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<?php
error_reporting(7);
session_start();
if (!$_SESSION["logged_1"] )
header("Location: register-failed.html");
?><!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>MMC-15:2013 | Clemson University</title>
<style type="text/css">
<!--
body {
margin-left: 0px;
margin-top: 0px;
margin-right: 0px;
margin-bottom: 0px;
}
.style1 {
font-family: Arial, Helvetica, sans-serif;
font-size: 24px;
}
.style31 {
font-family: Arial, Helvetica, sans-serif;
font-size: 12px;
}
.style60 {font-family: Arial, Helvetica, sans-serif; font-size: 12px; font-weight: bold; }
-->
</style>
<script language='JavaScript' type='text/javascript' src='HDWRegistrationAndLogin/validatescripts.js.php'></script>
</head>
<body>
<table width="645" border="0" cellpadding="10" cellspacing="0">
<tbody>
<tr>
<td height="576"><form action="/HDWRegistrationAndLogin/RegistrationAndLogin.php" method="post" name="mmc-15reg" id="mmc-15reg" onsubmit="return HDW_validate_registration(this)">
<label></label>
<table class="personal_table">
<tbody>
<tr>
<td height="27" colspan="2" bgcolor="#E2E2E2" class="style60"> Please select a username and password.</td>
</tr>
<tr>
<td width="178" class="style31">Username</td>
<td width="402" class="style31"><input type="text" name="username" /></td>
</tr>
<tr>
<td class="style31">Password</td>
<td class="style31"><label>
<input type="text" name="Password" />
</label></td>
</tr>
<tr>
<td class="style31">Password again </td>
<td class="style31"><label>
<input type="text" name="Password again" />
</label></td>
</tr>
<tr bgcolor="#E2E2E2">
<td height="31" colspan="2" class="style60"> Personal Information:</td>
</tr>
<tr>
<td class="style31">Attendee's FIRST NAME*</td>
<td class="style31"><input name="firstname" type="text" />
LAST NAME*
<input name="lastname" type="text" /> </td>
</tr>
<tr>
<td class="style31">First Time Attending?</td>
<td class="style31"><select name="first_time" class="small">
<option value="Yes">Yes</option>
<option value="No" selected="selected">No</option>
</select> </td>
</tr>
<tr>
<td class="style31">Your Affiliation? </td>
<td class="style31"><select name="dept" class="medium">
<option value="University" selected="selected">University</option>
<option value="Industry">Industry</option>
<option value="Foundation">Foundation</option>
<option value="Nat_lab">National / Government Laboratory</option>
<option value="Other">Other</option>
</select> </td>
</tr>
<tr>
<td class="style31">Title</td>
<td class="style31"><input name="title" class="short" type="text" /> </td>
</tr>
<tr>
<td class="style31">Preferred Name</td>
<td class="style31"><input name="preferred_name" type="text" /> </td>
</tr>
<tr>
<td class="style31">Organization</td>
<td class="style31"><input name="organization" type="text" /> </td>
</tr>
<tr>
<td class="style31">Street Address*</td>
<td class="style31"><input name="street_address" type="text" /></td>
</tr>
<tr>
<td class="style31">City*</td>
<td class="style31"><input name="city" type="text" /> </td>
</tr>
<tr>
<td class="style31">State*</td>
<td class="style31"><input name="state" class="ultra_tiny" type="text" /></td>
</tr>
<tr>
<td class="style31">Zip*</td>
<td class="style31"><input name="zip" class="small" type="text" /></td>
</tr>
<tr>
<td class="style31">Country*</td>
<td class="style31"><label>
<select name="Country">
<option value="" selected="selected">Select Country</option>
<option value="United States">United States</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">A