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.
May 14th - May 15th, 2019 (Virtual live) May 13th - May 17th, 2019 (Virtual live )
How did you hear about us ? _________________________________________________________________
Please write a check or money order for $1399 payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:
209 E Java Dr, #64018
Sunnyvale, CA 94088
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