XVIII. RESCORING REQUEST FORM
Please fill in the information below and FAX your order.

I would like to have the following student's answer form rescored. I understand that there is a $5.00 charge for each student answer form rescored..

The administrator or authorized person of the school agrees to pay the American Mathematics Competitions for the following materials:
$5.00 each
Student Name
 _____________________________________________________________ $ _________________
Contest Taken:
AMC 10-A AMC 10-B AMC12-A AMC 12-B
Student Name
 _____________________________________________________________ $ _________________
Contest Taken:
AMC 10-A AMC 10-B AMC12-A AMC 12-B
GRAND TOTAL
 $ _________________
Teachers Name
 ______________________________________________ CEEB #___ ___ ___ ___ ___ ___
School Name
 __________________________________________________________________
School Address
 __________________________________________________________________
City
 ______________________________ State/Province:
___________		 Zip:
_____________
Method of Payment:
Check (US funds only) made payable and mailed with this form to the:

    AMERICAN MATHEMATICS COMPETITIONS
    University of Nebraska-Lincoln
    P.O. Box 81606
    Lincoln, NE 68501-1606
Charge to Visa/Mastercard #:

    Name on card (print): ________________________________________

    Signed: ___________________________________________________

    Expiration Date:____________ Telephone: _____/______-___________

FAX to: 402/472-6087
Cover IX. School Results XIX. Rescoring Request Form
Director Letter X, AIME Instructions XX-A. AMC 10A Front Cover
Table of Contents XI. Participant Selection XX-B. AMC 10B Front Cover
Changes / Procedures XII. MOSP XXI-A. AMC 12-A Front Cover
I. Eligibility XIII. Contest Regions XXI-B. AMC 12-B Front Cover
II. Team Score Identification XIV. Awards XXII. AMC 10 Student Practice Questions
III.Braille & Large Print Contests XV-A. Contest A Certif. Form XXII. AMC 12 Student Practice Questions
IV. Preliminary Instructions Service Questionaire XXIII.Letter for Parents
V. Sickness/Special Situations XV-B. Contest B Certif. Form XXIV. AMC 10 Certificate of Participation
VI. Foreign/Non-Citizen in US Schools Service Questionaire XXV. AMC 12 Certificate of Participation
VII. Instructions for the Day XVII. Additional Bundles Form XXVI. List of Sponsors
VIII. Policy Statements XVIII. Registration Form B Back Cover

This AMC Web Page was last updated on 3/4/2004