Project School Wellness Purchase Order

School/District Name

School/District Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Purchase Order Number*

P.O Date*

Date

Teaching Contact Name

First NameLast Name

Teaching Contact Email

example@example.com

Teaching Contact Phone Number

Please enter a valid phone number.

Billing Contact Name

First NameLast Name

Billing Contact Email

example@example.com

Billing Contact Phone Number

Please enter a valid phone number.

Order Information

Middle School Curriculum - New License

3-Year License | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$1,450.00 Quantity

Middle School Curriculum - 1-Year

1-Year License | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$725.00 Quantity

Middle School Curriculum - Renewal License

3-Year License - Renewal | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$750.00 Quantity

(Individual Level) Middle School Curriculum - 3-year license

Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$500.00 Quantity

High School Curriculum - New License

3-Year License | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$1,450.00 Quantity

High School Curriculum - 1-Year

1-Year License | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$725.00 Quantity

High School Curriculum - Renewal License

3-Year License - Renewal | Each license is issued to one teacher at a time. The license can be transferred to a new teacher as needed.

$750.00 Quantity

High School Sex Ed Curriculum

This is included in the high school curriculum

$85.00 Quantity

Middle School Sex Ed Curriculum

This is included in the middle school curriculum

$35.00 Quantity

Health Skills Toolkit

This is included with a license of the high school and middle school curriuclum.

$65.00 Quantity

Total

$0.00

If you'd like purchase an item not listed above, use this space to outine your purchase:

Full Name and Email Address of Teacher(s) Being Issued Each License

Project School Wellness

Ordered By

License Information for the Middle School Curriculum

License Information for the High School Curriculum

License Information for the Sex Ed Curriculum (Middle School Add-on)