1. Your Age Group:

   20-30
   30-40
   40-50
   50-60
   60-70
   

2. How Much Computer Knowledge I Feel I Have:

   Very Little - I know just enough to be dangerous!
   Basic - I can create letters and print.
   Intermediate - I know how to create headers/footers and format.
   Advanced - I can perform mail merges, create macros.
   

3. When I Would Like To Receive Training:

   As Soon As Possible
   1-2 Weeks From Now
   1 Month From Now
   3-6 Months From Now
   

4. Equipment I Currently Use:
   
   I use a laptop.
   I use a desktop.
   I use a laptop and a desktop.
   I use a desktop, but will soon be using a laptop.
   
   
5. How did you find out about TMC Enterprises?

   
   

6. I Would Like To Be Called - Best Time To Reach Me:

   In the morning (8:30-11:30)
   In the afternoon (1:00-4:30)
   In the evening (5:30-7:30)
   

7. I Would Like To Be E-mailed. (See E-mail Address Below.)
   
   
8. Please provide the following contact information:

   First name
   Last name
   Title
   Organization
   Street address
   Address (cont.)
   City
   State
   Zip/Postal Code
   Work Phone
   Home Phone
   FAX
   E-mail

    9.    I would like to receive training on the
         following programs: (e.g. Microsoft Word, JavaScipt[)