
<?php

if ($_POST["action"] != "") {
	
	$to = "jmorris@math.purdue.edu";
	$title = "Lipman Conference Registration\n\n";
	$body  = "Registration for Lipman Conference\n\n";
	$body .= "date: " . date("r") . "\n\n";
	$body .= "Name: " . $_POST["Name"] . "\n";
	$body .= "Affiliation: ". $_POST["Affiliation"] . "\n";
	$body .= "Position: " . $_POST["Position"] . "\n";
   $body .= "Address: " . $_POST["Address1"] . "\n";
	$body .= "Email: " . $_POST["Email"] . "\n";
	$body .= "Comment: " . $_POST["Comments"] . "\n";	
	/** commented out by ivetter - 11/12/2007 
	 * 	due to Julie receiving form spam
	***/
	/*mail($to, $title, $body);*/
}
	

?>


<HTML><HEAD><TITLE>Midwest Commutative Algebra and Geometry Meeting: Registration Form</TITLE>

<META http-equiv=Content-Type content="text/html; charset=windows-1252">

<META content="MSHTML 6.00.2800.1400" name=GENERATOR></HEAD>

<BODY text=#000000 vLink=#351ab0 aLink=#ff0000 link=#0000ee 

bgColor=#ccffff><FONT face="Comic Sans MS">

<CENTER><FONT face="Comic Sans MS" color=#ff0000 size=+1><B>Midwest Commutative 

Algebra and Geometry Meeting:<BR>A conference in honor of Joseph 

Lipman</B></FONT> <BR><BR><B>Purdue University, West Lafayette <BR>May 17-21, 

2004</B> <BR><BR><BR>

<H2>Registration Form</H2></CENTER><BR>

<?
	if ($_POST["action"] == "") {

?>

<FORM action="/~ulrich/Lipman.dir/registration.php" method="post">

<CENTER>

<P>Please, take a few moments to register. <BR>It will help us in our organizing 

efforts. 

<P>

<TABLE cellPadding=0 border=0>

  <TBODY>

  <TR>

    <TH align=left width=120><FONT face="Comic Sans MS">Your name:</FONT> </TH>

    <TD><INPUT size=30 name=Name> </TD></TR>

  <TR>

    <TH align=left><FONT face="Comic Sans MS">Affiliation:</FONT> </TH>

    <TD><INPUT size=30 name=Affiliation> </TD></TR>

  <TR>

  <TR>

    <TH align=left><FONT face="Comic Sans MS">Position:</FONT> </TH>

    <TD><INPUT size=30 name=Position> </TD></TR>

    <TH align=left><FONT face="Comic Sans MS">Address:</FONT> </TH>

    <TD><INPUT size=30 name=Address1> </TD></TR>

  <TR>

    <TH align=left><FONT face="Comic Sans MS">Email:</FONT> </TH>

    <TD><INPUT size=30 name=Email> </TD></TR>

  </TBODY>

</TABLE>

<P>

<B>About Funding:</B> There are funds available <br>

for graduate students and younger researchers. <br>

If you would like to apply for these funds, please <br>

write a brief statement of interest in the meeting and <br>
indicate what level of support you would need..

<P>

<B>Statement of Interest:</B><BR>

<TEXTAREA name=Comments rows=6 cols=41></TEXTAREA>

<BR><BR><BR>

<INPUT type=hidden value=register name=action> 

<INPUT type=submit value=Submit> 

</FORM></FONT>

<?

} else {

?>

<FONT face="Comic Sans MS">Thank you for registering!  We're looking forward to seeing you at the conference!</font>

<?

}

?>


</P></CENTER></BODY></HTML>

