Cheese Registration System
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.
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
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