Tel: (800) 467-9736 | Fax: (732) 549-7060 | 100 Wood Ave. South, Suite 111, Iselin, NJ 08830 | Email: train@sysoft.com
Course Registration Form: Self-Paced Program (To register please fax/mail this form with payment)

Name: _____________________________________ Company ______________________________Title __________________

Address : _________________________________________________________________________________________________

___________________________________________________________________________________________________________

Phone : ____________________________ Fax : ____________________________ E-Mail :_____________________________

Yes! I'd like to register for the self-paced program:
Web Application Development, Networking and Database (SYSOFT 1000)
U.S. $395*

Corporate Webmaster & eCommerce - I (SYSOFT 3000)
 U.S. $395*

Productive Web Development, Multimedia & Wireless Application Protocol (SYSOFT 1200)
U.S. $395*

Corporate Webmaster and eCommerce - II (SYSOFT 3200)
U.S. $395*
eBusiness for Managers (SYSOFT 6000)
U.S. $395*
** Database Administration for eBusiness (SYSOFT 8200)
U.S. $395*

** This course can only be taken as an elective to the CEW program which consists of Sysoft 1000, 1200, 3000, 3200 & 6000

Course Package: Sysoft 1000, 3000, 1200, 3200, 6000
Package Price for all 5 Courses    U.S. $995*
Package Price for all 6 Courses    U.S. $1095*
 

* A $25 Application and a $100 registration fee is due from all applicants. The $125 application fee is non-refundable and is not included in the tuition. Add applicable Shipping and handling charges.


Shipping and Handling (Please select one). If you do not select one then regular for domestic US or International charge will be added to your order.

$45 Regular Per course (allow 2 weeks)

$65 Overnight Per course

$80 International Per course

$95 Regular for the 5 course package (allow 2 weeks)

$150 Overnight for the 5 course package

$195 International for the 5 course package

Check Enclosed (Check # ______________________ )( U.S. $50 penalty for return checks )
    ( Make checks or International money order payable to "A1 Sysoft Center for Software Excellence" in U.S. Dollars drawn on a U.S. bank )

Purchase Order Number: _______________________

Credit Card Information: (Please check one)  

American Express

Visa

MC

Authorized Amount  _____________________________________

Card Number:____________________________________ Expiration: __________________

Credit Card Name if Different from Name Above: ____________________________________

SYSOFT® reserves the right to refuse a registration. Prices are subject to change. If for some reason, Sysoft cancels a course, liability is limited to the fee paid by the applicant. You have money back guarantee if you return the books and materials within two weeks or before the second mentor session, which ever is first. Please note, shipping and handling charges and the registration and application fees are not refundable. Every return requires Return Authorization from the assigned mentor. Refund will be made within 6 weeks from the date course materials are received at the Sysoft facility.

YOUR SIGNATURE IS REQUIRED TO COMPLETE THE REGISTRATION PROCESS

 

Your Signature: ________________________________________________________