Brooks Associates - Enquiry Form

<body bgcolor="#ffffff" background="../Images/bg.gif"> <table border=0> <tr> <td valign=top align=left> <a href="../index.html"><img src="../Images/logo_ba.gif" border=0 width=126 height=125 vspace=7 alt="Home Page"></a><br> </td> <td width=30> </td> <td valign=top align=left> <img src="../Images/LabelsOnBlue/enquiry.gif" border=0 width=229 height=37 vspace=7 alt="ENQUIRY FORM"><br> </td> </tr> </table> <br> <form action="/cgi-bin/formmail.pl" method="POST"> <input type=hidden name="recipient" value="admin@brooksassociates.com"> <p> <table border=0 width="100%"> <tr><td>Name:</td><td><input type=text name="name" size=80><br></td></tr> <tr><td>Company:</td><td><input type=text name="company" size=80><br></td></tr> <tr><td valign=top><br>Address</td><td><textarea name="address" rows=3 cols=80></textarea><br></td></tr> <tr><td>Post code:</td><td><input type=text name="postcode" size=12><br></td></tr> <tr><td>Telephone:</td><td><input type=text name="telephone" size=24><br></td></tr> <tr><td>Fax:</td><td><input type=text name="fax" size=24><br></td></tr> <tr><td>Email:</td><td><input type=text name="email" size=80><br></td></tr> </table> </p> <p> <b><i>Please send me a <u>free</u> Brooks Associate pen - and keep me informed about your courses for:</i></b> <table border=0> <tr> <td width=20> </td> <td>Delphi developers: <input type=checkbox name="inform_delphi"></td> <td width=20> </td> <td>C++ Builder developers: <input type=checkbox name="inform_cxx"></td> <td width=20> </td> <td>Java developers: <input type=checkbox name="inform_java"></td> </tr> </table> </p> <p> <b><i>Please send me more details on the following Delphi courses:</i></b> <table border=0> <tr> <td width=20> </td> <td valign=top> <input type=checkbox name="details_dpf"> Delphi Fundamentals<br> <input type=checkbox name="details_ddd"> Database Development<br> <input type=checkbox name="details_dmd"> MIDAS Development<br> <input type=checkbox name="details_dop"> Object Programming<br> </td> <td width=20> </td> <td valign=top> <input type=checkbox name="details_dcomp"> Distributed Object Programming<br> <input type=checkbox name="details_dwad"> Web Application Development<br> <input type=checkbox name="details_dip"> Internet Programming<br> </td> </tr> </table> </p> <p> <b><i>Please contact me to discuss on-site training and/or our specific training requirements:</i></b> <input type=checkbox name="pls_contact"> </p> <p> <b><i>Please book the following delegate(s) on the course(s) shown:</i></b><br> </p> <p> <table border=0> <tr> <td width=30 rowspan=7> </td> <td> Delegate Name</td> <td> Course Title</td> <td> Venue</td> <td> Date</td> </tr> <tr> <td><input type=text name="book_name1"></td> <td><select name="book_course1"> <option selected value="">  <option value="Delphi Professional Fundamentals">Delphi Professional Fundamentals <option value="Delphi Database Development">Delphi Database Development <option value="Delphi Web Application Development">Delphi Web Application Development <option value="Delphi Object Programming">Delphi Object Programming <option value="Delphi Distributed Object Programming">Delphi Distributed Object Programming <option value="Delphi Internet Programming">Delphi Internet Programming <option value="Sycero dB/C Programming Skills">Sycero dB/C Programming Skills </select></td> <td><select name="book_venue1"> <option selected value="">  <option value="Bristol">Bristol <option value="London">London </select></td> <td><input type=text name="book_date1"><br></td> </tr> <tr> <td><input type=text name="book_name2"></td> <td><select name="book_course2"> <option selected value="">  <option value="Delphi Professional Fundamentals">Delphi Professional Fundamentals <option value="Delphi Database Development">Delphi Database Development <option value="Delphi Web Application Development">Delphi Web Application Development <option value="Delphi Object Programming">Delphi Object Programming <option value="Delphi Distributed Object Programming">Delphi Distributed Object Programming <option value="Delphi Internet Programming">Delphi Internet Programming <option value="Sycero dB/C Programming Skills">Sycero dB/C Programming Skills </select></td> <td><select name="book_venue2"> <option selected value="">  <option value="Bristol">Bristol <option value="London">London </select></td> <td><input type=text name="book_date2"><br></td> </tr> <tr> <td><input type=text name="book_name3"></td> <td><select name="book_course3"> <option selected value="">  <option value="Delphi Professional Fundamentals">Delphi Professional Fundamentals <option value="Delphi Database Development">Delphi Database Development <option value="Delphi Web Application Development">Delphi Web Application Development <option value="Delphi Object Programming">Delphi Object Programming <option value="Delphi Distributed Object Programming">Delphi Distributed Object Programming <option value="Delphi Internet Programming">Delphi Internet Programming <option value="Sycero dB/C Programming Skills">Sycero dB/C Programming Skills </select></td> <td><select name="book_venue3">  <option selected value=""> <option value="Bristol">Bristol <option value="London">London </select></td> <td><input type=text name="book_date3"><br></td> </tr> <tr> <td><input type=text name="book_name4"></td> <td><select name="book_course4"> <option selected value="">  <option value="Delphi Professional Fundamentals">Delphi Professional Fundamentals <option value="Delphi Database Development">Delphi Database Development <option value="Delphi Web Application Development">Delphi Web Application Development <option value="Delphi Object Programming">Delphi Object Programming <option value="Delphi Distributed Object Programming">Delphi Distributed Object Programming <option value="Delphi Internet Programming">Delphi Internet Programming <option value="Sycero dB/C Programming Skills">Sycero dB/C Programming Skills </select></td> <td><select name="book_venue4">  <option selected value=""> <option value="Bristol">Bristol <option value="London">London </select></td> <td><input type=text name="book_date4"><br></td> </tr> <tr> <td><input type=text name="book_name5"></td> <td><select name="book_course5"> <option selected value="">  <option value="Delphi Professional Fundamentals">Delphi Professional Fundamentals <option value="Delphi Database Development">Delphi Database Development <option value="Delphi Web Application Development">Delphi Web Application Development <option value="Delphi Object Programming">Delphi Object Programming <option value="Delphi Distributed Object Programming">Delphi Distributed Object Programming <option value="Delphi Internet Programming">Delphi Internet Programming <option value="Sycero dB/C Programming Skills">Sycero dB/C Programming Skills </select></td> <td><select name="book_venue5">  <option selected value=""> <option value="Bristol">Bristol <option value="London">London </select></td> <td><input type=text name="book_date5"><br></td> </tr> <tr><td colspan=4>Requested by: <input type=text name="book_requestor">   Job Title: <input type=text name="book_job_title"></td></tr> </table> </p> <p> <font size="-1"> <b>Conditions:</b><br> All bookings will be acknowledged and confirmed, subject to availability. Classroom training on scheduled courses will be invoiced at the published price on confirmation of booking and all such invoices are payable before the the start of the course. We reserve the right to refuse admission to students if course fees are not paid in time. In the event of cancellation by the client the following cancellation charges will apply, depending on when notice is received: more than 10 business days before the first day of the course - no charge, 5 - 10 business days before the first day of the course - 50% of the course fee, less than 5 business days before the first day of the course - 100% of the course fee. If a student fails to attend without cancelling, the full course fee will be due. Re-booking will be treated as a cancellation. All cancellations must be in writing. Substitutions may be made at any time without charge - but please inform us. </font> </p> <input type=hidden name="redirect" value="http://www.brooksassociates.com/done.html"> <input type=submit value=" Submit details ">   <input type=reset value=" Reset form "> </form> <br> <p> <table border=0 width="100%"> <tr> <td align=center width="33%"><a href="../schedule/index.html"><img src="../Images/SmallLabels/schedule.gif" border=0 width=98 height=23 alt="SCHEDULE"></a></td> <td align=center width="34%"><a href="../schedule_details/index.html"><img src="../Images/SmallLabels/schedule_details.gif" border=0 width=188 height=23 alt="SCHEDULE DETAILS"></a></td> <td align=center width="33%"><a href="../training_centre/index.html"><img src="../Images/SmallLabels/training_centre.gif" border=0 width=169 height=23 alt="TRAINING CENTRE"></a></td> </tr> <tr> <td align=center width="33%"><a href="../company/index.html"><img src="../Images/SmallLabels/company.gif" border=0 width=197 height=23 alt="COMPANY & CLIENTS"></a></td> <td align=center width="34%"><a href="../why_our_courses/index.html"><img src="../Images/SmallLabels/why_our_courses.gif" border=0 width=190 height=23 alt="WHY OUR COURSES"></a></td> <td align=center width="33%"><a href="../links/index.html"><img src="../Images/SmallLabels/links.gif" border=0 width=59 height=23 alt="LINKS"></a></td> </tr> </table> </p> </body>