Fields marked <font color="CC0000" size=+1>*</font> are required.
<p>
<!--<form name="registration" method="GET" action="registration.asp">-->
<form action="mailto:fqwang@purdue.edu?Subject=STAR%20Analysis%20Meeting%20Registration" method="post" enctype="text/plain">
  <table>
    <tr>
      <td><b><font color="CC0000" size=+1>*</font> Name:</b></td>
      <td><input type="text" name="name"></td>
    </tr>
    <tr>
      <td><b><font color="CC0000" size=+1>*</font> Institution:</b></td>
      <td><input type="text" name="institution"></td>
    </tr>
    <tr>
      <td>&nbsp;&nbsp;&nbsp;E-mail:</td>
      <td><input type="text" name="email"></td>
    </tr>
    <tr>
    <td><b><font color="CC0000" size=+1>*</font> Are you a student?</b></td>
    <td>
      &emsp;<input type="radio" name="student" value="yes">Yes
      &emsp;<input type="radio" name="student" value="no">No
    </td>
    <tr>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Arrival date:</td>
      <td><input type="text" name="arrival" value="July 15, 2013"></td>
    </tr>
    <tr>
      <td>Departure date:</td>
      <td><input type="text" name="departure" value="July 20, 2013"></td>
    </tr>
  </table>
  <p>
    Where are you staying?<br>
    <input type="radio" name="hotel" value="Hilton Garden Inn">Hilton Garden Inn<br>
    <input type="radio" name="hotel" value="Holiday Inn">Holiday Inn<br>
    <!--<input type="radio" name="hotel" value="Campus Inn">Campus Inn<br>
	<input type="radio" name="hotel" value="Prestige Inn">Prestige Inn<br>-->
    <input type="radio" name="hotel" value="other">Other &emsp;
    <input type="text" name="otherhotel">
  <p>
    <b><font color="CC0000" size=+1>*</font> Will you be attending the dinner on Thurs. July 18?</b><br>
    <input type="radio" name="dinner" value="yes">Yes<br>
    <input type="radio" name="dinner" value="no">No
  <p>
    <!--Any comments or special needs:<br><textarea name="comments" cols="50" rows="3"></textarea>-->
  <p>
    <!--<input type="submit" value="Submit">-->
    <input type="submit" value="Send Form (e-mail to Fuqiang Wang)">
</form>