IGEM China Meeting Registration
From 2006.igem.org
(Difference between revisions)
Johncumbers (Talk | contribs) m (PKU meeting registration 2007 moved to IGEM China Meeting Registration) |
Johncumbers (Talk | contribs) |
||
Line 1: | Line 1: | ||
<html> | <html> | ||
- | < | + | <form method=post action="http://app.intellicontact.com/icp/signup.php" name="icpsignup" accept-charset="UTF-8" onsubmit="return verifyRequired();" > |
- | < | + | <!-- |
- | + | Welcome to your IntelliContact signup form | |
- | </ | + | ========================================== |
+ | |||
+ | |||
+ | 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"> | ||
+ | <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> | ||
+ | <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> |
Revision as of 00:02, 26 December 2006