AMC 8 -- 2004 Registration
amcinfo@unl.edu or 800/527-3690 or FAX 402/472-6087
Date of Exam: Tuesday, November 16, 2004
PLEASE NOTE: Except for this brochure, all materials are copyrighted. DUPLICATING IS NOT PERMITTED.

The Mathematical Association of America
American Mathematics Competitions

AMC 8 Contests
email:
 amcinfo@unl.edu Registration Fee
fax:
 402/472-6087 (use rate chart below) REQUIRED
phone:
 800/527-3690
1. Early Registration (Jan. 1 - Oct. 10) $25
2. Registration (Oct. 11 - Nov. 1) $35
3. Late Registration (Nov. 2 - Nov 10) $45
} $__________
Registration Record - please print
School Zip Code: ___ ___ ___ ___ ___ No registrations after November 10, 2004
After Nov. 2 registrations will be taken by FAX
Contest Manager: 2004 Contest Order -- REQUIRED
School Name: (1bundle=10 exams & 10 answer forms)
AMC 8

Contest bundle of 10,

#_______ @ $10/bundle $__________
Solutions Set of 10 (optional) #_______ @ $ 6/set $__________
School Street Address:
City: State: Zip:
School Phone #: ____/_____-__________
BILLING ADDRESS (if different from school): Contests in other languages/formats please check here:
Spanish (bundles of 10)
All or # Bundles____
Braille & Large Print Contests are priced individually
(Requests should be received by November 1)
Bra:ille #_____ AMC 8 @ $1.00/each $__________
Large Print #_____ AMC 8 @ $1.00/each $__________
plus .........................$7.00 shipping $__________
City: State: Zip:
Phone #: ____/_____-__________
E-mail (for sending results) Please Print Clearly:
(Circle appropriate responses, below)
School Type:
Public
Home
Private
 First Class/UPS Shipping & Handling REQUIRED
United States Schools
Military Schools:		 $7.00 flat fee } $__________
Canadian Schools $30.00 flat fee
International Schools:
(a $63 maximum)		 .# ____@ $ 7.00 per bundle
OPTIONAL (Foreign Schools Only): $__________
Send results by Express Mail for a $25 fee
Grades:
PreK
K
1
2
3
4
5
6
7
8
9
10
11
12
13
School Size:
0-200
201-500
501-1,000
1,000 +

PAYMENT OPTIONS
Do not send payment alone. The Registration Form must be included with your payment option. Checks sent without appropriate registration information cannot be processed and will be returned to sender.
AMC 8 MATH CLUB PACKAGE:
Study Guide, Web materials, see brochure. Sent separately; available Summer 2004
$15/package, plus $7.00 shipping = $22.00
$__________
Check
P.O. # ___________
Visa
Master Card
TOTAL ORDER -- PAID IN US FUNDS $__________

Terms - Payment in U.S. Funds only.

Make checks payable to:
American Math Competitions

2004 AMC 8 Sliffe Award:
Only one name may be submitted from your 2004 AMC 8 registered school and it should be the mathematics teacher who has been identified with the success of the students on the AMC 8. The teacher must be currently employed by the participating school from which the student answer forms have been submitted. Please do not hesitate to list your own name. Past recipients are ineligible. For more info see our web site: www.unl.edu/amc

Our School will nominate for the Edyth May Sliffe Award.
Teacher: _________________________________________

Teacher's Email:____________________________________

We do not wish to nominate a teacher / We are not elgible to nominate a teacher
VISA/MC # :
Exp. Date: _____________
Name (Please Print):
(Please give an address for mailing the charge receipt in "Billing Address" above)

All orders Non-Refundable once shipped.
Mail along with your payment or Purchase Order to:

MAA American Mathematics Competitions
ATTN: AMC 8 Registration
P.O. Box 81606
Lincoln, NE 68501-1606

The AMC Web Site was last updated on 4/12/2004