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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
        March 19-23, 2012 in Pasadena, CA

Advanced Topics in CODE V
        March 26-30, 2012 in Pasadena, CA

Both Intro to CODE V and Advanced Topics in CODE V
       March 19-23, 2012 and March 26-30, 2012 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:

 
 

 

 

Information Request
Technical Support

Call +1 626-795-9101
Email: