Agent's Registration

Company name or Business Name:

Company Registration Number:

Main Contact Person:

Company Address:

Telephone:

Fax:

E-mail:

Website:

How long has your business been established?

How many separate office locations does your business have?

Please list your countries of operation?

Please give details of your main trading activities.

Do you work with other IT training establishments/schools?

Please list such schools to which you have referred students.

If so, a) how many students did you send last year?

b) How many students do you expect to send next year?

How did you first hear about Linux Corps/LCO-France?

Why would you like to work with LCO-France?

Please provide an indication of the current commission you receive and that you
would expect to receive from LCO-France?