Information Request

	Please check the service(s) in which you are interested. Required fields are labeled in bold red*.
	I am interested in in-house training. Please send information regarding seminars.
		Topic or subject area:	(pick topic) introduction to usage-centered design basic usage-centered design advanced usage-centered design usage-centered Web design agile usage-centered design collaborative usability inspections basic usability for developers other (please specify)	--Describe other topic.--
		Preferred duration:	(pick #) 1 day 2 days 3 days 4 days 5 days
		Number to be trained:	(pick #) under 10 10-14 15-19 20-24 25 or more
		Additional information regarding desired training:
		--Enter additional comments here.--
	I am interested in design services for the project/product described below.
	I am interested in an expert usability review for the product described below.
	I am interested in a collaborative usability inspection for the product described below.
		--Describe project/product here.--
	I am interested in coaching, mentoring, process improvement, or other consulting services as described below.
		--Describe nature of problem and objectives.--

	Name:*
	Title:*
	Email:*
	Company:*
		Phone:	Fax:
	When* services are needed: (pick time) soon as possible next 1-3 months next 3-6 months 6-9 months within a year long term
	* required

 

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