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CODE V Training Enrollment Form

To register, please fill out the following enrollment form. You can directly submit the form by clicking the Submit button at the end of the form. Or, print the form and fax it to us at (626) 795-0184. You can also send email to ora_support@synopsys.com, with the information (name, company, etc.), or call us at (626) 795-9101.  *Required Fields.

 

*Name
 
Title
 
*Company
 
*Address 1
 
Address 2
 
*City
 
*State
 
Province  
*Zip Code
 
Country
 
*Phone
 
Fax
 
*Email
 
     
   

*Are you a citizen of, or located in, Cuba, Iran, North Korea, Sudan, or Syria?

Yes    No

 

 

*Please enroll me in:

 

Introduction to CODE V
       
September 16-20, 2013 in Pasadena, CA

Advanced Topics in CODE V
     
  September 23-27, 2013 in Pasadena, CA

Both Intro to CODE V and Advanced Topics in CODE V
        September 16-20, 2013 and September 23-27, 2013 in Pasadena, CA

 

 

*Computer for Workshops

 

I will provide my own Windows-based laptop
       (discount on course fee)

Please provide a computer for me

 

 

*Form of Payment

  Check (payable to Synopsys)

Credit Card (American Express, MasterCard or Visa only)

Company Purchase Order Number:

Other, please specify: