REGISTRATION FORM / Return fax to :Sallie Archer
PGS – Asia Pacific , Australia
Fax : 61 2 9978 8008
ORGANIZATION
Contact Person / : / Designation / :
Company Name / :
Company Address / :
Telephone nos / : / Email Address / :
Purchase Order No / : / Date / :
COURSE INFORMATION
TRAINING COURSES /  POLYCOM TRAINING FACILITY /  ON-SITE
At Polycom / On-Site + Instructor Expenses

VIDEO

/ ( ) / VSX Technical Training / US$800 - 2 days / US$5,000 - up to 8 students
/ ( ) / VSX System Administrator Training / US$400 - 1 days / US$3,000 - up to 8 students
/ ( ) / HDX Technical Training / US$800 - 2 days / US$5,000 - up to 8 students

MCU

/ ( ) / MGC 50 / 100 Technical Maintenance Training / US$2,000 - 4 days / US$12,000 - up to 8 students
/ ( ) / MGC 50 / 100 System Administrator Training / US$1,200 - 2 days / US$4,000 - up to 5 students
/ ( ) / MGC Advance : GW / GK Application / US$400 - 1 day / US$3,000 - up to 8 students
/ ( ) / RMX2000 Technical Training / US$1200 - 2 days / US$8,000 - up to 8 students

Network Appl

/ ( ) / PathNavigator Technical Maintenance Training / US$800 - 2 days / US$5,000 - up to 8 students
/ ( ) / WebCommander Technical Training / US$400 - 1 day / US$3,000 - up to 8 students
/ ( ) / Global Management System Technical Training / US$400 - 1 day / US$3,000 - up to 8 students
/ ( ) / SE200 Technical Training / US$1500 - 3 days / US$10,000 - up to 8 students
/ ( ) / RSS2000 Technical Training / US$400 - 1 day / US$3,000 - up to 8 students

Certification

/ ( ) / Certified Videoconferencing Engineer ( CVE 2.0 ) / US$1,500 - 4 days / US$12,000 - up to 10 students

Legacy System

/ ( ) / pls specify : / Course Fee :

Others

/ ( ) / pls specify : / Course Fee :
Training period : / From : / (D) / (M) / (Y) / To / (D) / (M) / (Y)
( course price may vary from time to time , pls refer to published rate-if any at time of registration )
* Polycom reserves the right to cancel any classes. Student will be advised of any change in the schedule as soon as possible . Less than 10 days cancellation notice from students will result in the loss of training of 50% of course fee. Less than 5 days cancellation notice from students will result in loss of 100% of course fee .Polycom will be invoicing participants prior to the commencement of the course. Polycom will not be responsible for any taxation that arises from this training.
TRAINEES INFORMATION
Name :- / Designation :- / Course fees :-
Name :- / Designation :- / Course fees :-
Name :- / Designation :- / Course fees :-
ACCEPTANCE BY DISTRIBUTORS / CUSTOMERS / PARTICIPANT
Authorized by :
Name / Company Stamp / Signature / Date
RESERVED FOR Polycom (PGS – Asia Pacific) USE ONLY
Checked by :- / Approved by :-
Trainer / Date / Regional Service Manager / Date

Rev Q4 2007

Polycom Global Level 15, 100 Pacific Highway. North Sydney NSW 2060, Australia. Tel: +61 2 9978 8000 Fax: +61 2 9978 8008