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Perl Training 101 - Class Enrollment Form

Contact Information

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Class Preference

Please check the class you will prefer to attend.

  Currently not scheduled  (San Jose)         

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Registration Fee

I want to get the optional Linux laptop (additional $500 in the course fee)

Please write a check or money order for _____ (_____ if Linux laptop is included) payable to "LinuxCertified, Inc." (unless paying by credit card), and send it with this enrollment form to:

LinuxCertified, Inc.
1072 S. De Anza Blvd., Suite A107-19
San Jose, CA 95129

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Expiration: ________________

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Signature: ___________________________________ Date: _____________________

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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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