Course Payment Form

Student's Information

Name*

School*

Grade*

Phone Number*

Test Date (if applicable)

Course Selection

Course*

ACT

ACT Course Options*

Preliminary Skills

Preliminary Skills Courses*

Quick Prep

P/SAT Quick Prep Options*

P/SAT

P/SAT Course Options*

Study Skills/ Speed Reading

Study Skills at Mercy meets from 9:30-11:10 and Speed Reading meets from 11:15-12:30 (5 days)/Study Skills at Manual and Male meets from 9:00-10:55 and Speed Reading Meets from 11:00-12:30 (4 days)

Location*

Study Skills/ Speed Reading Course Options*

TIP Prep

TIP Prep Course Options*

Payment Information

Email Address for Receipt

Credit Card*

American Express

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Card Number Expiration Date Security Code Cardholder Name

Coupon

Total

$0.00

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