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Network and Certification Training for Windows ... - 1105 Media

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Registration Form<br />

First Name<br />

Last Name<br />

Title<br />

Company<br />

Address<br />

City<br />

Zip/Postal Code<br />

Phone<br />

Email*<br />

State/Province<br />

Country<br />

Fax<br />

*Your email address is used to communicate with you about conference registration.<br />

Vendor Marketing Code___________________<br />

Promo Code__________________<br />

Attendee <strong>Network</strong>ing Forum — Yes, I want to participate<br />

in pre-conference networking via email.<br />

PROGRAM SELECTION<br />

TechMentor Conference<br />

$1,499 (Be<strong>for</strong>e February 23), $1,699 (After February 23)<br />

Select Track:<br />

Exchange/SQL<br />

MCSA<br />

MCSE<br />

Scripting<br />

Security<br />

Troubleshooting<br />

Microsoft Live - Included with TechMentor registration<br />

Pre- <strong>and</strong> Post-Conf Crash Courses<br />

$225 (Be<strong>for</strong>e February 23), $275 (After February 23)<br />

CC1 - VMWare Virtual Infrastructure Crash Course<br />

CC2 - Vista Security Crash Course<br />

CC3 - VBScript Crash Course<br />

CC4 - Troubleshooting Group Policy, Including<br />

Vista Group Policy Technology Crash Course<br />

CC5 - Citrix CCA Crash Course<br />

CC6 - <strong>Windows</strong> PowerShell Crash Course<br />

CC7 - <strong>Windows</strong> Vista <strong>and</strong> XP Desktop Security <strong>and</strong><br />

Management Crash Course<br />

TechPartner Conference<br />

$699 (Be<strong>for</strong>e February 23), $899 (After February 23)<br />

COURSE SELECTIONS<br />

After receiving your email confirmation code, you may go<br />

online <strong>and</strong> select the breakout courses you are interested<br />

in attending. If you are a TechMentor attendee, you may<br />

attend ANY course in any track offered at TechMentor as<br />

long as space permits. TechPartner attendees may attend<br />

any course that is a part of TechPartner. Many courses sell<br />

out. Please register <strong>and</strong> select your courses early.<br />

ADDITIONAL OPTIONS<br />

Ultimate USB Security Stick - $199<br />

(Required <strong>for</strong> Security Track sessions: M2, M8, M14, T2,<br />

T14, T20)<br />

MCSA:<strong>Windows</strong> Server 2003 Core Requirements<br />

(70-270, 70-290, 70-291), 2nd Edition, Sybex/Wiley - $65<br />

(50% off list; strongly recommended <strong>for</strong> MCSA Track)<br />

MCSE: <strong>Windows</strong> Server 2003 <strong>Certification</strong> Kit<br />

(70-290, 70-291, 70-293, 70-294) 2nd Edition,<br />

Sybex/Wiley - $85<br />

$100 Alumni Discount:<br />

Previous TechMentor event attended in 2001-2006:<br />

City_________________________ Date_________________<br />

Group Registration: please call Sara Ross at<br />

972.506.9027 to register.<br />

PAYMENT<br />

TOTAL FEE __________________________________________<br />

Check enclosed (payable to <strong>1105</strong> <strong>Media</strong>, in U.S. dollars<br />

drawn on a U.S. bank)<br />

Visa<br />

MasterCard<br />

American Express<br />

Discover<br />

Card Number ________________________________________<br />

Expiration Date ______________________________________<br />

Cardholder Name ____________________________________<br />

Signature ____________________________________________<br />

Cardholder Address (if different than above)<br />

_____________________________________________________<br />

To confirm your registration, a guarantee of payment is required.<br />

Remit check or credit card. If you need an invoice please call<br />

800.280.6218 or email TMREG@continue.uoregon.edu. To pay by<br />

purchase order, please include a copy of your P.O. with your faxed<br />

or mailed registration. Registration fees must be paid in full be<strong>for</strong>e<br />

the start of the event.<br />

HOW TO REGISTER<br />

Online: TechMentorEvents.com<br />

Phone: 1.800.280.6218 (8:00am – 5:00pm PST)<br />

Fax: 1.541.346.3545<br />

Mail: TechMentor Registration<br />

1277 University of Oregon<br />

Eugene, OR 97403-1277<br />

Onsite: You may register <strong>for</strong> the conference onsite. However<br />

space is limited <strong>and</strong> admission cannot be guaranteed.<br />

March 26 – 30, 2007 | TechMentorEvents.com<br />

23

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