Multiple Subscription Form Purchasing Multiple Licenses Name of Purchaser*Phone*Email*Number of Licenses to be Purchased*Please enter a number greater than or equal to 1.Each License is $575 per Teacher Account. Check Below to Indicate Agreement* Yes, I agree to pay using the payment method indicated Method of Payment* Check Credit Card *SMARTS accounts will not be created until payment is received. Please mail checks to: Mimi Ballard, ResearchILD 4 Militia Drive, Suite 20 Lexington, MA 02421 All credit card information will be deleted as soon as payment is processed. Type of Credit Card Visa Mastercard Discover American Express Name on the CardCard NumberExpiration DateCVVPlease Accept the Terms and Conditions Yes, I agree to the terms and conditions. Please visit (https://smarts-ef.org/terms-and-conditions/) to view the Terms and Conditions. Check below to indicate your agreement. Enter the Names and Emails of the SMARTS Subscription Users Below (e.g., Jane Smith, firstname.lastname@example.org)NOTE: Before the SMARTS Online Curriculum can be accessed, we will need a name and email address for each subscriber. You can provide this information in the box above, or you can email or fax the information later. Please email email@example.com or fax the information to 781-861-3701. SMARTS accounts will be created when we have received this information and full payment.