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Application for mimio Education Pricing
(for Educators and Educational Institutions in Canada only)

To apply online, please complete the form below and press "Submit". After selecting "Submit", you will have the option of printing a copy of your submission for your records. Note: fields marked with an asterisk (*) below are required information.

School Information
*School:

  School District:

*Address 1:

  Address 2:

*City:

*State/Region:

*Postal Code:

*Country:


Contact Information
*First Name:

*Last Name:

  Title:

*Email:

*Phone:


Reseller/Consultant Information
*Reseller/Consultant Name:

*Address:

*City:

*State/Region:

*Postal Code:

*Country:

  Contact Name:

  Email:

  Phone:


To locate a local authorized reseller, please check the listings for Canada at http://www.mimio.com/buy/resellers.php or email info@mimio.com

*Please tell us how you heard about mimio
products:

*Products:
Please check the product(s) you are interested in purchasing and enter quantity.

Products:		Quantity:
mimio Portable-Retrofit Whiteboard Solutions
	mimio Interactive + Wireless (P/N 1744862)
	mimio Interactive + Capture + Wireless (P/N 1744863)
	mimio Interactive (P/N 600-0045)
	mimio Interactive + Capture (P/N 600-0050)

Accessories & Upgrades for mimio Portable-Retrofit Whiteboard Solutions
	mimio Xi Classic Trade-in Kit (P/N 590-0011)
	mimio Wireless Upgrade Kit (P/N 610-0026)
	mimio Carry Case (P/N 610-0020)
Mounting Brackets (3M)
	1 pack (P/N 850-0031)
	5 pack (P/N 850-0040)
Mounting brackets (magnetic)
	1 pack (P/N 850-0056)
	5 pack (P/N 850-0057)

Accessories for mimio Portable and Fixed Systems
	mimioMouse Interactive Stylus Pen (P/N 850-0055)
	mimio Capture Kit* (P/N 580-0014)
* Requires a mimio Interactive or mimio Board, sold separately.

mimio Fixed Whiteboard Solutions
	mimio Board 80 (P/N 1741992)
	mimio Board 100 (P/N 1741993)
	mimio Board HD 90 (P/N 1741994)
	mimio Board HD 110 (P/N 1741995)
	Rolling Stand for mimio Board (P/N 610-0054)

mimio Studio Interactive Software Suite License (included with mimio systems)
	mimio Studio (CD & license) (P/N 610-0054)

*Operating System:
     Windows
     Macintosh
     Both (Win/Mac)

*Expected Purchase Date:
     less than 30 days
     31 - 60 days
     61 - 90 days
     90+ days

Statement of Terms
Please read the following statement before submitting and agree to its terms.

I represent that this application has been written solely by me and not copied by any other source or person. I understand that mimio, A Newell Rubbermaid Company, shall not be liable for any use or disclosure of my mimio Grant pricing submission by me.

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