Epic Charter Schools Purchase

Please fill out the required fields to purchase the $550 Breakthrough package from Platinum Research and Consulting Partners LLC with Epic Charter Schools Learning Funds. Assessment will not start until the invoice of $550 is paid in full by either Epic Charter Schools or parent/guardian.

Name of individual purchasing consulting/assessment

First Name

Last Name

Address of individual purchasing consulting/assessment

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email of person purchasing consulting/assessment

Phone number of individual purchasing consulting/assessment

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Name of individual taking the assessment

First Name

Last Name

Epic Charter School student ID number

Email of individual taking the assessment

Phone number of individual taking the assessment

(###)

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Type 'YES' in the box below to agree to buy the $550 Breakthrough Package.