ACT School License Program Registration

Once this form is completed and payment is received then a special code with instructions will be sent to the contact person.

If you have any questions, please contact Jason Franklin at 217-586-7560 or via email at Jason.Franklin@BetterPrepSuccess.com.

School Information

High school name*
Address*
City*
State*
Zip code*
Student enrollment*
This is the total number of students in your school.

Contact Information

Name*
Position with School*
Email*
Phone*
Email
Do not fill out this field. It's to fight spammers.

Amount Due

The total amount due is: $1,200.00

Payment Process

Once your school’s registration is received an invoice will be emailed to your school’s contact. Payment must be made prior to the start of the program.