Distance Learning Order Form
1.Contact Information
First Name: (*)
Last Name: (*)
Middle:
Company/Organization :
Title :
Address : (*)
Phone :  
daytime: (*)
evening:
E-mail : (*)
 
2.Pick your courses and quantity:
     
Course
Price
Quantity
 
 
Red Hat 7.3 Installation, Configuration and Administration
$99
Linux Fundamentals Distance Learning Course
$299
Linux System Administration Distance Learning Program
$349
 
Total amount : $0
 
3.Payment Information
 
Please write a check or money order for $0 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
 
Payment by Credit card:
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For American Express give CID number: (4 digit number on top of card)
Date: (day) (month) (year)
Credit Card Billing address:
I have read and I agree to the terms and conditions listed on www.linuxcertified.com
 

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