Invoice Canada: EnchantedLearning.com

Order Form: EnchantedLearning.com Site Subscription

E-mail:	support@EnchantedLearning.com
Phone:	Voice (206) 232-4880 Fax (206) 230-0616
Web Site:	http://www.EnchantedLearning.com
Address:	Enchanted Learning, LLC PO Box 799 Mercer Island, WA 98040-0799 USA

Date:

Purchase Order Number (if applicable):

Subscriber's Name and Mailing Address:
(REQUIRED)

Billing Address (if different):

You will receive your username and password for our members' site via e-mail.

Contact Person's E-mail address :
(REQUIRED)

Is this a renewal? Yes

No

You will receive your username and password for our members' site via e-mail.
Subscriber's Name and Mailing Address: (REQUIRED)	Billing Address (if different):

Item Ordered Unit Price Amount
Individual/Family 1-Year Membership $22 Can .

Single Classroom 1-Year Membership $27 Can .
School/Library 1-Year Membership (up to 50 Internet-connected computers) $53 Can .
School/Library 1-Year Membership (over 50 Internet-connected computers) $78 Can .
Other . .

COMMENTS:

SUBTOTAL .
ORDER TOTAL .

Item Ordered	Unit Price	Amount
Individual/Family 1-Year Membership	$22 Can	.
Single Classroom 1-Year Membership	$27 Can	.
School/Library 1-Year Membership (up to 50 Internet-connected computers)	$53 Can	.
School/Library 1-Year Membership (over 50 Internet-connected computers)	$78 Can	.
Other	.	.
COMMENTS:	SUBTOTAL	.
	ORDER TOTAL	.

Subscriber's Name and Mailing Address:(REQUIRED)

Billing Address (if different):

Thank you for your support!

Subscriber's Name and Mailing Address:
(REQUIRED)