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青岛赛思（扬格）外语学?/title>
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<td height="768" valign="top" bgcolor="#FFFFFF"><h2 align="center" class="title"><strong><strong>????????/strong></strong>(<font color="red">*</font>为必?</h2>
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<td width="17%" height="42" align="center" valign="middle" bgcolor="#FFFFFF">姓名?
<label></label></td>
<td width="35%" align="center" valign="middle" bgcolor="#FFFFFF"><input type="text" name="name" id="textfield2" />
<font color="red">*</font></td>
<td width="48%" height="38" valign="middle" bgcolor="#FFFFFF"><label>
<input type="radio" name="sex" id="radio" value="? checked="checked"/>
?
<input type="radio" name="sex" id="radio2" value="? /><strong></strong>
?/label></td>
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<td height="32" align="center" valign="middle" bgcolor="#FFFFFF">电话?/td>
<td height="38" colspan="2" align="left" valign="middle" bgcolor="#FFFFFF">
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外地学员与小灵通用户请在电话前加区?/td>
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<td height="16" align="center" valign="middle" bgcolor="#FFFFFF">Email?/td>
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<input type="text" name="email" id="textfield4" /></td>
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<td height="38" align="center" valign="middle" bgcolor="#FFFFFF">校区?/td>
<td height="38" colspan="2" align="left" valign="middle" bgcolor="#FFFFFF"><label>
<select name="school" id="select">
<option value="0">青岛总校</option>
<option value="587213349061">武汉分校</option>
<option value="199733315570">济南分校</option>
<option value="747725467077">烟台分校</option>
<option value="703195534346">哈尔滨分?/option>
<option value="751462069433">潍坊分校</option>
<option value="042022944491">沈阳分校</option>
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<td height="134" align="center" valign="middle" bgcolor="#FFFFFF">课程?/td>
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<label>
<input name="course" type="radio" id="RadioGroup1_0" value="英语课程" checked="checked" />
英语类课?/label>
<label>
<br />
<br />
<input type="radio" name="course" value="韩语课程" id="韩语课程" />
韩语类课?nbsp; </label>
<br />
<br />
<label>
<input type="radio" name="course" value="日语课程" id="日语课程" />
日语类课?/label>
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<br />
<br />
<input type="radio" name="course" value="法语课程" id="法语课程" />
法语类课?/label>
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<br />
<br />
<input type="radio" name="course" value="德语课程" id="德语课程" />
德语类课?/label>
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<input type="radio" name="course" value="俄语课程" id="俄语课程" />
俄语类课?/label><label></label>
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其他类课?/label>
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西班牙语类课?/label>
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葡萄牙语类课?/label>
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意大利语类课?/label>
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<input type="radio" name="course" value="汉语课程" id="汉语课程" />
汉语类课?/label>
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<label> <br />
<input type="radio" name="course" value="寒假类课? id="寒假类课? />
寒假类课?/label>
<label></label>
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<br />
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<label>
<input type="radio" name="course" value="暑假类课? id="暑假类课? />
暑假类课?/label>
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<label> </label>
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<td height="66" colspan="2" align="left" valign="middle" bgcolor="#FFFFFF"> <span class="red">*</span>如果没有您需要的班种,请选择其他,并在备注里说明您需要的班种:谢谢<br /></td>
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<td height="12" align="center" valign="middle" bgcolor="#FFFFFF">时段?/td>
<td height="38" colspan="2" align="left" valign="middle" bgcolor="#FFFFFF">
<select name="time" id="select2">
<option>白班</option>
<option>晚班</option>
<option>周末?/option>
<option>考虑?/option>
</select></td>
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<td height="114" align="center" valign="middle" bgcolor="#FFFFFF">其他要求?/td>
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<textarea name="other" id="textarea" cols="45" rows="5"></textarea>
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<td class="STYLE7" background="/indeximg/bottom.gif" height="34"><span class="sou"> <a target="_blank" href="http://www.vneen.com/"> 精品在线VIP（一对一）外?nbsp; </a> | <a target="_blank" href="http://www.younger365.com/vip/">精品面授VIP外语 </a> | <a target="_blank" href="http://yasi.younger365.com/">雅思托?/a> | <a target="_blank" href="http://chinese.younger365.com/">对外汉语</a> | <a target="_blank" href="http://alilang.younger365.com/">阿里郎韩?/a> | <a target="_blank" href="http://www.younger365.com/kouyu/"> 英语口语</a> | <a target="_blank" href="http://shaoer.younger365.com/">少儿英语</a> </span></td>
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<td class="STYLE7" valign="middle" align="center" height="72">青岛赛思外语学?2003-2009 版权所有 设计制作：青岛赛思（扬格）外语学校IT中心<br />
HTTP?/www.younger365.com E-mail：saisi@younger365.com <br />
备案证号：鲁ICP?5010949?</td>
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