School Site Order Form

21 or More Teachers
$19.99 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:
For School Site Memberships with 21 or more teacher, only 1 user login password is given
to be used by the entire school site.

School Site Name:

School Site E-mail Address:

School Site Name:

School Site E-mail Address:

School Site Name:

School Site E-mail Address:

School Site Name:

School Site E-mail Address:

School Site Name:

School Site E-mail Address:

School Site Name:

School Site E-mail Address:

Total Number of Members:

X $19.99

Total Amount Due:

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, an e-mail will be sent
    to the school site confirming membership along
    with the school site password 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, an e-mail will be sent
    to the school site confirming membership along
    with the school site password needed to access
    Teach2Reach materials.