Starfall.com Membership Form

1 Membership FormCHOOSE A Membership TYPE - Be sure to include Email Address for Membership !PRICEQTYTOTA LMORE-HHome Membership - Serves a single family household (including grandparents) for one year on computers and mobile devices. Not valid for schools, businesses, or other organizations. Tax deductible. 365 Email Address: NEW RENEWAL$35$30 MORE-TTeacher s Membership - Serves a single teacher and up to six student computers and mobile devices. Does not include media lab. Group Access feature now provides separate home sign in for enrolled students. Tax deductible. 365 Email Address: NEW RENEWAL$70 MORE-CClassroom Membership - Serves a single classroom. Media lab is permitted if a school has only one classroom per grade level. Group Access feature now provides separate home sign in for teachers and enrolled students. 365 Email Address: NEW RENEWAL$150 MORE-SSchool Membership - Serves a typical school campus.

2 May be used on all classroom computers, mobile devices, and in the media lab. Group Access feature now provides separate home sign in for teachers and enrolled students. 365 days. Member Email Address: NEW RENEWAL$270 All memberships include over 750 educational activities for Pre-K through Grade 3. GRAND TOTALSELECT PAYMENT TYPE Mail in Check or Money Order - Make Checks payable to starfall Education. Please include this order form with your payment. Credit Card - Please indicate card type: Visa Mastercard Amer. Exp DiscoverName on Card: Card Number: Expires (MM/YY):Signature:CVV:BILLING ADDRESS:SHIPPING ADDRESS (IF DIFFERENT):Name:Name:School Name:School Name:Address:Address:City, State, Zip:City, State, Zip:Phone: ( )Phone: ( )POSTAL ADDRESSS tarfall Education Box 359 Boulder, CO preferred)TOLL FREEFax 800-943-6666 Phone 888-857-8990 OUTSIDE THE USFax 303-417-6434 Phone 303-417-641410/06/20