Enroll 1-5 Participants in the Flexibility Formula

3rd-5th Grades – 3 Month Course

"*" indicates required fields

Use this Order Form to register a Participant in the Flexibility Formula 3rd-5th Grades 3 Month Course

This is a two step process. Step 1 information should be the information of the contact responsible for school billing and payments. Step 2 is the information of the participant who will be taking the course. If your school requires us to attach your PO to our invoice you must upload the PO during this process. If you will pay using a school credit card place NA in the PO Number field. If your school requires a PO and you do not have it yet, do not begin your registration.

The Flexibility Formula 3rd-5th Grades - 3Month Course $297*

Price:

Total

STEP 1 - School Purchaser Information

This information should be the person responsible for purchase order processing. The participants information will be entered on the next screen.

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

We understand each District/School may have there 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 within 10 days or the account will be suspended.

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 participants First Name, Last Name, and Email, and Address below. Please be accurate with this information as course accounts and certificates will be created using this information.

Participant 1 Information

Participant Information*

First Last

Participant Email*

Mobile # for SMS Course Texts

Participant Address*

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