MIT Department of Alchemy
NecronomiCon 2003
Conference Registration

NOTE: This is a demonstration, it is not a real e-commerce site. MIT does not have a real Department of Alchemy, so don't take this too seriously.

This page shows how you can combine cgiemail with an OMARS custom payment page to build a simple e-commerce site. To learn how it works, read the source of this page and its companion pages and templates. Also consult our documentation: Using cgiemail for E-commerce.

Instructions: The items marked with a star (*), also labelled in red, are required.
Click Submit when done.

Enter your own email address for the customer's email address to receive a copy of the mail that gets sent to the conference manager.

The information you enter here is protected by our privacy policy.

Registrant Information:
* First Name:
* Family (Last) Name:

* Type of Address: Home   Business
* Street1:
   Street2:
* City: * State: * Zip:
* Country:

* Your Email Address: (Required for confirmation email)
Phone number:

Options and Choices:
Professional Track: I am a...    
Blood Type: Rh:

Opening Banquet Preference: None Beef Chicken Vegetarian Brainsss!
($35 extra charge when banquet selected.)

Special Needs: Check all that apply--

Non-Corporeal
Epileptic
Telepathic
Water-breathing
Faint at the sight of blood

Meal Plan:

Payment Method:
Basic cost for conference is $595.00, plus all optional charges.

* Payment Method:

Please direct comments or questions to the store administrator, at <alchemy-pubs@mit.edu>.