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ACSI Assessment Catalog 2016-17

When placing orders, please use ink and list, in the spaces provided, the total quantity of items needed. Leave the quantity box blank for items you are not ordering. (Do not ll the quantity box with zeros.) For o ce use only Member status current OE info sent Document receipt of order ACSI Order number _______ 23 TESTING MATERIALS ORDER FORM ACSI customer number __________________________________________ Purchase order number (optional) ___________________________________ Date _____________________________________________________ Testing coordinator ____________________________________________ E-mail ___________________________________________________ Name of head of school _________________________________________ Title _____________________________________________________ E-mail ___________________________________________________ Payment Information Bill my school. Charge my credit card. Credit card number ____________________________________________ Name on card _______________________________________________ MC Visa AMEX Discover Exp. Date _____________ CVC: _____ Billing Information School name ________________________________________________ Address ___________________________________________________ City _____________________________________________________ State ____________________ Zip ____________________________ Country ___________________________________________________ Phone (include area code) ________________________________________ Shipping Address (if different from billing information) School name ________________________________________________ Attention __________________________________________________ Address ___________________________________________________ City _____________________________________________________ State ____________________ Zip ____________________________ Country ___________________________________________________ Phone (include area code) ________________________________________ Additional Comments: Only schools that are current members of ACSI may order testing materials. For membership information, go to www.acsi.org/membership. • NO PHONE ORDERS are accepted for testing materials. • Order at www.purposefuldesign.com and save on shipping. • Mail, fax, or e-mail this order form to: Association of Christian Schools International PO Box 65130, Colorado Springs, Colorado 80962-5130 Phone: 800.367.0798 Fax: 719.531.0716 • To e-mail your completed interactive or scanned order form, save it to your desktop. Then attach it to an e-mail addressed to order@acsi.org. Credit card orders cannot be e-mailed. • Send order form only once. Returned duplicate orders will be credited, less a 10% restocking fee. You will receive an e-mail con rming receipt of your order within a few business days. • A 10% shipping and handling fee will be added to orders within the continental United States. Shipping charges to international locations will vary. • After you submit your materials order for spring testing, ACSI will ship your materials to you. ACSI will e-mail instructions for entering Online Enrollment for machine scoring using the e-mail address you enter on this order form. • For complete information on the scoring reports and processes, go to www.PurposefulDesign.com and select Assessment Support. • Please order carefully, as testing materials are nonrefundable. • If you have any questions, call ACSI Member Care at 800.367.0798. • Do not send orders to DRC | CTB.


ACSI Assessment Catalog 2016-17
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