School Membership Request Form
School Name
*
School City
*
School State
*
School Phone Number
*
Please enter a valid phone number.
School Website Address
*
School Type
*
Public, Charter, Private, Parochial
School District/Corp. Name
*
School Grade Levels
*
Exact School Enrollment Number
*
Number of students enrolled in the school for the 24-25 school year.
Annual School Membership Cost
(Based on Total School Enrollment)
School Enrollment
2024-2025 Price
Up to 100
$520
101-300
$1,040
301-400
$1,690
401-500
$2,470
501-700
$3,380
701-1,000
$4,420
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name
*
First Name
Last Name
Primary Contact Email Address
*
example@example.com
Primary Contact Phone Number
*
Please enter a valid phone number.
Secondary Contact Name
First Name
Last Name
Secondary Contact Email Address
example@example.com
Secondary Contact Phone Number
Please enter a valid phone number.
As a representative of my school, I have read and understand the 24-25 School Membership Guidelines. I understand my organization will be billed for the school membership cost.
*
I agree
School Membership Guidelines
Submit
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