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•· Singapore (65) 6226 5886 •· Malaysia (603) 7948 2000·• Thailand (662) 278 6777 • Philippines (632) 659

1722·
asean.training@ni.com • ni.com/asean/training

National Instruments Training


Course Registration Form
Please register me for the following course(s):

To: National Instruments Thailand Co., Ltd.


Attn: Ms. Ruth Marie Ian C. Ubatay
Unit 3001, 30th Floor, Suntowers B Building, 123 Vibhavadi-Rangsit Rd, Chompon, Chatuchak,
Bangkok Thailand (10900) t: (662)278 6777 f: (662) 278 6778
Note: Payment or a purchase order (PO) is required with registration and MUST be received
BEFORE the commencement of the training course to confirm your place.

Course Fee
S/N Course Title Date Pls. Tick (9)
(THB)
11-13 October 2010
1. LabVIEW Core1 15-17 November 2010 25,000.00
13-15 December 2010
14-15 October 2010

2. LabVIEW Core 2 18-19 November 2010 20,000.00

16-17 December 2010


*Dates printed are subjected to availability
All information below is required for registration. Please duplicate this form for each participant.

(Dr./Mr./Mrs./Mdm./Ms.) First Name: _____________________ Last Name: ________________________


Email: ______________________________ Company Name: ______________________________________
Tel: ________________Fax: ________________ Dept: ________________ Job Title: _____________________
Add1: ______________________________________________________________________________________
Add2: _____________________________________________________________________ ( )
National Instruments Quotation No (If Any):_____________________

PAYMENT METHOD: (Payment or a PO must accompany this registration form. Registrations


without payment or PO will be returned)
Cheque No: ________________________________
(All payments are to be made payable to ‘National Instruments Thailand Co., Ltd.’)
Purchase Order No: _________________________________

CANCELLATION/RESCHEDULE POLICY:
If you need to cancel or reschedule a class, please call us at (662) 278 6777. If the cancellation is made
within a minimum of 5 working days, a full refund will be given. Otherwise, a cancellation fee
of 15% or rescheduling fee of 10% of the total cost per person will be charged accordingly
whichever is applicable. National Instruments reserves the right to cancel any course and will
refund 100% of the course fee. The liability of National Instruments is limited to the course fee
and excludes airfare, lodging, or any other expenses.

Reservation can only be confirmed upon receipt of full course fee

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