Check*

* If you need to purchase Fact Lab subscriptions for ONE class of students (25 subscriptions @$1.99 each) and would prefer to pay now with Paypal or credit card, please go to our online Fact Lab Order Page. To order subscriptions for MORE THAN ONE class, please follow the instructions below.

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.

Name Position Title:

School/District Name: Location:

Contact E-mail 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.

Individual License- ONE class of students (25 student users); Quantity Needed:
Price: $49.75/yr.

To complete this order, your school must have purchased (at least) an Individual Factivation!® for Multiplication license (one boxed product or one teacher subscription). If you do NOT have a license, go to licensing form. If you aren't sure, please contact us.

Group License- FIVE classes of students (125 student users); Quantity Needed:
Price: $248.75/year

To complete this order, your school must have purchased (at least) an Group Factivation!® for Multiplication license (5 boxed products or 5 teacher subscriptions). If you do NOT have a license, go to licensing form. If you aren't sure, please contact us.

Site License - TEN classes of students (250 student users); Quantity Needed:
Price: $497.50/year

To complete this order, your school must have purchased (at least) a Site Factivation!® for Multiplication license (10 boxed products or 10 teacher subscriptions). If you do NOT have a license, go to licensing form. If you aren't sure, please contact us.

Extra Users (1 student user); Quantity Needed: 20 Maximum
Price: $1.99/year

Some schools may have more than 25 students/class and may need to order a few extra users per classroom.

Total Due: (Write your PO for this amount.)

STEP 3(IMPORTANT!): Below, list all teachers' names (first and last names) who will have students using the Fact Lab. This will help us set up all of your students usernames and passwords. See Sample Login. We will e-mail you a complete list of usernames and passwords to the e-mail address provided above within 2 business days of receiving this form.

STEP 4: 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!