Sample Form



<HTML>
<HEAD>
<TITLE>Alumni Registration Form</TITLE>
</HEAD>

<BODY>
<H1><A HREF="http://www.cs.ualberta.ca/index.html">
<IMG ALIGN=MIDDLE SRC="http://www.cs.ualberta.ca/gif/cshome.gif"
ALT="[Link to CS]"></A> Alumni Registration Form</H1>
<B> Department of Computing Science </B>
<BR>
<B> University of Alberta </B>
<HR>

<P>
Dear Computing Science Alumnus,
<P>
Thank you for taking the time to register with our alumni list so we
may keep in contact with you!
Please complete the form below and click on <B>Register</B> when done.
<P>


<FORM METHOD=POST ACTION="http://www.cs.ualberta.ca/cgi-bin/post-query">

<P>
<I>Name:</I>
<BR>
<INPUT NAME=name SIZE=40>

<P>
<I>Email address:</I>
<BR>
<INPUT NAME=email SIZE=40>

<P>
<I>WWW address:</I>
<BR>
<INPUT NAME=www SIZE=40 VALUE="http://">

<P>
<I>Surface address:</I>
<BR>
<TEXTAREA NAME=address ROWS=4 COLS=40></TEXTAREA>

<P>
<I>Degree(s) received and graduation year(s):</I>
<BR>

<INPUT TYPE="checkbox" NAME="degree" Value="B.Sc."> B.Sc.

<SELECT NAME=bscyear SIZE=5>
<OPTION>1988
<OPTION>1989
<OPTION>1990
<OPTION>1991
<OPTION>1992
<OPTION>1993
<OPTION>1994
<OPTION>1995
<OPTION>1996
</SELECT>

<INPUT TYPE="checkbox" NAME="degree" Value="M.Sc."> M.Sc.

<SELECT NAME=mscyear SIZE=5>
<OPTION>1988
<OPTION>1989
<OPTION>1990
<OPTION>1991
<OPTION>1992
<OPTION>1993
<OPTION>1994
<OPTION>1995
<OPTION>1996
</SELECT>

<INPUT TYPE="checkbox" NAME="degree" Value="Ph.D."> Ph.D.

<SELECT NAME=phdyear SIZE=5>
<OPTION>1988
<OPTION>1989
<OPTION>1990
<OPTION>1991
<OPTION>1992
<OPTION>1993
<OPTION>1994
<OPTION>1995
<OPTION>1996
</SELECT>

<P>
<I>What have you done since graduation?</I>
<TEXTAREA NAME=personal ROWS=5 COLS=40></TEXTAREA>

<P>
<I>Select an action:</I>
<INPUT TYPE=submit VALUE="Register">
<INPUT TYPE=reset VALUE="Reset">

</FORM>

<HR>

<A HREF="http://www.ualberta.ca">
<IMG ALIGN=MIDDLE SRC="http://www.cs.ualberta.ca/gif/uahome.gif"></A>
<A HREF="http://www.cs.ualberta.ca/index.html">
<IMG ALIGN=MIDDLE SRC="http://www.cs.ualberta.ca/gif/cshome.gif"></A>
<I> August 9, 1995 </I>
</BODY>
</HTML>






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