Additional groups of students, per 35, same teacher, $100 per group:
Qty of groups

Year Long Weekly Technology Skills Training for one teacher for professional development $350
(Email Us For More Information)

Additional Tools         
GPS $250        
Video Camera $320  

Digital Camera $220        
Scanner $220

Total cost of Teacher / Class Subscriptions ordered :

Payment Method

I am submitting a purchase order

Agency issuing PO:

Contact for PO - Name
Phone Fax
PO#
PO#
PO#

The following is for teachers subscribing individually, rather than through a district or school Purchase Order:

I will be paying by credit card MC Visa Am Ex
In Full - or - Monthly over 12 months

Card #
Exp Date
Card Holders Name
Card Holders Address

I will be paying by check

Agreement

This enrollment agreement includes opportunties for training for myself, online programs for my students,and optional mateirals and/or live training. By enrolling, I agree, on behalf of my school or agency, to pay the program package costs, and will be responsible for any travel or field costs or liabilites. I and my students will observe the Camp Internet Accpetable Use Policies for responsible online activities and we will participate fully to the best of our abilities.

Please print, then submit online, and then sign this application/mail a hard copy to

Camp Internet
PO Box 325
Buellton, CA. 93427
(if you decide later to make changes on this form, do so by hand and send in with signature)

Signature
Date
Thanks for Enrolling!
Questions? Call 1-877-889-2823, or email rain@rain.org