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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:

September 2025

S	M	T	W	T	F	S
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	1	2	3	4
5	6	7	8	9	10	11

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: