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Agreement to be invoiced for annual fee for use of Learning Mathematics for Teaching measures of Mathematical Knowledge for Teaching and/or online training
Submission of this form constitutes agreement to be invoiced by the University of Michigan for the amount indicated. If you wish to apply for a waiver for either or both of these fees, please complete the waiver form instead. The invoice will be emailed to the address you indicate in the email address box below. Be sure to include the invoice number with your payment. Invoices will be generated within 2 weeks of the time you complete this form and payment is expected within 30 days from the time you receive the invoice via email.
If you are completing this form for a trained user of the LMT/TKAS measures, what is the name of that person?
If you are the trained user who is completing this form, skip this question.
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First Name *
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Last Name *
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Email address (where the invoice will be sent) *
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Organization or Institution *
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Intended fee *
If you are already a trained user, you do not need to complete the online training. If you wish, however, you may access the online training for no additional fee.
Total amount you are agreeing to pay (in US dollars) based on the items selected above: *
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Street (mailing address where invoice will be sent) *
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Address 2 (if needed)
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City *
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State/Providence *
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Country *
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Zip code *
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Phone number *
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Other persons for whom you wish to pay training fee
Note that for each person you add, an additional $150 will be added to your invoice.
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PO number
If you would like a PO number included on your invoice, provide the PO number here.
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