School Site Order Form

5-10 Teachers
$39.99 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:

Payment Table

5 Members= $199.95	8 Members= $319.92	Total Number of Members:
6 Members= $239.94	9 Members= $359.91	Please enter the amount due.
7 Members= $279.93	10 Members= $399.99	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, 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.