Virginia
Internet High School
eOffice
Order Form


Items marked with a must be filled in or answered completely in order to process your order, When all items are completed press the "Submit My Order" button at the bottom of the page.  If you want to start over, press the "Clear" button to clear your responses.

NOTE:  All eOffices ordered below should be on the same Purchase Order and in the same location named as the "Assigned School."

Please fill-in this section completely.  All fields must be completed.

  Purchase Order #: 
  School Division:   
  Assigned School:   
  Street Address:    
  City:             , State   Zip:

 Complete all information for each eOffices ordered.
 
   Administrative eOffices -- enter number desired and occupant information
 
      Administrative Office or Offices for Renter #1
    

    eOffice Renter #1's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     Position:  (Superintendent, Principal, etc.) 
     E-Mail Address:
 
      Administrative Office or Offices for Renter #2
    

    eOffice Renter #2's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     Position:  (Superintendent, Principal, etc.) 
     E-Mail Address:
 
      Administrative Office or Offices for Renter #3
    

    eOffice Renter #3's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     Position:  (Superintendent, Principal, etc.) 
     E-Mail Address:
 
      Administrative Office or Offices for Renter #4
    

    eOffice Renter #4's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     Position:  (Superintendent, Principal, etc.) 
     E-Mail Address:
 
      Administrative Office or Offices for Renter #5
    

    eOffice Renter #5's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     Position:  (Superintendent, Principal, etc.) 
     E-Mail Address:
 

   Guidance eOffices -- enter number desired and occupant's information
 
      Guidance Office or Offices for Renter #1
    

    eOffice Renter #1's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     E-Mail Address:
 
      Guidance Office or Offices for Renter #2
    

    eOffice Renter #2's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     E-Mail Address:
 
      Guidance Office or Offices for Renter #3
    

    eOffice Renter #3's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     E-Mail Address:
 
      Guidance Office or Offices for Renter #4
    

    eOffice Renter #4's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     E-Mail Address:
 
      Guidance Office or Offices for Renter #5
    

    eOffice Renter #5's Information
     Occupant's Name:  
     Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
     E-Mail Address:
 

   Department eOffices -- Check Department desired and enter Chairperson's information.
 
      English Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Social Studies Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Math Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Science Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Languages Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Business & Information Technology Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Physical Education Department    
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Careers & Tech Ed Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Fine Arts Department
    
     eDepartment Office Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
 

   Unlisted -- Enter office name, four-digit state position code, if applicable, and number of sections desired
 
      Other #1   
    
     eOffice Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Other #2   
    
     eOffice Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
      Other #3   
    
     eOffice Renter's Information
      Occupant's Name:  
      Addressed as:  (Mr., Mrs., Miss, Ms., Dr.)   Phone # 
      E-Mail Address:
 

 Calculating eOffices Total Annual Cost
        Total eOffices Ordered: 
        First Office:  Enter $120 ................................  
        Additional Offices:  Multiply # times $12O and enter total 
        Total Annual Cost of eOffices :...........................
If everything is correct and to your liking, you are ready to submit your order. As soon as the Internet Schools receives your Purchase Order you will be notified of your User ID and Password for admittance.to your newly created eOffice(s) and the online "How To" class.

Address all ordering questions to the Virginia Internet High School

Copyright © January 2002 Internet High School Inc.