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Information Form

We need the following information from you:

Required fields are marked with a *

Basic information

School or district name: *

Number of schools:

Estimated highest number of students in a school:

Billing information

Address 1: *

Address 2:

Address 3:

City: *

State: *

Zip: *

Phone: *

Fax: *

Email:

Licensing contact

The person responsible for receiving the licence codes for the product.

Last Name: *

First Name: *

Phone Number: *

Fax Number: *

Email Address: *

Tech support contact 1

We need tech support requests to come from at most 2 sources in your district.

Last Name: *

First Name: *

Phone Number: *

Fax Number: *

Email Address: *

Tech support contact 2

We need tech support requests to come from at most 2 sources in your district.

Last Name:

First Name:

Phone Number:

Fax Number:

Email Address:

Technical information

PowerSchool version: *

Mobile-SIS

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