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.

  January 11th - January 13th, 2023 (Virtually Live),      December 19th - December 21st, 2022 (Virtually Live)

How did you hear about us ? _________________________________________________________________

Registration Fee

Class Registeration fee $2699 (Call in to check for early bird discounts & specials)

I want to get the optional Linux laptop (refurbished Linux ThinkPad pre-installed with Linux) ( $700)

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

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.
209 E Java Dr #64018
Sunnyvale, CA 94089

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.

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