Name:________________________________________________________

Address_______________________________________________________

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Email_____________________________________________

High School________________________________________

Scheduled ACT Date: _________________________________

Previous ACT Score: _________________________________

Current Math Course: _________________________________

Session:      ___June    ____Septmeber

Mail registration and $225 (College Quest, LLC) to:  2630 Liverpool Ct., Toledo, OH  43617

email:  collegequestohio@gmail.com