IGEM China Meeting Registration

From 2006.igem.org

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<html>
<html>
-
<iframe height="1000" frameborder="0" scrolling="no" style="width:100%;border:none" src="http://cumbers.wufoo.com/embed/igem-china-tour-2007/"  title="HTML Form">
+
<form method=post action="http://app.intellicontact.com/icp/signup.php" name="icpsignup" accept-charset="UTF-8" onsubmit="return verifyRequired();" >
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<a href="http://cumbers.wufoo.com/forms/igem-china-tour-2007/" title="HTML form">
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<!--
-
Fill out my Wufoo form!</a>
+
    Welcome to your IntelliContact signup form
-
</iframe>
+
    ==========================================
 +
 
 +
 
 +
    Thank You Page
 +
    ==============
 +
    If you'd like to change the web page your subscribers see when they
 +
    successfully sign up for your list, change the link below in the field
 +
    named 'redirect' to a URL of your choice.
 +
-->
 +
<input type=hidden name=redirect value="http://www.intellicontact.com/www/signup/thanks.html" />
 +
<!--
 +
    Error Page
 +
    ==========
 +
    If you'd like to change the web page your subscribers see when they
 +
    encounter an error while signing up your list, change the link below in
 +
    the field named 'errorredirect' to a URL of your choice.
 +
-->
 +
<input type=hidden name=errorredirect value="http://www.intellicontact.com/www/signup/error.html" />
 +
<script language=javascript>
 +
function verifyRequired() {
 +
  if (document.icpsignup.fields_email.value == "") {
 +
    alert("The Email field is required.");
 +
    return false;
 +
  }
 +
 
 +
    if (
 +
      !document.icpsignup["listid:9889897"].checked &&
 +
      !document.icpsignup["listid:9890990"].checked &&
 +
      true) {
 +
    alert("The Lists field is required.");
 +
    return false;
 +
  }
 +
 
 +
return true;
 +
}
 +
</script>
 +
<table width="260" border="0" cellspacing="0" cellpadding="1">
 +
  <tr><td bgcolor="#ffffff">
 +
    <table width="100%" border="0" cellspacing="0" cellpadding="5">
 +
    <tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
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        <font size="1" face="Arial,Helvetica, sans-serif" color="#226699">*</font> <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Email</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_email">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">First Name</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_fname">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Last Name</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_lname">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Position</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_position">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Organisation</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_organisation">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Department</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_department">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Website</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_website">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">I would like iGEM to visit my campus/organisation</font>
 +
      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=checkbox id="fields_igemtovisit" name="fields_igemtovisit"> <label for="fields_igemtovisit"><font size="2" face="Arial, Helvetica, sans-serif" color="#226699"></font></label>
 +
      </td>
 +
    </tr>
 +
    <tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
 +
        <font size="1" face="Arial,Helvetica, sans-serif" color="#226699">*</font> <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Lists</font>
 +
      </td>
 +
      <td bgcolor="#ffffff">
 +
        <input type=hidden name="listid" value="__multi">
 +
        <input type=hidden name="lists" value="9889897:9890990">
 +
        <input type=hidden name="specialid:9889897" value="G1G8">
 +
        <input type=checkbox id="listid:9889897" name="listid:9889897"> <label for="listid:9889897"><font size="2" face="Arial, Helvetica, sans-serif" color="#226699">iGEM China News</font></label><br>
 +
        <input type=hidden name="specialid:9890990" value="XLLB">
 +
        <input type=checkbox id="listid:9890990" name="listid:9890990"> <label for="listid:9890990"><font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Register free for PKU meeting</font></label><br>
 +
      </td>
 +
    </tr>
 +
    <input type=hidden name=clientid value="85096">
 +
    <input type=hidden name=reallistid value="1">
 +
    <input type=hidden name=doubleopt value="1">
 +
    <TR>
 +
      <TD bgcolor="#ffffff"> </TD>
 +
      <TD bgcolor="#ffffff"><font size="1" face="Arial,Helvetica, sans-serif" color="#226699">*</font><font size="2" face="Arial,Helvetica, sans-serif" color="#226699"> = Required Field</FONT></TD>
 +
    </TR>
 +
    <tr>
 +
      <td bgcolor="#ffffff"> </td>
 +
      <td bgcolor="#ffffff"><input type="submit" name="Submit" value="Submit"></td>
 +
    </tr>
 +
    </table>
 +
  </td></tr>
 +
</table>
 +
</form>
</html>
</html>

Latest revision as of 00:08, 26 December 2006

* Email
First Name
Last Name
Position
Organisation
Department
Website
I would like iGEM to visit my campus/organisation
* Lists

* = Required Field

Personal tools
Past/present/future years