Telephone Order Worksheet
Telephone ordering tips
- MasterCard, Visa, or electronic checking required.
- Call 319/337-1313 between 8:30 a.m. and 5:00 p.m., central time, Monday–Friday.
- Avoid calling Monday between 11:30 a.m. and 1:30 p.m., central time—this is the busiest time.
When you call ACT, you will need to provide the following identifying information:
| 1. Social Security or ACT ID number: | ___________________________________ |
| 2. Current name: | ___________________________________ |
| 3. Current mailing address: | ___________________________________ |
| 4. City, state/province, and ZIP/postal code: | ___________________________________ |
| 5. Home phone number (include area code): |
___________________________________ |
You will also need to know the following information about your original test date:
| 6. Your full name at the time you registered for the test (unless you have since corrected your ACT test record): | ___________________________________ |
| 7. Your address, including city, state/province and ZIP/postal code, at the time you registered: | ___________________________________ ___________________________________ |
| 8. Your date of birth (month, day, year): | ___________________________________ |
For each score report you are requesting, you will need to provide:
| 9. The test date (month and year) for which you would like scores reported: | ___________________________________ | ||||||||||||||||||
| 10. Type of testing (e.g., national, state/province, international): | ___________________________________ | ||||||||||||||||||
| 11. The codes and names of up to eight colleges to which you would like the scores sent (include city and state/province). You can request up to eight priority reports to be delivered to institutions within the U.S. per day (no regular reports when you order by phone). |
|
Payment information:
| If using MasterCard or Visa, provide: | Card number_____________________ Expiration date (month/year)__________ Card holder name__________________ |
If using electronic checking, provide: |
Checking account number____________ Bank code_______________________ Check number____________________ |
If you are requesting copies of reports for your high school, uncoded recipients, or personal use, you will need to provide:
| Name of the recipient: | ___________________________________ |
| Street address, city, state/province and ZIP/postal code: | ___________________________________ |