LDinfo Order/Pre-order Form

If your school or organization uses purchase orders, please complete this as a PRE-ORDER form PRIOR to completing your purchase order so that you will have the most accurate ordering information.

Payment Choice:

CheckCredit CardInvoicePurchase OrderPayPal

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 NowWait for Purchase Order
Is this order being placed for a US public school?:
YesNo
First Name:
Last Name:
Email Address:
be sure this is correct
School or District Name:
Ship to Address:
no need for a "bill to" address as billing is typically via email
City:
State:
Zip Code:
MN State tax exemption number (if applicable):
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:
@ $10 each
Printed Soft-Bound FBA Profiler Examiner Manuals:
@ $10 each
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

Computer operating system: WindowsMacintosh

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