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register [2008/09/10 15:12]
piegza
register [2008/09/10 15:25]
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-====== Registration Form ====== 
-Thank you for registering for the 2nd SECANT Workshop held October 30 & 31 at Purdue University. ​ Please complete the brief form below and submit it. The name you give should be as you would like it to appear on your name badge for the event. 
  
-We have a block of rooms reserved at the [[http://​www.hotel.purdue.edu/​|Purdue Memorial Union Club Hotel]] for the nights of October 29 & 30, 2008. **Please call 1-800-320-6291 by October 15**, to make your reservation. Room rates are $92-$110. After  October 15, the unused rooms in the block will be released. Please refer to the block of rooms as the Science Education in Computational Thinking (SECANT) Workshop. 
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-<form piegza@cs.purdue.edu|>​ 
-/* subject -> Registration Request */ 
-/* DOKU_ID -> thanks */ 
-^ First Name      | [_ fname _]  | 
-^ Last Name      | [_ lname _]  | 
-^ Affiliation| [_ affiliation _]  | 
-^ Department Name| [_ department _]  | 
-^ E-Mail| [_ email _] | 
-^ Homepage URL| [_ url _] | 
-^ Mailing Address| [_ mail \\ \\ \\ _] | 
-^ Phone Number| [_ phone _] | 
-^ Did you attend the 2007 SECANT Workshop?| (* attend08 -> __Yes__,​No*) | 
- 
-^ When do you plan to arrive for the 2008 SECANT Workshop?| (* arrive08 -> __Wednesday evening__,​Thursday morning,​other*) | 
-^ If other, when do you plan to arrive| [_ otrarrive _] | 
-Line; 
-^ When do you plan to depart from the 2008 SECANT Workshop?| (* depart08 -> __Friday after lunch__,​other*) | 
- 
-^If other, when do you plan to depart| [_ otrdepart _] | 
- 
-^ Special Dietary Needs | (* food -> __none__, vegetarian, vegan, other *) | 
-^ If other, please specify| [_ otrfood _] | 
- 
-(! submit -> Submit !) 
-(. reset -> Reset .) 
-</​form>​ 
- 
----- 
- 
-★If you have special needs that workshop organizers need to know about, please [[piegza@cs.purdue.edu|contact us]]. 
 
register.txt · Last modified: 2008/09/10 15:25 (external edit)
 
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