Intent to Contract

To begin services, please complete the "Intent to Contract" form below. Completion of the "Intent to Contract" form provides immediate access to services.

  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • *
  • Please use the above box to list any additional site contacts. Please include the following information (separated by commas) - Site, Name, Email, Title. Please press return after each contact.
  • Submission of this form requests service for the school year indicated in the above field. By checking the below box, service will begin immediately and a contract will be sent for signature. You are verifying that you intend to contract for membership.
  • Please enter the information for the person completing this form.
  • *
  • *
  • *

Contact Information

Multimedia Services
Instructional Technology Outreach
L.A. County Office of Education
9300 Imperial Highway
Downey, CA 90242

Phone: 562-922-6107
Fax: 562-940-1667
Email: media_services@lacoe.edu

Hours: 8:00 am - 4:30 pm (M-F)