Pearson VUE Voucher Sales Order

Telephone: +91 120 400 1656 | Fax: +91 120 400 1623 | Email: PVAPVouchers@pearson.com Site ID:
NCS Pearson India PVT LTD C-7 1st Floor, Sector 3, Noida- 201301 Uttar Pradesh India Business Hours: 9:00 am - 5:00pm EST

*Order Date:

Purchase Order #:

Bill To:
This is my first voucher order with Pearson VUE. *Company Name: *Name: *Email: *Country: *Full Address:

Ship To: (Required for Hard Copy Vouchers)

Same as "Bill To" information. Company Name: Name: Email: Country: Full Address:

IMPORTANT
To place a voucher order, please fill out this order form in its entirety. Fields with * are required. Click the "Submit" button to send your voucher order directly to Pearson VUE. Please print this form for your records.

*Phone:

Fax:

Phone:

Fax:

Vouchers will be sent to email address provided in an Excel file format. Req. for CompTIA Member voucher orders only: CompTIA Member #: Member Last Name: Member Level: QTY Voucher Type Unit Price Total

We accept VISA, Mastercard, AMEX, check and money transfers. Vouchers are issued after payment is processed.

Voucher creation will be processed within 2 business days from the time payment has been processed. Processing of check payment can take considerably longer, for faster service payment by credit card is suggested.

Visit www.pearsonvue.com/Vouchers/pricelist/ for current voucher pricing.

*Currency: Select one...
Wire Transfer Information: ACH Transfer Information:
Bank: Bank of America | ABA#:071-923-284 Acc#: 81886 13192 | Swift#: BOFAUS3N Bank: Bank of America | ABA#:0260-0959-3 Acc#: 81886 13192 | Swift#: BOFAUS3N

Subtotal: Shipping: Total Due:

Wire and ACH transfers should be made to "Pearson VUE."

Many sponsors may requir e minimum voucher purchase quantities and/or offer discounts on high volume orders. See sponsor requirements at pearsonvue.com/Vouchers

METHOD OF PAYMENT *Payment Type: Cardholder's Name: Card Number: Cardholder's Address: Exp Date: AMEX MasterCard VISA Cheque/Bank Transfer

Vouchers expire 12 months from the date of purchase and are nonrefundable.

* I authorize Pearson VUE to charge this account with the "Total Due": *Authorized Purchaser Signature:

Yes

No

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