Sign Up Form: Edupod Platform

Main Contact Details
First Name*
Last Name*
Email Address (we will use this email address to contact you)*
Double check your email address is correct
Contact Number
Job Title*
How did you find out about EduPod?*
Work Contact Details
Organisation/School Name*
Website URL*
Organisation/School Address*

Street Address

Street Address Line 2

CityCounty

Postcode

Choose your Programme
Annual Prices
EduPod Plus Primary = £1,200 + VAT (£1,440)*
EduPod Plus Secondary = £1,500 + VAT (£1,800)*
EduPod = £400 + VAT (£480)*
Select your programme*
Are you a Primary or Secondary School*
Preferred License Start Date

DayMonthYear
Do you have a discount code?
If you have an EduPod discount code, please enter it here
EduPod: One Month Free TrialEduPod Primary (£1,200 + VAT= £1,440)EduPod Secondary (£1,500 + VAT = £1,800)EduPod (£400 + VAT = £480)
School Stage field ID (for Kartra)
Programme field ID (for Kartra)

Declaration
Please read our terms and conditions and acceptable use policy here.
I have read the 'terms and conditions' & 'acceptable use policy'That the information given in this application is true, complete and accurate
Signature*
Print Name*
Date*

DayMonthYear
Date
Thank you for completing your application. We look forward to welcoming you into the EduPod community!
Should be Empty: