WordMasters Challenge
Enrollment Form
(Please print this form, fill it out, and mail or fax it to us at the address on the
bottom of this page.)
2010-2011 Enrollment Form for Grades 3 - 8
| Name of school: | ________________________________________________________ |
| Address: | ________________________________________________________ |
| City, State & Zip: | ________________________________________________________ |
| Telephone: | ________________________ |
| Supervisor (teacher to receive shipments)
:Supervisor's e-mail address: |
______________________________________
______________________________________ |
No. of grade-level teams to be enrolled in just the Blue (moderately difficult) division ($87 each):
Grade: 3____ 4____ 5____ 6____ 7____ 8____
No. of grade-level teams to be enrolled in just the Gold (very difficult) division ($87 each):
Grade: 3____ 4____ 5____ 6____ 7____ 8____
No. of grade-level teams to be enrolled in both divisions ($143 each):
Grade: 3____ 4____ 5____ 6____ 7____ 8____
Sets of demonstration analogies ($7 each):
(Each set uses a simple vocabulary and in logic ranges from obvious to subtle. All sets can be used with all grades.)
Set A___ Set B___ Set C___ Set D___ Set E___ Set F ___
Set G ___ Set H___ Set I____ Set J ____ Set K___
Total fee before discount:___________________________
Discount of _______% because _______ schools are being enrolled:________________
(A 10% discount applies for enrollment of 5 or more schools, a 20% discount for enrollment of 10 or more schools.)
Net fee after discount: ___________________
Shipping: $2.00 + 8% of net fee = ____________
Total Due: _______________
This form may be duplicated. Please return no later than
September 30, 2010 to WordMasters, 213 East Allendale Ave., Allendale, New
Jersey 07401. You may also fax the form to (201) 327-6219.
__________________________________________________________________________
Word Masters Challenge / 213 E. Allendale Avenue
/ Allendale, NJ 07401
(201) 327-4201 phone / (201) 327-6219 fax
