SCHOOL MEMBERSHIP FORM

2009 Montana Science Olympiad
Tuesday - November 24, 2009

Montana State University

To register your team for the Montana Science Olympiad, please print this membership form and fax to 406-994-3733 or mail to the below address. Your school membership application is due in our office by Fiday, October 30, 2009.  A school purchase order should accompany the membership application.  YOUR CHECK MAY FOLLOW. Please make check(s) payable to: Science Math Resource Center. 

Science/Math Resource Center
ATTN: Lisa Daly, State Coordinator
401 Linfield Hall, MSU, Bozeman, MT 59717

Phone: 406-994-7606 or 800-455-7837

Fax: 406-994-3733

email: scioly@montana.edu

Please Check:	Please Check:
Division B (Grades 6-9)	Division C (Grades 9-12)
___ $300 Teams of 11-15 students	___ $300 Teams of 11-15 students
___ $250 Teams of 10 or less students	___ $250 Teams of 10 or less students
___# of students in your school (6-9 grade – Important! Determines small school status for awards)	___# of students in your school (9-12 grade – Important! Determines small school status for awards)

Coach Name:

School:

School Addr:

Phone:

e-Mail:

NOTE: One team per school per division may enter

If you fax (406-994-3733) this form, please call to verify that we have received it.
(Toll free phone: 800-455-7837)