ÿþ<html> <head> <META NAME="KEYWORDS" CONTENT="JAVA, C++, PERL, PHP, J2EE, java training, linux training, LPI, Linux Professional Institute, LPI preparation, one-to-one training, one to one training, j2ee training, web programming, php training, computer training, Dublin, Ireland, DunLaoghaire, Sandycove, computer class, computer training course, computer training class, computer tutoring, web Programming class, computer training school, web design, computer skill, computer training center, Programming beginner, web site design, class, internet training course, training computer and internet,computer instruction,computer training program,programming class,computer programming training, computer training academy, computer certification class, computer tutoring, computer programming for beginner, programming class, computer training at home, web page design class, computer skill training, in home computer training, programming,"> <SCRIPT SRC="SCTScript.js" LANGUAGE="JAVASCRIPT"></SCRIPT> </head> <body bgcolor="#ffffff"> <div align="center"> <table border="0" width="760" cellspacing="0" cellpadding="0" id="table1"> <tr> <td> <img border="0" src="images/title.gif" width="760" height="130"></a> </td> </tr> <tr> <td colspan="2"> <a href="http://www.sct-ireland.com/index.html" onMouseover="document.myhome.src=homeButnW.src" onMouseout="document.myhome.src=homeButn.src"><img border="0" src="images/btnhome.gif" name="myhome" alt="home" width="18%" height="30"></a> <a href="http://www.sct-ireland.com/schedule.htm" onMouseover="document.sched.src=schedButnW.src" onMouseout="document.sched.src=schedButn.src"><img border="0" src="images/btnsched.gif" name="sched" alt="Course schedule &amp; fees" width="18%" height="30"></a> <a href="http://www.sct-ireland.com/contact.htm" onMouseover="document.contact.src=contactButnW.src" onMouseout="document.contact.src=contactButn.src"><img border="0" src="images/btncontact.gif" name="contact" alt="contact details" width="18%" height="30"></a> <A HREF="http://www.sct-ireland.com/RegPage.htm" onMouseover="document.register.src=regButnW.src" onMouseout="document.register.src=regButn.src"><img border="0" src="images/btnbooking.gif" name="register" alt="register on a course" width="18%" height="30"></a> <img border="0" src="images/btnblank1.gif" width="25%" height="30"> </td> </tr> <tr> <td align="center"> <br><font color="#004F88"><h1> Course Registration &nbsp; &nbsp; &nbsp;<a href="#Pay"><img src="images/PayPalImg.gif" border="0"></a></h1> You can complete the form below and submit for registration on a course<br></font> <A HREF="javascript:PrintReg()" >or click here to print registration form to post to us.<img src="images/ButnReg.gif" width="80" width="20" border="0"></a><br><hr width="97%" color="#004F88"></td> </tr> <tr> <td align="center"> <table border="0" cellpadding="3" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="100%"> <form method="post" onSubmit="return checkFields(this)" action="addReg.php"> <tr> <td colspan=2 align="center"><font color=red><br>(Note : all * marked fields are required)</font></td> <tr> <td width="30%" align="right">* First Name:</td> <td width="70%"><input type="text" name="Sfname" size="35"></td> </tr> <tr> <td width="30%" align="right">* Last Name:</td> <td width="70%"><input type="text" name="Slname" size="35"></td> </tr> <tr> <td width="30%" align="right">Address 1:</td> <td width="70%"><input type="text" name="Saddress1" size="35"></td> </tr> <tr> <td width="30%" align="right">Address 2:</td> <td width="70%"><input type="text" name="Saddress2" size="35"></td> </tr> <tr> <td width="30%" align="right">Date of Birth:</td> <td width="70%"><input type="text" name="Sdob" size="15"></td> </tr> <tr> <td width="30%" align="right">* Phone (home):</td> <td width="70%"><input type="text" name="SphoneH" size="20"></td> </tr> <tr> <td width="30%" align="right">* Phone (work):</td> <td width="70%"><input type="text" name="SphoneW" size="20"></td> </tr> <tr> <td width="30%" align="right">* Email address:</td> <td width="70%"><input type="text" name="Semail" size="35"></td> </tr> <tr> <td width="30%" align="right">* Course Title:</td> <td width="70%"> <select name="Scourse" value=""> <option value="blank">Please select course. <option value="Java Beginners">Java Beginners. <option value="Java Advanced">Java Advanced. <option value="C++ Beginners">C++ Beginners. <option value="C++ Advanced">C++ Advanced. <option value="Linux">Linux. <option value="Linux Servers">Linux Servers. <option value="Linux LPI">Linux LPI. <option value="Shell Scripting">Shell Scripting. <option value="Perl">Perl Programming. <option value="ASP.net">ASP.NET. <option value="Web Design">Web Design. <option value="Php">Php/Mysql. <option value="VB.NET">VB.NET. <option value="Visual Basic">Visual Basic. <option value="JavaScript">JavaScript. <option value="HTML">HTML. <option value="XML">XML. </select></td> </tr> <tr> <td width="30%" align="right">* Course start date:</td> <td width="70%"><input type="text" name="SstartDate" size="35"></td> </tr> <tr> <td width="30%" align="right">* Total course fee:</td> <td width="70%"><input type="text" name="Sfee" size="35" value="¬ "></td> </tr> <tr> <td width="30%" align="right">Previous computer experience:</td> <td width="70%"><textarea rows="5" name="Sexperience" cols="30"></textarea></td> </tr> <tr> <td width="40%" align="right">How did you first become <br>aware of S.C.T. :</td> <td width="80%"><select name="Scourse" value=""> <option value="blank">Please select. <option value="Java Beginners">A Friend/Colleague <option value="Java Advanced">Google Internet Search <option value="C++ Beginners">Nitecourses/Daycourses.com <option value="C++ Beginners">Other </select></td> </tr> <tr> <td width="30%" align="right">Do you wish to take the City & Guilds Exams where applicable?<br> (approx. 15 hours per subject - no extra charge)</td> <td width="70%" align="left"><INPUT TYPE=radio NAME="Scandg" VALUE=yes> YES <br> <INPUT TYPE=radio NAME="Scandg" VALUE=no> NO <br> <INPUT TYPE=radio NAME="Scandg" VALUE=maybe checked> Maybe</td> </tr> <tr> <td width="30%" align="right">&nbsp;</td> <td width="70%">&nbsp;</td> </tr> <tr> <td width="30%" align="right"><input type="submit" value="Submit" name="Submit"></td> <td width="70%"><INPUT TYPE=reset></td> </tr> </form> </table> <hr color="#004F88" width="97%"> <font color="#004F88">It is recommended that you pay a deposit of ¬ 100.00 to secure your place on a course.<br> This can be made by secure credit card payment through PayPal below:</font><br> <a name="Pay"> <form action="https://www.paypal.com/cgi-bin/webscr" method="post"> <input type="hidden" name="cmd" value="_xclick"> <input type="hidden" name="business" value="info@sct-ireland.com"> <input type="hidden" name="item_name" value="Course"> <input type="hidden" name="item_number" value="courseSel"> <input type="hidden" name="amount" value="100.00"> <input type="hidden" name="no_shipping" value="1"> <input type="hidden" name="return" value="http://www.sct-ireland.com"> <input type="hidden" name="cancel_return" value="http://www.sct-ireland.com"> <input type="hidden" name="cn" value="Any additional message: "> <input type="hidden" name="currency_code" value="EUR"> <input type="hidden" name="lc" value="IE"> <input type="hidden" name="bn" value="PP-BuyNowBF"> <table> <tr> <td align="right"><input type="hidden" name="on0" value="Course Title">Course Title: </td> <td><select name="os0"> <option value="Java">Java. <option value="C++">C++ <option value="Linux">Linux. <option value="LinuxLPI">Linux LPI. <option value="Shell Scripting">Shell Scripting. <option value="Perl">Perl. <option value="ASP.net">ASP.NET. <option value="Web Design">Web Design. <option value="VB.net">VB.NET. <option value="JavaScript">JavaScript. <option value="Php">Php/Mysql. <option value="Visual Basic">Visual Basic. <option value="HTML">HTML. <option value="XML">XML. </select> </td> </tr> <tr> <td align="right"> <input type="hidden" name="on1" value="Course Level">Course Level: </td> <td> <select name="os1"> <option value="Beginners">Beginners <option value="Advanced">Advanced </select> </td> </tr> <tr><td> <input type="image" src="images/Pay.jpg" border="0" name="submit" alt="Make payments with PayPal - it's fast, free and secure!"> &nbsp;<Image src="images/VisaCard.jpg" width=30 height=20> <Image src="images/MasterCard.jpg" width=33 height=20> <Image src="images/AmexCard.jpg" width=30 height=20> </td></tr> </table> </form> </td> </tr> </table> </div> </body> </html>