Linux System & Network Administration Bootcamp - Class Enrollment Form

Contact Information

Name : _____________________________________________________________________________________________
                         (last)                                                   (first)                                      (middle)

Company/Organization : ______________________________________ Title : _________________________________

Address : ____________________________________________________________________________________________

______________________________________________________________________________________________________

Phone : ______________________________________________________________________________________________
                             (daytime)                                                                (mobile/evening)

E-mail : ______________________________________________________

Linux Background

Please circle the appropriate that describes your experience/comfort level with Linux or any other flavor of Unix.

Novice          Beginner           Intermediate           Advanced           Expert

Additional comments:_______________________________________________________________________

Class Preference

Please check the class you will prefer to attend.

November 18th - 19th, 2017  (10 AM - 4PM) (Sunnyvale - South Bay) August 5th - 6th, 2017  (10 AM - 4PM) (Sunnyvale - South Bay)
  

How did you hear about us ? _________________________________________________________________

Registration Fee

Please write a check or money order for (Call to check specials) payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:

LinuxCertified, Inc.
333 Cobalt Way, Suite 107
Sunnyvale, CA 94085

Payment by Credit card: __After reviewing your order, we will send you secure PayPal instructions for payment by credit card__  


If paying by credit card, you can also fax the form to (253) 399 7329

Please do notify us via email when sending the form.


I have read and I agree to the Terms and Conditions listed on website of linuxcertified.com



Signature_________________________________________