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<meta http-equiv="Content-Type" content="text/html; charset=windows-1251" />
<title>Untitled Document</title>
<style type="text/css">
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<body><center>
<table width="576" border="0" cellspacing="1" cellpadding="1">
<tr>
<td><div align="center">
<table width="551" border="0" cellspacing="1" cellpadding="1">
<tr>
<td><span class="style1">Заполните анкету для обучения </span></td>
</tr>
<tr>
<td><form id="form1" name="form1" method="post" action="form_script">
<table width="551" border="0" cellspacing="1" cellpadding="1">
<tr>
<td width="215"><div align="left">Имя </div></td>
<td width="329"><div align="left">
<input name="name" type="text" id="name" />
</div></td>
</tr>
<tr>
<td><div align="left">Фамилия</div></td>
<td><div align="left">
<input name="sname" type="text" id="sname" />
</div></td>
</tr>
<tr>
<td><div align="left">Дата рождения </div></td>
<td><div align="left"><em>
<input name="birthday" type="text" id="birthday" />
<span class="style4">(день.месяц .год)</span></em></div></td>
</tr>
<tr>
<td><div align="left">Учебное заведение </div></td>
<td><div align="left">
<textarea name="study" id="study"></textarea>
</div></td>
</tr>
<tr>
<td><div align="left">E-mail </div></td>
<td><div align="left">
<input name="mail" type="text" id="mail" />
</div></td>
</tr>
<tr>
<td><div align="left">Курсы </div></td>
<td><div align="left">
<p>
<input name="it1" type="checkbox" id="it1" value="checkbox" />
IT Essentials I <br />
<input name="it2" type="checkbox" id="it2" value="checkbox" />
IT Essentials II <input name="ccnad" type="checkbox" id="ccnad" value="checkbox" />
CCNA Discovery <input name="ccnae" type="checkbox" id="ccnae" value="checkbox" />
CCNA Exploration </p>
<p> </p>
</div></td>
</tr>
<tr>
<td><div align="left"></div></td>
<td>
<div align="right">
<input type="submit" name="Submit" value="Отправить" />
</div></td>
</tr>
</table>
</form> </td>
</tr>
</table>
<p class="style2">Все поля обязательны для заполнения </p>
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