Course Evaluation Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=110 BGCOLOR="#666699" TEXT="#080000" bgproperties="fixed" background="07c00840erlcjm.gif"> <div> <B><IMG SRC="1c056330.gif" border=0 width="86" height="51" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B><FONT SIZE="5" COLOR="#FFFFCC" FACE="Arial" >HELWIG'S SCHOOL OF DEFENSIVE TACTICS </FONT></div> </td> </tr><tr> <td valign="top" width=190 BGCOLOR="#CCCCFF" TEXT="#080000" background="07611c00egdysm.gif"> <div> <B><IMG SRC="0807d7d0.gif" border=0 width="125" height="125" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B>|     </B><A HREF="index.htm" TARGET="_top" TITLE="_"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Class Schedules"><U>Class Schedules</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Training Courses "><U>Training Courses </U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Our Products "><U>Our Products </U></A>   |   <A HREF="id31.htm" TARGET="_top" TITLE="SelfDefense"><U>Self-Defense</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Law Enforcement"><U>Law Enforcement</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Laws, Case Laws Constitutions"><U>Laws, Case Laws &  Constitutions</U></A>   |   <A HREF="id70.htm" TARGET="_top" TITLE="Whats New"><U>What's New</U></A>   |   <A HREF="id72.htm" TARGET="_top" TITLE="Discussion Forum"><U>Discussion Forum</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Guest book"><U>Guest book</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Student Comments"><U>Student Comments</U></A>   |   <B>Course Evaluation Form</B>   |   <A HREF="id34.htm" TARGET="_top" TITLE="Class Sign Up Form"><U>Class Sign Up Form</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE=" Order Form "><U> Order Form </U></A></div> <bR> </td> <td valign="top" height=370 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> Course Evaluation Form</div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Name,Email,Company,Comments"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Thank you for your comments on my training."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="An Evaluation form was submitted"><input type="hidden" name="tlx_EmailTo" value="h1225@epix.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name:<br> <input type="text" name="Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Course Taken:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <div> <A HREF="id22.htm" TARGET="_top" TITLE="Student Comments"><U>Back</U></A></div> <DIV ALIGN="LEFT"></DIV> <div> <FONT SIZE="3" COLOR="#000099" FACE="Arial" > </FONT>|     <A HREF="index.htm" TARGET="_top" TITLE="_"><U>home</U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Class Schedules"><U>Class Schedules</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Training Courses "><U>Training Courses </U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Our Products "><U>Our Products </U></A>   |   <A HREF="id31.htm" TARGET="_top" TITLE="SelfDefense"><U>Self-Defense</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Law Enforcement"><U>Law Enforcement</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Laws, Case Laws Constitutions"><U>Laws, Case Laws &  Constitutions</U></A>   |   <A HREF="id70.htm" TARGET="_top" TITLE="Whats New"><U>What's New</U></A>   |   <A HREF="id72.htm" TARGET="_top" TITLE="Discussion Forum"><U>Discussion Forum</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Guest book"><U>Guest book</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Student Comments"><U>Student Comments</U></A>   |   <B>Course Evaluation Form</B>   |   <A HREF="id34.htm" TARGET="_top" TITLE="Class Sign Up Form"><U>Class Sign Up Form</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE=" Order Form "><U> Order Form </U></A></div> </td> </tr></table></body>