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Ronald Auerbach
Software Training and Consulting
702 5th Avenue South, # 8
Kent, WA  98032-6026
Phone: 206-355-8304         Fax: 253-813-2452

Training Request Form

We thank you for your interest in using our services.  Would you kindly take a few moments to complete our training request form so that we may provide you with the most appropriate instruction.

Upon completion, please Print, Mail, or E-mail to us for processing.

Thank you for your cooperation!

Date:                       Your name:



City: State   Zip: -

How did you learn of us?   Specify:

What kind of training would you like?  (Check all that apply)

Word 97 Excel 97 PowerPoint 97
Access 97 Outlook 98 Word 2000
Excel 2000 PowerPoint 2000 Access 2000
Outlook 2000 Photoshop Pagemaker
FrontPage 98 FrontPage 2000 HTML
Web Basics Quickbooks Pro Peachtree
WordPerfect Symantec Act Computer Intro
Windows 95 Windows 98 Windows 2000
Project 98 Project 2000 Visio
Interviewing Career Prep Resume Prep

Enter desired training date (mm/dd/yy):
        Alternate 1:     Alternate 2:

How many students do you anticipate?
       Any disabled?    yes    no

Do you require courseware?     yes     no 

I prefer training be done    on-site    off-site

Do you require software be provided?     yes    no


  1. What other companies have you looked at or plan on looking at?
                    Company 1:  
                    Company 2:  
                    Company 3:  
  2. How would you describe your experience(s) with the above?
            Poor    Average    Good    Excellent   
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