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Print and complete this form, then mail it with payment (checks payable to M.E.C.) to:
METROPLEX EDUCATIONAL CONSULTANTS, INC.
P.O. Box 13233 Arlington, Texas 76094
___ Developmental Screening (ages 3-6 years) - $23.00
___ Speech Screening (ages 3 years and older) - $10.00
___ Behavioral Rating Scale (ages 3 years and older) - $35.00
___ Kindergarten Readiness Screening (pre-kdg.) - $46.00
___ Learning Style Indicator (ages 3 - 7 yrs.) - $21.00
___ Brain Style Indicator (ages 3 years and older) - $17.00
___ Emotional Intelligence Indicator - $28 (3-6 yrs.)/$41 (7-18 yrs.)
___ Make Me a Reader with a Pre-dyslexia Checklist (ages 3-7 yrs.) - $40.00
___ Reading Style Inventory with a Dyslexia Checklist (grades 3-12) - $45.00
___ Personality Indicator/Career Explorer - (grades 6-12) - $35.00
___ Parenting Style Indicator (for parents) - $14.00
___ Stress Indicator (for parents) - $19.00
___ Teaching Style Indicator - (for teachers) - $15.00
NAME___________________________________ BIRTHDATE_____________ AGE________
ADDRESS__________________________________________________________________
CITY____________________________________ STATE_____________ ZIP____________
PHONE _______________________ E-MAIL ______________________ GRADE__________
PARENT'S NAME_____________________________________________________________
AMOUNT ENCLOSED_____________________________ CHECK # _____________________
"All Children are Gifted: A guide to Help Children Reach their Potential and Utilize their Special Talents " will be sent to those who contract $50.00 or more.
For questions, contact Dawn Heil, M.A. Educational Diagnostitian at:
Phone:(847)854-0347 Fax: (847)658-7566
Email: mec@mectest.com