HTML Preview Online Purchase Order Form page number 1.
Education & Skills Online Purchase Order Form
Organization Information:
Organization Name:
Address:
City:
State/Province: Zip/Postal Code:
Country:
Contact Information:
Please include below the information for the individual who will be managing the administration of tests. This individual will have an
administrator account for the online test administration portal and can create additional users for the organization.
Phone:
To purchase authorization codes for Education & Skills Online and create a user account for tracking and administering authorization
codes, please complete the following form and return it via email to the Test Administrator at [email protected]. The Test
Administrator will send your organization an invoice with instructions for submitting payment and a terms and conditions document for
your organization to sign. Once your payment and signed terms and conditions are received, the Test Administrator will activate your
online test administration portal account and give you access to your test authorization codes.
Zip/Postal Code:
State/Province:
Work Email:
Work Phone:
Job Title:
Contact Name:
City:
Address:
Contact Name:
Billing Information:
Please include below the information for your organization's accounts payable contact. If the accounts payable contact is the same as the
contact listed above, you may leave this section blank. If your organization would like a purchase order number included on the invoice,
please include that number in this section as well.
Country:
Billing contact information is the same as above.
Work Email:
Purchase Order #
If you would like your organization's purchase
order number included on the invoice, please
enter the purchase order number in the box
below.
*Only applies to purchasers outside the United States
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VAT Number*:
Repeat Orders:
Check here if you have previously purchased Education & Skills Online and have submitted a signed terms and conditions form. This
subsequent order will be subject to the terms and conditions executed with your organization's initial order.