2003 AMC 10/12 Registration Form
School Registration Record
Instructions: The following form is not for online registration. Currently the AMC is developing an online registration system and it will be available later this year (August). You may fill this form out by typing in the fields then PRINT it OR simply print it and write in your information. In either case, you must mail or FAX (402-472-6087) the form and payment to the address at the bottom of this page. Questions? 1-800-527-3690 amcinfo@unl.edu
CEEB: (Look it up)
Current Date:
Contest Manager:
Email (for sending results):
School Name:
School Type: Grades: (e.g. 9-12)
School Address:

City State: Zip:
School Phone:
Country
2003 Contest Order
 Exam A held on Tuesday, February 11, 2003. (check box to the left to register)
 
1. Early Registration (By Dec. 15) $30
2. Registration (Dec. 16 - Jan. 15) $40
3. Late Registration (Jan. 16 - Feb. 1) $50
Registration fee (see table above):   $
AMC 10 A
  Contest Bundles of ten  @ $12/bundle =
 Solution Sets of ten (optional)  @ $6/set =
$
  $
 
AMC 12 A
  Contest Bundles of ten  @ $14/bundle =
 Solution Sets of ten (optional)  @ $6/set =
$
  $
Shipping (choose from the following):   $
United States and Military Schools  $7 flat fee
Canadian Schools (Shipping by DHL)  $15 flat fee
Foreign Schools  $5 per bundle ($60 max)
Optional (International Schools Only):
The AMC office will send results by Express Mail for a $25 fee.
   
 Exam B held on Wednesday, February 26, 2003. (check box to the left to register)
 
1. Early Registration (By Dec. 15) $30
2. Registration (Dec. 16 - Jan. 15) $40
3. Late Registration (Jan. 16 - Feb. 15) $50
Registration fee (see table above):   $
AMC 10 B
  Contest Bundles of ten  @ $12/bundle =
 Solution Sets of ten (optional)  @ $6/set =
$
  $
 
AMC 12 B
  Contest Bundles of ten  @ $14/bundle =
 Solution Sets of ten (optional)  @ $6/set =
$
  $
Shipping (choose from the following):   $
United States and Military Schools  $12 flat fee
Canadian Schools (Shipping by DHL)  $15 flat fee
Foreign Schools  $5 per bundle ($60 max)
Optional (International Schools Only):
The AMC office will send results by Express Mail for a $25 fee.
   
Grand Total:   $
Check this box if billing address is same as school address.
Billing Address


City State Zip
Billing Phone
Country
 
Payment Method
Credit Card
 
Card Number Card Owner
 
Type Expiration Date
Check/Money Order
Purchase Order Number  

Mail along with your payment or Purchase Order to:

MAA American Mathematics Competitions
ATTN: AMC 10/12 Registration
P.O. Box 81606
Lincoln, NE 68501-1606