National French Exam



Dates of Contest in Indiana:
FLES: February 14-28, 2014
Middle & Secondary School: February 23-March 22
Fill out all applicable boxes, A through F, and enter all total charges in Box E.
You must pay postage charges.  This order form and payment (unless school P.O. is attached) must be postmarked by January 20, 2014.  No exceptions.
Make check payable to: AATF  (Sherri F. Pea)




A. Examinations :Levels 01-5
# of copies                                           #of copies
(members)                                          (non-
                                    Level                members)
__________                   FLES                    __________
__________                 01                    __________
__________                  1                     __________
__________                  2                     __________
__________                  3                     __________
__________                  4                     __________
__________                  5                     __________

__________             Total #                  __________
@$3.00                                                 @$5.00

=$________                                      =$________
                           (enter Box E)
B. CD's

Level                  Quantity
 FLES                 ______
    01               ______
    1                 ______
    2                 ______
    3                ______
    4                ______
    5                ______

Total # CD's   ______
                    @$7.00

= Total $        ______
                (enter Box E)
C. Awards


Fraternité Pins  # _______
                           @$5.00
                         =_______

Medallions        # _______
                           @$7.00
                         = ______


Total                 $_______
                       (enter Box E)
D. Total Charges
Exams (members)                   ___________

Exams (non-members)           ___________

CD's                                         ___________

Awards                                    ___________


Total                                         ___________
Shipping Charge:15%
(no less than $10.00)                ___________

Total Enclosed                     ___________
E.School Name
______________________
Your Name
______________________
School Address
______________________
City, State, Zip
______________________
Principal's Name
______________________
School Phone
______________________
Home Phone
______________________
School Fax
______________________
Your email
______________________
Answer sheets MUST be received at Survey Systems by March 28, 2014. They are NOT sent to me.

No scores or prizes will be sent to schools having an outstanding
balance.
Send order & payment to:
AATF
C/O Sherri Pea
Brownsburg High School
1000 S. Odell
Brownsburg, IN 46112
Questions: Sherri Pea
                 317-852-2258 #1740
           fax: 317-852-1490
           email: spea@brownsburg.k12.in.us