Charge Account Application

We can establish an account for your school that allows teachers to spend their approved funds at any of our valley locations. Provide the following information so that we can set up your account.

Name of School *

Contact Name *

First

Last

If we need to talk to someone at your school about invoices or payments, this is who we will contact

Contact Phone Number *

Billing Address *

Billing Email *

Where you would like invoices and statements sent

List of Approved Teachers *

Only the teachers you list here will be able to charge to your school’s account (please provide first and last names)

Amount Approved for Each Teacher *

Each teacher you list will be allowed to spend up to this amount

Spending Distribution *

Must all be spent in one trip
Can be spent across multiple purchases, not exceeding the approved amount

Indicate how you want teachers to spend their approved funds.

Start Date

The first date that teachers can use their funds

End Date

The last date that teachers can use their funds

Spending Rules/Restrictions

Are there any restrictions on what teachers can purchase with their funds?

Additional Information

If this form doesn’t quite fit your needs, please let us know. We can customize your account any way that works for you.

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