EmailMe Form - Chromebook Protection Plan

Parent/Guardian's Name

First Last

Student's Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Phone

### - ### - ####

I would like to purchase an annual Chromebook protection plan ($20). I understand that this plan will cover accidental damage caused to the Chromebook assigned to my student only. By choosing to purchase this plan, I acknowledge that I have read the details of the coverage and understand how the plan works.

I acknowledge plan coverage and wish to purchase this plan.