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Accuplacer Registration

Test Taker Information

First Name:

Last Name:

Date of Birth (MM/DD/YY):

Phone:

Email:

Confirm Email:

Select Test & Location:
Test Selection:
Select testing day:

August 2025

S	M	T	W	T	F	S
27	28	29	30	31	1	2
3	4	5	6	7	8	9
10	11	12	13	14	15	16
17	18	19	20	21	22	23
24	25	26	27	28	29	30
31	1	2	3	4	5	6

Select testing time:

Testing fee is $25.00.

Billing Information

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Visa

MasterCard

Credit Card Number:

Security Code:

Expiration Month:

Expiration Year: