DS9 Document EFTA00530471

From: To: Subject WREB Score Card Request Confirmation Date: Tue, 23 Jun 2015 21:34:46 +0000 Score Card Request Confirmation Thank you for your request! Your credit card payment has been approved. Your Verisign Reference ID: AP0PC1B2CAC4 Print and keep for your records. Exams Selected: Dental Date of Request: 6/23/2015 Billing Information Name at Exam Karyna Shuliak Current Address City/State/Zip Phone Number Email Address Exam Year 2015 Requested Exam Information Is to Be Sent To Karyna Shuliak Addro« Tn Canti Tn Total Payment $210.00 INSuccess Card $30.00 MIndividual Performance Report(detailed numeric scores) $30.00 a 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 / 2 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 /9 Expedited Shipping $50.00 If you have received this email in error: EFTA00530471 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 EFTA00530472