Order Form Secondary School

Fax to Schools Help Desk: 0845 130 4170 Questions? Call: 0845 130 4160

We, the organisation detailed below, hereby subscribe for SAM Learning’s online learning service for the fees and the term indicated.  We agree the Services shall be supplied on SAM Learning’s Terms of Service, as set out at www.samlearning.co.uk/docs (please read these before signing the Order Form or using the Service).  We understand that a contract based on this Order Form and SAM Learning’s Terms of Service will only come into force on acceptance by SAM Learning of this Order by invoicing us for the initial fees.

Subscriber Details                 

Organisation Name:	Forename:                    Surname: (I confirm I am duly authorised to sign on behalf of the Subscriber)
Postal Address:	Position:
	Signature:
	Date:
Post Code:	Special Terms (if any):
Telephone:
Order No. (if any):

Your Subscription

Subscription covers unlimited school and home use of all our courses for KS2 SATs, KS3 SATs and GCSE.

All prices are subject to VAT.

27% Discount for Upfront Payment FREE training every year on all secondary school subscriptions ^1
Prices valid until 31-Dec-04	Annual payment 3-yr contract	ü	Upfront payment 3-yr contract	ü	Value of eLCs used	Value of other budgets used
Small Secondary^2 1-750 enrolled *	£2,499 pa^3		£5,499 3-yrs		£	£
Medium Secondary^2 751-1200 enrolled *	£3,499 pa^3		£7,699 3-yrs		£	£
Large Secondary^2 1201+ enrolled *	£4,499 pa^3		£9,899 3-yrs		£	£

* This is the total number of pupils enrolled at school, not the number who will use SAM Learning concurrently or in total.

¹ Annual on-site training is free for secondary schools but no additional discount is available if training is not taken up.

² This Order Form and pricing applies to secondary schools and middle-deemed secondary schools

³ This fixes your annual payments for three years during which you’ll receive service enhancements for no additional charge.

Office use only

Prim ___  Sec ___  Other ___ NLC ________ Start  _________  End _________ Mths ____

SAM Learning Ltd, The Forum, 74/80 Camden Street, London, NW1 0EG. Tel 0845 130 4160  Fax 0845 130 4170

SAM Learning Subscriber: Background information

Fax to Schools Helpdesk: 0845 130 4170

Please help us to support your school effectively through the initial implementation process and to provide ongoing support in subsequent years by supplying the data requested below.

SCHOOL NAME

POST CODE

Who in the school holds the following positions or equivalents?

POSITION	ACTUAL JOB TITLE	FORENAME	SURNAME
Headteacher
Deputy/Assistant Head i/c Raising Standards
Deputy/Assistant Head i/c Curriculum
KS4 Co-ordinator /Head of Y11
KS3 Co-ordinator /Head of Y9
ICT or eLearning Co-ordinator
Head of ICT (Department Head)
Technical Contact
SIMS Administrator (or equivalent)
Other relevant contact

From the above list who should be our main contact and alternative contact? Please also provide us with the billing contact.

	SAM LEARNING SENIOR MANAGER	SAM LEARNING COORDINATOR	BILLING CONTACT
Forename
Surname
Position
Phone
Email

Do you plan to use SAM Learning to tackle the following (please tick)?

Borderline C/D group	Low achievement group	Out of school hours support
Homework clubs	Homework setting and support

SAM Learning Ltd, The Forum, 74/80 Camden Street, London, NW1 0EG. Tel 0845 130 4160  Fax 0845 130 4170