ONLINE CLASSROOM
MANAGEMENT CONSULTANT
FOR YOUR SCHOOL
OR
COLLEGE

I agree to the online classroom management consultant fees and services for the school/college:

_________________________________________________________________________

Address:____________________________________________________ Zip:__________

I wish to contract for the following consultant time:

A. $400/month.
B. $1,800 for the semester: Sept. to Jan.; or the semester: Feb. to June, or the Summer semester.
C. $3,200 for the school year: Sept. to June.

Circle one:     A.     B.     C.     When:_________________ at a cost of: $_______________

My name: [PRINT]____________________________Title:_________________________

Email address: [PRINT]________________________ Phone: (        )__________________

Signature:___________________________________; Date: ________________________

You may mail this form to the address below.

Or, Fax it to: 201-420-6555 (Faxing? Send alert to: [email protected] )

Or send it as an attached file to: [email protected]

The fees can be paid with PayPal:     

Or you may send a check or Purchase Order, made out to "Pro-Education Media", to:

          Pro-Education Media
          c/o Prof. Howard Seeman
          20 River Court - Suite 1404
          Jersey City, NJ    07310


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