←This Field is required!"; } ?> \n\n"; $message .= "First name: $fname\n"; $message .= "Last name: $lname\n"; $message .= "Institute: $institute\n"; $message .= "Country: $country\n"; $message .= "E-mail: $email\n"; if ($talk=="Yes"){ $message .= "\nTalk: Yes\n"; } else { $message .= "Talk: No\n"; } if ($poster=="Yes"){ $message .= "\nPoster: Yes\n"; } else { $message .= "Poster: No\n"; } if ($talk_title!=""){ $message .= "\nTitle:$talk_title\n"; } else { $message .= "\nTitle: - \n"; } if ($talk_abstract!=""){ $message .= "\nAbstract:\n$talk_abstract\n"; } else { $message .= "\nAbstract:\n - \n"; } if ($comments!=""){ $message .= "\nComments:$comments\n"; } else { $message .= "\ncomments: - \n"; } if ($HConIS=="Yes") { $message .= "\nHConIS: Yes\n"; } else { $message .= "\nHConIS: No\n"; } if ($student=="Yes") { $message .= "\nStudent: Yes\n"; } else { $message .= "\nStudent: No\n"; } if ($dinner=="Yes") { $message .= "\nDinner: Yes\n"; } else { $message .= "\nDinner: No\n"; } //$message .= "\'mandre@es.org, $email\'"; mail("ops2012@eso.org, $email", "$lname, $fname - OPSII workshop registration", $message, "From:$email", "-f$email"); echo "

Your registration has been sent to the ESO workshop administration.



You should receive a copy of this registration form via email shortly. If you don't receive a confirmation within the hour, please email: ops2012@eso.org



Back to workshop home page " ; } else { ?>

Registration Form

We have reached our maximum capacity of participants.
Please complete and submit the form and you will be added to a waiting list.

The agenda will be available mid-January. Please submit your abstract before the deadline (January 2nd, 2012)

 

The registration fee is 150 EUR. Students pay 50 EUR.
It must be paid by credit card - please use this form - before January 7, 2012.

Fields marked with * are required.

At the workshop there will be time available for contributed talks. Poster sessions are foreseen.

Last Name * />
First Name */>
Institute */>
Country */>
E-mail */>
I wish to present a contributed talk: Yes No
I wish to present a poster: Yes No
Tentative title of your oral contribution/poster

Short abstract of your oral contribution/poster (it can be sent later by January 1st, 2012):

If you wish to present more than one contribution, additional titles/abstracts should be submitted by mail to ops2012@eso.org

General comments (Vegetarian? Dinner guest? etc.)

I will participate at the HConIS "extra day" on March 9, 2012: Yes No
Are you a student?: Yes No
Conference dinner (cost to be less than EUR 50): Yes No