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<HTML>

<HEAD>


<META NAME="description" CONTENT="We teach the Hospitality Industry how to serve food and beverage responsibly ™">
<META NAME="Keywords"    CONTENT="FOOD,TRAINING,TIPS,SERVSAFE,SERV-SAFE,ALCOHOL, SAFETY,ALCOHOL AWARENESS,NATIONAL RESTAURANT ASSOCIATION,NRA,NRAEF,BARTENDER,BARTENDERS,SERVER,SERVERS,COURT,LIQUOR,DRINKS,DRINKING,DUI">


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<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
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<!--<BASE HREF="http://0035cb2.netsolhost.com/form3.html">-->
<TITLE>ABS Enroll</TITLE></head>
<BODY  BGCOLOR="#B3BDDC"
 TEXT="#000000"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#000000"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l34.layout --> 


<TABLE DIR="LTR" WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 ALIGN="center" VALIGN="top" BGCOLOR="#B3BDDC" background="">
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<TABLE WIDTH=480 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#E4D9C9" VALIGN="top">
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<TR>
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    <TABLE WIDTH=90% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top">
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/servlet/psoft.masonry.Builder';
function validate(frm){
var i = 0;

if (frm.field_337.value=="") return error(frm.field_337);
if (frm.field_y_338.value=="") return error(frm.field_y_338);

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frm.domain.value=url;
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}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://205.178.146.11:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="ABS Enroll">
<input type="hidden" name="esubj" value="form.subj_value">
<input type="hidden" name="name" value="=GCh0WG0bU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit4.html">
<input type="hidden" name="error_url" value="onerror4.html">

<input type="hidden" name="order" value="337 d338 339 340 342 d343 ">

    <TR><TD>
        <TABLE border="0" cellpadding="5" cellspacing="5" width="95%">
        <TR><TD colspan=2>&nbsp;</td></TR>
        <input type="hidden" name="name_337" value="Please enter your name">
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<font face='Arial' size='2' color='#000000'>

Please enter your name

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_337" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_338" value="Please enter the date of class you are attending">
        <TR><TD>


<font face='Arial' size='2' color='#000000'>

Please enter the date of class you are attending

</font>


<font color="red" size="-1">*</font></td>
            <TD><select name="field_m_338" size="1">
            <option>Jan<option>Feb<option>Mar
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            </TD>
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        <input type="hidden" name="name_339" value="Please enter your email address">
        <TR><TD>


<font face='Arial' size='2' color='#000000'>

Please enter your email address

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_339" size=35>
            
            </TD>
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        <input type="hidden" name="name_340" value="Please enter your phone number">
        <TR><TD>


<font face='Arial' size='2' color='#000000'>

Please enter your phone number

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_340" size=35>
            
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        <input type="hidden" name="name_342" value="Are you an ABS Graduate">
        <TR><TD>


<font face='Arial' size='2' color='#000000'>

Are you an ABS Graduate

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="radio" name="field_342" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


 <input type="radio" name="field_342" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


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        <input type="hidden" name="name_343" value="When did you graduate">
        <TR><TD>


<font face='Arial' size='2' color='#000000'>

When did you graduate

</font>


<font color="red" size="-1">*</font></td>
            <TD><select name="field_m_343" size="1">
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        <TR><TD colspan=2 align=center>
            <input onClick="return validate(form)" type="submit" value="Submit">
            <input type="reset"  value="Reset">
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    </TR>
</form>
    </TABLE>

                                                                </TD>
                                                        </TR>
                                                        <TR>
                                                                <TD>

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="profile.html">About us</A>|</nobr>

<nobr>|<a href="gpage1.html">Alcohol Awareness</A>|</nobr>

<nobr>|<a href="gpage2.html">Food Safety</A>|</nobr>

<nobr>|<a href="gpage3.html">On-Line University</A>|</nobr>

<nobr>|<a href="gpage5.html">Guest/Server Relations</A>|</nobr>

<nobr>|<a href="gpage.html">Clients</A>|</nobr>

<nobr>|<a href="custom2.html">Class Listings</A>|</nobr>

<nobr>|<a href="Download1.html">Download</A>|</nobr>

<nobr>|<a href="gpage4.html">Register/Order</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="links.html">Internet Links</A>|</nobr>

<nobr>|<a href="news.html">News</A>|</nobr>

<nobr>|<a href="form.html">Survey</A>|</nobr>

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|<a href="job2.html">Jobs</A>|</nobr>

<nobr>|<a href="form2.html">Survey</A>|</nobr>

<nobr>|<a href="gpage6.html">Authentic Bartending School</A>|</nobr>

<nobr>|ABS Enroll|</nobr>
</center>
</font>

<BR>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
</TD>
                                                        </TR>
                                                </TABLE>
                                        </TD>
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                </TD>
                
                <TD WIDTH=129 HEIGHT=397 VALIGN="top" BGCOLOR="#FFFFFF" BACKGROUND="widgets/gen_3781.1.gif">
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<!-- End Center -->                     <TD VALIGN="top">
<!-- Begin Menu -->
                                                <TABLE WIDTH=166 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
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                                                                <TD WIDTH=166 HEIGHT=180 VALIGN="top">
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                                                        <TR>
                                                                <TD WIDTH=166 HEIGHT=13 VALIGN="top">
                                                                        
                                                                        <a href="index.html" onMouseOver="document.images['img7'].src='widgets/gen_3786.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_3785.1.gif'"><img src="widgets/gen_3785.1.gif" alt="Welcome" name="img7" border="0"></a><br>
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                                                                        <a href="gpage2.html" onMouseOver="document.images['img113'].src='widgets/gen_3792.1.gif'" onMouseOut="document.images['img113'].src='widgets/gen_3791.1.gif'"><img src="widgets/gen_3791.1.gif" alt="Food Safety" name="img113" border="0"></a><br>
                                                                        <a href="gpage3.html" onMouseOver="document.images['img88'].src='widgets/gen_3794.1.gif'" onMouseOut="document.images['img88'].src='widgets/gen_3793.1.gif'"><img src="widgets/gen_3793.1.gif" alt="On-Line University" name="img88" border="0"></a><br>
                                                                        <a href="gpage5.html" onMouseOver="document.images['img190'].src='widgets/gen_3796.1.gif'" onMouseOut="document.images['img190'].src='widgets/gen_3795.1.gif'"><img src="widgets/gen_3795.1.gif" alt="Guest/Server Relations" name="img190" border="0"></a><br>
                                                                        <a href="gpage.html" onMouseOver="document.images['img31'].src='widgets/gen_3798.1.gif'" onMouseOut="document.images['img31'].src='widgets/gen_3797.1.gif'"><img src="widgets/gen_3797.1.gif" alt="Clients" name="img31" border="0"></a><br>
                                                                        <a href="custom2.html" onMouseOver="document.images['img277'].src='widgets/gen_3800.1.gif'" onMouseOut="document.images['img277'].src='widgets/gen_3799.1.gif'"><img src="widgets/gen_3799.1.gif" alt="Class Listings" name="img277" border="0"></a><br>
                                                                        
                                                                        
                                                                        <a href="Download1.html" onMouseOver="document.images['img124'].src='widgets/gen_3806.1.gif'" onMouseOut="document.images['img124'].src='widgets/gen_3805.1.gif'"><img src="widgets/gen_3805.1.gif" alt="Download" name="img124" border="0"></a><br>
                                                                        <a href="gpage4.html" onMouseOver="document.images['img135'].src='widgets/gen_3808.1.gif'" onMouseOut="document.images['img135'].src='widgets/gen_3807.1.gif'"><img src="widgets/gen_3807.1.gif" alt="Register/Order" name="img135" border="0"></a><br>
                                                                        
                                                                        <a href="contact.html" onMouseOver="document.images['img193'].src='widgets/gen_3812.1.gif'" onMouseOut="document.images['img193'].src='widgets/gen_3811.1.gif'"><img src="widgets/gen_3811.1.gif" alt="Contact Us" name="img193" border="0"></a><br>
                                                                        <a href="links.html" onMouseOver="document.images['img209'].src='widgets/gen_3814.1.gif'" onMouseOut="document.images['img209'].src='widgets/gen_3813.1.gif'"><img src="widgets/gen_3813.1.gif" alt="Internet Links" name="img209" border="0"></a><br>
                                                                        <a href="news.html" onMouseOver="document.images['img257'].src='widgets/gen_3816.1.gif'" onMouseOut="document.images['img257'].src='widgets/gen_3815.1.gif'"><img src="widgets/gen_3815.1.gif" alt="News" name="img257" border="0"></a><br>
                                                                        <a href="form.html" onMouseOver="document.images['img261'].src='widgets/gen_3818.1.gif'" onMouseOut="document.images['img261'].src='widgets/gen_3817.1.gif'"><img src="widgets/gen_3817.1.gif" alt="Survey" name="img261" border="0"></a><br>
                                                                        <a href="directions.html" onMouseOver="document.images['img265'].src='widgets/gen_3820.1.gif'" onMouseOut="document.images['img265'].src='widgets/gen_3819.1.gif'"><img src="widgets/gen_3819.1.gif" alt="Directions" name="img265" border="0"></a><br>
                                                                        
                                                                        <a href="job2.html" onMouseOver="document.images['img293'].src='widgets/gen_3826.1.gif'" onMouseOut="document.images['img293'].src='widgets/gen_3825.1.gif'"><img src="widgets/gen_3825.1.gif" alt="Jobs" name="img293" border="0"></a><br>
                                                                        <a href="form2.html" onMouseOver="document.images['img299'].src='widgets/gen_3818.1.gif'" onMouseOut="document.images['img299'].src='widgets/gen_3817.1.gif'"><img src="widgets/gen_3817.1.gif" alt="Survey" name="img299" border="0"></a><br>
                                                                        <a href="gpage6.html" onMouseOver="document.images['img304'].src='widgets/gen_4467.1.gif'" onMouseOut="document.images['img304'].src='widgets/gen_4466.1.gif'"><img src="widgets/gen_4466.1.gif" alt="Authentic Bartending School" name="img304" border="0"></a><br>
                                                                        
                                                                        
                                                                        <a href="form3.html" onMouseOver="document.images['img333'].src='widgets/gen_4526.1.gif'" onMouseOut="document.images['img333'].src='widgets/gen_4525.1.gif'"><img src="widgets/gen_4525.1.gif" alt="ABS Enroll" name="img333" border="0"></a><br><a href="mailto:INFO@JOSHUASYSTEMS.COM" onMouseOver="document.images['img_email'].src='widgets/gen_3828.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_3827.1.gif'"><img src="widgets/gen_3827.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
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               <TD WIDTH=90% HEIGHT=100%>
               

                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
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                                        <TD WIDTH=350 HEIGHT=100%  BACKGROUND="widgets/gen_3783.1.gif">                                                                     
                                                <IMG SRC="widgets/spacer.gif" WIDTH=24 HEIGHT=48></TD>
                                
                                        <TD WIDTH=100% HEIGHT=100%  BACKGROUND="widgets/gen_3784.1.gif" >                                                                       
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</TABLE>                
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