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<FORM ACTION="RESPONSE" NAME="FORM5" METHOD="POST">Please check the relevant boxes to indicate which course modules you require:<BR>
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<INPUT TYPE=CHECKBOX NAME="module" VALUE="Word Processing">
Word Processing<BR>
<INPUT TYPE=CHECKBOX NAME="module" VALUE="Spreadsheets">
Spreadsheets<BR>
<INPUT TYPE=CHECKBOX NAME="module" VALUE="Databases">
Databases<BR>
<INPUT TYPE=CHECKBOX NAME="module" VALUE="Web Page Design">
Web Page Design<BR>
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<INPUT TYPE=RESET NAME="CLEAR" VALUE="Clear Selections">
<INPUT TYPE="submit" VALUE="Submit Details">
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