LinuxCertified, Inc.
 

Eclipse Jumpstart - Class Enrollment Form

Contact Information

Name : __________________________________________________________________________________
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Company/Organization : _________________________________ Title : __________________________

Address : ________________________________________________________________________________

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Phone : __________________________________________________________________________________
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Class Preference

Please check the class you will prefer to attend.

   
March 31 , 2012 (San Jose, CA)

How did you hear about us ? _________________________________________________________________

Registration Fee

I want to get the optional Linux laptop (additional $700 in the course fee)

Please write a check or money order for $499 ($1199 if Linux laptop is included) payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:

LinuxCertified, Inc.
349 Cobalt Way, Suite 304
Sunnyvale, CA 94085

Payment by Credit card: _After reviewing your order, we will send you secure GoogleCheckout instructions for payment by credit card___  


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If paying by credit card, you can also fax the form to (425) 732-7143

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


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