<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("registrationon-line_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(31) Dim arFormDBFields0(31) Dim arFormValues0(31) arFormFields0(0) = "Attendee_Address1" arFormDBFields0(0) = "Attendee_Address1" arFormValues0(0) = Request("Attendee_Address1") arFormFields0(1) = "Billing_Address1" arFormDBFields0(1) = "Billing_Address1" arFormValues0(1) = Request("Billing_Address1") arFormFields0(2) = "Billing_Zip" arFormDBFields0(2) = "Billing_Zip" arFormValues0(2) = Request("Billing_Zip") arFormFields0(3) = "Attendee_Address2" arFormDBFields0(3) = "Attendee_Address2" arFormValues0(3) = Request("Attendee_Address2") arFormFields0(4) = "2003-Attendee" arFormDBFields0(4) = "2003-Attendee" arFormValues0(4) = Request("2003-Attendee") arFormFields0(5) = "Billing_Address2" arFormDBFields0(5) = "Billing_Address2" arFormValues0(5) = Request("Billing_Address2") arFormFields0(6) = "Attendee_City" arFormDBFields0(6) = "Attendee_City" arFormValues0(6) = Request("Attendee_City") arFormFields0(7) = "Vendor_Info" arFormDBFields0(7) = "Vendor_Info" arFormValues0(7) = Request("Vendor_Info") arFormFields0(8) = "Attendee_State" arFormDBFields0(8) = "Attendee_State" arFormValues0(8) = Request("Attendee_State") arFormFields0(9) = "Credit_Card_Account_No" arFormDBFields0(9) = "Credit_Card_Account_No" arFormValues0(9) = Request("Credit_Card_Account_No") arFormFields0(10) = "Billing_City" arFormDBFields0(10) = "Billing_City" arFormValues0(10) = Request("Billing_City") arFormFields0(11) = "GIS_Experience" arFormDBFields0(11) = "GIS_Experience" arFormValues0(11) = Request("GIS_Experience") arFormFields0(12) = "Years_Using_GIS" arFormDBFields0(12) = "Years_Using_GIS" arFormValues0(12) = Request("Years_Using_GIS") arFormFields0(13) = "Attendee_Title" arFormDBFields0(13) = "Attendee_Title" arFormValues0(13) = Request("Attendee_Title") arFormFields0(14) = "Billing_Email" arFormDBFields0(14) = "Billing_Email" arFormValues0(14) = Request("Billing_Email") arFormFields0(15) = "Credit_Card_Type" arFormDBFields0(15) = "Credit_Card_Type" arFormValues0(15) = Request("Credit_Card_Type") arFormFields0(16) = "2002_Attendee" arFormDBFields0(16) = "2002_Attendee" arFormValues0(16) = Request("2002_Attendee") arFormFields0(17) = "Presenting" arFormDBFields0(17) = "Presenting" arFormValues0(17) = Request("Presenting") arFormFields0(18) = "Billing_Phone" arFormDBFields0(18) = "Billing_Phone" arFormValues0(18) = Request("Billing_Phone") arFormFields0(19) = "Billing_First_Name" arFormDBFields0(19) = "Billing_First_Name" arFormValues0(19) = Request("Billing_First_Name") arFormFields0(20) = "Credit_Card_VIN" arFormDBFields0(20) = "Credit_Card_VIN" arFormValues0(20) = Request("Credit_Card_VIN") arFormFields0(21) = "Attendee_Zip" arFormDBFields0(21) = "Attendee_Zip" arFormValues0(21) = Request("Attendee_Zip") arFormFields0(22) = "Attendee_Last_Name" arFormDBFields0(22) = "Attendee_Last_Name" arFormValues0(22) = Request("Attendee_Last_Name") arFormFields0(23) = "Billing_Last_Name" arFormDBFields0(23) = "Billing_Last_Name" arFormValues0(23) = Request("Billing_Last_Name") arFormFields0(24) = "Attendee_Email" arFormDBFields0(24) = "Attendee_Email" arFormValues0(24) = Request("Attendee_Email") arFormFields0(25) = "Billing_State" arFormDBFields0(25) = "Billing_State" arFormValues0(25) = Request("Billing_State") arFormFields0(26) = "Credit_Card_Exp" arFormDBFields0(26) = "Credit_Card_Exp" arFormValues0(26) = Request("Credit_Card_Exp") arFormFields0(27) = "Attendee_First_Name" arFormDBFields0(27) = "Attendee_First_Name" arFormValues0(27) = Request("Attendee_First_Name") arFormFields0(28) = "Attendee_Organization" arFormDBFields0(28) = "Attendee_Organization" arFormValues0(28) = Request("Attendee_Organization") arFormFields0(29) = "Attendee_Phone" arFormDBFields0(29) = "Attendee_Phone" arFormValues0(29) = Request("Attendee_Phone") arFormFields0(30) = "TShirt_Size" arFormDBFields0(30) = "TShirt_Size" arFormValues0(30) = Request("TShirt_Size") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close FP_FormConfirmation "text/html; charset=windows-1252",_ "Form Confirmation",_ "Thank you for submitting the following information:",_ "registration_on-line.htm",_ "Return to the form." End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> SHRUG 2004 - Workshop Registration Online Form

On-Line Registration

2004 SHRUG Workshop Registration Form
Individual Attendee Form - Credit Card / PO / Vendor
Unique ID

Submit Date/Time

08/01/2006 10:52 AM

Attendee First Name:
Attendee Last Name:
Attendee Organization:
Attendee Title:
Attendee Address 1:
Attendee Address 2:
Attendee City:
Attendee State:
Attendee Zip:
Attendee Phone:
Attendee E-mail:

T-Shirt Size: S M L XL XXL
2002 Attendee? 2003 Attendee?
GIS Experience:
Newbie: This is all new to me
Geek: I have GIS experience
Guru: People ask me for help
Years using GIS?
Presenting? Yes No
Receive Vendor Info?
Yes No
[ In an effort to assist in requests from our GIS Sponsors, we will provide contact information to them only about our attendees to receive information about their products and services.  If you wish to opt out of this information, please select "No". ]
Billing First Name:
Billing Last Name:
Billing Address 1:
Billing Address 2:
Billing City:
Billing State:
Billing Zip:
Billing Phone:
Billing E-mail:
Billing Credit Card Type:
VISA MC AMEX PO Vendor
Account Number:
Expiration Date:
VIN Number:
[Front of AMEX, back of VISA/MC]

 

For more information regarding Workshop Registration please contact Patrick Pence registration@shrug-gis.info (850)891-4941

   
  General Workshop Questions workshop@shrug-gis.info       SHRUG, Inc. 2004