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New Organization Subscription Application

Name of Organization

Type of Organization

If you have not already contacted us for customized pricing for a business, please contact us before filling out the remainder of this form.

Type of Subscription

For more information, see our Pricing page

Please see our network page to set up 3+ accounts instead of filling out the rest of this form.

Address

Address 1

Address 2

City

Country

State/Region

ZIP/Postal

Public Contact Info

How people may get in touch with your organization.

Phone Number

Website URL

People

An admin is responsible for overall operation of the Northstar location. Provide us with info on who will be administering Northstar in your organization. Once approved, admins will have the ability to add/remove proctors and edit your location info. Both admins and proctors get personal logins for Northstar to access its various benefits. We recommend having at least one admin who will be involved in regular use of Northstar.

Administrator 1

First Name

Last Name

Re-type Administrator 1's Email

Administrator 2

First Name

Last Name

Re-type Administrator 2's Email

Billing Contact

Who should take care of Northstar invoices at your organization?

First Name

Last Name

Billing Address

Use our organization address for the billing address

Billing Address 1

Billing Address 2

Billing City

Billing Country

Billing State/Region

Billing ZIP/Postal

Other Information

Expected number of individuals served using Northstar annually

Do Your Test Takers Include Minors (< 18 years old)?

Yes

Do you provide computer classes?

Yes

Do you plan to proctor/issue certificates?

Yes

Do you plan to offer Northstar's online accounts to test takers for online learning and practice (NSOL)?

Yes

Do you want your organization displayed on our public Locations page, so that people can find you through our website?

Yes

Will your organization require completion of any vendor forms or other documentation for this subscription? If so, please describe briefly.

How did you hear about us?

Comments or questions?

I have read and agree to the Terms of Service, the Northstar Location Agreement, and the Privacy Policy.

Join Northstar

Purchase Northstar!

New Organization Subscription Application

Address

Public Contact Info

People

Administrator 1

Administrator 2

Billing Contact

Billing Address

Other Information

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