Sixth Grade Chromebook Purchase Program

To purchase your Chromebook, complete the form below:

Sixth Grade Chromebook Purchase 2023-24

"*" indicates required fields

Student Name*

First Last

Student Chromebook*

Price:

Billing Name

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Parent Phone*

Parent Email*

Enter Email Confirm Email

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

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