Package 3 - SAS Certification - Advanced Preparation Instructor-led Package Enrollment Form

To qualify for academic pricing, you must be a full-time student, faculty, or employee of an academic institution, school district, or education-related agency. We require proof of your academic status to be sent to us after you have submitted your order either by e-mail or by FAX (919-677-4444; Attn: SAS Education). Proof of status could be a photocopy/scan of your student or faculty ID, a copy of your transcript from the current semester, or a letter from your human resources department stating that you are employed by the academic institution. We will hold your order until we receive the proof of status.

Packages are available in the US and Canada. Please contact your local SAS office for certification preparation options in other areas.

Please complete the following information. (All fields are required.)

Contact Information
Salutation	Mr. Ms. Dr.
Name
Name of Organization
Address
City
State/Province	--- Select a State/Province --- Alabama Alaska Alberta Arkansas Arizona British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
ZIP/Postal Code
E-mail address
Phone
Fax
Comments: If you know specific locations and dates of classes you would like to attend, please note that here. Otherwise, you will be given an account number to register for your courses at your convenience.
Pricing Information
(Tax and shipping may apply.)    $2,128.50 ($1,947 CAD)    $2,228 ($2,034.56 CAD) with add-on SAS Learning Edition

Payment Information
	Pay by check   Make checks payable to SAS Institute and mail to: SAS Education Customer Service Attn: Certification Training Package Administrator SAS Campus Drive Cary, NC 27513
	Pay with one of the following credit cards: American Express, Diners Club, Discover/NOVUS, MasterCard, VISA
	Account Number
	Expiration Date	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2009 2010 2011 2012 2013 2014 2015 2016
	Cardholder Name
	Pre-paid offer (APTO units: 8.2 / 8.7 with add-on)
	Account Number
	Contact Name
	Bill my organization Billing Information same as Contact Information
	Purchase Order Number
	Attention
	Name of Organization
	Address
	City
	State/Province	--- Select a State/Province --- Alabama Alaska Alberta Arkansas Arizona British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
	ZIP/Postal Code
	E-mail address
	Phone
	Fax

   

(All credit card orders are processed at SAS worldwide headquarters in Cary, NC, USA.)