BMM New Participant – School Purchase 1-5 Participants (form)

Use this Order Form to register a NEW BMM Member when you will use a School Purchase Order or School Credit Card

Step 1 is the information of the contact responsible for school billing and payments.

Step 2 is the information of the BMM Participant(s).

***IMPORTANT*** Participant accounts are created based on the email addresses you type on this form. PLEASE be accurate. If you are adding a participant who has taken a Build Math Minds Course in the past please use the same email address the course was purchased under. This will put all the Participants information in one account. If the participant MUST use a different email address then you will need to contact support after completing this registration to have the accounts merged. support@buildmathminds.zendesk.com

"*" indicates required fields

BMM Membership - 1 Year - $468 per participant

Price:

STEP 1: School Purchaser Information

This information should be the person responsible for purchase order processing. The invoice will be sent to the email address entered here. The participants information will be entered later. This person has school authority to commit funds for payment to Build Math Minds.

Enter the billing contact person's name*

First Last

Enter the billing contact person's email.*

Enter the billing contact person's phone number.*

School or District Name*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We understand each District/School may have their own purchase order processes. Please choose the option below that best describes your School Purchase procedure so that we can process your transaction correctly.

Please process our transaction as:*

Our district/school is attaching the Purchase Order to this transaction. I am entering the PO Number below. Please send Invoice.

Our district/school does not need a Purchase Order or Number. I am entering N/A below. Please send Invoice.

Our district/school Purchase Order is pending. I am entereing "Pending" below. I will email the PO to info@buildmathminds.com when it is available.

Our district/school requires a Build Math Minds Invoice before PO approval. I am entereding "Need Invoice" below. Please send Invoice.

PO Number : Enter PO Number, NA, Pending, or Need Invoice*

Copy of Purchase Order

If you are submitting a Purchase Order, please upload a PDF file of it or a picture of the PO.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.

Step 2: Enter the BMM participants First Name, Last Name, and Email address below.

Please be accurate with this information as course accounts and certificates will be created using this information. If you have previously taken a BMM Course please use the same email address so that your membership is connected to your courses. If you MUST use a different email address from a previous course taken email address you must contact us at support@buildmathminds.zendesk.com to have your accounts merged.

Participant Information

Participant Name*

First Last

Participant Email*

Enter Email Confirm Email