User and Supporter Registration Form

Knowledge Explorer Center

The Knowledge Explorer Center provides a wide range of educational materials, including Exploring Cultures, Exploring English, Exploring Libraries, and Exploring Literature. The resources are provided free to anyone using the Internet.

If you use the resources and would like to help the Knowlege Explorer Center grow, please register as a user and supporter. Support can be in the form of moral support, small voluntary fees, or new content.

The benefits of registering include::

E-mail notification of new postings (optional).
Preference for responding to questions.
Input into new content.
Shareware registration of Exploring English for Windows.
Satisfaction of encouraging future expansion.

Please provide some or all of the following information. The name and e-mail addresses are mandatory.
Your Name:

E-mail Address: (Please check your e-mail address before sending.)

Telephone:

Mailing Address:

A contribution to the Knowledge Explorer Center would be greatly appreciated. Please indicate the level of contribution and method of payment:

Contribution?

Moral Support - $0
Student - $10
Educator - $40
Institution - $100
Benefactor - $500
Other:

Method of Payment?

Cheque
Money Order
Visa or Mastercard (we will phone for card details)
Invoice on Purchase Order
Invoice to Address Provided

Please address cheques and purchase orders to:

Shared Visions Unlimited
311 - 1641 Lonsdale Avenue
North Vancouver, BC V7M 2J5
Canada
Telephone: 1 604 985-8261

What best describes your role?
Developer
Educator
Parent
Publisher
Student
Writer
Other:

What learning levels are you interested in?
Primary
Secondary
Post Secondary
Adult Education
Other:

Which Knowledge Explorer Sections do you use?:

Exploring British Columbia
Exploring Cultures
Exploring English
Exploring Libraries
Exploring Literature

Please enter your comments:

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