Difference between revisions of "Form:Member"
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<tr><td>Suburb:</td><td><input name="Suburb" /></td><td>City:</td><td><input name="City" /></td></tr> | <tr><td>Suburb:</td><td><input name="Suburb" /></td><td>City:</td><td><input name="City" /></td></tr> | ||
− | <tr><td> | + | <tr><td>State:</td><td><input name="State" size="3" /></td><td>Zip Code:</td><td><input name="Zip" /></td></tr> |
<tr><td colspan="4"><h4>Contact Details</h4></td></tr> | <tr><td colspan="4"><h4>Contact Details</h4></td></tr> | ||
− | <tr><td> | + | <tr><td>Phone:</td><td><input name="Phone" /></td><td>Fax:</td><td><input name="Fax" /></td></tr> |
− | <tr><td> | + | <tr><td>Web:</td><td><input name="Web" /></td><td>Email:</td><td><input name="Email" /></td></tr> |
<tr><td colspan="4"><h4>Interests</h4></td></tr> | <tr><td colspan="4"><h4>Interests</h4></td></tr> | ||
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<tr><td colspan="2"><input type="checkbox" name="Organisation" /> Organisation</td><td colspan="2"><input type="checkbox" name="Web3" /> Web 3.0</td></tr> | <tr><td colspan="2"><input type="checkbox" name="Organisation" /> Organisation</td><td colspan="2"><input type="checkbox" name="Web3" /> Web 3.0</td></tr> | ||
− | <tr><td colspan="2"><input type="checkbox" name="Administration" /> Administration</td><td colspan="2"><input type="checkbox" name="ContentManagement" /> | + | <tr><td colspan="2"><input type="checkbox" name="Administration" /> Administration</td><td colspan="2"><input type="checkbox" name="ContentManagement" /> Content management</td></tr> |
<tr><td colspan="2"><input type="checkbox" name="Technology" /> Technology</td><td colspan="2"><input type="checkbox" name="Philosophy" /> Philosophy</td></tr> | <tr><td colspan="2"><input type="checkbox" name="Technology" /> Technology</td><td colspan="2"><input type="checkbox" name="Philosophy" /> Philosophy</td></tr> | ||
<tr><td colspan="2"></td><td colspan="2"><input type="checkbox" name="Spirituality" /> Spirituality</td></tr> | <tr><td colspan="2"></td><td colspan="2"><input type="checkbox" name="Spirituality" /> Spirituality</td></tr> | ||
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<tr><td colspan="4"><h4>Administration</h4></td></tr> | <tr><td colspan="4"><h4>Administration</h4></td></tr> |
Latest revision as of 04:34, 22 October 2008