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REGISTRATION PAGE More than 100,000 students, in over 150 different countries, have registered to take a course from FACT. Please fill in all fields correctly, or your registration will not be accepted. FIRST name ONLY ONE COMPLETE E-MAIL Address CITY or TOWN (no abbreviations) Province or State Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Congo Connecticut Deleware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ontario Ohio Oklahoma Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territories NOT IN USA or CANADA Country (choose from pull-down list) Albania Algeria Angola Antarctica Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Bermuda Bhutan Bolivia Bosnia/Herzegovina Botswana Brazil Brunei Bulgaria Burundi Cambodia Cameroon Cayman Islands Chile China Colombia Congo Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador England Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Gibraltar Grenada Greece Guam Guatemala Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kuwait Latvia Lebanon Liberia Lithuania Macedonia Malawi Malaysia Maldives Mali Malta Mauritius Mexico Moldavia Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Zealand Nigeria Norway Oman Pakistan Panama Papua New Guinea Peru Philippines Poland Portugal Qatar Republic of Korea Romania Russia Rwanda Saudi Arabia Senegal Scotland Sierra Leone Singapore Slovenia Somalia South Africa Spain Slovak Republic Sri Lanka Saint Vincent and the Grenadines St. Kitts and Nevis St. Lucia Sudan Suriname Swaziland Sweden Switzerland Taiwan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Uganda Ukraine United Arab Emirate Uruguay Venezuela Vietnam Virgin Islands Wales Yemen Yugoslavia Zambia Zimbabwe USA Canada Country NOT Listed Postal Code or Zip Code AGE under21 21to30 31to40 41to50 50plus SEX Male Female What course do you want to take? APLUS (NEW) Core-Hardware Network PLUS Windows 2000 Professional Internet Application Developer SWiSH, Flash Made EASY! APLUS -OLD!!- How Did You Hear About FACT? FRIEND/RELATIVE FACT STUDENT SEARCH LINK LIST NEWSGROUP WORK OTHER We will display the information needed to begin your course on the screen after you register. To send this form to FACT, press the button below. If nothing happens when you click the button, you do NOT have JavaScript enabled, Click here for assistance. You will have to register again once you alter your browser to accept JavaScript.