XIV. 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:________________________________________________________
Address:____________________________________________________________
City:____________________________ State:________ Zip:____________
Teacher placing the order:______________________________________________
AMC 8 Contest Bundles of ten #_________ @ $10/bundle = $__________
Solutions Sets of ten (optional) #_________ @ $ 6/set = $__________
AMC 8 Math Club Package - (Study Guide, Web Material) - @ $15 per Study Guide $__________
Postage/handling Fee (see chart below) $__________
Total $__________


P.O. Number: ____________________
VISA/MC# _________________________ Address: _________________________

_________________________
Name (Please Print): _________________________
Exp. Date: ____ / ____ Phone # ______ / ______ - _________

1. VISA & MasterCard accepted.
2. Make checks payable to:
American Mathematics Competitions
FAX 402-472-6087 or
Call 1-800-527-3690
3. PAYMENT IN U.S. FUNDS ONLY.
4. U.S.A.: Order TOTAL Shipping Charge*
$10.00 -- $40.00 $7.00
Please Send Your Order To:
$40.01 -- $50.00 $9.00

American Mathematics Competitions
ATTN: AMC 8 Additional Bundles
P.O. Box 81606
Lincoln, NE 68501-1606
$50.01 -- $75.00 $12.00
$75.01 -- UP $15.00
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.

XV. Proof of Intent to Pay

This document is intended to be used in lieu of pre-payment when calling or faxing 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: ______________________________