USA Summer School Offer 2015

2015 Summer School @ $499

Your details:

1. Your name: *This question is required.

2. Your Position: *This question is required.

3. School District: *This question is required.

4. School Name: *This question is required.

5. Address 1: *This question is required.

6. City/Suburb: *This question is required.

7. State: *This question is required.

8. Zip Code:

9. Email Address: *This question is required.

10. Phone Number: *This question is required.

Invoice Information:

11. Name of School/District to Invoice: *This question is required.

12. Invoice Email: *This question is required.

13. Order Number (optional)

14. Qty of site licences @ $499 (*Summer site licence: 60 students) *This question is required.

Please confirm your order below:

15. I understand that by sumbitting this form, I am confirming the purchase of Mathletics for Summer School 2015 at $499 for 60 students for a total of 6 months and that I am authorized to do so. *This question is required.