PRELIMINARY APPLICATION FORM
PTC-03, Short Course on Passive Thermal Control
22-24 October, 2003, Antalya, TURKEY

<% title=Request.Querystring("title") firstname=Request.Querystring("firstname") lastname=Request.Querystring("lastname") affiliation=Request.Querystring("affiliation") address=Request.Querystring("address") city=Request.Querystring("city") state=Request.Querystring("state") postcode=Request.Querystring("postcode") country=Request.Querystring("country") telephone=Request.Querystring("telephone") fax=Request.Querystring("fax") email=Request.Querystring("email") symposium=Request.Querystring("symposium") accompany=Request.Querystring("accompany") accompanyname=Request.Querystring("accompanyname") oneri=Request.Querystring("oneri") %> You have completed the PTC-03 Pre-registration successfully with the following informations;
(Pre-registration confirmation e-mail will send to you.)

Personal Information
Title: <%Response.Write (title)%>
*First Name: <%Response.Write (firstname)%>
*Last Name: <%Response.Write (lastname)%>
Affiliation: <%Response.Write (affiliation)%>
Postal Address
Address Line 1: <%Response.Write (address)%>
Address Line 2: <%Response.Write (city)%>
City/State: <%Response.Write (state)%>
Postcode: <%Response.Write (postcode)%>
Country: <%Response.Write (Country)%>
 
Telephone: <%Response.Write (telephone)%>
Fax: <%Response.Write (fax)%>
*Email: <%Response.Write (email)%>
<%Response.Write ("[ "&symposium&" ]")%> I plan to attend the short course
<%Response.Write ("[ "&accompany&" ]")%> I shall be accompanied by : <%Response.Write (accompanyname)%>
  other request:
  <%Response.Write (oneri)%>
   
 
<%choice2=Request.Form("EXIT") If Choice2="EXIT" then Response.Redirect "announce.html" End if%>