(EPES Testing Order Form-)

EPES TESTING, INC.
Order Form for Practice Achievement Tests for ITBS03/TAP SHORT FORM*
Print and then fill out.

Download this form in Adobe Acrobat Format
You can download a sample in Adobe Acrobat format for any test below by double clicking the underlined order number.

Order Number	Test/Grade Sets/Scoring Services	Unit Price	Quantity	Total Price
51101A SS	GRADE 1 READING TEST	30.00
51201A SS	GRADE 1 MATH TEST	30.00
51301A SS	GRADE 1 LANGUAGE ARTS TEST	30.00
51010A SS	GRADE 1 SET - ALL TESTS	ONLY $69
51102A SS	GRADE 2 READING TEST	30.00
51202A SS	GRADE 2 MATH TEST	30.00
51302A SS	GRADE 2 LANGUAGE ARTS TEST	30.00
51020A SS	GRADE 2 SET - ALL TESTS	ONLY $69
51103A SS	GRADE 3 READING TEST	30.00
51203A SS	GRADE 3 MATH TEST	30.00
51303A SS	GRADE 3 LANGUAGE ARTS TEST	30.00
51030A SS	GRADE 3 SET - ALL TESTS	ONLY $69
51104A SS	GRADE 4 READING TEST	30.00
51204A SS	GRADE 4 MATH TEST	30.00
51304A SS	GRADE 4 LANGUAGE ARTS TEST	30.00
51040A SS	GRADE 4 SET - ALL TESTS	ONLY $69
51105A SS	GRADE 5 READING TEST	30.00
51205A SS	GRADE 5 MATH TEST	30.00
51305A SS	GRADE 5 LANGUAGE ARTS TEST	30.00
51050A SS	GRADE 5 SET - ALL TESTS	ONLY $69
51106A SS	GRADE 6 READING TEST	30.00
51206A SS	GRADE 6 MATH TEST	30.00
51306A SS	GRADE 6 LANGUAGE ARTS TEST	30.00
51060A SS	GRADE 6 SET - ALL TESTS	ONLY $69
51107A SS	GRADE 7 READING TEST	30.00
51207A SS	GRADE 7 MATH TEST	30.00
51307A SS	GRADE 7 LANGUAGE ARTS TEST	30.00
51070A	GRADE 7 SET - ALL TESTS	ONLY $69
51108A SS	GRADE 8 READING TEST	30.00
51208A SS	GRADE 8 MATH TEST	30.00
51308A SS	GRADE 8 LANGUAGE ARTS TEST	30.00
51080A SS	GRADE 8 SET - BOTH TESTS	ONLY $69
7005	SCAN SCORING SERVICES: Includes customized forms, scoring, plus FREE CLASS REPORT - (Each student per test)-up to 2500 scan sheets per box	.18
7007	KEYBOARD SCORING - usually grades K-2 (EACH STUDENT PER TEST) plus FREE CLASS REPORT	.40
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