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