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Is your district/school joining the OPSRC or renewing membership?
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District Information
School, District, or Organization Name:
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Primary Contact Name:
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Primary Contact Title:
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Mailing Address:
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Physical Address:
City:
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State:
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Zipcode:
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Primary Contact E-mail:
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Website:
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Does your district use NWEA?
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Payment Information
For billing info, please contact:
Billing Name:
Billing Email:
Invoice $2500 to above address
PO: General Funds (enter PO# below)
PO: Title Federal Funds, Professional Development (enter PO# below)
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Edlio Additions
(if applicable)
Website Annual Fee - $650 (if student population is over 750, contact for pricing)
Messaging System - $350
News App - $500
Additional Notes:
Additional Contacts:
Please list anyone within your organization you would like to receive OPSRC communication including monthly newsletter and professional development offerings (Curriculum Director, Federal Programs Coordinator, Technology Director, etc.).
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By filling out this form and submitting you agree that this digital signature is the equivalent of your manual signature.
Thank you for joining! We'll be in touch soon to find out how we can help your school!
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