AMC 10A/12A Teachers Manual -

XVIII. Rescoring Request Form

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.
Student Name	_____________________________________________		$__________
Contest taken:	AMC 10-AAMC 10-B AMC 12-AAMC 12-B
Student Name	_____________________________________________		$__________
Contest taken:	AMC 10-AAMC 10-B AMC 12-AAMC 12-B
Grand Total			$__________

Teacher's Name:	_____________________________________________
CEEB #:	___ ___ ___ ___ ___ ___
School Name:	_____________________________________________
Address:	_____________________________________________
City	_________________________________	State _________	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:
VisaMastercard	#; ________________________________________________
Name on card (print):
Signed
Expiration Date:
Telephone:
FAX to: 402/472-6087

The AMC Web Site was last updated on 12/3/2004