Linux System & Network Administration Bootcamp - Class Enrollment Form
Name : ______________________________________________________________________________________
(last) (first) (middle)
Company/Organization : _________________________________ Title : _______________________________
Address : _____________________________________________________________________________________
Phone : ______________________________________________________________________________________
E-mail : ___________________________________________________
Please circle the appropriate level that describes your experience/comfort level with Linux or any other flavor of Unix.
Novice Beginner Intermediate Advanced Expert
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: _______________________________________________________________________
Please check the class you will prefer to attend:
July 16th - 17th, 2016 (10 AM - 4PM) (Sunnyvale - South Bay) September 15th - 16th, 2016 (10 AM - 4PM) (Sunnyvale - South Bay)
How did you hear about us? (optional) ___________________________________________________________
Please write a check or money order for $1,499 payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:
333 Cobalt Way, Suite #107
Sunnyvale, CA 94085
Payment by Credit card: Card number: _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 printed form to(253) 399 7329
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