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<title>TPHOLs 2009 Registration</title>
</head>
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LINK="#0000EF"
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<TABLE WIDTH="100%"
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<TR>
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<p align=center>
<a href="../pictures/marienplatz.jpg">
<img src="../pictures/marienplatz_small.jpg" alt="Marienplatz" border=0></a>
<br>
<small>Marienplatz (city centre)</small><br>
</p>
<p align=center>
<a href="../pictures/englischer_garten.jpg">
<img src="../pictures/englischer_garten_small.jpg" alt="Englischer Garten" border=0></a>
<br>
<small>The English Garden</small><br>
</p>
<p align=center>
<a href="../pictures/chinesischer_turm.jpg">
<img src="../pictures/chinesischer_turm_small.jpg" alt="Chinesischer Turm" border=0></a>
<br>
<small>Chinese Tower (famous beer garden)</small><br>
</p>
<p align=center>
<a href="../pictures/cs_building.jpg">
<img src="../pictures/cs_building_small.jpg" alt="Computer science building" border=0></a>
<br><small>The Computer Science building of the TUM</small><br>
</p>
<p align=center>
<a href="../pictures/magistrale.jpg">
<img src="../pictures/magistrale_small.jpg" alt="Main hall of the computer science building" border=0></a>
<br>
<small>The main hall in the CS-building</small><br>
</p>
<p align=center>
<a href="../pictures/isar.jpg">
<img src="../pictures/isar_small.jpg" alt="The river Isar" border=0></a>
<br>
<small>The Isar river</small><br>
</p>
<p align=center>
<A HREF="../pictures/tphols09_poster.jpg">
<IMG ALT="poster" SRC="../pictures/tphols09_poster_small.jpg" align="top"></A>
<BR>
<small>The conference poster</small><br>
</p>
</TD>
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<TD BGCOLOR="#FFFFFF" WIDTH="75%" VALIGN="TOP">
<CENTER>
[<a href="../index.html#dates">Important Dates</a>]
[<a href="../index.html#submission">Paper Submission</a>]
[<a href="../index.html#committees">Committees</a>]
[<a href="../index.html#venueandprogramme">Venue and Programme</a>]
[<a href="../index.html#workshops">Workshops</a>]
[<a href="../index.html#travelandaccommodation">Travel and Accommodation</a>]
[<a href="../index.html#registration">Registration</a>]
[<a href="../index.html#support">Our Sponsors</a>]
</CENTER>
<HR><p>
<h1>TPHOLs 2009 Registration</h1>
<form method="post" action="confirm.php">
<dl class="info">
<dt><b>Contact Information</b></dt>
<p>
<dd>
<table>
<tr><td width="250">Title</td>
<td><input name="title" type="text" size="30"></td></tr>
<tr><td>First name *</td>
<td><input name="firstName" type="text" size="30"></td></tr>
<tr><td>Last name *</td>
<td><input name="lastName" type="text" size="30"></td></tr>
<tr><td>Email address *</td>
<td><input name="email" type="text" size="30"></td></tr>
<tr><td>Phone number</td>
<td><input name="phone" type="text" size="30"></td></tr>
<tr><td>Fax number</td>
<td><input name="fax" type="text" size="30"></td></tr>
</table>
</dd>
<p>
<dt><b>Billing Address (if different from the one specified at MünchenTicket)</B></dt>
<p>
<dd>
<table>
<tr><td width="250">Organisation</td>
<td><input name="organisation" type="text" size="30"></td></tr>
<tr><td>Street / P.O. Box</td>
<td><input name="street" type="text" size="30"></td></tr>
<tr><td>City</td>
<td><input name="city" type="text" size="30"></td></tr>
<tr><td>Postal/ZIP code</td>
<td><input name="postcode" type="text" size="30"></td></tr>
<tr><td>Country</td>
<td><input name="country" type="text" size="30"></td></tr>
</table>
</dd>
<p>
<dt><b>Registration Information</b></dt>
<p>
<dd>
<table> <tr><td width="250">Registration Type</td>
<td><select name="regType" size="1">
<option value="conf">Conference (Regular)</option>
<option value="confws">Conference + Workshop (Regular)</option>
<option value="confstud">Conference (Student)</option>
<option value="confwsstud">Conference + Workshop (Student)</option>
<option value="ws">Workshop only</option>
</select></td></tr>
<tr><td width="250">Poster/Paper</td>
<td><select name="posterpaper" size="1">
<option value="poster">Poster</option>
<option value="paper">Paper</option>
<option value="NONE">NONE</option>
</select></td></tr>
<tr><td width="250">Special dietary requirements:<br><em>(e.g. vegetarian)</em></td>
<td><input name="dietaryRequirements" type="text" size="30"></td></tr>
<tr><td>Special needs:<br><em>(e.g. wheelchair access)</em></td>
<td><input name="specialNeeds" type="text" size="30"></td></tr>
<tr><td>Name to appear on Badge: *<br></td>
<td><input name="badgeName" type="text" size="30"></td></tr>
</table>
</dd>
<p>
<dt><b>Submit Information</B></dt>
<p>
<dd>
<table>
<tr><td width="250"> </td>
<td><input type="submit" value="Submit"></td></tr>
<tr><td>* Required fields.</td></tr>
</table>
</dd>
</dl>
</form>
</TD>
</TABLE>
<hr>
<!-- Created: Wed May 6 18:00:59 CEST 2009 -->
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Last modified: Tue May 12 00:16:58 CEST 2009
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