DCS TASC Prep Online Additional Items

Use this form to purchase:
— Your DCS TASC Prep Online membership
— Additional membership months

You must be a registered DCS TASC Prep Online student to use this form. You will need your student ID number.
If you have not registered yet, click here to register.

(* = required field)

We will get your membership information using your student ID number.
Enter your student ID number*:

English Language Items:

Quantity	Description
	TASConline English four-month membership at $65.00 each
	Additional membership month at $10.00 each

Spanish Language Items:

Quantity	Decsription
	TASConline Spanish four-month membership at $65.00 each
	Additional membership month at $10.00 each

Method of Payment: (You must select one method of payment*)

Credit Card	Online Check	Mail a Check	Mail a Money Order	Purchase Order	PayPal

Fill in the information required for the payment method you selected*:

1. Credit Card

Card Number:

Expration Date:

Month:

Year:

Cardholder's Name:

	Master Card	Visa	American Express	Discover
Card Type:

2. Online Check

Check Number:
MICR Number:
Driver's License State Code:
Driver's License Number:

If the checking account is not in your name, please give us the following information from the check for the owner of the checking account:

First and Last Name:
Address:
City, State, Zip Code:
Phone Number:

3. Mail a Check

Make your check payable to DCOMS-SP and mail it to:
Diversified Computer Services
PO Box 2199
Kenosha WI 53141-2199

4. Mail a Money Order

Make your money order payable to DCOMS-SP and mail it to:
Diversified Computer Services
PO Box 2199
Kenosha WI 53141-2199

5. Purchase Order

Purchase order number:

Your purchase order can be faxed to 267-654-6979 or mailed to:

Diversified Computer Services
P.O. Box 2199
Kenosha, WI 53141-2199

The purchase order should list the student name and ID number. When your purchase order is received, your registration packet will be mailed and you will be invoiced.

6. PayPal

You can use your existing PayPal account or create a new PayPal account to pay for your GEDonline membership. After you submit this registration form, you will see a PayPal button on your confirmation page. Click the PayPal button to complete your payment.

After completing this form, please click Submit Form ONLY ONCE.
(If the Internet is slow, it may take several minutes to register. Please be patient.)
Your information will be transmitted via a secure server to ensure your privacy.

DCS TASC Prep Online is maintained by: Diversified Computer Services P.O. Box 2199 Kenosha, Wi. 53141-2199 Copyright 2000-2015 All rights reserved.
TASC Test Assessing Secondary Completion is a trademark of McGraw-Hill School Education Holdings, LLC. McGraw-Hill Education is not affiliated with The After-School Corporation, which is known as TASC. The After-School Corporation has no affiliation with the Test Assessing Secondary Completion ("TASC test") offered by McGraw- Hill Education, and has not authorized, sponsored or otherwise approved of any of McGraw-Hill Education's products and services, including TASC test.