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Your name: Your e-mail address: Your street address: phone: City, State and Zip: Place of employment or associated employment & training organization:
Which Internet class do you wish to take? Web Surfing HTML Mini-lab When?: Indicate your Internet use to date: I never used the Internet before today. I used Email but not the Web before today. I had used the Web a few times before today. I had used the Web many times before today. How did you hear about the class? Email Phone Call At a meeting BCN web page Poster or Flyer Other Thanks for your registration.
When?: Indicate your Internet use to date: I never used the Internet before today. I used Email but not the Web before today. I had used the Web a few times before today. I had used the Web many times before today. How did you hear about the class? Email Phone Call At a meeting BCN web page Poster or Flyer Other Thanks for your registration.
Indicate your Internet use to date: I never used the Internet before today. I used Email but not the Web before today. I had used the Web a few times before today. I had used the Web many times before today. How did you hear about the class? Email Phone Call At a meeting BCN web page Poster or Flyer Other Thanks for your registration.
How did you hear about the class? Email Phone Call At a meeting BCN web page Poster or Flyer Other
Thanks for your registration.
Please send comments or suggestions about this form to the Communication Center Developer. If you don't have access to email, you can do this through the BCN comment form.
