Order Form (Motivation and Engagement; Lifelong Achievement Group; www.lifelongachievement.com)

ORDER FORM

1. 2.. 3... 4.... 5..... 6...... Order in six easy steps!

WHEN WE RECEIVE YOUR ORDER WE WILL SEND YOU THE DETAILS NEEDED TO MAKE YOUR PAYMENT

STEP 1: Please provide your contact details

Your Name
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Your E-mail
Confirm Your E-mail
Tel (incl. area code)
Fax (incl. area code)
Street Address/PO Box
City/Suburb
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Postcode/Zip Code
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STEP 2: Please select your product/s

FOR JUNIOR/PRIMARY/ELEMENTARY SCHOOL STUDENTS (9-13 YRS)
A. Motivation and Engagement Scale PACK - JUNIOR SCHOOL (MES-JS) - administered by schools, psychologists, counselors, researchers etc. to students - supplied in PDF. Incl. Score & Profile Sheets, Manual, 'Norms', Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
B. MES Pack + ONLINE DATA COLLECTION SERVICE - JUNIOR SCHOOL - MES-JS Pack (see above) - PLUS online data collection service	$297.00 ² 1-Year License	Select
C. Motivation and Engagement Workbook - JUNIOR SCHOOL - administered by schools, psychologists, counselors, researchers etc. to students - supplied in PDF	$99.00 ³ 1-Year License	Select
FOR HIGH SCHOOL STUDENTS (12-18 YRS)
D. Motivation and Engagement Scale PACK - HIGH SCHOOL (MES-HS) - administered by schools, psychologists, counselors, researchers etc. to students - supplied in PDF. Incl. Score & Profile Sheets, Manual, 'Norms', Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
E. MES Pack + ONLINE DATA COLLECTION SERVICE - HIGH SCHOOL - MES-HS Pack (see above) - PLUS online data collection service	$297.00 ² 1-Year License	Select
F. Motivation and Engagement Workbook - HIGH SCHOOL - administered by schools, psychologists, counselors, researchers etc. to students - supplied in PDF	$99.00 ³ 1-Year License	Select
FOR UNIVERSITY/COLLEGE STUDENTS
G. Motivation and Engagement Scale PACK - UNI/COLLEGE (MES-UC) - administered by universities/colleges, psychologists, counselors, researchers etc. to students - supplied in PDF. Incl. Score & Profile Sheets, Manual, Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
H. MES Pack + ONLINE DATA COLLECTION SERVICE - UNI/COLLEGE - MES-UC Pack (see above) - PLUS online data collection service	$297.00 ² 1-Year License	Select
I. Motivation and Engagement Workbook - UNI/COLLEGE - administered by universities/colleges, psychologists, counselors, researchers etc. to students - supplied in PDF	$99.00 ³ 1-Year License	Select
FOR SPORTSPEOPLE and ATHLETES
J. Motivation and Engagement Scale BASE PACKAGE - SPORT (MES-S) - administered by trained coaches, psychologists, counselors, researchers etc. to sportspeople - supplied in PDF. Incl. Score & Profile Sheets, Manual, Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
FOR EMPLOYEES/PERSONNEL
K. Motivation and Engagement Scale BASE PACKAGE - WORK (MES-W) - administered by human resources, psychologists, counselors, researchers etc. to employees - supplied in PDF. Incl. Score & Profile Sheets, Manual, Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
FOR MUSICIANS and other PERFORMING/CREATIVE ARTISTS
L. Motivation and Engagement Scale - MUSIC (MES-M + Perform/Creative Arts Form) - administered by trained instructors, psychologists, teachers etc. to musicians & other artists - supplied in PDF. Incl. Score & Profile Sheets, Manual, Testing Guide, Data Entry Template	$99.00 ¹ 1-Year License	Select
BOOKS FOR PARENTS and PROFESSIONALS
M. Book “How to Help Your Child Fly Through Life: The 20 Big Issues” (Bantam) - Price includes book and postage (and air mail for orders outside Australia)	$30 (Australia) $50 (Outside Australia)	Select
N. Book “How to Motivate Your Child For School and Beyond” (Bantam) - Price includes book and postage (and air mail for orders outside Australia)	$30 (Australia) $50 (Outside Australia)	Select
O. Book “Building Classroom Success: Eliminating Academic Fear and Failure” (Continuum) - Price includes book and postage (and air mail for orders outside Australia)	$45 (Australia) $65 (Outside Australia)	Select

STEP 3: Please select your payment method

	PAYPAL - we can receive payment from almost any currency - You access a secure link for credit card payments or payments using a PayPal account (for information on PayPal, click here) - Note: You do NOT need to be a PayPal member or sign up to PayPal to pay using this method
	CREDIT CARD - we can receive payment from almost any currency - We send you secure link for credit card payments using SecurePay (for information on SecurePay, click here) - Visa and Mastercard only
	DIRECT (ELECTRONIC) BANK DEPOSIT - To Lifelong Achievement Group Bank Account - Australian orders only
	CHEQUE OR MONEY ORDER - Payable to Lifelong Achievement Group - Australian orders only

STEP 4 (optional): If you have any comments, please enter them in the space provided below:

STEP 5:

I understand Lifelong materials are copyright and subject to terms of use.

STEP 6: In the space, enter the following text to verify a genuine order: 3682645

1. MES PACK: Aus$99 is for 1 - 1000 respondents administered the MES; then an additional Aus$99 is required for each additional 1 - 1000 respondents administered the MES. Note: License is for: (a) 2 years or (b) 1000 respondents administered the MES - whichever expires first. Supplied by e-mail in PDF.

2. MES PACK + ONLINE DATA COLLECTION SERVICE: Aus$297 for data to be collected and emailed (as an Excel file) to the client (once data collection is complete) using the MES online data collection service. License is for: (a) 2 years or (b) 1000 respondents administered the MES - whichever expires first.

3. WORKBOOK: Aus$99 is for 1 - 1000 participants administered the Workbook; then an additional Aus$99 is required for each additional 1 - 1000 participants administered the Workbook. Note: License is for: (a) 2 years or (b) 1000 participants administered the Workbook - whichever expires first. Supplied by e-mail in PDF.

Contact Lifelong Achievement Group if there is uncertainty as to the basis of your purchase

Notes:
(a) All prices include GST for Australian orders
(b) All prices in Australian $ (depending on current exchange rates, Aus$99.00 is approx US$95 to $105; £55 to £65; €65 to €75 - check currency converter at Lifelong website) but payment can be made from most currencies
(c) A to L are NOT supplied in hard copy
(d) Electronic supply of materials is deemed a purchase
(e) Prices, terms, and conditions subject to change without notice – check Lifelong for current details
(f) PARENTS wanting their child's motivation assessed or a Workbook administered should contact their school or a psychologist/counselor to have the MES and/or Workbook administered. The MES and Workbook have been modestly priced so that schools and psychologists/counselors can readily purchase and administer them across their school and client base.
(g) The materials are copyright, have been formally registered with the U.S. Copyright Office (that has in place international treaties and conventions to cover non-U.S. jurisdictions) and are subject to terms (as agreed by you when checking the copyright and terms box when submitting the order)

Motivation | Engagement | Achievement | Performance
Copyright 1999-2011 Lifelong Achievement Group Pty Ltd, All Rights Reserved, Terms of Use, (ACN 088 991 146) (ABN 58 088 991 146) www.lifelongachievement.com