Please provide the following information to place an order with AdjunctSuccess. Click [Send Form] to forward the information to the AdjunctSuccess staff. For your records, a printable receipt will appear after you click [Send Form].

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My Institution's Information
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Please indicate the service(s) you wish to order through May 31, 2012:

AdjunctSuccess Support System for Part-time Faculty
Individual Adjunct Instructor $ 49.00
Institutional Licensing Fees:
10 to 100 adjunct instructors $ 39.50 each
From 101 to 200 instructors $ 34.50 each
From 201 to 400 instructors $ 29.50 each
From 401 to 600 instructors $ 24.50 each
Over 600 instructors $ 19.50 each
Instructors:
SPECIAL OFFER: NCSPOD Institutional Members and DCI Participants *
       * (Click here for detailed terms of this promotion)
20% Discount Eligibility (please check ONE ONLY if applicable and NOT NCSPOD member)
Starlink Professional Development Network, paid 2011-12 member
POD Network, paid 2011-12 member
Returning AdjunctSuccess 2010-11 member
Webinars for Instructional Leaders (not included in AdjunctSuccess Support System)

"Optimizing the Success of Your Adjunct Faculty"
Delivered to multiple participants from a single institution utilizing up to 24 work stations. $425

Terms/conditions: After reviewing and processing your order, an invoice will be provided via e-mail to the contact person identified above.

For those who intend to register over 600 instructors, please e-mail Dr. Lyons, providing the number of instructors that you would like to register, as well as telephone number and most convenient contact times. Institutions purchasing any product are responsible to provide the names and e-mail addresses of users it is registering five days in advance of accessing the product on the AdjunctSuccess membership roster that you will receive electronically. Service will be initiated upon receipt of that roster, and an institutional purchase order number.

Access to any AdjunctSuccess product is limited to the individual registered, and may not be displayed, for other than demonstration purposes, to any non-registered individual or group.

Estimated bill: $0.00

Payment in U.S. dollars (or local currency at current exchange rate) is due within 30 days of the invoice date.