MAT Registration

PRE-REGISTRATION IS REQUIRED FOR THE MAT. Pre-registration requires return of this form and remittance of $70.00. In order to take the examination, you must present two (2) forms of identification (one with a photograph) at the examination site. If you have taken the MAT during the last 12 months you must present a retest admissions ticket at the examination site in order to retake the MAT.
NEXT TEST DATE: Tuesday, June 16^th, 3:30 PM EST, Higginbotham building, room H123 (Lecture hall) Fee: $70.00

MILLER ANALOGY REGISTRATION TROY UNIVERSITY One University Place --- Phenix City, Alabama 36869 Fax: 334-448-5205	PRINT THIS FORM (right click with mouse and select print)
PRE-REGISTRATION IS REQUIRED FOR THE MAT. Pre-registration requires return of this form and remittance of $70.00. In order to take the examination, you must present two (2) forms of identification (one with a photograph) at the examination site. If you have taken the MAT during the last 12 months you must present a retest admissions ticket at the examination site in order to retake the MAT. NEXT TEST DATE: Tuesday, June 16^th, 3:30 PM EST, Higginbotham building, room H123 (Lecture hall) Fee: $70.00
NAME	ID or SSN
ADDRESS	TELEPHONE
I plan to take the MAT on ____________________. I understand that a NON-REFUNDABLE fee of $70.00 must accompany this form. I have previously taken the MAT at ____________________ on ____________________. Mail to or fax to Cynthia Hickman at 334-448-5205. Office Use Only Test Date ______________ Fee Received ____ SSN or Student ID ______________