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<META NAME="Generator" CONTENT="Reality">
<TITLE>Form with Checkboxes</TITLE>
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Please check the relevant boxes to indicate which course modules you require
<FORM ACTION="RESPONSE" NAME="FORM5" METHOD="POST">
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<INPUT TYPE=CHECKBOX NAME="module" VALUE="Word Processing">
Word Processing
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<INPUT TYPE=CHECKBOX NAME="module" VALUE="Spreadsheets">
Spreadsheets
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<INPUT TYPE=CHECKBOX NAME="module" VALUE="Databases">
Databases
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<INPUT TYPE=CHECKBOX NAME="module" VALUE="Web Page Design">
Web Page Design
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<BR>
<INPUT TYPE=RESET NAME="CLEAR" VALUE="Clear Selections">
<INPUT TYPE="submit" VALUE="Submit Details">
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
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<TITLE>Response to Form</TITLE>
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Thank you for your selections
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We will send you the following modules "Word Processing, Web Page Design"
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