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How Many Educator Seats with Kits Do They Need?
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Exact School Name
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Number of Locations
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Which discipline(s) will this content be added to
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Student Seat Fee Per Program
Have you received 3rd party partner approval?
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Will this content be added to all existing students?
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What is the fee for each existing student?
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Primary School Information
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School Name
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School Phone Number
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Primary Contact Name
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Primary Contact Title
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Primary Contact Phone Number
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Primary Contact Email Address
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Are the PartnerLAB Administrator and Primary Contact the Same Person?
Yes, the Primary Contact is the same as the PartnerLAB Administrator
PartnerLAB Administrator Name
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PartnerLAB Contact Title
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PartnerLAB Contact Phone Number
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PartnerLAB Contact Email Address
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Is there a Secondary PartnerLAB Administrator?
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Yes
No
Secondary PartnerLAB Administrator Name
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Secondary PartnerLAB Contact Title
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Secondary PartnerLAB Contact Phone Number
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Secondary PartnerLAB Contact Email Address
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First Class Start Date
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MM slash DD slash YYYY
Student Seat Fee Per Program
Will this content be added to all existing students?
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Yes
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What is the fee for each existing student?
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Number of Educator seats needed, if more than 10
Please enter a number greater than or equal to
10
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