25-26 Compass Membership Request

25-26 Compass Membership Request

This form is intended to be completed only by authorized district administrators.
Requester Email*
Your email; example@example.com
Internal Email
Your email; example@example.com
School Name
Select your School District*
If District is not listed, select OTHER. Double check all pre-filled data is accurate.
School District*
School Address*
Street Address
City*
City
State*
State / Province
Postal Code*
Postal / Zip Code
School Phone Number
School Website (URL)
District Admin Contact
Admin First Name*
Admin Last Name*
Admin Job Title
Admin Email*
To receive request confirmation and Membership Info.
Admin Phone Number
Billing Contact

This individual will receive the payment form to complete for district member request processing. Ensure this contact is the correct billing contact for completing the payment form.
First Name*
Last Name*
Job Title
Email Address*
To receive and complete payment form.
Phone Number*
Number of Students*
Number of Teachers
Number of Administrators
Grade Levels Served
Membership Tier*

Tier 1 ($1,000; 1-250 K-12 Students)Tier 2 ($2,000; 251-1,500 K-12 Students)Tier 3 ($4,000; 1,501+ K-12 Students)
Is your District/School interested in joining the CPL Shared OverDrive Collection?*

YesNo
Date*

MonthDayYear
Today's Date
Total (Auto Calculated)
Internal Use Only
Adjusted Rate Reasoning
Other
Adjusted Invoice Amount (Different from qtrly discount)
Total to be billed
Should be Empty:

District Admin Contact