Request for Quote

Please complete the following form if your school or professional learning community would like to receive a quote from Pearson Canada.

Please provide as much detail as possible to help us with your request. (Who should use this form?)

To your knowledge, does your School or Board/District have an account with Pearson Canada?
*Name:
*Job Title:
School Name:
*Board/District:
	Yes No
	If yes, Pearson Customer Number
Province:
Work Phone:
*Work Email:
Territory Manager Name:
*Program(s) you are interested in:

Grade(s) you are looking for:
	Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 AP
Is your school or professional learning community implementing this resource for the first time?
	Yes No
Approximate number of students this purchase is for:

*Purchasing Schedule:
How did you hear about these resources?

	If Other
Please add any further information that will help us with your request (e.g. ISBNs, P.O. numbers, any previous contact about this request):

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Who should use the Request for Quote form?