<?php
$pagetitle="FoIKS 2004 Registration";
require("header.php");
require("fee_calc.inc.php");
?>


<h2>Registration Fees</h2>

<p><b>Note:</b> Registration does not cover hotel fees! Hotel registration must be done with the hotel directly, for rates and details consult <a href="http://www.kr.tuwien.ac.at/FoIKS2004/#accomodation">the local arrangements page</a>.</p>

<table cellpadding=2 cellspacing=1 border=1>
  <tr>
   <td bgcolor=#dddddd>Early Registration</td>
   <td bgcolor=#dddddd>Until Dec. 17th, 2003 (23:59:59 CET)</td>
   <td bgcolor=#dddddd>EUR <?php echo $earlyfee; ?></td>
  </tr>
  <tr>
   <td bgcolor=#dddddd>Regular Registration</td>
   <td bgcolor=#dddddd>From Dec. 18th, 2003 (00:00:00 CET)</td>
   <td bgcolor=#dddddd>EUR  <?php echo $latefee; ?></td>
  </tr>
</table>

<h2>Payment Methods</h2>

<table cellpadding=2 cellspacing=1 border=1>
  <tr>
    <td bgcolor=#dddddd>Credit Card</td>
    <td>Visa or Master Card, credit card data must be faxed to +43-1-58801-18493 (a form to be printed will be generated after the registration).</td>
  </tr>
  <tr>
    <td bgcolor=#dddddd>Bank Transfer</td>
    <td>To the following Austrian bank account, expenses must be covered by the registrant.<table>
                  <tr><td>IBAN:</td><td>AT64 1200 0512 5980 8101</td></tr>
                  <tr><td>BIC/SWIFT:</td><td>BKAUATWW</td></tr>
                  <tr><td>Bank:</td><td>Bank Austria Creditanstalt</td></tr>
                  <tr><td>Payable to:</td><td>FoIKS 2004</td></tr>
                  <tr><td>Account Owner:</td><td>Prof. Thomas Eiter</td></tr>
                  <tr><td>Bank Address:</td><td>Wiedner Hauptstrasse 11, 1040 Wien, Austria</td></tr>
                  <tr><td>Account Owner's Address:</td><td>Grosse Neugasse 5/8, 1040 Wien, Austria</td></tr>
                </table></td>
  </tr>
</table>

<h2>Registration Data</h2>

<p>Fields labeled with * must be filled.</p>
<form action=registercheck.php method=post>
<table bgcolor=#dddddd cellpadding=2 cellspacing=1 border=0>
  <tr>
    <td>Title</td>
    <td><input type=text name=title size=30 maxlength=30 
               <?php if( $title ) echo "value='".$title."'"; ?> ></td>
  </tr>
  <tr>
    <td>First Name*</td>
    <td><input type=text name=firstname size=30 maxlength=30
               <?php if( $firstname ) echo "value='".$firstname."'"; ?> ></td>
  </tr>
  <tr>
    <td>Last Name*</td>
    <td><input type=text name=lastname size=30 maxlength=30
               <?php if( $lastname ) echo "value='".$lastname."'"; ?> ></td>
  </tr>
  <tr>
    <td>Affiliation*</td>
    <td><input type=text name=affiliation size=100 maxlength=100
               <?php if( $affiliation ) echo "value='".$affiliation."'"; ?> ></td>
  </tr>
  <tr>
    <td>Street</td>
    <td><input type=text name=street size=50 maxlength=50
               <?php if( $street ) echo "value='".$street."'"; ?> ></td>
  </tr>
  <tr>
    <td>ZIP</td>
    <td><input type=text name=zip size=10 maxlength=10
               <?php if( $zip ) echo "value='".$zip."'"; ?> ></td>
  </tr>
  <tr>
    <td>City*</td>
    <td><input type=text name=city size=30 maxlength=30
               <?php if( $city ) echo "value='".$city."'"; ?> ></td>
  </tr>
  <tr>
    <td>Country*</td>
    <td><input type=text name=country size=30 maxlength=30
               <?php if( $country ) echo "value='".$country."'"; ?> ></td>
  </tr>
  <tr>
    <td>Phone</td>
    <td><input type=text name=phone size=30 maxlength=30
               <?php if( $phone ) echo "value='".$phone."'"; ?> ></td>
  </tr>
  <tr>
    <td>Fax</td>
    <td><input type=text name=fax size=30 maxlength=30
               <?php if( $fax ) echo "value='".$fax."'"; ?> ></td>
  </tr>
  <tr>
    <td>Email*</td>
    <td><input type=text name=email size=50 maxlength=50
               <?php if( $email ) echo "value='".$email."'"; ?> ></td>
  </tr>
  <tr>
    <td>Fee</td>
    <td><?php if( isWithinDeadline(2003,12,17) )
                $thisfee = $earlyfee;
              else
                $thisfee = $latefee; 

              echo "EUR $thisfee"; ?>
<input type=hidden name=fee value=<?php echo $thisfee; ?>> </td>
  </tr>
  <tr>
    <td>Payment Method</td>
    <td><select name=paymentmethod>
          <option value=cc_mc <?php if( $paymentmethod == "cc_mc" ) echo "selected"; ?> > Master Card
          <option value=cc_visa <?php if( $paymentmethod == "cc_visa" ) echo "selected"; ?>> Visa Card
          <option value=bank <?php if( $paymentmethod == "bank" ) echo "selected"; ?>> Bank Transfer
        </select>

</table>

<input type=submit value=Register>

</form>
<?php
require("footer.php");
?>

