After you place you become a member on Massage CE Unlimited you have access to exams immediately.
After you view the course(s) that you would like to take, you will see several links to third-party providers where you can purchase your material. The most common links are for: Amazon, Barnes and Noble and Books A Million. Most of the courses can be purchased in electronic format ie. Kindle. Shipping times will vary from different platforms.
Basically, once you are a member you can instantly access exams and it is your responsibility to purchase the material elsewhere.