•· 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. S/N 1. 2. Course Title LabVIEW Core 1 LabVIEW Core 2 Date 22-24 November 2010 25-26 November 2010 Course Fee (US $) 850.00 700.00 Pls. Tick ( )

*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