SiD Workshop Registration Form
January 28-30 2008
<form method="POST" action="http://www-sid.slac.stanford.edu/SLAC-jan08-workshop/registerII.asp">
<table border="0" cellpadding="0" cellspacing="5">
<tr>
<th align="left">Last/Family Name</th>
<td><input type="text" name="lname" size="36"></td>
</tr>
<tr>
<th align="left">First Name</b></th>
<td><input type="text" name="fname" size="36"></td>
</tr>
<tr>
<th align="left">Institution</b></th>
<td><input type="text" name="institution" size="36"></td>
</tr>
<tr>
<th align="left">Email Address</th>
<td><input type="text" name="email" size="36"></td>
</tr>
<tr>
<td colspan="2"><input type="submit" value="Sign Up" name="B1"></td>
</tr>
</table>
</form>