Team:GeorgiaTech/Contact

From 2011.igem.org

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<link href='http://fonts.googleapis.com/css?family=Josefin+Sans:400,700' rel='stylesheet' type='text/css'>
<link href='http://fonts.googleapis.com/css?family=Josefin+Sans:400,700' rel='stylesheet' type='text/css'>
<head>
<head>
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<font size="3" face="Josefin Sans">
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<form enctype="multipart/form-data" method="post" action="http://www.response-o-matic.com/mail.php" accept-charset="UTF-8">
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<div>
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<input type="hidden" name="acctid" id="acctid" value="rnnod0docj83bji3" />
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<input type="hidden" name="formid" id="formid" value="819611" />
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<input type="hidden" name="required_vars" id="required_vars" value="name,email,field-0c88c2b1da15928,field-d627c09924aa95b" />
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</div>
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<table cellspacing="5" cellpadding="5" border="0">
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<tr>
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<td valign="top">
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<strong>Name:</strong>
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</td>
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<td valign="top">
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<input type="text" name="name" id="name" size="40" value="" />
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</td>
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</tr>
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<tr>
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<td valign="top">
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<strong>Email Address:</strong>
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</td>
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<td valign="top">
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<input type="text" name="email" id="email" size="40" value="" />
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</td>
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</tr>
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<tr>
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<td valign="top">
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<strong>Your Website:</strong>
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</td>
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<td valign="top">
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<input type="text" name="field-cd1078bce9f71c2" id="field-cd1078bce9f71c2" size="40" value="" />
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</td>
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</tr>
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<tr>
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<td valign="top">
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<strong>Please Select One:</strong>
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</td>
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<td valign="top">
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<select name="field-0c88c2b1da15928" id="field-0c88c2b1da15928">
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<option value="Student">Student</option>
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<option value="Professor">Professor</option>
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<option value="Company">Company</option>
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<option value="Other">Other</option>
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</select>
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</td>
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</tr>
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<tr>
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<td valign="top">
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<strong>Did you find this website helpful?</strong>
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</td>
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<td valign="top">
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<input type="checkbox" name="field-d627c09924aa95b[]" id="field-d627c09924aa95b_0" value="Yes" /> Yes<br/>
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<input type="checkbox" name="field-d627c09924aa95b[]" id="field-d627c09924aa95b_1" value="No" /> No<br/>
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</td>
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</tr>
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<tr>
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<td valign="top">
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<strong>Please leave any comments or questions.</strong>
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</td>
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<td valign="top">
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<textarea name="field-5809a1c5b4c7e2c" id="field-5809a1c5b4c7e2c" rows="6" cols="40"></textarea>
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</td>
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</tr>
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<tr>
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<td colspan="2" align="center">
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<input type="submit" value=" Submit Form " />
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</td>
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</tr>
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</table>
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</form>
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<font size="2" face="Century Gothic">
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email: igem-2011@googlegroups.com
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<br>
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<br>
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<div id="fb-root"></div>
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Latest revision as of 03:50, 29 September 2011

Name:
Email Address:
Your Website:
Please Select One:
Did you find this website helpful? Yes
No
Please leave any comments or questions.
email: igem-2011@googlegroups.com