tailieunhanh - Bullentin for toefl part 3

Tham khảo tài liệu 'bullentin for toefl part 3', ngoại ngữ, toefl - ielts - toeic phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | 2006-07 TOEFL TOEFL CBT Voucher Request Form Only to ets Instructions for completing and submitting this form are on the reverse side. Do not use for paper-based test. Please clearly print all information in English letters for the person who will be testing. Date I. IDENTIFICATION Omit spaces hyphens apostrophes Jr II etc. 1. First Given Name - first 13 letters Last Family Name - first 17 letters FOLD 2. Home Phone Number include country and city codes Fax Number Daytime Number include country and city codes E-mail Address FOLD Month Day Year 3. Date of Birth 4. Mailing Address Enter your street address include house or apartment number if applicable or PO box bag and number. II. FEES AND REMITTANCE See Payment Policies and Preferred Forms of Payment in the Bulletin. FOLD 5. If paying by credit card enter credit card number American Express Discover JCB MasterCard or VISA FOLD MM Y Y Credit Card Account Number Expiration Date Signature of Card Holder ------------------------------------------------------------------------------- 6. Test Fee US 140 In Canada add GST HST and QST to total remittance GST HST Reg. No. 13141 4468 RT QST Reg. No. 1087967545 It is not necessary to include Value Added Tax VAT for TOEFL fees at this time. For ETS Use Only CN Copyright 2006 by Educational Testing Service Princeton NJ 08541. All rights reserved. Ej p TOEFL CBT VOUCHER REQUEST FORM INSTRUCTIONS Completing the Form Complete the form accurately and clearly with the information for the person who plans to use the voucher and take the test. The form will be computer processed and whatever you enter for each item will appear on the test-taker s record. Use a pen with black ink. If you do not have one you may use a soft-lead pencil or a pen with blue ink. Do not use a highlighter felt-tipped pen or fountain pen. Use English letters. Omit spaces hyphens apostrophes Jr. II etc. and avoid stray marks. Make your check or money order payable to ETS-TOEFL. See Payment Policies and .