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

School Information

  1. This is the total number of students in your school.

Contact Information

  1. 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.