Please complete and sign our Dell Training Registration Formin fullto register and fax back to us on +27 (011) 840-2168 or email

1 /

Company or Individual Name

/

Name:

Customer number and Dell Sales Rep (if known):
Customer No:
2 / Address (Number, Street, City, Country)
3 / Class requested
4 / Date of Class
5 / Location of Class / Dell, Johannesburg
1 / Billing Contact (If different from above) / Name:
Phone:
Email:
2 / Address (Number, Street, City, Country)
3 / Payment Type / PO Number (attach copy please):
Credit Card Number:
Type: Expiration: Security Code for card:
Name on Credit Card:
1 / Student / Name:
DATE: / Identity No: (required for booking system & enrolment)
Email: Phone:
Special Dietary Requirements:
2 / Student / Name:
DATE: / Identity No: (required for booking system & enrolment)
Email: Phone:
Special Dietary Requirements:
3 / Student / Name:
DATE: / Identity No: (required for booking system & enrolment)
Email: Phone:
Special Dietary Requirements:
4 / Student / Name:
DATE: / Identity No: (required for booking system & enrolment)
Email: Phone:
Special Dietary Requirements:
5 / Student / Name:
DATE: / Identity No: (required for booking system & enrolment)
Email: Phone:
Special Dietary Requirements:

Dell Training Enrollment Conditions and Policies

Please read the following information carefully. Acceptance of your enrollment request is conditional based on your agreement with and acceptance of the following conditions:

Course Payment: Fees are payable at time of registration. Payment arrangements must be made prior to class start. Course fees do not include transportation or accommodation, or other services not specifically stated as included in the course you have enrolled in.

Course Confirmation: All enrollments are confirmed by e-mail following payment. If you have not received your

Confirmation, within 2 business days after payment, please contact the Dell Training at email . A reminder email with further logistics will be sent 7 days prior to the start of the course to enrolled students.

Course Cancellations: Under certain circumstances it may be necessary for Dell to cancel or reschedule a course for which a reservation has been made. These cancellations will be done as soon as circumstances allow.

Dell's liability will be limited to a refund of the course fees paid. Dell is not responsible for student expenses incurred as a result of course cancellation.

Student Cancellations: Notification of a student cancellation or rescheduling must be made by contacting

Refund: For a full refund, your notice must be received 10 or more business days before the start of the course.

Cancellations within 5 business days or failure to show up for your class will result in a cancellation fee of 100% of the course fee. Substitutions are permitted at anytime, providing the substituted student agrees to all the conditions, policies and meets all prerequisites for the class. Rescheduling is permitted subject to the above cancellation policies and conditions.

Travel and Expenses: Arrangements for and cost of all transportation and lodging are the responsibility ofthe student.

Schedule:

Trainings time at the first day is 09:30 AM to 5:00 PM.

Trainings time at the following days is 09:00 AM to 5:00 PM, with the option of early stop on the last training day.

Lunch breaks will last 60 minutes. Morning and afternoon breaks are provided as needed.

Other Terms and Conditions: Class seats are filled on a first come first serve basis. Dell will provide the course with reasonable care and skill but accepts no liability in the event the course content does not meet your requirements.

Expiration Policy: Any and all pre-paid training courses, will expire one year from the purchase date if not used, and will not be forwarded and/or credited to the following year or any new agreement.

Signature:______Date:______

Please return this form via fax to: Training Co-Ordinator, 011-840-2168

Or email completed form and request to

Courses will be held subject to sufficient number of enrolments.

Dell will comply with its privacy policy regarding all information gathered; Please see privacy policy information.

Dell and the Dell logo are trademarks of Dell Computer Corporation. Dell disclaims any proprietary interest in trademarks and trade names other than its own. © 2002 Dell Computer Corporation. All rights reserved.