Provision New Institution - Ligarion Platform

Institution Information

Institution or Program Name *

The name as it will appear in the application

Legal Name *

Used for billing records and official account documents

Tax ID / EIN

Website

Select Plan *

Choose the service plan for this institution

Primary Email *

Primary Phone *

Street Address *

City *

State/Province *

Zip/Postal Code *

Country *

An invitation email will be sent to the institution manager to complete their account setup.

First Name *

Last Name *

Email *

The invitation email will be sent to this address

Phone

Billing Information

A Ligarion billing account will be created with NET 30 terms. Hosted invoice links can be added later when a Stripe invoice exists.

Billing Contact Name

Optional - Leave blank to use institution manager name

Billing Contact Email

Optional - Leave blank to use primary email

Mark first invoice as $0

Use this for testing or promotional accounts when the initial annual invoice should show as paid with no balance.

Internal Notes