5th PLANET FORMATION WORKSHOP

BRAUNSCHWEIG, 19 - 21 SEP. 2007

Registration Form

The data indicated by * is required.
 
";} if(!$vorname){$fehler.="Bitte Vornamen angeben.
";} if(!$email){$fehler.="Bitte E-Mail angeben
";} if(!$institut){$fehler.="Bitte Institution angeben.
";} if($fehler) { echo "
Fehler:
".$fehler."
"; } else { if($telefon=="") $telefon="n/a"; if($fax=="") $fax="n/a"; echo "Writing to database.\n\n"; $sql="INSERT INTO $tabellenname (name, vorname, email, institut, telefon, fax) values ('$name','$vorname','$email','$institut','$telefon','$fax')"; if(mysql_query($sql, $linkID)){ echo "

Your registration with the following data has been submitted successfully.\n\n

"; } else echo mysql_error(); } } if(isset($submit)==false OR $fehler!="") { //echo 'Submit existiert nicht'; ?>
Last Name*
First Name*
E-Mail*
Institution*
Telephone
Fax
 

Contact
Jürgen Blum,
E-MAIL planets2007tu-bs.de