Exam Retake

This form should only be completed if you have failed an exam attempt and need to pay the exam retake fee to access a 2nd or 3rd/final attempt. Do not submit this form or payment for your 1st attempt as that is included in your initial certification fee. CPFC and CEPF retakes are $50. CFPM retakes are $25. Thank you!

"*" indicates required fields

Name of Applicant or Certificant*

First Last

Home Address*

City State / Province / Region

Email Address*

Exam Attempt

2nd Attempt

3rd/Final Attempt

Peer Mentor 2nd Attempt

Peer Mentor 3rd/Final Attempt

This field is hidden when viewing the form

Exam Attempt – Peer Mentors Only

Peer Mentor 2nd Attempt

Peer Mentor 3rd/Final Attempt

Total

Cardholder Name*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name