What Information is Required to Order Google Chrome License for Education?

Here is the information that Google requires to order Google Chrome Licenses for Education:

Address: The physical address of the school. Example, "123 Little Trees Way"

Attention: The main technical contact at the school. Example, "Jane Doe"

City: The city the school is located in. Example, "Cupertino"

End User Email: The primary technical contact's email address within the school's domain. Example, "janedoe@littletreeselementary.edu"

Organization: The school's name. Example, "Little Trees Elementary"

PO: To be filled out by the vendor (Tech to School)

Reseller Email: To be filled out by the vendor (Tech to School)

Reseller Phone: To be filled out by the vendor (Tech to School)

State: The state the school is located in. Example, "California"

Telephone: The phone number the school. Example, "408-867-5309"

Zip: The zip code the school is located in. Example, "95014"

End Customer Domain Site: The website domain of the school. Example, "littletreeselementary.edu"

End Customer Off Domain Email: A secondary email address for the technical contact that is NOT under the main domain. This must not be under the school's primary domain (so no @littletreeselementary.edu email addresses in this example) A good example is "janedoe@gmail.com"