This shows you the differences between two versions of the page.
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newuser [2015/02/22 10:00] admin |
newuser [2015/02/22 10:22] admin |
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Family Name: <input type="text" name="lastname" value="Rutherford" size="25"> | Family Name: <input type="text" name="lastname" value="Rutherford" size="25"> | ||
<br> | <br> | ||
- | E-mail: <input type="text" name="mail" value="e.rutherford@canterbury.ac.nz" size="24"> | + | E-mail: <input type="text" name="email" value="e.rutherford@canterbury.ac.nz" size="20"> |
- |         | + | |
- | Sponsor: | + | Phone: <input type="text" name="phone" value="+64 09 000 000 ext. 2322" size="20"> |
+ | Sponsor: | ||
<select name="sponsor" value=""> | <select name="sponsor" value=""> | ||
<option value="unknown">Unknown</option> | <option value="unknown">Unknown</option> | ||
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</select> | </select> | ||
<br> | <br> | ||
- | Home Affiliation Address: <br> | + | Address of Home Affiliation(s): <br> |
- | <textarea name="message" rows="4" cols="85"> | + | <textarea name="message" rows="3" cols="85"> |
- | Canterbury College, University of New Zealand | + | Canterbury College, University of New Zealand, Private Bag 4800 Christchurch, 8140 NZ |
- | Private Bag 4800 | + | Cavendish Laboratory, University of Cambridge, JJ Thomson Avenue, Cambridge CB3 0HE, UK. |
- | Christchurch, 8140 NZ | + | |
</textarea> | </textarea> | ||
</fieldset> | </fieldset> | ||
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<fieldset> | <fieldset> | ||
<legend>PROJECT INFO</legend> | <legend>PROJECT INFO</legend> | ||
+ | Estimated Months Account is Needed: <input type="text" name="acct_lngth_estimate" value="24" size="25"><br> | ||
+ | Please give a brief description of the scientific project you intend to run: <br> | ||
+ | <textarea name="message" rows="8" cols="85"> | ||
+ | </textarea> | ||
</form> | </form> | ||
</body> | </body> | ||
</html> | </html> |