SCHOOL MEMBERSHIP FORM

2012 Montana Science Olympiad
Tuesday -
November 20, 2012

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 Friday, October 19, 2012.  A school purchase order should accompany the membership application.  YOUR CHECK MAY FOLLOW and is due at the Science Olympiad Office by Wednesday, October 24th . Please make check(s) payable to: Science Math Resource Center

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

Phone: 406-994-6768 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)

___ $325 Teams of 11-15 students

___ $325 Teams of 11-15 students

___ $275 Teams of 10 or less students

___ $275 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)