Difference between revisions of "Cheese Registration System"
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+ | [Category:Data Design] | ||
+ | ==Cheese Registration System== | ||
+ | |||
+ | The international cheese convention is currently using a paper form registration system. | ||
+ | Please convert is to an HTML form and an ASPX web form. | ||
+ | |||
Name | Name | ||
Title: | Title: | ||
+ | |||
[ ] Mr | [ ] Mr | ||
Revision as of 04:38, 30 January 2007
[Category:Data Design]
Cheese Registration System
The international cheese convention is currently using a paper form registration system. Please convert is to an HTML form and an ASPX web form.
Name
Title:
[ ] Mr
[ ] Mrs
[ ] Ms
[ ] Dr
[ ] Prof
[ ] Rev
First Name: _______________________________________
Last Name: _______________________________________
Institution/Company: _______________________________________
Job Title: _______________________________________
Address: _______________________________________
City: _______________________________________
State US: ___
Or NonUS State/Province: _____
ZIP/Mail Code: ________
Country: ______
Email: __________________________
Phone: __________________________
May favorite cheese consistencies. You may select multiple consistencies.
[ ] soft [ ] semi-soft [ ] semi-hard [ ] hard
I'm most interested in cheese from. Select only one region.
__ USA
__ France
__ Ireland
__ Germany
__ Switzerland
__ Italy
Personal Cheesey Bio
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________