Test Fee Voucher Order Form

• Institution Name
• Name of Requester
• Title
• Email Address
• Telephone Number

If the candidate registers with a voucher in a dollar amount that is less than the full assessment fee, the candidate must pay the balance of the assessment fee by credit card.

Vouchers will be sent via e-mail to the above requester, within 2 weeks after receipt of the completed form and purchase order or payment. Vouchers will be valid for a period of 12 months from the date they are generated.

Payment Options: Indicate Your Selection

Credit Card

• Complete and email this form to: estestvoucher@pearson.com
• Be sure to include your email address above.
• Upon receipt of the form, we will email you a link and payment instructions.

Purchase Order

• Purchase Order number:
• Complete and email this form with PO number to: estestvoucher@pearson.com

Prepaid check

• Prepaid check number:
• Complete and mail this form to:
  Attention: Finance
  NCS Pearson Inc
  P O Box 7412594
  Chicago, Il 60674-2526