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XVIII. FORM B - for Wednesday, February 27, 2002
2002 REGISTRATION FORM
The Mathematical Association of America
American Mathematics Competitions
Questions? 1-800-527-3690 or FAX 402-472-6087 or amcinfo@unl.edu
| Registration Record — (please print clearly) | |
School CEEB# (ETS, see section IV, 6 digits):: ___ ___ ___ ___ ___ ___ |
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| Contest Manager: |
BILLING ADDRESS (if different from school): |
| School Name: |
Name: |
| School Street Address: |
Address: |
| City: |
City: |
| State: |
State: |
| Zip: |
Zip: |
School Phone #: (______) __________________ |
Phone #: (______) _______________________ |
| E-mail (for sending results) Please Print Clearly |
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Circle: School Type: Public - Home - Private |
Grades: 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 |
| Registration Fee (use rate chart below) - Required | $ | ||
| 1. Early Registration (By Dec. 15) | $30 | ||
| 2. Registration (Dec. 16, 2001 - Jan. 15, 2002) | $40 | ||
| 3. *Late Registration (Jan. 16 - Feb. 15) | $50 ( fax please) | ||
| 2002 Contest Order: (minimum 1 bundle Required) | |||
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AMC 10 Contest Bundles of ten |
#_________ @ $ 12/bundle = |
$ |
| Solutions Sets of ten (optional) | #_________ @ $ 6/set = $ |
$ | |
|
|
AMC 12 Contest Bundles of ten |
#_________ @ $ 14/bundle = |
$ |
| Solutions Sets of ten (optional) | #_________ @ $ 6/set = $ |
$ | |
| Shipping — (First Class/UPS Shipping and Handling:) - REQUIRED.. (choose 1 below) (Contest B will be shipped two-day UPS the day after Contest A, Wednesday, February 13, 2002) |
$ | ||
| – United States and Military Schools: | $ 12.00 flat fee | ||
| – Canadian Schools: (Shipping by DHL) | $ 15.00 flat fee | ||
| – Foreign Schools: | # _________@ $ 5.00 per bundle (with a $60 maximum) | ||
| Optional: (International Schools Only): The AMC office will send results by Express Mail | a $25 fee | $ | |
| Payment Options — Please do not submit order without payment method Check - P.O. # _______________ - Visa - Master Card - American Express |
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GRAND TOTAL (minimum $40, includes early registration fee and shipping) |
$ | ||
| TERMS — Payment in U.S. Funds only. Make checks payable to: AMERICAN MATH COMPETITIONS |
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| Visa, MasterCard, and American Express accepted. Cardholder’s home address required: |
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| - Card #: | Exp. Date: | ||
| - Cardholder Name (please print): |
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| - Address: |
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MAA American Mathematics Competitions
ATTN: AMC 10/12 Registration
P.O. Box 81606
Lincoln, NE 68501-1606
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