Invoice/Purchase Order Request

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Please use this form to request an invoice for any of our resources. Here is the process:
1. Complete and submit this form.
2. Within 24-48 hours of receiving the following information, we will send, via email, an invoice with the total amount due to the e-mail address of the contact person you provide.
3. Please return a purchase order or check for the amount of the invoice.
4. Upon receipt of the payment or purchase order, we will e-mail a registration link with an embedded coupon code which will be good for the number of licenses purchased.
5. You may distribute the coupon codes to participants so that they can complete the registration process.

PART 1: GENERAL INFORMATION

Name of BILLING Contact Person (to whom invoice should be sent--not the teacher's name) *

PLEASE READ: If you are a teacher filling out this form but you are NOT paying for the course, please add your NAME & EMAIL below in case we have questions. In addition, please inform the Billing Contact Person that they will be receiving an invoice.

E-mail Address of BILLING Contact Person (to whom the invoice should be sent) *

Name of Institution *

Address of Institution (Include City, State, Zip Code) *

Do you need us to include a W-9 form with the invoice? *

Yes

Not sure

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