STUDENT SOFTWARE STUDENT PURCHASE AGREEMENT
(This documentation must accompany order to be fulfilled)



I certify that I am currently enrolled at an accredited school, college, junior college or university.   I am buying this software for my own ownership and use.


Proof of my registration is attached.*
Signature: _______________________________________

Print Name: _______________________________________

Date: _______________________________________ 

College/University: _______________________________________

Student ID: _______________________________________ 

Course Title: _______________________________________ 

Expected Graduation Date (MM/YY) : _______________________ 

Course Instructor Name: _______________________________________

Number of Students on Course: _____________________________	

*Acceptable proof is a copy of a current student ID card or current semester course registration documents issued by the school. 

Send to:
Edu-Technology 
Phone: 415-492-3322 or 763-633-0866 
Email: neal@edu-technology.com 
Fax: 800-787-5133
Mail: 17007 211th Ave, Big Lake MN 55309