HiSET Online

DCS HiSET Prep Online Site License Order Form

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

A site license will allow an unlimited number of students to register and use the DCS HiSET Prep Online software for a one-year period. The site license is issued to one physical location. All students can access DCS HiSET Prep Online from this location or from their home. Multiple site licenses can be purchased if you have more than one physical site.

Organization Information (* = required field)
How did you find us?*
Which one?

Organization Contact First Name:*
Organization Contact Last Name:*
Organization Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Country(if outside of USA)*
Zip Code:*
(Area Code) and Phone Number:*
Email Address:

If you were given an order code, enter it below otherwise leave this box blank:
Order Code:

Select the site license version
Online
Network
Site License Version:*

How many site licenses do you want?
Enter Quantity:*

Method of Payment   (You must select one method of payment*)
Credit Card
Mail a Check
Purchase Order

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. Mail a Check
Make your check payable to DCOMS-SP and mail it to:
Diversified Computer Services
PO Box 2199
Kenosha WI 53141-2199

3. 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

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.