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Special Offers · Job Browser Pro · Online Services Product Information What's New Press Releases Registration Support Mailing List Suggestions Links About		Enter the following information to sign up for SkillTRAN Online Services. Allow one business day for processing and issue of login instructions and password(s). Reports will be returned by email only. All billing invoices and statements are sent by email. Payments can be made online, by credit card, or by check. Type of User Former CAPCO® / JobQuest® subscriber      If former subscriber, old account name:                                           (if available) New User (Not used CAPCO/JobQuest online before) SkillTRAN Online Services Select the services you expect to use. Professional Reports     for Rehabilitation/Expert Testimony    PPS - Placement Planning Service                (Transferable Skills Analysis)    PREPOST - Pre-Injury/Post-Injury Analysis Self-Directed Reports for Clients    CCS - Career Consulting Service    JSS - Job Search Service Staffing: How many case managers will use services online? Number of passwords needed              (NOTE: one per case manager recommended) Name, phone number and email address of each case manager who will use online services: Computer Basics:  Operating System: Windows XP Windows Vista Windows 2000 Macintosh Windows NT Windows ME Windows 98 Windows 95 Other  Internet Access: DSL/ISDN/Cable Dial-Up Network Not Sure  Your Email program: Outlook Outlook Express Yahoo Hotmail AOL Pegasus Compuserve Eudora Pine MSN Mail Netscape Mail Other (or not sure) Billing Information Email address to which invoices should be sent*: Billing Address: Expected Payment Method:      Check   Credit Card (Offline)      Online Credit Card To Corporate Account   If corporate account, branch office to which you report. Preferred Format for Email Delivery of Invoice:        HTML     PDF (requires Acrobat Reader) Would you like to be able to review your SOS account transactions online? Yes  or  No * Invoices will be emailed to this address by default   Who is the email address above for invoices:       Yourself              Local Branch Office Manager       Corporate Contact Please include name and phone number of billing contact PRIMARY USER ACCOUNT CONTACT (Primary person who will be using the account to actually run cases online) Your First Name: Your Last Name: Your Job Title: Your Phone: Your Fax: Your E-mail: Company Name / Organization:     Enter your local office address (not corporate) Address1: Address2: City: State/Province: ZIP/Postal: Country: * Expected Uses: Check all  that apply   Counseling         Vocational Evaluation   Job Analysis       Career Exploration   Forensic             Reference / Research   TSA                   Resumé Writing   Other: * Your Industry:   Please choose: Rehabilitation - Private Rehabilitation - State Disability Mgmt. Insurance Legal/Forensic Non-Profit Organization Health/Medical Education Workforce Development Human Resources Military Veterans Program Career Transition Outplacement Other * How did you hear about SkillTRAN?   Please choose: Web Site Mailing Referral: Fax Phone Re-order ... THANK YOU! Advertisement: Trade Show / Conference: Other:   * Mailing List   Email Fax Phone Snail Mail Don't Contact   Choose how you would prefer     to be contacted about new SkillTRAN products         Thank You! By clicking the "I Agree. Sign Me Up!" button below, you acknowledge that you are authorized to enter into this agreement, that you have read and consent to the terms of the SkillTRAN Online Services Agreement and that you agree to timely pay invoices incurred under your subsequently issued account name and password(s). Passwords can be changed (without charge) at any time by contacting SkillTRAN. You also agree to receive occasional emails from SkillTRAN about its products and services. SkillTRAN will not release your email address to third parties.

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	© 2001-2008 by SkillTRAN, LLC · 3910 S. Union Court · Spokane Valley, WA 99206 info@skilltran.com  SALES:  (800) 827-2182 SUPPORT:  (509) 927-8195 FAX:  (509) 926-2611   ® CAPCO / JobQuest are trademarks of the JobQuest Corporation. JobQuest has ceased business operations.