Mimio Application Form

Fill out this form to get Mimio Educator Pricing

School Name (required):

School District:

Tax Exempt #:

School Address (required):


Street Address (required)

Street Address 2

City (required)

State (required)

Zip Code (required)

Contact\’s Name (required):


First name

Last name

Contact\’s Title (required):

Contact\’s Email (required):

Contact\’s Phone # (required):

School\’s Operating Systems (required):

— Both – Window & Apple Windows (Windows XP or Vista) Apple (Mac OS X) Other

How Did You Hear About Mimio (required):

— Computer Hardware At School A Friend or Teacher Online Trade Show Magazine

Products You\’re Interested In (required):

 Mimio Interactive Bar
 Mimio Interactive Bar + Capture
 Mimio Capture Add-On
 Mimio Interactive Pad
 Mimio Wireless Adapter Add-On
 Mimio Accessories