ORDER FORM FOR PRAXIS PREP MATERIALS:

Print Out, Fill In, and Mail To:          CWH Consulting

                                                        1250 Jones Street

                                                             Newberry, SC 29108

(PLEASE PRINT)

NAME:_________________________________________

ADDRESS:______________________________________

CITY:__________________________________________

STATE:_____________  ZIP:_______________________

PHONE-DAY:_________________  -NIGHT:__________________

BASE COST OF MATERIALS: (Mandatory)                $60.00

(Includes Notebooks, Reading Book, Etc.)

INSTRUCTIONAL VIDEO TAPE: (83 Minutes)            $35.00

TEST MATERIALS                                           COST

          TEST NAME                                 TEST CODE NUMBER

                                                                 (5 DIGITS)

TEST #1____________________          ____________        $15.00

TEST #2____________________          ____________        $15.00

TEST #3____________________          ____________        $15.00

TEST #4____________________          ____________        $15.00

TEST #5____________________          ____________        $15.00

                                                                 S h i p p i n g:          $8.00

                                                                                TOTAL:   _______

Please Make Payment By Money Order, Cashiers Check, Or Personal Check.

If You Use A Personal Check, Shipping Will Be Delayed Until Check Clears.

CWH Consulting Will Support Any Test For A Period Of Six (6) Months

From Date Of Shipping With Feedback On Essays, Math Corrections, Etc.

I Understand That The Above Materials Are Purchased Without The Passing

Guarantee That Accompanies The Workshop.  The Sale Of These Materials

Is Intended For Persons Outside The Workshop Service Area.

SIGNED:________________________________________