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| 08.08.2008 at 12:26PM PDT, ID: 23633806 |
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chicagoOct2008.cfm:
<cfif CGI.https is "Off">
<cflocation url="https://#cgi.server_name##cgi.script_name#?#cgi.query_string#" addtoken="no" />
</cfif>
<cfinclude template="SiteHeaderSecure.cfm">
<!--- When the user submits the Form, she sees the information that she sent --->
<cfif IsDefined('RegistrationID')>
<!--- Display "success" message to user --->
<h2>Thank you for submitting information to register for ASC Communications and the Ambulatory Surgery Foundation's Business and Legal Issues Conference, October 23–25, 2008 at the Sheraton Hotel and Towers in Chicago, IL.</h2>
<p>Your form is being processed. Within two weeks, you will receive official confirmation and your receipt of payment by email from the Ambulatory Surgery Foundation with meeting details. Please don't hesitate to call the registration office with questions at 703.836.5904 or email <a href="mailto:arichey@ascassociation.org">arichey@ascassociation.org</a>.</p>
<p>Here is the information you sent:</p>
<!--- set default values --->
<cfparam name="RegistrationID" default="">
<cfparam name="FirstName" default="">
<cfparam name="LastName" default="">
<cfparam name="Degree" default="">
<cfparam name="Title" default="">
<cfparam name="FacilityCompany" default="">
<cfparam name="Address1" default="">
<cfparam name="Address2" default="">
<cfparam name="City" default="">
<cfparam name="State" default="">
<cfparam name="Zip" default="">
<cfparam name="Phone" default="">
<cfparam name="Fax" default="">
<cfparam name="Email" default="">
<cfparam name="WebSite" default="">
<cfparam name="RNLicenseNumber" default="">
<cfparam name="MainConference1stAttendeeAmountBefore8Sep625" default="">
<cfparam name="MainConference2ndAttendeeAmountBefore8Sep575" default="">
<cfparam name="MainConference3rdAttendeeAmountBefore8Sep525" default="">
<cfparam name="MainConference4thAttendeeAmountBefore8Sep500" default="">
<cfparam name="MainConference1stAttendeeAmountAfter8Sep725" default="">
<cfparam name="MainConference2ndAttendeeAmountAfter8Sep675" default="">
<cfparam name="MainConference3rdAttendeeAmountAfter8Sep625" default="">
<cfparam name="MainConference4thAttendeeAmountAfter8Sep600" default="">
<cfparam name="MainandPreConference1stAttendeeAmountBefore8Sep825" default="">
<cfparam name="MainandPreConference2ndAttendeeAmountBefore8Sep775" default="">
<cfparam name="MainandPreConference3rdAttendeeAmountBefore8Sep725" default="">
<cfparam name="MainandPreConference4thAttendeeAmountBefore8Sep700" default="">
<cfparam name="MainandPreConference1stAttendeeAmountAfter8Sep975" default="">
<cfparam name="MainandPreConference2ndAttendeeAmountAfter8Sep875" default="">
<cfparam name="MainandPreConference3rdAttendeeAmountAfter8Sep825" default="">
<cfparam name="MainandPreConference4thAttendeeAmountAfter8Sep800" default="">
<cfparam name="BeckersASCReviewSpecialDiscount" default="">
<cfparam name="ASCReviewSubscriberDiscountFifty" default="">
<cfparam name="TotalEnclosed" default="">
<cfparam name="FORM.CheckEnclosed" default="">
<cfparam name="CheckNumber" default="">
<cfparam name="FORM.AuthorizeCharge" default="">
<cfparam name="CreditCard" default="">
<cfparam name="CreditCardNumber" default="">
<cfparam name="ExpirationDate" default="">
<cfparam name="PrintedCardHolderName" default="">
<cfparam name="CreditCardZIPCode" default="">
<cfparam name="CVV" default="">
<cfparam name="DateCreated" default="">
<cfoutput>
<p><strong>RegistrationID:</strong> #RegistrationID#</p>
<CFIF FirstName IS NOT ""><p><strong>First Name:</strong> #FirstName#</p></CFIF>
<CFIF LastName IS NOT ""><p><strong>Last Name:</strong> #LastName#</p></CFIF>
<p><strong>Credential:</strong> #Degree#</p>
<p><strong>Title:</strong> #Title#</p>
<CFIF FacilityCompany IS NOT ""><p><strong>Facility / Company:</strong> #FacilityCompany#</p></CFIF>
<p><strong>Address Line 1:</strong> #Address1#</p>
<CFIF Address2 IS NOT ""><p><strong>Address Line 2:</strong> #Address2#</p></CFIF>
<p><strong>City:</strong> #City#</p>
<p><strong>State:</strong> #State#</p>
<p><strong>Zip:</strong> #Zip#</p>
<p><strong>Phone:</strong> #Phone#</p>
<CFIF Fax IS NOT ""><p><strong>Fax:</strong> #Fax#</p></CFIF>
<p><strong>Email:</strong> #Email#</p>
<CFIF WebSite IS NOT ""><p><strong>Web Site:</strong> #WebSite#</p></CFIF>
<CFIF RNLicenseNumber IS NOT ""><p><strong>RN License Number:</strong> #RNLicenseNumber#</p></CFIF>
<CFIF MainConference1stAttendeeAmountBefore8Sep625 IS NOT ""><p><strong>Main Conference 1st Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainConference1stAttendeeAmountBefore8Sep625#</p></CFIF>
<CFIF MainConference2ndAttendeeAmountBefore8Sep575 IS NOT ""><p><strong>Main Conference 2nd Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainConference2ndAttendeeAmountBefore8Sep575#</p></CFIF>
<CFIF MainConference3rdAttendeeAmountBefore8Sep525 IS NOT ""><p><strong>Main Conference 3rd Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainConference3rdAttendeeAmountBefore8Sep525#</p></CFIF>
<CFIF MainConference4thAttendeeAmountBefore8Sep500 IS NOT ""><p><strong>Main Conference 4th Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainConference4thAttendeeAmountBefore8Sep500#</p></CFIF>
<CFIF MainConference1stAttendeeAmountAfter8Sep725 IS NOT ""><p><strong>Main Conference 1st Attendee Amount Remitted After 8 Sep 2008:</strong> #MainConference1stAttendeeAmountAfter8Sep725#</p></CFIF>
<CFIF MainConference2ndAttendeeAmountAfter8Sep675 IS NOT ""><p><strong>Main Conference 2nd Attendee Amount Remitted After 8 Sep 2008:</strong> #MainConference2ndAttendeeAmountAfter8Sep675#</p></CFIF>
<CFIF MainConference3rdAttendeeAmountAfter8Sep625 IS NOT ""><p><strong>Main Conference 3rd Attendee Amount Remitted After 8 Sep 2008:</strong> #MainConference3rdAttendeeAmountAfter8Sep625#</p></CFIF>
<CFIF MainConference4thAttendeeAmountAfter8Sep600 IS NOT ""><p><strong>Main Conference 4th Attendee Amount Remitted After 8 Sep 2008:</strong> #MainConference4thAttendeeAmountAfter8Sep600#</p></CFIF>
<CFIF MainandPreConference1stAttendeeAmountBefore8Sep825 IS NOT ""><p><strong>Main and PreConference 1st Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainandPreConference1stAttendeeAmountBefore8Sep825#</p></CFIF>
<CFIF MainandPreConference2ndAttendeeAmountBefore8Sep775 IS NOT ""><p><strong>Main and PreConference 2nd Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainandPreConference2ndAttendeeAmountBefore8Sep775#</p></CFIF>
<CFIF MainandPreConference3rdAttendeeAmountBefore8Sep725 IS NOT ""><p><strong>Main and PreConference 3rd Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainandPreConference3rdAttendeeAmountBefore8Sep725#</p></CFIF>
<CFIF MainandPreConference4thAttendeeAmountBefore8Sep700 IS NOT ""><p><strong>Main and PreConference 4th Attendee Amount Remitted Before 8 Sep 2008:</strong> #MainandPreConference4thAttendeeAmountBefore8Sep700#</p></CFIF>
<CFIF MainandPreConference1stAttendeeAmountAfter8Sep975 IS NOT ""><p><strong>Main and PreConference 1st Attendee Amount Remitted After 8 Sep 2008:</strong> #MainandPreConference1stAttendeeAmountAfter8Sep975#</p></CFIF>
<CFIF MainandPreConference2ndAttendeeAmountAfter8Sep875 IS NOT ""><p><strong>Main and PreConference 2nd Attendee Amount Remitted After 8 Sep 2008:</strong> #MainandPreConference2ndAttendeeAmountAfter8Sep875#</p></CFIF>
<CFIF MainandPreConference3rdAttendeeAmountAfter8Sep825 IS NOT ""><p><strong>Main and PreConference 3rd Attendee Amount Remitted After 8 Sep 2008:</strong> #MainandPreConference3rdAttendeeAmountAfter8Sep825#</p></CFIF>
<CFIF MainandPreConference4thAttendeeAmountAfter8Sep800 IS NOT ""><p><strong>Main and PreConference 4th Attendee Amount Remitted After 8 Sep 2008:</strong> #MainandPreConference4thAttendeeAmountAfter8Sep800#</p></CFIF>
<CFIF BeckersASCReviewSpecialDiscount IS NOT ""><p><strong>Beckers ASC Review Special Discount:</strong> #BeckersASCReviewSpecialDiscount#</p></CFIF>
<CFIF ASCReviewSubscriberDiscountFifty IS NOT ""><p><strong>ASC Review Subscriber Discount ($50):</strong> #ASCReviewSubscriberDiscountFifty#</p></CFIF>
<CFIF TotalEnclosed IS NOT ""><p><strong>Total Enclosed:</strong> #TotalEnclosed#</p></CFIF>
<CFIF CheckEnclosed IS NOT ""><p><strong>Check Enclosed:</strong> #FORM.CheckEnclosed#</p></CFIF>
<CFIF CheckNumber IS NOT ""><p><strong>Check Number:</strong> #CheckNumber#</p></CFIF>
<CFIF AuthorizeCharge IS NOT ""><p><strong>Authorize Charge:</strong> #FORM.AuthorizeCharge#</p></CFIF>
<CFIF CreditCard IS NOT ""><p><strong>Credit Card:</strong> #CreditCard#</p></CFIF>
<CFIF CreditCardNumber IS NOT ""><p><strong>Credit Card Number:</strong> (Obscured for security)</p></CFIF>
<CFIF ExpirationDate IS NOT ""><p><strong>Expiration Date:</strong> (Obscured for security)</p></CFIF>
<CFIF PrintedCardHolderName IS NOT ""><p><strong>Printed Card Holder Name:</strong> #PrintedCardHolderName#</p></CFIF>
<CFIF CreditCardZIPCode IS NOT ""><p><strong>Credit Card ZIP Code:</strong> #CreditCardZIPCode#</p></CFIF>
<CFIF CVV IS NOT ""><p><strong>CVV:</strong> #CVV#</p></CFIF>
<p><strong>Date Submitted:</strong> #DateCreated#</p>
</cfoutput>
<!--- Otherwise, display the form to user... --->
<cfelse>
<!--- A form to populate conference registration information in table RegistrationEntries --->
<cfform action="/conference_data_insert.cfm" enctype="multipart/form-data">
<h1>Business and Legal Issues Conference</h1>
<h3>October 23 – 25, 2008</h3>
<h3>Chicago, Illinois</h3>
<h2>REGISTRATION INFORMATION</h2>
<table class="uvatable">
<tr><td class="uvatable-left"><strong>First Name:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="FirstName" /></td></tr>
<tr><td class="uvatable-left"><strong>Last Name:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="LastName" /></td></tr>
<tr><td class="uvatable-left"><strong>Credential:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="Degree" /></td></tr>
<tr><td class="uvatable-left"><strong>Title:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="Title" /></td></tr>
<tr><td class="uvatable-left"><strong>Facility / Company:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="FacilityCompany" /></td></tr>
<tr><td class="uvatable-left"><strong>Address Line 1:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="Address1" /></td></tr>
<tr><td class="uvatable-left"><strong>Address Line 2:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="Address2" /></td></tr>
<tr><td class="uvatable-left"><strong>City:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="City" /></td></tr>
<tr><td class="uvatable-left"><strong>State:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="5" NAME="State" /></td></tr>
<tr><td class="uvatable-left"><strong>ZIP:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="5" NAME="Zip" /></td></tr>
<tr><td class="uvatable-left"><strong>Phone:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="20" NAME="Phone" /></td></tr>
<tr><td class="uvatable-left"><strong>Fax:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="20" NAME="Fax" /></td></tr>
<tr><td class="uvatable-left"><strong>Email:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="Email" /></td></tr>
<tr><td class="uvatable-left"><strong>Web Site:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="WebSite" /></td></tr>
<tr><td class="uvatable-left"><strong>RN License Number:</strong></td> <td class="uvatable-right"><cfinput TYPE="text" SIZE="30" NAME="RNLicenseNumber" /></td></tr>
</table>
<h1>REGISTRATION FEES</h1>
<h2>ANNUAL CONFERENCE & EXHIBITS</h2>
<p>Receive multiple registrant discount(s). The more people you send the greater discount you receive. The prices listed
below are per person. Your registration includes all conference sessions, materials and meal functions.</p>
<h2>MAIN CONFERENCE ONLY</h2>
<table class="uvatable">
<tr>
<td></td>
<td class="uvatable-left"><strong>FEES<br />(Before 9/10/08)</strong></td>
<td class="uvatable-left"><strong>ENTER AMOUNT</strong></td>
<td class="uvatable-left"><strong>FEES<br />(After 9/10/08)</strong></td>
<td class="uvatable-left"><strong>ENTER AMOUNT</strong></td>
</tr>
<tr>
<td class="uvatable-left">1st Attendee</td>
<td class="uvatable-left">$625</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference1stAttendeeAmountBefore8Sep625" /></td>
<td class="uvatable-left">$725</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference1stAttendeeAmountAfter8Sep725" /></td>
</tr>
<tr>
<td class="uvatable-left">2nd Attendee</td>
<td class="uvatable-left">$575</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference2ndAttendeeAmountBefore8Sep575" /></td>
<td class="uvatable-left">$675</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference2ndAttendeeAmountAfter8Sep675" /></td>
</tr>
<tr>
<td class="uvatable-left">3rd Attendee</td>
<td class="uvatable-left">$525</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference3rdAttendeeAmountBefore8Sep525" /></td>
<td class="uvatable-left">$625</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference3rdAttendeeAmountAfter8Sep625" /></td>
</tr>
<tr>
<td class="uvatable-left">4th Attendee or more</td>
<td class="uvatable-left">$500</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference4thAttendeeAmountBefore8Sep500" /></td>
<td class="uvatable-left">$600</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainConference4thAttendeeAmountAfter8Sep600" /></td>
</tr>
</table>
<p><em>Ask about larger group discounts.</em></p>
<h2>MAIN CONFERENCE + PRE-CONFERENCE</h2>
<table class="uvatable">
<tr>
<td></td>
<td><strong>FEES<br />(Before 9/10/08)</strong></td>
<td><strong>ENTER AMOUNT</strong></td>
<td><strong>FEES<br />(After 9/10/08)</strong></td>
<td><strong>ENTER AMOUNT</strong></td>
</tr>
<tr>
<td class="uvatable-left">1st Attendee</td>
<td class="uvatable-left">$825</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference1stAttendeeAmountBefore8Sep825" /></td>
<td class="uvatable-left">$975</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference1stAttendeeAmountAfter8Sep975" /></td>
</tr>
<tr>
<td class="uvatable-left">2nd Attendee</td>
<td class="uvatable-left">$775</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference2ndAttendeeAmountBefore8Sep775" /></td>
<td class="uvatable-left">$875</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference2ndAttendeeAmountAfter8Sep875" /></td>
</tr>
<tr>
<td class="uvatable-left">3rd Attendee</td>
<td class="uvatable-left">$725</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference3rdAttendeeAmountBefore8Sep725" /></td>
<td class="uvatable-left">$825</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference3rdAttendeeAmountAfter8Sep825" /></td>
</tr>
<tr>
<td class="uvatable-left">4th Attendee or more</td>
<td class="uvatable-left">$700</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference4thAttendeeAmountBefore8Sep700" /></td>
<td class="uvatable-left">$800</td>
<td><cfinput TYPE="text" SIZE="30" NAME="MainandPreConference4thAttendeeAmountAfter8Sep800" /></td>
</tr>
</table>
<h2>OPTIONAL</h2>
<table class="uvatable">
<tr>
<td class="uvatable-left">Becker's ASC Review Special Discount Offer</td>
<td class="uvatable-left">$100 (per year) </td>
<td><cfinput TYPE="text" SIZE="30" NAME="BeckersASCReviewSpecialDiscount" /></td>
</tr>
<tr>
<td class="uvatable-left">$50 Discount per attendee if paid ASC Association Member
or Becker's ASC Review Subscriber </td>
<td class="uvatable-left">(- $50) </td>
<td><cfinput TYPE="text" SIZE="30" NAME="ASCReviewSubscriberDiscountFifty" /></td>
</tr>
<tr>
<td></td>
<td class="uvatable-left"><strong>TOTAL ENCLOSED</strong></td>
<td><cfinput TYPE="text" SIZE="30" NAME="TotalEnclosed" /></td>
</tr>
</table>
<h1>PAYMENT INFORMATION</h1>
<p>To remit payment, you may print this form and mail it to Ambulatory Surgery Foundation with a check (see information below). Or, submit your credit card information, below. Credit card information is submitted through a secure connection, certified by SecureTrust.</p>
<p class="float-left"><cfinput type="Checkbox" name="CheckEnclosed" /> Enclosed is a check, payable to Ambulatory Surgery Foundation Fall Conference</p>
<p class="float-right">Check # <cfinput TYPE="text" SIZE="30" NAME="CheckNumber" /></p>
<div class="clear-both"></div>
<p class="float-left"><cfinput type="Checkbox" name="AuthorizeCharge" /> I authorize Ambulatory Surgery Foundation to charge my:</p>
<p class="float-right">
<select name="CreditCard" class="ChicagoSelect">
<option value="SelectCard">Select a Credit Card</option>
<option value="Visa">Visa</option>
<option value="MasterCard">MasterCard</option>
<option value="AmericanExpress">American Express</option></select></p>
<div class="clear-both"></div>
<table class="uvatable">
<tr>
<td>Credit Card Number:</td>
<td><cfinput TYPE="text" SIZE="30" NAME="CreditCardNumber" /></td>
<td>Expiration Date:</td>
<td><cfinput TYPE="text" SIZE="30" NAME="ExpirationDate" /></td>
</tr>
<tr>
<td>Printed Cardholder Name:</td>
<td><cfinput TYPE="text" SIZE="30" NAME="PrintedCardHolderName" /></td>
<td>Zip Code:</td>
<td><cfinput TYPE="text" SIZE="30" NAME="CreditCardZIPCode" /></td>
</tr>
<tr>
<td>Signature (if printing and mailing):</td>
<td></td>
<td>CVV#/3-digit #:</td>
<td><cfinput TYPE="text" SIZE="30" NAME="CVV" /></td>
</tr>
</table>
<h1>OTHER WAYS TO REGISTER</h1>
<h2>PRINT THIS FORM AND MAIL OR FAX AS FOLLOWS:</h2>
<p><strong>Mail:</strong> Make checks payable to Ambulatory Surgery Foundation Fall Conference and mail to:
Ambulatory Surgery Foundation, 1012 Cameron St, Alexandria, VA 22314</p>
<p><strong>Fax:</strong> Fax registration form with credit card information to 703.836.2090</p>
<p><strong>Call:</strong> Call 703.836.5904 to register by phone</p>
<p><strong>Cancellation policy:</strong> Written cancellation requests must be received by September 18, 2008. Refunds are subject to a $100 processing fee.
Refunds will not be issued after this date.</p>
<p>Fax registration form with credit card information to 703.836.2090.</p>
<p class="align-center"><cfinput type="submit" name="submit" value="Submit Registration" /></p>
</cfform>
<!--- close CFIF --->
</cfif>
<p>If you have trouble sending the form, please print and fax to 703.836.2090.</p>
<p>This information will be used only in conjunction with Ambulatory Surgery Foundation and ASC Association business. We will not share your information with any other organizations.</p>
<hr />
<p class="float-left-img"><script type='text/javascript' src='https://sealserver.trustwave.com/seal.js?style=normal'></script></p>
<p>Transactions on this web page are secured by Trustwave. Click the Trustwave logo to the left to verify the security of this page.</p>
<cfinclude template="SiteFooterSecure.cfm">
conference_data_insert.cfm:
<cfif isDefined('FORM.CheckEnclosed')>
<!--- checkbox has been checked and is present in post data --->
<cfset CheckEnclosed = 1>
<cfelse>
<cfset CheckEnclosed = 0>
<!--- checkbox not checked and not present --->
</cfif>
<cfif isDefined('FORM.AuthorizeCharge')>
<!--- checkbox has been checked and is present in post data --->
<cfset AuthorizeCharge = 1>
<cfelse>
<cfset AuthorizeCharge = 0>
<!--- checkbox not checked and not present --->
</cfif>
<!--- Insert values into database columns --->
<cfquery datasource="ebwebwork" dbname="ascassociation" name="createRegistration">
INSERT INTO RegistrationEntries (
FirstName,
LastName,
Degree,
Title,
FacilityCompany,
Address1,
Address2,
City,
State,
Zip,
Phone,
Fax,
Email,
WebSite,
RNLicenseNumber,
MainConference1stAttendeeAmountBefore8Sep625,
MainConference2ndAttendeeAmountBefore8Sep575,
MainConference3rdAttendeeAmountBefore8Sep525,
MainConference4thAttendeeAmountBefore8Sep500,
MainConference1stAttendeeAmountAfter8Sep725,
MainConference2ndAttendeeAmountAfter8Sep675,
MainConference3rdAttendeeAmountAfter8Sep625,
MainConference4thAttendeeAmountAfter8Sep600,
MainandPreConference1stAttendeeAmountBefore8Sep825,
MainandPreConference2ndAttendeeAmountBefore8Sep775,
MainandPreConference3rdAttendeeAmountBefore8Sep725,
MainandPreConference4thAttendeeAmountBefore8Sep700,
MainandPreConference1stAttendeeAmountAfter8Sep975,
MainandPreConference2ndAttendeeAmountAfter8Sep875,
MainandPreConference3rdAttendeeAmountAfter8Sep825,
MainandPreConference4thAttendeeAmountAfter8Sep800,
BeckersASCReviewSpecialDiscount,
ASCReviewSubscriberDiscountFifty,
TotalEnclosed,
CheckEnclosed,
CheckNumber,
AuthorizeCharge,
CreditCard,
CreditCardNumber,
ExpirationDate,
PrintedCardHolderName,
CreditCardZIPCode,
CVV,
DateCreated)
VALUES(
<cfqueryparam cfsqltype="cf_sql_varchar" value="#FirstName#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#LastName#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Degree#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Title#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#FacilityCompany#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Address1#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Address2#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#City#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#State#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Zip#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Phone#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Fax#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#Email#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#WebSite#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#RNLicenseNumber#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference1stAttendeeAmountBefore8Sep625#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference2ndAttendeeAmountBefore8Sep575#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference3rdAttendeeAmountBefore8Sep525#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference4thAttendeeAmountBefore8Sep500#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference1stAttendeeAmountAfter8Sep725#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference2ndAttendeeAmountAfter8Sep675#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference3rdAttendeeAmountAfter8Sep625#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainConference4thAttendeeAmountAfter8Sep600#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference1stAttendeeAmountBefore8Sep825#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference2ndAttendeeAmountBefore8Sep775#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference3rdAttendeeAmountBefore8Sep725#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference4thAttendeeAmountBefore8Sep700#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference1stAttendeeAmountAfter8Sep975#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference2ndAttendeeAmountAfter8Sep875#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference3rdAttendeeAmountAfter8Sep825#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#MainandPreConference4thAttendeeAmountAfter8Sep800#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#BeckersASCReviewSpecialDiscount#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#ASCReviewSubscriberDiscountFifty#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#TotalEnclosed#">,
<cfqueryparam cfsqltype="cf_sql_bit" value="#CheckEnclosed#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#CheckNumber#">,
<cfqueryparam cfsqltype="cf_sql_bit" value="#AuthorizeCharge#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#CreditCard#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#CreditCardNumber#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#ExpirationDate#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#PrintedCardHolderName#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#CreditCardZIPCode#">,
<cfqueryparam cfsqltype="cf_sql_varchar" value="#CVV#">,
<cfqueryparam cfsqltype="cf_sql_timestamp" value="#now()#">);
SELECT scope_identity() AS ident
</cfquery>
<!--- pass info back to previous page --->
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Registration Submitted</title>
</head>
<body onLoad="document.form.submit();">
<cfoutput>
<form name="form" method="post" action="chicagoOct2008.cfm">
<!--- set value from newly created RegistrationID --->
<input type="hidden" name="RegistrationID" value="#createRegistration.ident#">
<!--- set rest of values from submitted form --->
<input type="hidden" name="Name" value="#FORM.FirstName#">
<input type="hidden" name="Name" value="#FORM.LastName#">
<input type="hidden" name="Degree" value="#FORM.Degree#">
<input type="hidden" name="Title" value="#FORM.Title#">
<input type="hidden" name="FacilityCompany" value="#FORM.FacilityCompany#">
<input type="hidden" name="Address1" value="#FORM.Address1#">
<input type="hidden" name="Address2" value="#FORM.Address2#">
<input type="hidden" name="City" value="#FORM.City#">
<input type="hidden" name="State" value="#FORM.State#">
<input type="hidden" name="Zip" value="#FORM.Zip#">
<input type="hidden" name="Phone" value="#FORM.Phone#">
<input type="hidden" name="Fax" value="#FORM.Fax#">
<input type="hidden" name="Email" value="#FORM.Email#">
<input type="hidden" name="WebSite" value="#FORM.WebSite#">
<input type="hidden" name="RNLicenseNumber" value="#FORM.RNLicenseNumber#">
<input type="hidden" name="MainConference1stAttendeeAmountBefore8Sep625" value="#FORM.MainConference1stAttendeeAmountBefore8Sep625#">
<input type="hidden" name="MainConference2ndAttendeeAmountBefore8Sep575" value="#FORM.MainConference2ndAttendeeAmountBefore8Sep575#">
<input type="hidden" name="MainConference3rdAttendeeAmountBefore8Sep525" value="#FORM.MainConference3rdAttendeeAmountBefore8Sep525#">
<input type="hidden" name="MainConference4thAttendeeAmountBefore8Sep500" value="#FORM.MainConference4thAttendeeAmountBefore8Sep500#">
<input type="hidden" name="MainConference1stAttendeeAmountAfter8Sep725" value="#FORM.MainConference1stAttendeeAmountAfter8Sep725#">
<input type="hidden" name="MainConference2ndAttendeeAmountAfter8Sep675" value="#FORM.MainConference2ndAttendeeAmountAfter8Sep675#">
<input type="hidden" name="MainConference3rdAttendeeAmountAfter8Sep625" value="#FORM.MainConference3rdAttendeeAmountAfter8Sep625#">
<input type="hidden" name="MainConference4thAttendeeAmountAfter8Sep600" value="#FORM.MainConference4thAttendeeAmountAfter8Sep600#">
<input type="hidden" name="MainandPreConference1stAttendeeAmountBefore8Sep825" value="#FORM.MainandPreConference1stAttendeeAmountBefore8Sep825#">
<input type="hidden" name="MainandPreConference2ndAttendeeAmountBefore8Sep775" value="#FORM.MainandPreConference2ndAttendeeAmountBefore8Sep775#">
<input type="hidden" name="MainandPreConference3rdAttendeeAmountBefore8Sep725" value="#FORM.MainandPreConference3rdAttendeeAmountBefore8Sep725#">
<input type="hidden" name="MainandPreConference4thAttendeeAmountBefore8Sep700" value="#FORM.MainandPreConference4thAttendeeAmountBefore8Sep700#">
<input type="hidden" name="MainandPreConference1stAttendeeAmountAfter8Sep975" value="#FORM.MainandPreConference1stAttendeeAmountAfter8Sep975#">
<input type="hidden" name="MainandPreConference2ndAttendeeAmountAfter8Sep875" value="#FORM.MainandPreConference2ndAttendeeAmountAfter8Sep875#">
<input type="hidden" name="MainandPreConference3rdAttendeeAmountAfter8Sep825" value="#FORM.MainandPreConference3rdAttendeeAmountAfter8Sep825#">
<input type="hidden" name="MainandPreConference4thAttendeeAmountAfter8Sep800" value="#FORM.MainandPreConference4thAttendeeAmountAfter8Sep800#">
<input type="hidden" name="BeckersASCReviewSpecialDiscount" value="#FORM.BeckersASCReviewSpecialDiscount#">
<input type="hidden" name="ASCReviewSubscriberDiscountFifty" value="#FORM.ASCReviewSubscriberDiscountFifty#">
<input type="hidden" name="TotalEnclosed" value="#FORM.TotalEnclosed#">
<cfif isdefined("form.CheckEnclosed")>
<input type="hidden" name="CheckEnclosed" value="#FORM.CheckEnclosed#">
<cfelse>
<input type="hidden" name="CheckEnclosed" value="0">
</cfif>
<input type="hidden" name="CheckNumber" value="#FORM.CheckNumber#">
<cfif isdefined("form.AuthorizeCharge")>
<input type="hidden" name="AuthorizeCharge" value="#FORM.AuthorizeCharge#">
<cfelse>
<input type="hidden" name="AuthorizeCharge" value="0">
</cfif>
<input type="hidden" name="CreditCard" value="#FORM.CreditCard#">
<input type="hidden" name="CreditCardNumber" value="#FORM.CreditCardNumber#">
<input type="hidden" name="ExpirationDate" value="#FORM.ExpirationDate#">
<input type="hidden" name="PrintedCardHolderName" value="#FORM.PrintedCardHolderName#">
<input type="hidden" name="CreditCardZIPCode" value="#FORM.CreditCardZIPCode#">
<input type="hidden" name="CVV" value="#FORM.CVV#">
<input type="hidden" name="DateCreated" value="#DateFormat(now(), "mm/dd/yyyy")#">
</form>
</cfoutput>
</body>
</html>
|