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PyCon Registration Form

<h1>PyCon Registration</h1>

<p><a href="http://us.pycon.org/Addison/Hotels" target="_blank">Hotel reservation info & links.</a></p>

<p>Note: all prices are in US dollars.</p>

<h2>Registration by mail</h2>

<p>To pay by check, please send payment in funds <em>drawn on a US bank</em> to: <blockquote>ATTN: PyCon Registration<br> Python Software Foundation<br> P.O. Box 848<br> Hampton, NH 03843<br> USA</blockquote>

<p>You should include the information requested on this form: each applicant's name, email address, T-shirt size, tutorials (if any), and details of any special dietary needs. We would also appreciate your permission to publish your name in the list of delegates and to email you with further details about PyCon.

<h2>Online registration</h2>

<p><font color="red"><small>Unfortunately, our credit card processor can only handle US-ASCII characters; thanks for your understanding. We accept MasterCard, Visa, American Express, and Diner's Club.</small></font>

<br> <img src="http://www.python.org/pycon/cards_color.jpg"> </p>

<form method="POST" action="http://www.python.org/cgi-bin/psf/payment.py">

<b>Donation to the Python Software Foundation</b> (optional)<br> <blockquote> <input type="hidden" name="enable" value="Donation"> <table cellpadding="0" border="0" cellspacing="2"> <input type="hidden" name="enable" value="Donation"> <label><tr><td>Amount:&nbsp;&nbsp;</td><td><input type="text" name="Donation_amt_zdrop" value="0.00"></td></tr></label> <label><tr><td>Donor's Name:&nbsp;&nbsp;</td><td><input type="text" name="Donation_name" value=""></td></tr></label> </table> </blockquote>

<p><b>Please complete the following form, one set of fields for each of 1 or 2 people attending PyCon TX 2007.</b></p>

<blockquote> <label>Name: <input type="text" name="PyCon_Name_req" value=""></label> <label>Email: <input type="text" name="PyCon_Email" size="25" value=""></label><br> <label><input type="radio" name="PyCon_amt_req" value="360.00" CHECKED> Regular ($360)</label> <label><input type="radio" name="PyCon_amt_req" value="250.00"> Student ($250)</label><br>

PyCon T-Shirt: <input type="hidden" name="enable" value="Tshrt"> <input type="hidden" name="Tshrt_amt_req" value="0"> <label><input type="radio" name="Tshrt_SZ" value="SM"> S</label> <label><input type="radio" name="Tshrt_SZ" value="MD"> M</label> <label><input type="radio" name="Tshrt_SZ" value="LG" CHECKED> L</label> <label><input type="radio" name="Tshrt_SZ" value="1X"> XL</label> <label><input type="radio" name="Tshrt_SZ" value="2X"> XXL</label><br> <label><input type="radio" name="Tshrt_SZ" value="3X"> XXXL</label><br>

<b><small>Special Dietary Needs:</small></b> <label><input type="checkbox" name="PyCon_meal" value="VGN"> Vegan</label> <br> <label>Check here if we may send email updates about PyCon:&nbsp;<input type="checkbox" name="PyCon_mailme" value="MOK" CHECKED></label><br> <label>Check to permit inclusion in the delegate listing:&nbsp;<input type="checkbox" name="PyCon_listme" value="LOK" CHECKED></label>

</blockquote>

<hr>

<blockquote> <label>Name: <input type="text" name="PyCon1_Name_req" value=""></label> <label>Email: <input type="text" name="PyCon1_Email" size="25" value=""></label><br> <label><input type="radio" name="PyCon1_amt_req" value="360.00" CHECKED> Regular ($360)</label> <label><input type="radio" name="PyCon1_amt_req" value="250.00"> Student ($250)</label><br>

PyCon T-Shirt: <input type="hidden" name="enable" value="Tshrt1"> <input type="hidden" name="Tshrt1_amt_req" value="0"> <label><input type="radio" name="Tshrt1_SZ" value="SM"> S</label> <label><input type="radio" name="Tshrt1_SZ" value="MD"> M</label> <label><input type="radio" name="Tshrt1_SZ" value="LG" CHECKED> L</label> <label><input type="radio" name="Tshrt1_SZ" value="1X"> XL</label> <label><input type="radio" name="Tshrt1_SZ" value="2X"> XXL</label><br> <label><input type="radio" name="Tshrt1_SZ" value="3X"> XXXL</label><br>

<b><small>Special Dietary Needs:</small></b> <label><input type="checkbox" name="PyCon1_meal" value="VGN"> Vegan</label> <br> <label>Check here if we may send email updates about PyCon:&nbsp;<input type="checkbox" name="PyCon1_mailme" value="MOK" CHECKED></label><br> <label>Check to permit inclusion in the delegate listing:&nbsp;<input type="checkbox" name="PyCon1_listme" value="LOK" CHECKED></label>

</blockquote>

<p><input type="submit" value="&gt;&gt; Continue"></p> </form>