IGEM China Meeting Registration

From 2006.igem.org

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       <td align=left bgcolor=ffffff>
       <td align=left bgcolor=ffffff>
         <input type=text name="fields_lname">
         <input type=text name="fields_lname">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
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        <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">
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        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Organisation</font>
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      </td>
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      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_organisation">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
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        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Department</font>
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      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_department">
 +
      </td>
 +
    </tr>
 +
      <td valign=top align=right bgcolor="#ffffff">
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        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">Website</font>
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      </td>
 +
      <td align=left bgcolor=ffffff>
 +
        <input type=text name="fields_website">
 +
      </td>
 +
    </tr>
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      <td valign=top align=right bgcolor="#ffffff">
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        <font size="2" face="Arial, Helvetica, sans-serif" color="#226699">I would like iGEM to visit my campus/organisation</font>
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      </td>
 +
      <td align=left bgcolor=ffffff>
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        <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>
       </td>
     </tr>
     </tr>

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