Symposium on Multidisciplinary Approaches to Understanding the Mind and Brain

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===== Symposium on Understanding the Mind and Brain (SUMB)  =====

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**###Marriott Hotel, University of Arizona, Tucson, Arizona###**
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**May 9-11, 2010**
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<form>
Action mail king@cse.cuhk.edu.hk m.anthony.lewis@gmail.com tlewis@ece.arizona.edu dwang@cse.ohio-state.edu fellous@email.arizona.edu schweigh@usc.edu
Thanks "Thank you for submitting the registration form for the Symposium on Understanding the Mind and Brain (SUMB)."

fieldset "Registration Form for SUMB"

fieldset "Attendee's Background Information"
select "Attendee's Salutation" "Miss.|Ms.|Mrs.|Mr.|Dr.|Prof." "=Prof."
textbox "Attendee's First Name (Given Name)" "=First Name"
textbox "Attendee's Last Name (Family Name)" "=Last Name"
textbox "Attendee's Affiliation" "=Affiliation"
textarea "Attendee's Address" "=Address"
textbox "Attendee's Email Address" "=Email Address"
textbox "Attendee's Telephone (optional)" !
textbox "Attendee's Fax (optional)" !
textbox "Attendee's Website (optional)" !

fieldset "Attendee's Presentation Preference"
select "Do you plan to make a technical presentation?" "Yes|No" 
static "Please fill out the remaining of this section if you answered 'yes' to the previous question."
textbox "Title of the Presentation" "=Presentation Title Here."
textarea "Abstract of the Presentation" "=The abstract of the presentation is..."
textarea "Short-bio of the Presenter" "=Short-bio..."
select "Length of the technical presentation?" "30 mins|45 mins" 

fieldset "More Information"
select "Do you plan to stay at the Marriott Hotel, the official hotel of SUMB?" "Yes|No|Not Decided" 
select "Will you be driving to SUMB?" "Yes|No|Not Decided"
select "Do you have any special dietary restrictions for the banquet?" "Yes|No"
textarea "Other special requests" "=Other special requests."

fieldset "Payment Information"
static "A banquet/reception and conference fee of $100.00 will be due when you check in on-site.  You may pay it by cash or a check.  No credit card will be accepted."

fieldset "Final Confirmation"
static "I agree that the information provided in this form is truthful, to the best of the attendee's knowledge."
yesno "I have read the above agreement?"
textbox "Please type 'agree' here" /^agree$/
submit
</form>