REGISTRATION FORM: Consultix Summer Classes, 2009 PREREQUISITES. It is the responsibility of the student to ensure satisfaction of the course prerequisites, as listed on our Web Page. TERMS OF PAYMENT. Payments to Consultix should be made by charge card or a check for U.S. funds drawn on a U.S. bank. Payment should be received within 30 days of registration or before the start of class, whichever comes first (although we can be flexible if necessary). In certain cases, we may accept a FAX'd/Emailed Purchase Order (PO) to confirm seating. To qualify for the discounted "Early-Bird Price", either full payment or an acceptable PO must be received by the Deadline shown below. A finance charge of .5% per week, compounded weekly, is charged for late payments. The act of registering indicates acceptance of these terms. CANCELLATIONS. Prepaid tuition will be refunded for students who cancel by the Cancellation Deadline (the same day as the Early-Bird deadline), less 3% if paid by charge card. For payments arranged by PO, if cancellation occurs after the Deadline, payment in full will still be due. Substitutions are allowed. In the event that we cancel a class, prepaid amounts may be refunded in full or applied to another class. TITLE DATES Days TUITION EarlyBird CHECK Early/Full Deadline COURSES Intermediate Perl 9/21 - 09/23 3 $1,590/$1,680 8/28 __ STUDENT Name: _____________________________________________________________ Phone: ___________________________ FAX: ____________________________ Email: _____________________________________________________________ SUPERVISOR Name (if company paying): ______________________________________ Co. Name/Address: _________________________________________________________ Phone: ___________________________ FAX: ____________________________ Email: _____________________________________________________________ O Check enclosed O Check coming O Bill my company O Charge my Card; Type: ____ Card-Holder Name: __________________________ Card #: _________________________ Expiration: ____ SUBMIT ONE COPY PER STUDENT; Email: reg [at] consultix-inc (dot) com Mail: Consultix, POB 70563, Seattle WA 98127-0563. Telephone: (206) 781-UNIX Web Sites: Consultix-Inc.com TeachMePerl.com TeachMeUnix.com TeachMeLinux.com