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XV. Additional Bundles Form
Please fill in the information below and FAX your order. The administrator or authorized person of the school agrees to pay the American Mathematics Competitions for the following materials:

School Name:

Zip Order #: ____ ____ ____ ____ ____ ____

Address:

City, State Zip:

Teacher placing the order:
AMC 8
 Contest Bundles of ten #_________ @ $10/bundle = $
Solutions Sets of ten (optional) #_________ @ $ 6/set = $
Postage/handling Fee (see chart below) $
Total $
P.O. Number:
____________________________
VISA
Master Card
Card #: _____________________________________
Exp. Date:

Name:
 (Please Print)

Address:
 _______________________________________________________
AMC Ordering -- Terms
1. VISA & MasterCard accepted. FAX 402-/472-6087 or
Call 800/527-3690
2. Make checks payable to:
American Mathematics Competitions
Please Send Your Order To:
3. PAYMENT IN U.S.FUNDS ONLY
American Mathematics Competitions
ATTN: AMC 8 Additional Bundles
P.O. Box 81606
Lincoln, NE 68501-1606
4. U.S.A.:
Order Total
Add:
$10.00 -- $40.00
$ 7
$40.01 -- $50.00
$ 9
$50.01 -- $75.00
$12
$75.01 -- up
$15
5. CANADIAN: Same as above. Order will be sent by DHL.
* Orders after November 1st will be charged a higher fee for 2 or 1 day UPS.

XVI. 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:

Email:


The AMC Web Site was last updated on 9/19/2003