School Site Order Form
11-20 Teachers
 $29.99 per User
Please complete the following order form.  Print this form and follow the payment directions below.

School Information:
School District:     
School Site:          
Address:              
City:                     
State:                   
Zip:                      
Contact Person:   
Phone Number:      
E-mail Address:   

Billing Information:
Billing Name:       
Address:              
City:                     
State:                   
Zip:      
Purchase Order Number:  *      
*If applicable.          

New Member Information:
User 1 Name:      
E-mail Address:   
User 2 Name:      
E-mail Address:   
User 3 Name:      
E-mail Address:   
User 4 Name:      
E-mail Address:   
User 5 Name:      
E-mail Address:   
User 6 Name:      
E-mail Address:   
User 7 Name:      
E-mail Address:   
User 8 Name:      
E-mail Address:   
User 9 Name:      
E-mail Address:   
User 10 Name:    
E-mail Address:      
User 11 Name:    
E-mail Address:   
User 12 Name:    
E-mail Address:   
User 13 Name:    
E-mail Address:   
User 14 Name:    
E-mail Address:   
User 15 Name:    
E-mail Address:   
User 16 Name:    
E-mail Address:   
User 17 Name:    
E-mail Address:   
User 18 Name:    
E-mail Address:   
User 19 Name:    
E-mail Address:   
User 20 Name:    
E-mail Address:   
 
                           Payment Table
11 Members= $329.89 16 Members= $479.84   Total Number of Members:
12 Members= $359.88 17 Members= $509.83   Please enter the amount due.
13 Members= $389.87 18 Members= $539.82    Total Amount Due: 
14 Members= $419.86 19 Members= $569.81    
15 Members= $449.85 20 Members= $599.90    
 
To Pay by Check or Money Order:   
1.Complete the entire order form.
2.Completet the amount due.
3. Send order form and check made payable to
    Teach2Reach 
    7211 Haven Ave., E-179
    Rancho Cucamonga, Ca  91701.
4. Once payment is received, e-mails will be sent
    to new members confirming membership along
    with their individual passwords needed to access
    Teach2Reach materials. 		To Pay by Purchase Order:   
1.Complete the order form, including purchase order.
2. Send order to:
    Teach2Reach 
    7211 Haven Ave., E-179
    Rancho Cucamonga, Ca  91701.
3. For faster service, fax order forms to:
     Fax:  (909) 987-6638.
4. Once order form is received, a bill will be sent to
    the billing address.
5. Once payment is received, e-mails will be sent
    to new members confirming membership along
    with their individual passwords needed to access
    Teach2Reach materials.