School Discount Application

Request for Licefreee Discount

Apply For School Discount Please complete this form to apply for a school discount. This discount is only available to schools within the United States. Employment must be confirmed before the application will be considered. We reserve the right to refuse the school discount level based on our discretion.

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Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

About You

Name of Purchaser(Required)
Email of Purchaser(Required)
School Address(Required)
Admin Contact to Verify Employment(Required)
Admin Email to Verify Employment(Required)

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This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Claims based on traditional homeopathic practice, medical evidence not accepted. Not evaluated by the FDA.
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