Your e-mail address: _______________________________
Your username: ___________________________________
Name: __________________________________________________
Address: __________________________________________
City: ______________________________________________
State: _______________ Zip: ________________________
Phone #: __________________________________________
The above address is a school home
School (if applicable): ____________________________
Individual Membership - Renewal Form
• Please use this form if you're purchasing with a check or money order.
• Enclose payment of $24.95 (US Dollars) for a 1-year membership or $44.90 for a 2-year membership.
• US and Canadian checks accepted. (International customers, please send a bank draft in US funds.)
• Please allow up to 7 days upon receipt of payment for the order to be processed.
• Sorry, we can not accept school purchase orders for individual memberships.
www.SuperTeacherWorksheets.com 2 Main Street, Tonawanda, NY 14150 Phone: (716) 260-2560 Fax: (716) 260-2516
Account Information Contact Information
You will receive an e-mail when your renewal
has been processed.
Check #: ___________________________________________
Money Order #: __________________________________
Membership Term:
Total Amount Enclosed: __________________________
24.95 (1-year membership)
44.90 (2-year membership)
Please print this page, complete this form,
enclose payment, and mail to:
Super Teacher Worksheets
2 Main Street
Tonawanda, New York, 14150 USA
Checks can be made payable to:
Super Teacher Worksheets
Sorry, we can not accept school purchase orders
for individual memberships.
Payment Information Sending Your Order
Thank you for your renewal!
