[an error occurred while processing this directive]<title>booking</title>
<p align="center" style="margin-bottom: 0">&nbsp; </p>
<p align="center" style="margin-top:0;margin-bottom:0;"> <strong>Radical data 
  for radical research: Tracking and tracing </strong></p>
<p align="center" style="margin-top:0;margin-bottom:0;"><a href="http://www.rss.org.uk/PDF/RSSmap.pdf">Royal 
  Statistical Society, London </a></p>
<p align="center" style="margin-top: 0; margin-bottom: 0;"><br />
  9 May 2007</p>
<p style="margin-top: 0;"><b> <br>
  </b></p>
<form ACTION="http://farm.ccsr.ac.uk/cgi-bin/ccsr-booking/methods/submit.cgi" METHOD="POST">


      <input type="hidden" name="conference" value="RadicalData">

 	Contact Details:
	<table width="70%" align="center">
		<tr>
			<td><p>First Name</p></td>
			<td><input type="text" name="firstname" size="34"></td>
		</tr>
		<tr>
			<td><p>Surname</p></td>
			<td><input type="text" name="surname" size="34"></td>
		</tr>
		<tr>
			<td><p>Title</p></td>
			<td>
			 <select name="title">
			  <option value=" "></option>
			  <option value="Mr">Mr</option>
			  <option value="Mrs">Mrs</option>
			  <option value="Miss">Miss</option>
			  <option value="Ms">Ms</option>
			  <option value="Prof">Prof</option>
			  <option value="Dr">Dr</option>
			  <option value="Other">Other</option>
			 </select>
			</td>
		</tr>

		<tr>
			<td><p>Department</p></td>
			<td><input type="text" name="department" size="34"></td>
		</tr>
		<tr>
			<td><p>Institution</p></td>
			<td><input type="text" name="institution" size="34"></td>
		</tr>
		<tr>
			<td><p>Address</p></td>
			<td><textarea rows="2" name="address" cols="28"></textarea></td>
		</tR>
		<tr>
			<td><p>Phone</p></td>
			<td><input type="text" name="phone" size="20"></td>
		</tr>
      		<TR>
			<TD><p>Email</p></td>
			<td><input type="text" name="email" size="33"></td>
		</tr>
	</table>
<input type="hidden" name="info2" value="n/a" />
<input type="hidden" name="info3" value="n/a" />

          <p>Now press Submit to send the form</p>
          <p align="center" style="margin-bottom: 0;"><input type="submit" value="Submit" name="send"></p>
        </form>