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| Journey
Online -
School/Educational Order Form
(To
be used for Tax Exempt Purchases
Only) |
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| Click
Print Version Button to Download PDF Version of the
Order Form
Adobe Acrobat Reader®
Required
To View and Print Service Agreement.
Click
Here To Download |
| Subscriber
Agreement
- Click
Here
-
(Journey
Online’s Terms of Service Agreement) |
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| For
Schools and Educational Institutions utilizing a Purchase
Order purchasing system.
Print
Order Form for use as internal purchase request form
or complete and submit order form, we will prepare
your online subscription service -
Simply
click one of the print buttons at the top or bottom
of the form to print the form. Subscription Service
will be activated upon receipt of signed School Purchase
Order Form and the Subscriber Agreement by either
Fax or Mail. |
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| School
or School District Information:
First
Name:
*Required Field
Last Name:
*Required Field
Email Address:
*Required Field
School District:
School Name:
Department:
Address:
Address 2:
City / State:
Zip Code:
Phone Number and Ext.:
Purchase Order #:
Sales Tax Exempt #:
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| Journey
Online Subscription: |
| High
School, Middle/Junior High School
Elementary School
(Check
Appropriate Box) |
Annual
Subscription Cost: |
| High
School |
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$395.00 |
| Middle/Junior
High School |
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$295.00 |
| Elementary
School |
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$195.00 |
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| School
Name: |
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| Principal
Name: |
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| Special
Instructions: |
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Journey
Online, LLC
P.O.
Box 840
Thayne, WY 83127
Phone:
(307) 883-8650
Fax # (307) 883-8652
EMAIL US :  |
