Mail In Order Form - to be used for mail ordered BASI tests only - not required for online credit card orders.
BASI test materials can be used in your home if you agree to the test agreement below. Test materials will be mailed to you about a week prior to your requested test date. You must sign this agreement before your order can be processed.
SIGNATURE _________________________________________________ PREFERRED TEST WEEK ______________________________
PARENT'S NAME (please print) ____________________________________________
MAILING ADDRESS ________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
HOME PHONE _______________________ CELL PHONE ____________________________
EMAIL ___________________________________________________________________________________________________________
Note: You will receive order receipt, shipping confirmation, test return notification & score report mailing confirmation by email.
Item | Enter quantity needed for each grade | Total quantity needed | Total |
|||||||||
3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | |||
BASI tests $45 each | ||||||||||||
Mail order processing charge |
|
|||||||||||
Total |