BBA/SUMMA Calculator Sales Program Application Form
To apply, print out, fill in, and mail or fax it to:
SUMMA Program of the MAA
1529 Eighteenth Street, NW
ATTN: Dr. Genevieve Knight, BBA Liaison
Washington, DC 20036
Fax: (202) 483-5450 ph: (202) 319-8473; e-mail: bhawkins@maa.org
Category (check one): |
School: |
School District: |
Professional Development Project: |
Name of Applicant: |
Size of Target Population |
Minority and/or Economically Disadvantaged Percentage: |
Contact Person: |
Title: |
Address: |
City: |
State: |
Zip: |
Daytime Phone: |
Fax: |
E-mail: |
State Tax ID Number: |
A copy of your State Tax Exempt Certificate is required to be submitted with PO to avoid payment of taxes.
Unit
(Note all prices are "per calculator/per handheld") |
Number of Teacher Packages (10 units each) (X cost per Teacher Package) for Schools/Districts only |
Number of Single Units (X cost per Single Unit) for Prof. Development Projects only |
Total |
TI-83 Plus, Reconditioned ($45) |
|
|
|
TI-Nspire with Touchpad, Reconditioned ($50) |
|
|
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TI-Nspire CAS with Touchpad, Reconditioned ($50) |
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|
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TOTAL COST
OF ORDER |
$ |
$ |
|
PERSON CERTIFYING THAT APPLICANT MEETS GUIDELINES
(Superintendent of School District or College/University Administrator)
Name: (Please Print) |
Title: |
Signature |
Date |