Starfall.com Membership Form
CHOOSE A MEMBERSHIP TYPE - Be sure to include Email Address for membership! PRICE QTY TOTAL
MORE-H
Home Membership - One account for use by member’s immediate family. Not valid for schools,
businesses, or other organizations. 365 days.
Member
Email Address:
NEW
RENEWAL
$35
$30
MORE-T
Teacher’s Membership - One Teacher and up to 6 simultaneous students. Teacher may use in
classroom and authorize a computer or mobile device at home. Media Lab not permitted. Not valid
for student home use. 365 days.
Member
Email Address:
NEW
RENEWAL
$70
MORE-C
Classroom Membership - One classroom at school. Media lab is not permitted unless school has
only one classroom per grade level. Teacher may authorize a computer or mobile device at home.
Not valid for student home use. 365 days.
Member
Email Address:
NEW
RENEWAL
$150
MORE-S
School Membership - One school campus. Media Lab(s) and classroom computers permitted.
Each teacher from that school may authorize a computer or mobile device at home. Not valid for
student home use. 365 days.
Member
Email Address:
NEW
RENEWAL
$270
All memberships include over 750 educational activities for Pre-K through Grade 3.
GRAND TOTAL
SELECT 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 Discover
Name 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 ADDRESS
Starfall Education Foundation
P.O. Box 359
Boulder, CO 80306
EMAIL
orders@starfall.com
(pdf preferred)
TOLL FREE
Fax 800-943-6666
Phone 888-857-8990
9am - 4pm Mountain Time
OUTSIDE THE US
Fax 303-417-6434
Phone 303-417-6414
9am - 4pm Mountain Time
9/13/19
