CT-SEDS Integration Subscription

Please enter information on the form below to process subscription for CT-SEDS Integration.

Username*

Password*

Retype Password *

First Name *

Last Name *

Organization

Address *

Address2

City *

Zip *

Country *

State *

Phone

Fax

Email (school or organization) *

Additional email (optional)

Additional email 2 (optional)

Comment

Purchase Order Number

Purchase Order Upload

Invoice Note

PowerSchool server URLs (comma-separated list, e.g., applegrove.powerschool.com,test.domain.net) *

Accept Terms & Conditions *

Yes

Coupon *

Payment Terms

$500.00 for each Year

Regular subscription price

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method

Purchase Order

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Captcha*

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