Difference between revisions of "Form:Member"

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<tr><td colspan="4"><h4>Contact Details</h4></td></tr>
 
<tr><td colspan="4"><h4>Contact Details</h4></td></tr>
  
<tr><td>Home Phone:</td><td><input name="HmPhone" /></td><td>Fax:</td><td><input name="Fax" /></td></tr>
+
<tr><td>Phone:</td><td><input name="Phone" /></td><td>Fax:</td><td><input name="Fax" /></td></tr>
  
<tr><td>Other Phone:</td><td><input name="WkPhone" /></td><td>Email:</td><td><input name="Email" /></td></tr>
+
<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>

Revision as of 04:30, 22 October 2008

Name

Title:
First Names:    Surname:

Address

Number:Street:
Suburb:City:
Post Code:Electorate:

Contact Details

Phone:Fax:
Web:Email:

Interests

Organisation Web 3.0
Administration ContentManagement
Technology Philosophy
Spirituality

Administration

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