Multiple-Users Order Form for Financial Aid and Scholarship Workshop (Online eLearning Course)

Financial Aid and Scholarship Workshop
(Online Course - English Language Version)

Multiple-Users License Agreement Form

(Use your browser PRINT button to print this order form, or click FILE then PRINT)
Prices Effective: July 1, 2010

BY SIGNING THIS MULTIPLE-USERS LICENSE AGREEMENT, the institution identified below (“Licensee” or “You”) agrees to the terms and conditions set forth in the Multiple-Users License Agreement. In turn, AvScholars Publishing (“Licensor” or “AvScholars”) grants the Licensee the right to purchase multiple accounts of the Single-User License for The Financial Aid and Scholarship Workshop (Online Course) for their institution’s students. PLEASE PRINT CLEARLY.

Asterick (*) means required field.

LICENSEE'S INFORMATION
Date:	_________________
Tax Exempt Number:*	_________________________________________________________
Institution's Name:*	_________________________________________________________
Address:*	_________________________________________________________
	_________________________________________________________
City, State, Zip:*	_________________________________________________________
Country:	_________________________________________________________
Phone:*	_________________________________________________________
Fax:	_________________________________________________________

CONTACT ADMINISTRATOR This person is responsible for administration of the Multiple-Users License.
First and Last Name:*	_________________________________________________________
Title:*	_________________________________________________________
Phone:*	_________________________________________________________
E-Mail Address:*	_________________________________________________________
Please print clearly. Email confirmations and notification about your Multiple-Users License will be sent via e-mail to this e-mail address. Please send notice of any changes to this e-mail address to sales"@"financialaidscholarshipworkshop.com without the quotes (").

LICENSE DURATION The Multiple-Users License expires 60 days after an online account was created for each online authorized user, under this license agreement.
SUPPORT Support is available online, 24/7. Please visit www.financialaidscholarshipworkshop.com/support/ If your question is not answered online, please submit a support ticket online (most preferred method) or call (773) 837-5931.
PRIVACY POLICY None of your personal information provided on this Multiple-Users License Agreement Form will be given to, sold to or shared with third parties or disclosed to the public in any way. AvScholars Publishing respects your privacy. Please read our Privacy Policy.
EVALUATION The Contact Administrator for the Licensee will be contacted about the use and effectiveness of the Financial Aid and Scholarship Workshop (Online Course).

MULTIPLE-USERS LICESNE FEES Select the appropriate Multiple-Users, all fees quoted are before applicable taxes, except for tax exempt organizations.
Users	Price per user	Discount Given	No. of Users	Enter Total
1 - 4 Users:	$67.00 USD	----	_____________	$____________
5 - 10 Users:	$60.30 USD	10%OFF (Save $6.70/user)	_____________	$____________
11 - 29 Users:	$56.95 USD	15% OFF (Save $10.05/user)	_____________	$____________
30 - 49 Users:	$53.60 USD	20% OFF (Save $13.40/user)	_____________	$____________
50 - 99 Users:	$50.25 USD	25% OFF (Save $16.75/user)	_____________	$____________
100 - 499 Users:	$46.90 USD	30% OFF (Save $20.10/user)	_____________	$____________
500 - 999 Users:	$43.55 USD	35% OFF (Save $23.45/user)	_____________	$____________
1000+ Users:	Contact Us
	Total Multiple-Users License Fee:			$____________

SUPPORT MATERIALS The Multiple-Users License fees do not include The Student Workbook or The Scholarship Workbook, which must be purchased separately.
		Price	Quantity
Student Workbook (Online eLearning Course Workbook)		$14.95 USD	X ___________	$_____________

The Scholarship Workbook		$19.95 USD	X ___________	$_____________
Discount Code: __________				$_____________
Subtotal				$_____________
Illinois residents add 9.75% sales tax				$_____________
Shipping and Handling: (For Support Materials Only - Download:* Shipping/Handling Rate Chart)				$_____________
Total Support Materials:				$_____________
Total Multiple-Users License Fee and Support Materials:				$_____________


PAYMENT TERMS The Licensee agrees to pay the Total Multiple-Users License Fee and Support Materials (if purchased) in United States Dollars and in one lump sum to AvScholars Publishing. Upon receipt of this completed Multiple-Users License Agreement, AvScholars Publishing will charge the Licensee’s credit card or send an invoice to the Licensee for the appropriate amount based on the Total Multiple-Users License Fee and Support Materials (if purchased). This Multiple-Users License Agreement may be null and void if payment is not received in full thirty (30) days from the date of invoice. Please read the Multiple-Users License Agreement for full details.

PAYMENT AND BILLING INFORMATION


Billing Information
[ ] Check here, if the billing information is the same as the Licensee's Information provided above.
Institution's Name:*	_________________________________________________________
Billing Address:*	_________________________________________________________
	_________________________________________________________
City, State, Zip:*	_________________________________________________________
Country:	_________________________________________________________
Phone:*	_________________________________________________________
Fax:	_________________________________________________________
E-Mail Address:	_________________________________________________________

Payment Method Select your payment method:
[ ] PayPal Payment - You must provide your PayPal Transaction Number: ___________________
[ ] Check/Money Order (Make payable to AvScholars Publishing; Personal checks not accepted)
[ ] Purchase Order Number: ___________________ (You must provide your Purchase Order No.)
[ ] Credit Card (You must complete the credit card section below, if you did not pay online)

Credit Card Information
Credit Card Type:	[ ] MasterCard [ ] VISA [ ] AMEX [ ] Discover
Credit Card #:	_________________________________________________________
CCV Number:	_________________________________________________________
Expiration Date:	_________________________________________________________
Exact Name On Card:	_________________________________________________________
Signature:	_________________________________________________________

AUTHORIZATION I have read and agree to adhere to and abide by all the terms and conditions stated in the Multiple-Users License Agreement, and I certify that I am authorized to sign this Agreement on behalf of the Licensee. PLEASE PRINT CLEARLY
Date:*	_________________
Full Name:*	_________________________________________________________
Title:*	_________________________________________________________
Signature:*	_________________________________________________________

Fax or mail your Multiple-Users License Agreement Form and Required Documents to:
AvScholars Publishing PO Box 1275 Matteson, IL 60443 USA	Fax number: (773) 304-3558
Required Documents We cannot complete your order until we receive the following required documents:
Completed Multiple-Users Agreement Form Proof of academic status, non-profit status, or government affiliation

Form v07012010.