tasc Online

Online Membership Registration

This is a secure registration form. Your information will not be shared with any other company and will be transmitted using a secure server.

Before registering, please review the DCS TASC Prep Online tour of features and read the important facts about the TASC Test. Then, fill in and submit this form. You will receive a registration letter by email after your payment has been received and processed. Please allow one business day for the email to arrive.

Your registration letter will be emailed to you and will include:
   — your user name and password
   — 4 month membership to complete your studies
   — password protected access to all DCS TASC Prep Online features for four months

The cost of membership is $65.00 USD. ($68.58 for Wisconsin residents)
If four months time is not enough to complete your studies, you may continue your membership for $10.00 (US dollars) per month.

Student Information (* = required field)

How did you find us?*
Which one?

First Name:*
Last name:*
Address:*
Apartment or Lot Number:*
City:*
State:*
Country(if outside of USA)*
Zip Code:*
(Area Code) and Phone Number:*
Email Address:
Birthday(mm/dd/yyyy):
Month:
Day:
Year:
Social Security Number:
Last Year of school:

 
White
Black
Hispanic
Native American
Asian
Other
Ethnicity:

 
Male
Female
Gender:

 
Yes
No
Did you attend any Special Education classes?


If there is any other information you want to share, please do so in this box.

Why do you want your tasc credential?

Which version of TASConline would you like?
English language version:
Spanish language version:


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 from your check:
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 tasconline membership. After you submit this registration form, you will see a PayPal button on your confirmation page. You must 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.