Difference between revisions of "Form:Member"

@@ Line 21: / Line 21: @@
 <tr><td>Suburb:</td><td><input name="Suburb" /></td><td>City:</td><td><input name="City" /></td></tr>
-<tr><td>Post Code:</td><td><input name="PostCode" size="3" /></td><td>Electorate:</td><td><input name="Electorate" /></td></tr>
+<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>

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

Revision as of 04:32, 22 October 2008