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Rent Certifications Sign-Up Page
Use this page if your company would like to rent certifications from IT professionals. If you're looking to hire a professional full-time or as a contractor, or if you're looking to rent your own certification, please visit one of our other sign-up forms. Not sure what you need? Contact us, and we'll help you out immediately.

Full Name:
Company Name:
Address:	* Please use the
	* billing address
City:	* for your card.
State/Provence:
Postal Code:
Country:
E-mail:
Phone:
Certifications Desired: MCP ($199/mo.) MCSE ($399/mo.) MCSD ($399/mo.) MCDBA ($399/mo.) Extremely limited quantites of triple & quad CCIEs! These are the best of the best!	(Enter quantity desired for each) CCNA ($159/mo.) CCNP ($399/mo.) CCDP ($399/mo.) CCVP ($599/mo.) CCSP ($399/mo.) CCIE (R&S)($1,149/mo.) Dual CCIE ($1,449/mo.) Triple CCIE ($1,949/mo.) Quad CCIE ($2,949/mo.)
The above rates include 4 hours of remote support from your certified professional each month!
Billing Details:	Note: During pre-registration (until 2/1/2010) we will be processing credit cards manually by phone after you place your order.
Name on Card:	* Accepted Cards:
Card Number:	* Visa/ MC / AX
Expiration Date:	/
CVV Code:
Notes:	Enter any comments or requests here. Additionally, if you selected CCIE, note which track, if you need a specific one (additional charges may apply -- we will contact you if they do!).

When you click Submit Application below, Rent A Cert will attempt to match you with people with the certifications you've requested. There is no guarantee that we can find a match, and you will be billed only upon finding that match. Subscriptions are for 12 months, automatically renewing if not cancelled. Billing is monthly, however by submitting this form you agree to continue paying for a 12-month period, with no early termination option. Rent A Cert may use your e-mail address and phone number provided to contact you regarding this application or otherwise.

By clicking Submit Application, I agree to the above, as well as to the Rent A Cert Terms of Service.


 

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