<% title=Request.Querystring("title") firstname=Request.Querystring("firstname") lastname=Request.Querystring("lastname") company=Request.Querystring("company") address=Request.Querystring("address") address2=Request.Querystring("address2") state=Request.Querystring("state") postcode=Request.Querystring("postcode") country=Request.Querystring("country") telephone=Request.Querystring("telephone") fax=Request.Querystring("fax") email=Request.Querystring("email") benefit=Request.Querystring("benefit") paper=Request.Querystring("paper") fee=Request.Querystring("fee") namehotel=Request.Querystring("namehotel") hotel=Request.Querystring("hotel") tcoste=Request.Querystring("tcoste") cost=Request.Querystring("cost") total=Request.Querystring("total") %> You have completed the APPLICATION for ICHMT GRANT for RAD-04 successfully with the following informations;
(This informations will also send to you by e-mail.)

Personal Information
Title and/or position: <%Response.Write (title)%>
*First Name: <%Response.Write (firstname)%>
*Last Name: <%Response.Write (lastname)%>
Company or Organisation: <%Response.Write (company)%>
Postal Address
Address Line 1: <%Response.Write (address)%>
Address Line 2: <%Response.Write (address2)%>
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)%>
 
Why would you benefit from attendance at this symposium?
<%Response.Write (benefit)%>
  Have you submitted a paper to this symposium? <%Response.Write (" ("&paper&") ")%>
 
Estimate of total cost of participation (please convert to US dollars):
 

Registration fee:

<%Response.Write (fee)%>
 
Hotel accommodation - name of hotel:
<%Response.Write (namehotel)%>
<%Response.Write (hotel)%>
 
Travel costs (explain):
<%Response.Write (tcoste)%>
<%Response.Write (cost)%>
 
TOTAL: <%Response.Write (total)%>
   
<%choice2=Request.Form("EXIT") If Choice2="EXIT" then Response.Redirect "mainindex.html" End if%>