Schools Subscription Form
* indicates a required field
*School name:
*School address:
Postcode:
State
please select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
*Country:
*Postal address:
Postcode:
State
please select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
*Country:
*Telephone:
Fax:
*Email:
*School size:
(School site licence flat fee based on the size of your school.
Price excludes GST
.)
School size
Flat fee
School size
Flat fee
<50
$200
201-400
$600
51-100
$300
401-800
$750
101-200
$450
>800
$900
Purchase order number:
*Contact person:
*Method of payment:
Cheque
EFT
I have read and agreed to the terms of the
licence agreement
Yes
No
How did you hear about Ziptales?
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Direct mail
Edsoft
Magazine ad
Recommendation
Television commercial
Phone call
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Search engine
Other
If other please specify:
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Suggested times and dates:
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Comments: