| School Name |
CEEB #__ __ __ __ __ __ |
| Address |
|
| City |
State |
Zip |
| Teacher placing the order |
|
AMC 10
|
Contest A Bundles of ten |
#_________ @ $13/bundle = |
$ |
| A Solutions Sets of ten (optional) |
#_________ @ $ 6/set = |
$ |
|
|
AMC 12
|
Contest A Bundles of ten |
#_________ @ $15/bundle = |
$ |
| A Solutions Sets of ten (optional) |
#_________ @ $ 6/set = |
$ |
|
| Postage/handling Fee (see chart below) |
$ |
| Total |
$ |
| P.O. Number: |
Address: _____________________________ |
| VISA/MC # : |
____________________________________ |
| Name (Please Print): |
| Exp. Date: |
|
|
AMC ORDERING -- TERMS
|
|
1.
|
VISA and MasterCard accepted. |
FAX 402-472-6087 or 1-800-527-3690
|
|
2.
|
Make checks payable to:
American Mathematics Competitions |
Please Send Your Order To:
American Mathematics Competitions
ATTN: AMC 10/12 Additional Bundles
P.O. Box 81606
Lincoln, NE 68501-1606
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|
3.
|
PAYMENT IN U.S. FUNDS ONLY. |
|
4.
|
U.S.A.: Order TOTAL Shipping Charge*
| $ 6.00 -- $40.00 |
$7.00
|
| $40.01 -- $50.00 |
$9.00
|
| $50.01 -- $75.00 |
$12.00
|
| $75.01 -- UP |
$15.00
|
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|
| *Orders after January 18th add $5.00 additional for 2-day Service. Orders after January 25th add $10.00 additional for 1-day Service. |
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Proof of Intent to Pay
|
| This document is intended to be used in lieu of pre-payment when calling or faxing in an order. Please indicate if you wish to be billed or will be sending a "check in the mail" (to be received within 2 weeks of order or you will be billed). Mail orders not wishing to be billed should include a check when returning this form. The person who signs this form must be authorized to pay the order that is placed by the teacher. |
|
|
BILLED |
|
| Name of Person Authorized to Pay (please print): ______________________________________________ |
| Signature:____________________________________________________________________________ |
| Title: ___________________________________________________ |
Date: __________________ |
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This AMC Web Page was last updated on 11/8/2005
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