•· 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 Philippines
Attn: Ms. Ruth Marie Ian C. Ubatay
Level 2, Unit 205 Common Goal Tower
Finance St. cor Industry St. Madrigal Business Park
Alabang Muntinlupa City 1780 Philippines
t: (632) 659 1722 f: (632) 659 1733

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 Pls. Tick

S/N Course Title Date
(US $) (9)
1. LabVIEW Core 1 22-24 November 2010 850.00

2. LabVIEW Core 2 25-26 November 2010 700.00

*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: _______________________________________________________ Postal Code ( )
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 Singapore Pte Ltd’
Purchase Order No: _______________________________

CANCELLATION/RESCHEDULE POLICY:
If you need to cancel or reschedule a class, please call us at (632) 659 1722. 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