Linux Device Driver Development - Class Enrollment Form

Contact Information

Name : ___________________________________________________________________________________________________
                               (last)                                      (first)                                           (middle)

Company/Organization : _____________________________________ Title : _______________________________________

Address : _________________________________________________________________________________________________

___________________________________________________________________________________________________________

Phone : ___________________________________________________________________________________________________
                             (daytime)                                                                (evening)

E-mail : ___________________________________________________

Class Preference

Please check the class you will prefer to attend.

  October 5th - October 7th, 2016 (Virtually Live),       October 26th - October 28th, 2016 (Virtually Live)

How did you hear about us ? _________________________________________________________________

Registration Fee

Class Registeration fee $1699 (Call in to check for early bird discounts & specials)

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

I want to get the optional ARM-based target single board (additional $300 in the course fee)

Please write a check or money order 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 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 this form.

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


Signature_________________________________________