First Middle Last  Please Note: These practice exams are only available on-line. You will not receive a copy of the exam, nor will you be able to print out the exam. Address  City ST Zip  Email Address
When presented, please record your test pin number as it will be required to complete an unfinished exam.	Credit Card or Debit Card #  Exp. Date             Amount

I have read the terms of service agreement and will abide by the terms and conditions therein. In addition, I accept that these practice exams are only available on-line and I will not receive a copy of the exam, nor will I be able to print out the exam.