====== Registration ======

**Registration deadline: July 14, 2017**

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<form>
Action mail witphysics@gmail.com 
Thanks "Thank you for submitting your registration."

Fieldset "Personal data"
Textbox  "Name" 
Textbox  "Surname"
email "E-Mail Address"
Textbox "Research institution"

select "Career status" "Summer student|Master student|PhD student|Postdoc|Faculty|Other"
select "Participation" "Both days|First day only|Second day only"
select "Do you want to present a contributed talk?" "No|Yes"
select "Do you want to present a poster?" "No|Yes"

fieldset "Talk" "Do you want to present a contributed talk?" "Yes"
Textbox "Title"
textarea "Brief abstract of your proposed talk"

fieldset "Poster" "Do you want to present a poster?" "Yes"
Textbox "Title"
textarea "Brief abstract of your proposed poster presentation"

fieldset "Research fields"
Textbox "Please list your supervisor(s) or N/A"
textarea "Please briefly describe your research fields"

submit "Submit Registration"
</form>