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| Question | Answer |
|---|---|
| Form Name | Arc Form S Gmrt |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names |
Assessment Resource Center
2800 Maguire Boulevard Columbia, MO 65211
Email:
County |
District |
Building |
Form S (GMRT)
Order Form 2013
(Prices are effective for orders received through December 31, 2013,
and will increase on January 1, 2014.)
Date: |
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Purchase Order No. |
Ship to: (Please type or print)
Name of organization
Attention of
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City |
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ZIP |
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Area Code |
Telephone number |
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Bill to: (if different from shipping address)
Name of organization
Attention of
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City |
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Cardholder’s Name: __________________________________________________ Expiration Date: _______________
(Please print)
Cardholder’s Number: ______________________ Cardholder’s Signature: ___________________________________
Testing Materials –
NOTE: One copy of the Directions for Administering is provided with each order of 25 test booklets in any grade level.
Quantity |
Item |
Item Description |
Test |
Unit |
Total |
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Code |
Date |
Price |
Cost |
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KINDERGARTEN |
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18101 |
Level PR |
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$5.07 |
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18302 |
Extra copies of Level PR Directions for Administering |
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10.41 |
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GRADE |
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18102 |
Level BR (Beginning Reading) scorable booklet |
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$4.30 |
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18303 |
Extra copies of Level BR Directions for Administering |
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10.41 |
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GRADE |
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18103 |
Level 1 scorable booklet |
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$4.30 |
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18304 |
Extra copies of Level 1 Directions for Administering |
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10.41 |
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GRADE 2 |
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18104 |
Level 2 scorable booklet |
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$4.30 |
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18305 |
Extra copies of Level 2 Directions for Administering |
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10.41 |
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SHIPPING/HANDLING: All orders subject to 10% shipping and handling on cost of materials or $5.00 (whichever is greater).
Page 1 of 3
Testing Materials –
NOTE: One copy of the Directions for Administering is provided with each order of 25 test booklets in any grade level.
Quantity |
Item |
Item Description |
Test |
Unit |
Total |
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Code |
Date |
Price |
Cost |
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GRADE 3 |
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18105 |
Level 3 scorable booklet |
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$4.30 |
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18306 |
Extra copies of Level 3 Directions for Administering |
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10.41 |
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GRADE 4 |
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18106 |
Level 4 reusable booklet |
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$3.09 |
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18001 |
Level 4 answer sheet |
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1.20 |
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18307 |
Extra copies of Level 4/5/6 Directions for Administering |
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10.41 |
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GRADE 5 |
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18107 |
Level 5 reusable booklet |
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$3.09 |
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18002 |
Level 5 answer sheet |
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1.20 |
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18307 |
Extra copies of Level 4/5/6 Directions for Administering |
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10.41 |
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GRADE 6 |
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18108 |
Level 6 reusable booklet |
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$3.09 |
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18003 |
Level 6 answer sheet |
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1.20 |
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18307 |
Extra copies of Level 4/5/6 Directions for Administering |
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10.41 |
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GRADES 7, 8, and 9 |
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18109 |
Level |
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$3.09 |
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18004 |
Level |
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1.20 |
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18308 |
Extra copies of Level 7/8/9 Directions for Administering |
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10.41 |
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GRADES 10, 11, and 12 |
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18110 |
Level |
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$3.09 |
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18005 |
Level |
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1.20 |
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18308 |
Extra copies of Level 10/11/12 Directions for Administering |
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10.41 |
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POST HIGH SCHOOL |
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18111 |
Level AR (Adult Reading) reusable booklet |
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$3.09 |
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18006 |
Level AR (Adult Reading) answer sheet |
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1.20 |
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18309 |
Extra copies of Level AR Directions for Administering |
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10.41 |
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SHIPPING/HANDLING: All orders subject to 10% shipping and handling on cost of materials or $5.00 (whichever is greater).
Page 2 of 3
Scoring Services for the
Scoring Package
1 List Report w/Class Averages
1 Building Averages
1 System Averages
1 Student Label
1 Student Report
Levels |
[#18403] |
$4.07 |
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Levels |
[#18404] |
$3.19 |
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Optional Reports
Decoding Skills Analysis Report: Class Report
(Only available in grades |
[#18410] $.99/student |
MINIMUM ORDER: $20
Subtotal
Sales Tax if applicable (7.975%)
Shipping & Handling (Minimum $5 or 10%, whichever is greater)
TOTAL (Minimum $20)
The order form may be sent to the Assessment Resource Center (ARC) by FAX, US mail, or emailed. Methods of payment: Check made payable to University of Missouri, Visa, MasterCard, Discover, American Express, or Purchase Order. Purchase order payment is due upon receipt of invoice.
If you are tax exempt, please provide the tax exempt letter with your order.
Revised 10/2013 ARC sm/DB
Page 3 of 3