(EPES Testing Order Form-GA)

EPES TESTING, INC.
ORDER FORM FOR GEORGIA GA03/GHSGT PRACTICE TESTS
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Order Number	Test/Grade Sets/Scoring Services	Unit Price	Quantity	Total Price
	NEW GA03 TESTS
70101A	GRADE 1 READING TEST	30.00
70201A	GRADE 1 MATH TEST	30.00
70301A	GRADE 1 LANGUAGE ARTS TEST	30.00
70110A	GRADE 1 TEST SET	ONLY $69
70102A	GRADE 2 READING TEST	30.00
70202A	GRADE 2 MATH TEST	30.00
70302A	GRADE 2 LANGUAGE ARTS TEST	30.00
70120A	GRADE 2 TEST SET	ONLY $69
70103A	GRADE 3 READING TEST	30.00
70203A	GRADE 3 MATH TEST	30.00
70303A	GRADE 3 LANGUAGE ARTS	30.00
70130A	GRADE 3 TEST SET	ONLY $69
70104A	GRADE 4 READING TEST	30.00
70204A	GRADE 4 MATH TEST	30.00
70304A	GRADE 4 LANGUAGE ARTS TEST	30.00
70504A	GRADE 4 SOCIAL STUDIES TEST	30.00
70140A	GRADE 4 TEST SET	ONLY $92
70105A	GRADE 5 READING TEST	30.00
70205A	GRADE 5 MATH TEST	30.00
70305A	GRADE 5 LANGUAGE ARTS TEST	30.00
70150A	GRADE 5 TEST SET	ONLY $69
70106A	GRADE 6 READING TEST	30.00
70206A	GRADE 6 MATH TEST	30.00
70306A	GRADE 6 LANGUAGE ARTS TEST	30.00
70160A	GRADE 6 TEST SET	ONLY $69
70107A	GRADE 7 READING TEST	30.00
70207A	GRADE 7 MATH TEST	30.00
70307A	GRADE 7 LANGUAGE ARTS	30.00
70170A	GRADE 7 SET - ALL TESTS	ONLY $69
70108A	GRADE 8 READING TEST	30.00
70208A	GRADE 8 MATH TEST	30.00
70308A	GRADE 8 LANGUAGE ARTS TEST	30.00
70180A	GRADE 8 SET - ALL TESTS	ONLY $69

	GRADE 11 GHSGT EXAMS (developed 2001-2002)
70211A	GRADE 11 MATH TEST GHSGT	30.00
70311A	GRADE 11 LANGUAGE ARTS GHSGT	30.00
70411A	GRADE 11 SCIENCE TEST GHSGT	30.00
70511A	GRADE 11 SOCIAL STUDIES TEST GHSGT	30.00
70195	GRADE 11 TEST SET	ONLY $92
7005	SCAN SCORING SERVICES: (up to 2500 scan sheets per box)--Includes customized forms, scoring, plus FREE CLASS REPORT - (Each student per test)	.18
7006	ADDITIONAL REPORT SERVICES (available with 7005 or 7007) INDIVIDUAL STUDENT REPORT (Each student per test)	.15
7009	ITEM ANALYSIS REPORTS (Per teacher, per subject)	1.00
7011	CUSTOMIZED CLASSROOM REPORT (Race, Gender, etc.)	1.00
7012	GRADE REPORTS - (Per subject, per grade)	2.50
7013	TITLE I ANALYSIS REPORTS (#174-185) (EACH STUDENT PER TEST)	.15
7014	PROGRESS REPORT (a graph of the same test comparing up to 4 testing dates for 4 teachers)	10.00
90999	SHIPPING AND HANDLING - 10% each shipment (minimum $15 per box) EXCEPT AK, HI, and outside U.S., add actual shipping charges
90994	2ND DAY AIR - actual charges
90990	OVERNIGHT - actual charges
	Total

*Included with every test is a TEACHER SUPPLEMENT including skills measured by each question, the answers to each question, a list of uses of test results, and sample computerized reports if we do your scoring.

Purchase Order #:___________________________

(School systems must submit a purchase order. All others have to be prepaid. Home schools must submit a school address reference with phone number)

Ship to:

Name
Position
School
Street Address
City
State
Zip Code
Telephone (Office)
FAX
Email Address

Bill to (if different):

Name
Position
Address
City
State
Zip

Visa and MasterCard accepted.

Print this Order Form out and mail (or FAX) to:

EPES Testing, Inc.
606 Peach Street
Magnolia, AR 71753
Call TOLL FREE 1-800-488-2689 or Fax TOLL FREE 1-866-306-7901