New School Order Form

Submission of this form secures your commitment to purchase.

Receipt of P.O. or full payment initiates subscription.

School Name

School Address

School Contact

Contact Email

Phone Number

Please Indicate Which Levels You Would Like to Order:

Level 1 (Digital Citizenship)

Level 2 (Information Literacy)

Level 3 (Media Literacy)

Level 1 (Mini)

How many teachers at your school will need their own accounts?

Authorized By:

Comments

Thanks for your order!

Visit our companion site for parents and teachers:

Sign up for the CyberWise Newsletter full of digital media tips and news.

Questions about curriculum or presentations? Contact us:

You'll be hearing from us soon!

Finalist for the Project Tomorrow/OC Tech Alliance "Innovation in Education" Award.

2017 "Media Literacy Teacher" Award from NAMLE