Guidance Direct Subscription Form
YES, my district would like to subscribe to Guidance Direct.
School District: _________________________________________________________________
Name: ________________________________________________________________________
Position: ______________________________________________________________________
Address: ______________________________________________________________________
Street: ________________________________________________________________________
City: _______________________________ State: ____________________ Zip: _____________
Telephone: ______________________________________________ Ext: __________________
Fax: __________________________________________________________________________
Email: _________________________________________________________________________

Please list all other Guidance staff in your district that you would like to include as subscribing members of Guidance Direct :
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District Subscription: Your subscription will be activated and district billed upon receipt of this application.
By your signature below you agree to treat the design, contents and original information including all translation documents contained within the Guidance Direct web site as strictly confidential and for the sole use of its subscribing members, and that you specifically agree not to provide copies in any manner of the contents within the Guidance Direct web site to any non-members.
Signature: ____________________________________________ Date: ___________________
Please complete the application and return by mail or FAX to the address or number below:
Guidance Direct
The online information resource for New York State Guidance Professionals
Guidance Direct / Centris Group
100 Merrick Road, Suite 418E,
Rockville Centre, New York 11570
FAX: (516) 766-4896
Customer Service: (516) 766-4448