BREWER TESTING SERVICES

2853 Davis Road, East Bend, NC 27018       336-699-3997      E-mail: pat@brewertesting.com      www.brewertesting.com

Mail In Order Form - to be used for mail ordered IOWA tests only - not required for online credit card orders.

Iowa 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 DATE ____________ PARENT/TEST ADMINISTRATOR__________________________

MAILING ADDRESS_____________________________________________________________________________________________________________

HOME PHONE ________________________ CELL PHONE ________________________E-MAIL ______________________________________

Note: You will receive an order receipt, shipping confirmation, test return notification & score report mailing confirmation by e-mail.

Item Enter quantity needed for each grade Total quantity needed

Shipping
$

Tax 6.75% -NC addresses only
$

Total
$

K5R *

KL6 *

1 2 3 4 5 6 7 8 9 10 11 12
ITBS tests (free shipping, non taxable) $44                               0 0  
ITED tests (free shipping, non taxable) $44                               0 0  
CogAT (free shipping, non taxable) $55                               0 0  
Test Prep - Scoring High on the ITBS(Teacher's Edition and Student Workbook) $42                                    
Test Prep - Scoring High on the ITBS (Student Workbook Only) $18                                    
High School Test Prep $8.95                                    
Test Prep - Test for Success $25                                    
Total                                    

* Kindergarten tests are available in 2 levels-choose the one that is developmentally appropriate for your child, Level 5R (grades K.1-1.5 & Level 6 (grades K.2-1.9).

   Thank you for letting us serve you!     Pat & Dempsey Brewer