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User Application Form	Site License Price List
First Name: Last Name: Title: Choose one Arabic Language Teacher Principal Librarian Purchasing Department Accounting Department School District Buyer As Specifed in Comments Street Address: City: State: Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia Zip Code/Postal Code: Country: Telephone number: Email address:	Your School Name: School District: Your School Telephone Number: Number of Students: Choose one 1-20 20-50 50-100 100-200 200-500 500-1000 Number of computers in your language lab: Choose one 1-5 5-10 10-20 20-30 30-50 Operating System: Choose one Windows Macintosh License Type: Choose one Per Seat License Plan 1 Per Seat License Plan 2 Per Seat License Plan 3 Per Seat License Plan 4 Interactive Whiteboard Plan 5 License Renewal Special Comments: