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T-JTA® Online Scoring Notification Form
Title:
First Name:
Last Name:
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Type of Group Taking the T-JTA:

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Print-outs for the Counselor

Select One Type of Scoring Output for the Counselor.
     
     
     
     

Print-outs for the client (optional):

Would you like to include handouts for your client?      
     
     
     

Names of persons taking the test:
Name #1:
Name #2:
Name #3:
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Name #5:
Name #6:
Name #7:
Name #8:
*** List additional names of individuals or couples in the notes box.

Results Delivery Method:
  
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One-Time Payment Method
Please insert the credit card information below. This card will be charged to pay the scoring fee for the tests listed above only.

We will automatically charge your credit card on file for any other T-JTA Online scoring services. Contact PPI at any time to change the credit card information.

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Special Instructions or Notes.

View the T-JTA Online Scoring Service License Agreement
 


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