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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:

May 2025

S	M	T	W	T	F	S
27	28	29	30	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	7

Select testing time:

Testing fee is $25.00.

Billing Information

First Name:

First Name

Last Name:

Last Name

Street Address:

Street Address

City:

City

State:

State

Zip Code:

Zip Code

Visa

MasterCard

Credit Card Number:

Credit Card Number

Security Code:

Security Code

Expiration Month:

Expiration Year: