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Email
*
Your email
Name (First and Last)
*
Your answer
Position
*
Principal
Administrator
Teacher
Other:
School or District Name
*
Your answer
Billing Address
*
Your answer
Email address for accounting (if different from above)
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Which of the following are you requesting?
*
Quote
Invoice
Number of Educalm Licenses Required (How many teachers will be using the program?)
*
Your answer
Provide the
first name
,
last name
and
email address
for each teacher who will receive access to Educalm
Ex: Jane Smith –
jane.smith@school.org
*
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Preferred Currency
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CAD
USD
Preferred Payment Method
Credit Card
Check
Bank Transfer
Purchase Order (PO)
Other:
For American Purchasers Only:
Do you need a W-8BEN-E form (the Canadian form equivalent to the W-9)?
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No
Additional Information or Requests
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