Name : _____________________________________________________________________________________________
(last) (first) (middle)
Company/Organization : ______________________________________ Title : _________________________________
Address : ____________________________________________________________________________________________
Phone : ______________________________________________________________________________________________
E-mail : ______________________________________________________
Please circle the appropriate that describes your experience/comfort level with Linux or any other flavor of Unix.
Novice Beginner Intermediate Advanced
Please check the class you will prefer to attend.
August 5th - 6th, 2017 (Sunnyvale - South Bay) September 2nd - 3rd, 2017 (Sunnyvale - South Bay)
How did you hear about us ? _________________________________________________________________
Please write a check or money order for $1,299 payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:
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