Contact Information
Name : __________________________________________________________________________________
(last) (first) (middle)
Company/Organization: _________________________________ Title : __________________________Address :________________________________________________________________________________
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Phone :__________________________________________________________________________________
(daytime) (evening)
E-mail :___________________________________________________
Class Preference
Please check the class you will prefer to attend.
TBA (Virtual) TBA (Virtual)
How did you hear about us ? _________________________________________________________________
Registration Fee
Class Registeration fee $1299
I want to get the optional Linux laptop(additional $700 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 secure GoogleCheckout instructions for payment by credit card__
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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
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