Examination Financial Sheet and Payment Form

Please use this form to submit financial report and payment for CCA studio exam sessions.

Exam Host/ Committee Registrar Information
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Date of Exam Session*
Location
My CCA membership dues are up to date.
Student Exam Fees
Exam-Primary I, II, & III
Price: $130.00
Exam-Grade I
Price: $50.00
Exam-Grade II
Price: $55.00
Exam-Grade III
Price: $60.00
Exam-Grade IV
Price: $70.00
Exam-Elementary (V)
Price: $90.00
Exam-Intermediate (VI)
Price: $100.00
Exam-Advanced (VII)
Price: $120.00
Exam-Diploma
Price: $180.00
Additional Exam Fee for Student Exams Grade I-IV with 1-2 Candidates
Price: $25.00
Teacher Exam Fees
Exam-Teacher-Grade I
Price: $125.00
Exam-Teacher-Grade II
Price: $125.00
Exam-Teacher-Grade III
Price: $150.00
Exam-Teacher-Grade IV
Price: $150.00
Exam-Teacher-Elementary (V)
Price: $200.00
Exam-Teacher-Intermediate (VI)
Price: $250.00
Exam-Teacher-Advanced (VII)
Price: $300.00
Exam-Teacher-Diploma
Price: $500.00
Total Exam Fee:
$0.00
Credit Card Billing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Exam Host/ Committee Registrar Information