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2002 AMC 10/AMC 12 Rescoring Request Form
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page 17
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XIX. RESCORING REQUEST FORM
I would like to have the following student's answer form rescored. I understand that there is a $5.00 charge for each form rescored.
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Student Name
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_____________________________________________________________ |
$ _________________ |
Contest Taken:
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AMC 10-A AMC 10-B AMC12-A AMC 12-B
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Student Name
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_____________________________________________________________ |
$ _________________ |
Contest Taken:
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AMC 10-A AMC 10-B AMC12-A AMC 12-B
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GRAND TOTAL
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$ _________________ |
Teachers Name
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______________________________________________ |
CEEB # |
___ ___ ___ ___ ___ ___ |
School Name
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________________________________________________________________________________ |
School Address
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________________________________________________________________________________ |
City
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______________________________ |
State/Province ___________ |
Zip: ________________ |
Fax to 402/472-6087
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