To order your reports and/or services, simply fill out this online form. If you close your browser without completing and submitting your form, your data will not be saved and you will have to start over. If you do not receive a successfully submitted confirmation e-mail message from us, we have not received your completed report order.

Once ModernThink receives this form, you will be sent a confirmation e-mail message with information about next steps.

If any of the contact information supplied below changes at any point in the process, please notify the ModernThink Project team at chronicle@modernthink.com.


All fields are required

Institution Information:
Institution Name (Institution Name as it
should appear in print) :
Purchase Order Number (If you would like ModernThink to include a purchase order number in your invoice, please indicate here) :
Report Purchaser Contact Information (This person will be the main contact for questions about the report order and will be the designated and authorized recipient of both the invoice and the reports): :
Full Name:
(Please include salutation, first and last name)
Title:
Mailing Address (No PO #):
City:
State:
Zip Code:
Direct Dial Phone Number:
Email Address:
Report Packages and Service fees (The primary contact will be invoiced according to the selected report/service formats.):
Report/Service Package Fee
Survey Data Spreadsheets $1,495 by 9/15/10; $1,661 after
Survey Results Package $2,995 by 9/15/10;
Higher Education Trend Report $1,995 by 9/15/10;
Benchmark Data Package $4,495 by 9/15/10;
Special Combination Package $7,390 by 9/15/10;
Phone Consultation* $950
Webinar Presentation* $3,250
Onsite Presentation* $4,750 plus expenses
   * To gain the greatest return on investment, you will need to purchase one of the report offerings that include your school-specific data in advance.
IMPORTANT
By hitting the Submit button, I hereby represent that I am authorized to place orders and incur expenses on behalf of my institution. I understand that I am obligating my institution to purchase the reports and/or services requested above. Payments are due immediately upon order. If you would like to, you may pay in two installments: one half immediately upon order and one half immediately before the delivery of the reports/services. The entire payment is non-refundable, even if your institution has not yet submitted payment. We do not accept Credit Cards. If you have any questions regarding this order, please call the Chronicle team at 1-888-684-4658.

All orders will be verified with your institution's program primary contact to avoid any duplicate orders.