Difference between revisions of "Workshop2010:registrationform"

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<big>'''Registration is not yet open!'''</big>
+
== Registration form for invitees ==
 +
 
 +
'''If you have already send this form, please do not send it again!'''
 +
 
 +
In order to amend you application or with other queries please email ''gsaw2010@ast.cam.ac.uk''
  
 
----
 
----
  
{{#form: action=<nowiki>http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer.cgi</nowiki> | method=post}}
+
{{#form: action=<nowiki>http://www.ast.cam.ac.uk/~wyrzykow/cgi-bin/mailer-invitee.cgi</nowiki> | method=post}}
  
 
'''Contact details'''
 
'''Contact details'''
Line 19: Line 23:
 
|-
 
|-
 
|Work address:  
 
|Work address:  
|{{#input:type=textarea|rows=3|cols=30|style=width:auto}}
+
|{{#input:type=textarea|name=address|rows=3|cols=30|style=width:auto}}
 
|-
 
|-
 
| Telephone:  
 
| Telephone:  
Line 31: Line 35:
  
 
----
 
----
{|
+
{|  
 
|-
 
|-
| '''Your contribution to the Workshop:'''  
+
| '''My contribution to the Workshop:'''  
| {{#input:type=select|name=contribution|
+
|{{#input:type=select|name=contribution|
*none
+
*Please select
 
*talk
 
*talk
*poster}}
+
*poster
 +
*none}}
 +
|}
 +
 
 +
{|
 
|-
 
|-
 
| Title:  
 
| Title:  
| {{#input:type=textarea|name=title|rows=1|cols=50|style=width:auto}}
+
| {{#input:type=textarea|name=title|rows=1|cols=100|style=width:auto}}
 
|-
 
|-
 
| Brief abstract:  
 
| Brief abstract:  
| {{#input:type=textarea|name=abstract|rows=4|cols=50|style=width:auto}}
+
| {{#input:type=textarea|name=abstract|rows=4|cols=100|style=width:auto}}
 
|}
 
|}
  
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'''Accommodation'''
 
'''Accommodation'''
  
 +
''We have booked a set of single and double rooms in the nearby Churchill College. If you are interested in this accommodation you will be asked to pay for your stay in advance.''
 +
''Alternatively you can book a room in one of the hotels or B&Bs in Cambridge. Check the Logistics page.''
 +
 +
{|
 +
|-
 +
| I would like to book a room in the Churchill College
 +
| {{#input:type=select|name=accom_churchill|
 +
*Please select
 +
*yes
 +
*no, I'll find accommodation myself}}
 +
|}
 
{|
 
{|
 
|-
 
|-
 
| Requested from date:  
 
| Requested from date:  
| {{#input:type=textarea|name=accom_from|rows=1|cols=10|style=width:auto}}
+
| {{#input:type=text|name=accom_from|value=23/06/2010}}
 
| Check-out date:  
 
| Check-out date:  
| {{#input:type=textarea|name=accom_checkout|rows=1|cols=10|style=width:auto}}
+
| {{#input:type=text|name=accom_checkout|value=25/06/2010}}
 
|}
 
|}
 
{|
 
{|
 
| Room type:
 
| Room type:
 
| {{#input:type=select|name=accom_roomtype|
 
| {{#input:type=select|name=accom_roomtype|
*single
+
*single at 60 GBP per night
*double}}
+
*twin at 75 GBP per night}}
 +
|}
 +
----
 +
'''Workshop's Dinner'''
 +
 
 +
''We plan to host a workshop's reception and dinner on'' '''''Wednesday 23th''''' ''in the college. The estimated cost would be 50 GBP.''
 +
 
 +
{|
 +
|-
 +
| I would like to participate in the dinner:
 +
| {{#input:type=select|name=dinner|
 +
*Please select
 +
*yes
 +
*no}}
 +
|}
 +
----
 +
'''Other'''
 +
 
 +
{|
 +
|-
 +
| Special dietary requirements (e.g. vegetarian, vegan):
 +
| {{#input:type=text|name=diet|value=No special dietary requirements}}
 +
|}
 +
{|
 +
|-
 +
| Disabled access:
 +
| {{#input:type=text|name=disabled|value=No special disabled requirements}}
 
|}
 
|}
  
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'''Financial support'''
 
'''Financial support'''
  
''We are able to provide limited support for travel and accommodation, mainly for students.''
+
''We are able to provide limited support for travel or accommodation, mainly for students.''
  
 
{|
 
{|
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| I would like to apply for the support:  
 
| I would like to apply for the support:  
 
| {{#input:type=select|name=support|
 
| {{#input:type=select|name=support|
*yes
+
*no
*no|value=no}}
+
*yes}}
|-
 
| Justification:
 
| {{#input:type=textarea|name=support_justification|rows=3|cols=50|style=width:auto}}
 
 
|}
 
|}
 +
 +
''Brief (<250 words) justification of your need for financial support. Please include amount of money you would like to apply for (in euros).''
 +
{{#input:type=textarea|name=justification|rows=3|cols=100|style=width:auto}}
  
 
----
 
----
 +
'''Now, make sure everything you entered is ok. If form is processed successfully you will receive a confirmation email.'''
 +
----
 +
 
{{#input:type=submit|value=Send}}
 
{{#input:type=submit|value=Send}}
  
 
{{#formend:}}
 
{{#formend:}}

Latest revision as of 16:37, 12 April 2010

Registration form for invitees

If you have already send this form, please do not send it again!

In order to amend you application or with other queries please email gsaw2010@ast.cam.ac.uk


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

Contact details

Title (Mr/Mrs/Dr/Prof): name=dr|cols=5|style=width:auto|rows=1}}
Name: name=name}}
Affiliation: name=affiliation|cols=50|style=width:auto|rows=1}}
Work address: name=address|rows=3|cols=30|style=width:auto}}
Telephone: name=tel|value=don't forget your country code|cols=30|style=width:auto|rows=1}}
Email: name=email|rows=1|cols=20|style=width:auto}}

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


My contribution to the Workshop: name=contribution|
  • Please select
  • talk
  • poster
  • none}}
Title: name=title|rows=1|cols=100|style=width:auto}}
Brief abstract: name=abstract|rows=4|cols=100|style=width:auto}}

Accommodation

We have booked a set of single and double rooms in the nearby Churchill College. If you are interested in this accommodation you will be asked to pay for your stay in advance. Alternatively you can book a room in one of the hotels or B&Bs in Cambridge. Check the Logistics page.

I would like to book a room in the Churchill College name=accom_churchill|
  • Please select
  • yes
  • no, I'll find accommodation myself}}
Requested from date: name=accom_from|value=23/06/2010}} Check-out date: name=accom_checkout|value=25/06/2010}}
Room type: name=accom_roomtype|
  • single at 60 GBP per night
  • twin at 75 GBP per night}}

Workshop's Dinner

We plan to host a workshop's reception and dinner on Wednesday 23th in the college. The estimated cost would be 50 GBP.

I would like to participate in the dinner: name=dinner|
  • Please select
  • yes
  • no}}

Other

Special dietary requirements (e.g. vegetarian, vegan): name=diet|value=No special dietary requirements}}
Disabled access: name=disabled|value=No special disabled requirements}}

Financial support

We are able to provide limited support for travel or accommodation, mainly for students.

I would like to apply for the support: name=support|
  • no
  • yes}}

Brief (<250 words) justification of your need for financial support. Please include amount of money you would like to apply for (in euros). {{#input:type=textarea|name=justification|rows=3|cols=100|style=width:auto}}


Now, make sure everything you entered is ok. If form is processed successfully you will receive a confirmation email.


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

{{#formend:}}