PARTNERSHIP REQUEST FORM

Complete the form below and our Partner Relations Team will be in touch soon.

Your Information

Name of the School*

First Name*

Last Name*

Date*

Gender*

Phone Number*

Email Address*

Home Address*

City*

Province State*

Country*

Postal Code*

Contact Person*

Contact Person Number*

Contact Person Email Address*

Additional Information*

IDCI is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

By clicking submit below, you consent to allow IDCI to store and process the personal information submitted above to provide you the content requested.

Best time to call you*

Best date to call you*

I*

I agree to receive any communication from IDCI

YOUR SIGNATURE*

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