
To download a print-ready PDF copy of this form, click here
Step 1 -- Select the "Getting Ready to Test" materials you
wish to purchase
(Discounts available for bulk purchase - contact us at 866 471-1742 for more
details)
______ Item #W401 The
Written Examination
Cost: $52 plus $8 shipping/handling (USPS Service) - $60
total
______ Item #T405
Online Sample Examination
Cost: $35
This is an online exam - URL will be sent to you by email
(include email address below)
______ Item #Q402 The
Oral Examination
Cost: $52 plus $8 shipping/handling (USPS Service) - $60
total
______ Item #M404 A Review & Preparation Manual for Drug and Alcohol Credentialing Examinations
Cost: $149 plus $18 shipping/handling (USPS Service) - $167 total
______ Item #M404SUP Advanced AODA Written Exam Supplement
Cost: $29 plus $8 shipping/handling (USPS Service) - $37 total
______ Item #CS405 A Review & Preparation Manual for the Written Clinical Supervisor Examination
Cost: $79 plus $8 shipping/handling (USPS Service) - $87 total
______ Item #PV406 A Review & Preparation Manual for the Written Prevention Specialist Examination
Cost: $79 plus $8 shipping/handling (USPS Service) - $87 total
______ Item #CJ407 A Review & Preparation Manual for the Written Criminal Justice Professional Examination
Cost: $79 plus $8 shipping/handling (USPS Service) - $87 total
______ Item #COD408 A Review & Preparation Manual for the Written Co-Occurring Disorders Professional Examination
Cost: $79 plus $8 shipping/handling (USPS Service) - $87 total
Step 2
-- Personal and Payment Information -
Be sure to enter all
information requested.
PLEASE PRINT
Complete Name:
__________________________________________________
Address: ________________________________________________________
City: ______________________________ State: ______ Zip: ______________
E-mail address: ___________________________________________________
Daytime Phone Number: ____________________________
Payment method: Check___ Money Order___ Credit Card: [ ] VISA [ ] American Express
[ ] Discover [ ] MasterCard
Card Number: _____________________________________
Expiration Date: ________ / ________
(month) (year)
Order Total: ______________________
Step 3 -- Mail this form with payment (check, money order,
credit card information) to:
DLC LLC
PO Box 29195
Santa Fe, NM 87592
Or fax this form with credit card information to: (801) 991-7081