Workshop2010:registrationform

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Revision as of 14:48, 28 February 2010 by Lukasz (talk | contribs)
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Please do not fill the form yet as it is not working yet!


{{#form: action="mailto:wyrzykow@gmail.com"|method=post|}}

Title: {{#input:type=textarea|name=dr|cols=5|style=width:auto|rows=1}}

Name: {{#input:type=textarea|name=name|cols=30|style=width:auto|rows=1}}

Affiliation: {{#input:type=textarea|name=affiliation|cols=30|style=width:auto|rows=1}}

Address: {{#input:type=textarea|rows=3|cols=30|style=width:auto}}

{{#input:type=select|name=contribution|

  • one
  • two
  • three

}}

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

{{#formend:}}