Teachnology, Inc.
Members Services
PO Box 1107
Truro, MA 02666
USA

 

Membership Site License Order Form

1. Contact Information

Name ______________________ School or Organization Name: _______________________

Street Address: _____________________________________________________________________

City:____________________________________ State: _____________

ZIP Code: _______________ E-mail Address: _____________________________________

Daytime Phone: __________________________________ Fax: ______________________________

2. Billing Information

Purchase Order / Check #:____________________________________________________________

Date Authorization Issued: ____________________________________________________________

Authorized Name: ________________________________ Title: ______________________________

3. Choose License ( Prices are in U.S. Dollars)

Membership Type (Circle):
Gold
Platinum
Silver
Number of Teachers (Circle):
13-25
26-50
51-75
76-100
 
($350)
($500)
($650)
($750)

4. Licensing Agreement

All materials can be used and photocopied for classroom use only. Our products cannot be used for commercial means.

Signature: X_______________________________________________

 

Order submission details can be found below.

5. Submitting Order

In order to finalize the order:

  1. Create a list of authorized user email addresses and passwords. Each teacher or department should have their own account. Compile a list of all of the accounts you would like created.
  2. Note: Gold Memberships only require one authorized user account.
  3. Email the list to editors@teach-nology.com
  4. Mail purchase order, check, money order, or credit card information to:

Teachnology, Inc. Membership Services PO Box 1107 Truro, MA 02666 USA