ONLINE CLASSROOM |
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I agree to the online classroom management consultant fees and services for the
school/college: Address:____________________________________________________ Zip:__________ I wish to contract for the following consultant time: A. $400/month. Circle one: A. B. C. When:_________________ at a cost of: $_______________ My name: [PRINT]____________________________Title:_________________________ Email address: [PRINT]________________________ Phone: ( )__________________ Signature:___________________________________; Date: ________________________ You may mail this form to the address below. Or, Fax it to: 201-420-6555 (Faxing? Send alert to: [email protected] ) Or send it as an attached file to: [email protected]
Or you may send a check or Purchase Order, made out to "Pro-Education Media", to: Pro-Education Media c/o Prof. Howard Seeman 20 River Court - Suite 1404 Jersey City, NJ 07310
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