<? include ("header.htm") ?>
<script type="text/javascript">
function testTraining(radId) {
    if (radId.value == "0")
        document.getElementById('divTraining').style.display = 'block';
    else if (radId.value == "1")
        document.getElementById('divTraining').style.display = 'none';
    else if (radId.value == "2")
        document.getElementById('divTraining').style.display = 'block';
}
</script>
  <tr>
    <td><img src="images/ideaforum_03.jpg"   alt="" width="242" height="124"><img src="images/contact_05.jpg"   alt=""></td>
  </tr>
  <tr>
    <td ><img src="images/ideaforum_06.jpg" width="240"  alt=""><img src="images/inscriere_08.jpg"  alt=""></td>
  </tr>
  <tr>
    <td><table cellpadding="0" cellspacing="0" width="1000" class="normalbig_black">
        <tr>
          <td width="242" valign="top" align="right"><? include ("menu.htm") ?></td>
          <td valign="top" class="normalbig_black">     
     
     
     
<form method="post" action="inregistrare_act.php" name="frmRegister" id="frmRegister">
                                                    <span class="normalbig_black">Va rugam completati formularul de mai jos pentru a va inregistra la conferinta Idea Forum. </span><br />
                                                    <br />
                                                    <span class="normalbig_black"><strong>Date de contact</strong></span><br />
                                                    <table  border="0" cellpadding="2" cellspacing="" class="normal_black">
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Prenume<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtSurname" type="text" class="textFormular" value="<?php echo $_SESSION['txtSurname']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Nume<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtName" type="text" class="textFormular" value="<?php echo $_SESSION['txtName']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Functie<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFunction" type="text" class="textFormular" value="<?php echo $_SESSION['txtFunction']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Institutie/Companie<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtCompany" type="text" class="textFormular" value="<?php echo $_SESSION['txtCompany']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Domeniul de activitate<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtDomain" type="text" class="textFormular" value="<?php echo $_SESSION['txtDomain']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Adresa<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtAddress" type="text" class="textFormular" value="<?php echo $_SESSION['txtAddress']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Localitate<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtCity" type="text" class="textFormular" value="<?php echo $_SESSION['txtCity']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Judet</div></td>
                                                            <td valign="middle"><input name="txtCounty" type="text" class="textFormular" value="<?php echo $_SESSION['txtCounty']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Cod postal</div></td>
                                                            <td valign="middle"><input name="txtZip" type="text" class="textFormular" value="<?php echo $_SESSION['txtZip']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Telefon fix<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtPhone" type="text" class="textFormular" value="<?php echo $_SESSION['txtPhone']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Telefon mobil</div></td>
                                                            <td valign="middle"><input name="txtMobile" type="text" class="textFormular" value="<?php echo $_SESSION['txtMobile']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Fax<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFax" type="text" class="textFormular" value="<?php echo $_SESSION['txtFax']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Email<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtEmail" type="text" class="textFormular" value="<?php echo $_SESSION['txtEmail']; ?>" /></td>
                                                        </tr>
                                                    </table>
                                                    <br /><span class="normalbig_black"><strong>Date pentru facturare</strong></span><br />
                                                    <table  border="0" cellpadding="2" cellspacing="" class="normalbig_black">
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Nume complet companie<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFCompany" type="text" class="textFormular" value="<?php echo $_SESSION['txtFCompany']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Sediul social<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFSS" type="text" class="textFormular" value="<?php echo $_SESSION['txtFSS']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Certificat de inregistrare fiscala<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFFisc" type="text" class="textFormular" value="<?php echo $_SESSION['txtFFisc']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Nr. de inregistrare registrul comertului<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFReg" type="text" class="textFormular" value="<?php echo $_SESSION['txtFReg']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Banca<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFBank" type="text" class="textFormular" value="<?php echo $_SESSION['txtFBank']; ?>" /></td>
                                                        </tr>
                                                        <tr>
                                                            <td width="140" valign="middle"><div align="right" class="normal_grey">Cont<em>*</em></div></td>
                                                            <td valign="middle"><input name="txtFAccount" type="text" class="textFormular" value="<?php echo $_SESSION['txtFAccount']; ?>" /></td>
                                                        </tr>
                                                    </table>
                                                    <br /><span class="normalbig_black"><strong>Pentru a vi se valida inregistrarea va rugam completati toate campurile formularului de inregistrare.</strong></span><br />
                                                    <br /><span class="normalbig_black"><strong>Imediat dupa momentul inregistrarii veti primi un email de confirmare, iar in maxim 24 de ore factura proforma la numarul de FAX indicat in formular.</strong></span><br />
                                                    <br /><span class="normalbig_black"><strong>Va rugam selectati optiunile de participare:</strong></span><br />
                                                    <table  border="0" cellpadding="2" cellspacing="" class="normalbig_black">
                                                        <tr>
                                                            <td valign="middle"><input name="radOptions" id="radOptions" type="radio" value="1" onClick="javascript:testTraining(this);" <?php if ($_SESSION['radOptions'] == "1") echo 'checked="true"'; ?> /></td>
                                                            <td valign="middle"><div class="normal_grey">Conferinta (95 EUR + TVA) / persoana</div></td>
                                                        </tr>
                                                        <tr>
                                                            <td valign="middle"><input name="radOptions" id="radOptions" type="radio" value="2" onClick="javascript:testTraining(this);" <?php if ($_SESSION['radOptions'] == "2") echo 'checked="true"'; ?> /></td>
                                                            <td valign="middle"><div class="normal_grey">Sesiune seminarii (180 EUR + TVA) / persoana</div></td>
                                                        </tr>
                                                        
                                                        <tr>
                                                            <td valign="middle"><input name="radOptions" id="radOptions" type="radio" value="0" onClick="javascript:testTraining(this);" <?php if ($_SESSION['radOptions'] == "0") echo 'checked="true"'; ?> /></td>
                                                            <td valign="middle"><div class="normal_grey">Conferinta + sesiune seminarii (240 EUR + TVA) / persoana</div></td>
                                                        </tr>
                                                    </table>
                                                    <br />
                                                    <div id="divTraining" <?php if (isset($_SESSION['radOptions'])) {if ($_SESSION['radOptions'] == "0" || $_SESSION['radOptions'] == "2") echo 'style="display:block;"'; else echo 'style="display:none"';} else echo 'style="display:none"'; ?>>
                                                        <span class="normalbig_black"><strong>Va rugam selectati sesiunea de seminarii dorita:</strong></span><br />
                                                        <table  border="0" cellpadding="2" cellspacing="" class="normalbig_black">
                                                            <tr>
                                                                <td valign="middle"><!--<input name="radTraining" type="radio" value="0" <?php if ($_SESSION['radTraining'] == "0") echo 'checked="true"'; ?> /> --></td>
                                                                <td valign="middle"><div class="normal_grey">seminar <strong>Russell Davies - SOLD OUT</strong><br> 
                                                                    <strong>In cadrul conferintei din 12 iunie, Russell Davies va sustine o prezentare de 40 de minute</strong></div></td>
                                                            </tr>
                                                            <tr>
                                                                <td valign="middle"><input name="radTraining" type="radio" value="1" <?php if ($_SESSION['radTraining'] == "1") echo 'checked="true"'; ?> /></td>
                                                                <td valign="middle"><div class="normal_grey">seminar <strong>Iain Tait</strong></div></td>
                                                            </tr>
                                                            <tr>
                                                                <td valign="middle"><input name="radTraining" type="radio" value="2" <?php if ($_SESSION['radTraining'] == "2") echo 'checked="true"'; ?> /></td>
                                                                <td valign="middle"><div class="normal_grey">seminar <strong>Faris Yakob</strong></div></td>
                                                            </tr>
                                                            
                                                        </table>
                                                    </div>
                                                    <br />
                                                    <span class="normalbig_black"><strong>Oferta speciala !</strong></span><br />
                                                    <br />
                                                    <span class="normalbig_black">Pentru doua sau mai multe persoane din cadrul aceleiasi companii se acorda un discount de 5%.</strong><br>
                                                    <br>

Pentru informatii suplimentare, va rugam sa contactati departamentul de evenimente al companiei Evensys la tel. 021.313.22.12.</span><br />
                                                    <br /><span class="normalbig_black"><strong>Cum se poate plati?</strong></span><br />
                                                    <br />
                                                    <span class="normalbig_black">Prin transfer bancar/mandat postal - plata in lei la cursul BNR din ziua respectiva in contul RO28 RZBR 0000 0600 0775 2420 (lei), deschis la Raiffeisen Bank, sucursala Dorobanti, beneficiar Evensys Consult, platibila pana la data de 7 iunie 2007.</span><br />
                                                    <br /><input id="btnSubmit" type="submit" value="Trimite" /><br /><br />
                                                    <br /><span class="normalbig_black">Completand acest formular sunteti de acord ca datele dumneavoastra sa fie prelucrate  si sa intre in baza de date a Evensys si sa primiti ocazional materiale informative de la Evensys si partenerii sai.</span><br />
            </form>    <br>
<br> </td>
          <td width="58">&nbsp;</td>
        </tr>
      </table></td>
  </tr>
  
  <tr><td height="20"></td></tr>
   
<? include ("footer.htm") ?>