Note: This is an optional order form to be used only if the Official Order Form is not working (or is blocked by your district). This form will simply email the order data to us which will then be manually entered into our database. Due to the manual reentry process, there may be a delay in processing the order. For this reason, please use the standard order form if possible.

Payment Choice:

Note: Invoice and purchase order options are only available to US public schools. Credit card transactions are handled through PayPal.

If using Purchase Order, when should this order be processedl?:

Process Now:

Wait for Purchase Order:

Is this order being placed for a US public school?:

Yes

No

tax exemption number (if applicable):
Name of person placing order:
Email Address:
Order cannot be processed without a valid email address
School or District Name:
Ship to Address:
City:
State:
Zip Code:
CPI/FBA Profiler installation CDs:
@ $5 each - Do not order CDs if users already have the trial software installed
Printed Soft-Bound CPI Examiner Manuals:
Avaiilable for viewing online at no cost
Printed Soft-Bound FBA Profiler Examiner Manuals:
Avaiilable for viewing online at no cost
Printed Soft-Bound LD Self-Advocacy Manuals:
@ $15 each
LD Self-Advocacy Manual in Read-Only PDF Format:
@ $5 each

Software Registration Options:

Leave blank if not ordering a registration at this time.

(each registration covers the complete LDinfo Apps software package which includes the CPI, FBA Profiler, and FBA Screener)

Each person using the software will need a separate registration. If you are seeking a site registration and are uncertain about the exact number of users, just enter an approximate number in the field below. Each site registration will cover up to 15 individual users.

How many software registrations are needed? (1 registration for EACH software user)

If renewal, please provide current expiration date (mm/dd/yyyy), if uncertain, leave blank

Comments or questions:
Click the "Submit Order" button only once, then wait for confirmation that the order has been processed: