ComNet Communications, LLC - Training Registration Form

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REGISTRATION FORM

Please fill in form completely.

Name :
Title :
Company :
Address :
City :	State : Zip :
Country :
Phone :
Email :
Website :

I would like to register for the following BICSI training programs:
Installer Level 1: $1,000.00
Installer Level 2: $1,000.00
DD100 Intro Voice/Data Cabling: $395.00
DA100 Intro to Lans and Internetworks: $895.00
Intro to Customer-Owned OSP: $595.00
Technician Level: $1,000.00
Residential Cabling - RES100: $450.00
Residential Cabling - RES150: $900.00

I would like to register for the following Speciality Courses:
Codes & Standards Update: $395.00
Project Management Course: $395.00
RCDD Preparation Class: $995.00

Course Date Preference

Alternate Date Preference

Additional Fees for BICSI training programs only:

$150, all levels

$200, if challenging, or skipping a level

$50, exam retake fee

Course Registration will not be processed until payment is received.

Payment Check or money order payable to:

ComNet Communications, LLC.
4343 W. Royal Lane
Suite 118
Irving, TX 75063
972-916-3100