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School Registration Form


To register your school please fill out the no-cost, no-obligation form below.




School Information
School Name:
Campus name (if applicable):
Address:


City, State, Zip:    
Principal/Head of School:
Primary Phone:  (123-456-7890)  ext. 
Secondary Phone:  (123-456-7890)  ext. 
Fax:  (123-456-7890)
Primary E-mail:
Website:

Contact Person:
Contact Phone:  (123-456-7890)  ext. 
Contact E-mail:


Hours of Operation: From:    To: 
School Year Begins:   (mm/dd/yyyy)
School Year Ends:   (mm/dd/yyyy)

Grade Levels:

(To select more than one option, please hold down the 'CTRL' key.)

Type of School:

(To select more than one option, please hold down the 'CTRL' key.)

Directions:

Parking:

Comments:

Credit Verification
To complete the registration process, Teachers On Reserve, LLC must verify an acceptable credit history. Please provide us with the name of a vendor/creditor that extends credit to you. We will call the vendor/creditor to verify a satisfactory credit history.

Teachers On Reserve, LLC Release for School Credit Verification

Vendor/Creditor Name:
Vendor/Creditor Contact Person:
Contact Personís Title:
Vendor/Creditor Address:


City, State, Zip:    
Contact Personís Phone:  (123-456-7890)  ext. 
Contact Personís Fax:  (123-456-7890)

Authorization to Release Credit Information to Teachers On Reserve, LLC
The undersigned person/school hereby authorizes above Vendor to release necessary information about the school named below to Teachers On Reserve, LLC in connection with providing credit references.
Authorized By:
Title:
Name of School:
Date:   (mm/dd/yyyy)