Educational Purchase Program 824 SE 16Th Avenue, Portland OR 97214 [T] 971.223.5662 [F] 503-278-3295 [E] [email protected]
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See in a New Way Educational Purchase Program 824 SE 16th Avenue, Portland OR 97214 [t] 971.223.5662 [f] 503-278-3295 [e] [email protected] Who Qualifies: Lensbaby's Educational Purchase Program is designed for college students who are taking courses in visual arts, such as; photography, filmmaking, photojournalism, visual media, or design. Instructors and Accredited Academic Institutions teaching these courses at the high school or college level are also eligible for this program. How it Works: To make a purchase, visit your local authorized Lensbaby dealer. A list of authorized dealers can be found at lensbaby.com, if there is not a dealer in your area, please call Lensbaby for assistance. Fill out this form and provide to your dealer along with proof-of-eligibility (as listed below). Once the dealer has placed the order, Lensbaby will ship the order in most instances within 5 days to your dealer. Your dealer will notify you when your order has arrived. Rules: Proof of Eligibility - Students must provide a copy of your student ID and proof of enrollment, which can be your course schedule or most recent grade report. Educators provide faculty ID card or the like. Academic Institution include a copy of the school's valid purchase order. Only one of each item is allowed for purchase per year. Products purchased through this program are registered to the purchaser and may not be exchanged or returned to the dealer, and may not be resold for a period of 12 months. For USA & Canada only. Student/Educator Information: School Information: Applicant's Name School Name Street Address Street Address City State Zip City State Zip Phone Phone email address Authorized Dealer Information: Applicant - check one: Student Educator Academic Institiution Dealer's Name *I hereby certify that I am a qualified student, educator, or school representative Street Address and that I meet all the guidelines established by Lensbaby for the Educational Purchase Program. City State Zip Applicant Signature Date Phone Part Number Product Description (include camera mount) Educational Price Total: *FOR DEALERS: Please send this form and proof of eligibility along with your order to Lensbaby. See in a New Way Educational Purchase Price List Jan. 2013 Educational PRODUCT NAME PART NUMBER USA MSRP Price Lensbaby Spark Spark for Canon LBSPC $79.95 $59.96 Spark for Nikon LBSPN $79.95 $59.96 Scout w/ Fisheye Optic Canon EF LBSFEC $249.95 $187.46 Nikon F LBSFEN $249.95 $187.46 Sony Alpha LBSFES $249.95 $187.46 Olympus 4/3 LBSFEO $249.95 $187.46 Pentax K LBSFEP $249.95 $187.46 Composer w/ Double Glass Optic Canon EF LBCC $199.95 $149.96 Nikon F LBCN $199.95 $149.96 Sony Alpha LBCS $199.95 $149.96 Olympus 4/3 LBCO $199.95 $149.96 Pentax K LBCP $199.95 $149.96 Composer Pro w/ Double Glass Optic Canon EF LBCPDGC $299.95 $224.96 Nikon F LBCPDGN $299.95 $224.96 Sony Alpha LBCPDGS $299.95 $224.96 Olympus 4/3 LBCPDGO $299.95 $224.96 Pentax K LBCPDGP $299.95 $224.96 Micro Four Thirds LBCPDGM $299.95 $224.96 Sony NEX LBCPDGX $299.95 $224.96 Samsung NX LBCPDGG $299.95 $224.96 Composer Pro w/ Sweet 35 Optic Canon EF LBCP35C $399.95 $299.96 Nikon F LBCP35N $399.95 $299.96 Sony Alpha LBCP35S $399.95 $299.96 Olympus 4/3 LBCP35O $399.95 $299.96 Pentax K LBCP35P $399.95 $299.96 Optic Swap™ System Optics Edge 80 Optic LBE80 $299.95 $224.96 Sweet 35 Optic LBO35 $179.95 $134.96 Fisheye Optic LBOFE $149.95 $112.46 Optic Kit LBOBUND $99.95 $74.96 Soft Focus Optic LBOSF $89.95 $67.46 Double Glass Optic LBOD $89.95 $67.46 Optic Swap™ System Accessories Lensbaby Accessory Kit LBABUND $129.95 $97.46 .42X Super Wide Angle AWA42 $79.95 $59.96 Lensbaby Macro Converters LBMC $49.95 $37.46 Step-Up / Shade LBASTEP $29.95 $22.46 Kits Pro Effects Kit for Canon EF LBPKC $749.95 $562.46 Pro Effects Kit for Nikon LBPKN $749.95 $562.46 Creative Effects System Kit for Canon EF LBCESKC $539.95 $404.96 Creative Effects System Kit for Nikon LBCESKN $539.95 $404.96 Other Accessories Lensbaby Book - 2nd Edition LBBOOK2 $29.95 $22.46 Lensbaby System Bag LBSB $39.95 $29.96 Case - Composer/Muse LBCCM $17.95 $13.46 Lensbaby Creative Aperture Kit 2 LBCAK2 $19.95 $14.96 Lensbaby Creative Aperture Kit Blanks LBDAK $9.95 $7.46 Lensbaby Lenspen LBLP $9.95 $7.46 Lens Cleaning Cloth LBLCC $14.95 $11.21 Lensbaby Confidential.