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SchoolMatch® Website HotLink Order Form
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Please complete and return this form with purchase order or payment to:
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SchoolMatch
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| Contact/Billing Information: | |
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Name: Title: Address: Telephone: Email: |
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Zip: ________-_____ (____)_____-_______ ____________________________________________ |
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Type of Payment:
(Payment amount is just $98.00) |
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| Purchase Order - Number:___________ | Check Enclosed - Number:___________ |
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Charge - Please circle one: VISA MasterCard AmEx Discover Card Number:___________________________ Exp. Date:___________ Signature:__________________________________________________ |
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| School/System Information: | |
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School/System Name: City, State Zip: Website Address: |
______________________________________________ ______________________________________________ ______________________________________________ (The link can be to your school system’s home page or other information page.) |