LinuxCertified, Inc.

Linux Fundamentals - 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 that describes your experience/comfort level with Linux or any other flavor of Unix.

Novice          Beginner           Intermediate           Advanced

Additional comments:_______________________________________________________________________

Class Preference

Please check the class you will prefer to attend.

April 6th- 7th, 2015  (Sunnyvale - South Bay) March 21st - 22nd, 2015  (Sunnyvale - South Bay)

How did you hear about us ? _________________________________________________________________

Registration Fee

Please write a check or money order for $1,299 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: __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 form to (425) 732-7143

Please do notify us via email when sending the form.

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