Enrollment Information - Complete one form for each participating school

Please provide your contact information.  In completing this enrollment, you confirm you will serve as the authorized representative for your school.

* 1. Contact Information

* 2. School District Name

* 3. Please select the student enrollment level for your school listed above.

* 4. Please select the MackinVIA collection level(s) in which your school will subscribe.  (Please note that the subscription fee is per collection selected.)

  <250 ($250) 251-500 ($500) 501-1000 ($750) 1001-2000 ($1,000) >2001 ($1,500)
Elementary Collection (K - 5)
Middle School Collection (6 - 8)
High School Collection (9 - 12)

* 5. Does your school currently have a MackinVIA account?

* 6. Which date should your invoice reflect?

* 7. Authorization - Check below to confirm you are authorized to act on behalf of your school to enroll in the Pennsylvania eBook Consortium, and acknowledge that your authorization will result in an invoice for participation.  Confirmation and payment must be received by Friday, June 30, 2017. Please note that payment can be made by check or credit card.

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