School Information

Name
Address

School Contact Person

Name
Telephone #
Email

Packages:

Quantity
Price
Total
Full digital package of 5+ classes
X
$
540.00=
$
0

Full digital package for 2 - 4 classes
X
$
360.00=
$
0

Full digital package for 1 class
X
$
180.00=
$
0

Non-digital package for 1 class
X
$
75.00=
$
0

Final Total:
$
0

Payment Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code