School Purchase
Your Name
*
First Name
Last Name
Your Title
*
Parent, Principal, PTA, Individual
Your Email
*
example@example.com
School Name
*
Grades
*
K-2nd grade
3rd-5th grade
6th - 8th grade
Number of Students
*
All students will be provided an access code.
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Website
School Contact
*
First Name
Last Name
Contact's Phone Number
*
-
Area Code
Phone Number
Contact's Email
example@example.com
Were you in contact with the following organizations or individuals?
*
TechTerra Education
India Stem Alliance
Richard Nnaemeka Dureke (Nigeria)
No, I was not.
Online Program
*
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School Access for 1 Year
$
100.00
Enter coupon
Apply
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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