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LinuxCertified, Inc.
 

Linux System & Network Administration Bootcamp - Class Enrollment Form

Contact Information

Name : ______________________________________________________________________________________
                                   (last)                       (first)                                                 (middle)

Company/Organization : _________________________________ Title : _______________________________

Address : _____________________________________________________________________________________

_____________________________________________________________________________________________

Phone : ______________________________________________________________________________________
                                                 (daytime)              (mobile/evening)

E-mail : ___________________________________________________

Linux Background

Please circle the appropriate level that describes your experience/comfort level with Linux or any other flavor of Unix.

Novice          Beginner           Intermediate           Advanced           Expert

Additional comments:_______________________________________________________________________


Answer the following questions if you are planning to get Linux Certification (optional):

Which certification exam are you planning to take? Please circle the appropriate.

LPI         Red Hat          Linux+          Other (Specify) ______________________________

Additional comments: _______________________________________________________________________

Class Preference

Please check the class you will prefer to attend:


   November 10th - 11th, 2014 (9 AM - 4PM) (San Jose - South Bay)     November 15th - 16th, 2014 (9 AM - 4PM) (San Jose - South Bay)
  

How did you hear about us? (optional) ___________________________________________________________

Registration Fee

Please write a check or money order for $1,499 ($999 without the laptop) payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:

LinuxCertified, Inc.
349 Cobalt Way, Suite #304
Sunnyvale, CA 94085

Payment by Credit card: Card number: _After reviewing your order, we will send you secure GoogleCheckout instructions for payment by credit card_  

If paying by credit card you can also fax the printed form to (425) 732-7143

Please do notify us via email when sending in the form.

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



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