Difference between revisions of "Form:Member"

@@ Line 38: / Line 38: @@
 <tr><td colspan="2"></td><td colspan="2"><input type="checkbox" name="Spirituality" /> Spirituality</td></tr>
-<tr><td colspan="4">Comments<br>
-<textarea name="Comments"></textarea></td></tr>
 <tr><td colspan="4"><h4>Administration</h4></td></tr>

Name
Title:
First Names:		Surname:
Address
Number:		Street:
Suburb:		City:
Post Code:		Electorate:
Contact Details
Home Phone:		Fax:
Other Phone:		Email:
Interests
Organisation		Web 3.0
Administration		ContentManagement
Technology		Philosophy
		Spirituality
Administration
Total paid: $ Payment cleared Cheque No.

Revision as of 04:29, 22 October 2008