DS9 Document EFTA00530469

From• To Subject WREB Score Card Request Confirmation Date: Tue, 23 Jun 2015 21:29:23 +0000 Score Card Request Confirmation Thank you for your request! Your credit card payment has been approved. Your Verisign Reference ID: AT0PD4AC466B Print and keep for your records. Exams Selected: Dental Date of Request: 6/23/2015 Billing Information Name at Exam Karyna Shuliak Curr leir^re City/State/Zip New York, NY 10065 Phone Number Email Address Exam Year 2015 Requested Exam Information Is to Be Sent To Dental Board of California Address To Send To Total y $130.00 / 2 Success Card $30.00 0 Individual Performance Report(detailed numeric scores) $30.00 / 2 California Dental Exam Non-Failure Verivfication(California Only) $50.00 0California Dental Hygiene Exam History(California Only) $75.00 0 LA Licensure (Never Taken WREB) Letter $50.00 l a Certificate of Passing $50.00 0 Dental Hygiene Summary Profile Sheet(unsuccessful candidates only) $75.00 0 Exam Content Explanation(does NOT include scores) $50.00 0 Expedited Shipping $50.00 If you have received this email in error: EFTA00530469 Website and its contents Copyright © 2014 WREB (A Non-profit Testing Organization) 23460 North 19th Avenue, Suite 210 - Phoenix, Arizona 85027 [email protected] Privacy Policy EFTA00530470