Michigan Council for the Social Studies

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Michigan Social Studies Olympiad XXIV
Saturday, May 1, 2010 - Birmingham Covington School - Bloomfield Hills, Michigan
Theme: Communication

Registration Information
* = required fields

First Name of Teacher/Coach*:

Last Name of Teacher/Coach*:

School Name*:

School District*:

Phone*:(example format: xxx-xxx-xxxx)

Fax:

Preferred Mailing Address*: Home Work

Street Address*:

City*:

State*:

Zip*:

E-mail*: All communication, including Handbook, will be sent via e-mail.


Division(s) in which your students will participate*:
Elementary (Grade 4-5) Intermediate (Grade 6-8) Senior (Grade 9-12)


Registration Type
Registration fees are NON-REFUNDABLE.

$100 - One division/school building/home school
$115 - Two divisions/school building/home school


Payment Information
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Credit Card Type*: Visa MasterCard

Card Number*:(example format: xxxxxxxxxxxxxxxx)

Expiration Date*:

CVV Code*: (3 or 4-digit number on back of credit card):

Billing Name*: (name on credit card)

Billing Street*:

Billing City*:

Billing State*:

Billing Zip*:


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