2002 AIME Teachers Manual -- Form D, Alternate AIME Payment Form

Please PRINT

School Name:

School CEEB#
(ETS, see section IV, 6 digits): __ __ __ __ __ __

Contest Manager:

School Street Address:

School Phonne #:

E-mail:

City:

State:

Zip:

Number of AIME qualifiers who will be taking the alternate AIME on Tuesday, April 9, 2002:

_______ # of Alternate AIME Students per school
1-10 Students..........$25
11+ Students..........$50
$_____________

Method of Payment:

Check enclosed (US funds only) made payable and mailed with this form in the BUSINESS REPLY/postpaid envelope provided:

or sent to:
AMERICAN MATHEMATICS COMPETITIONS
University of Nebraska-Lincoln
PO Box 880658
Lincoln, NE 68501-9988

Charge to Visa/Mastercard/AmEx

Card #:

Name on card (print):

Signed:

Expiration Date:

Telephone #:

1-800-527-3690 Fax: 402-472-6087 E-mail: aimequal@amc.unl.edu