tr> <td colspan="2" align="center"> <br><a href="conf.html" target="_top">Back to conference page</a></td> </tr> </table> </form></body> </html>