Education Discount Program Application

Geographics Customers, please login before completing this form.
The fields will be populated with the existing data from your account.
  • Fill out the below application and click Submit.
    You will receive an automatic confirmation e-mail.
  • Your application will be checked and an e-mail response will be sent to you within 24 business hours. If you are in a rush, please call us.
  • Once your application is approved, you can login with the same email and password to take advantage of the EDU discounts of up to 25%.

For questions or assistance, please call 203-644-1271 & 1282 & 1281; (800)-436-4919 or email to

Contact Information

Educational Institution

Billing Address

Shipping Address

Institution Details

Authorized Buyer(s)

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Terms and Conditions

By submitting this application, you agree to our Terms of Use and our Privacy Policy for a summary of how we collect and use your information.
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