* Please Note:Using this old order system will delay order processing. For expedited order processing, please use the new online ordering system, available at:

Order Form

AP Statistics (Quantitative)

Please feel free to call with questions: (714) 619-7095

Please complete all fields; incomplete forms may delay processing.

K-12 pricing and order forms are only available for established public and private schools. Independent users can purchase ALEKS for individual use at

Ordering Instructions:

  1. Complete all contact information and check the subscription type(s) desired. Provide multiple teacher names, email addresses, and course(s) to be taught, if necessary.
  2. Rename and save this form to your computer.
  3. Please submit your order inONEof the following ways to ALEKS Corporation:

E-mail: / Fax: (714) 242-6673

OR

Mail:Order Department, ALEKS Corporation

15460 Laguna Canyon Road

Irvine, CA 92618

School Contact Information: / Billing Information:
District Name (if applicable): / Billing Institution, School, or District:
Institution/School: / Billing Address:
Range of All Grade Levels at This School: / BillingCity, BillingCounty:
Address: / Billing State/Province, Postal Code:
City, County: / Billing Country:
State/Province, Postal Code: / Billing Contact Name:
Country: / Billing Telephone #:
Contact Name: / Billing Alternative #:
Telephone #: / Billing E-mail address:
Alternative #:
E-mail address:

Payment Options:Please enter a purchase order # ORenter credit card billing information.

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Purchase Order #:
PRINT Cardholder Name:
Credit Card Information: (in lieu of purchase order) / Cardholder Billing Address:
Card Type:Please Choose a Credit CardAmerican ExpressVisaMasterCardDiscover / BillingCity, BillingCounty:
Card #: / Billing State/Province, Postal Code:
Expiration Date: / Billing Country:
Security No.*: / Authorization Signature:
*Security Numbers for VISA and MC are the last 3 digits of a number printed on the back of the card above the signature box.
The Security Number for AMEX is a 4-digit number printed on the front of the card to the right and above the card number.

Please complete the following required fields for each subscription type you are purchasing.

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5 Months ($40.00/student) / 40 Weeks ($70.00/student) / 12 Months($90.00/student)
TOTAL # of 5 Month Student Subscriptions: / TOTAL # of 40 Week Student Subscriptions: / TOTAL # of 12Month Student
Subscriptions:

Please enter the contact information for the teachers who will be using ALEKS.

Title / Teacher’s Full Name / Email Address /
Class
Grade Level / Type of Subscription
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student
Please ChooseDr.MissMr.Mrs.Ms.Prof. / Please Choose9th10th11th12th / Please Choose5 Months $40.00/student40 Weeks $70.00/student12 Months $90.00/student

Additional Comments:

Upon receipt of your order, you will receive a confirmation from ALEKS. If you do not receive a confirmation, please contact ALEKS at (714) 619-7095.Upon processing of your order,your subscription information will be e-mailed to you. Turnaround time is approximately 3 to 5 business days. Please note that all international orders must be prepaid.

NOTE: For detailed information on the course choices available in ALEKS, go to:

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