Factivation!® Order Form
Order Type: ONLINE SUBSCRIPTION for SCHOOLS
Payment Method: Purchase Order/Check

Order Instructions: Complete, print, and fax this form (with PO) to 405.286.6892, OR mail this form and school check to: Factivation LLC, 4105 NW 146th Terr., Oklahoma City, OK, 73134.

STEP 1: Please type in the information below. Once all steps have been completed, fax this form along with school/district purchase order to 405.286.6892. Your order will be processed and subscriptions activated within 2 business days.


A contact e-mail address is required.Please supply a valid e-mail address. All correspondence will be sent to this address.

STEP 2: Please choose a subscription type below and indicate the needed quantity.








Subtotal: (Go to Step 3. Skip if not applicable.)


Step 3:
APPLY DISCOUNT.




TOTAL with Discount: (Please calculate your NEW total and type in here. Write your PO for this amount.)


STEP 4:
IMPORTANT! Below, list all teachers' names (first and last names). This will help us set up all of your teachers' usernames (as well as student usernames, if applicable). We will e-mail you a complete list of usernames passwords, and login instructions to the e-mail address provided above within 2 business days of receiving this form.

STEP 5: Read the Terms of Use and sign below indicating your agreement.

I have read and understand the Terms of Use.

Signed ______________________________________ Date ___________________

 

Thank you for your order. We look forward to working with your school/district!


Please separate names with a comma. SKIP THIS STEP if only ordering for Multiplication/Division.


Please separate names with a comma. SKIP THIS STEP if only ordering Addition.


Order Instructions: Complete, print, and fax this form (with PO) to 405.286.6892, OR mail this form and school check to: Factivation LLC, 4105 NW 146th Terr., Oklahoma City, OK, 73134.