Copy of College Fair

Registration Form Page: Starting Point - Fill out the form with Payment. Please return to this page when it has been updated and is ready for Fall 2011 PLAN testing registrations.

Last update October 2, 2011

Return to PLAN information page.

This PLAN Test Registration and Payment form starts the process for taking the test. Once we have received your payment, we will e-mail you a confirmation and important information for taking the test. You can also read and print this information off of our website at www.ouryeah.org/PLANTest.pdf.
Student Name

Student Grade

Parents Name - first and last

Mailing Address:

City

State:

Zip:

Home Phone

Student Cell Phone

E-Mail Address:

(Include E-Mail address completely and legibly - This will be used for our E-mail confirmation to you
TEST date - Nov 17 at 9AM	Confirm One

TEST date - Nov 17 at 1PM	Confirm One

TEST date - Nov 18 at 9AM	Confirm One

TEST date - Nov 18 at 1PM	Confirm One

TEST date NEW Dec 5 at 10AM - 1:30	Confirm One

Verification No. to enter is the unique set of letters and numbers in the adjoining box.
PRICING: $25 for non-members $20 for YEAH/Academy Members. YEAH/Academy Members should use coupon code to receive Member Discount. That Code *is plan2010* to be used with GOOGLE Checkout. Membership will be verified.**
Payment Method
Verification No.