2010 - 2011
North Carolina
SCHOOL and ENGINEER MENTOR
REGISTRATION FORM

Register your school's team for FREE!!

You may also Register by sending in this Registration Form

Please provide the following contact information:
(*Required Fields)

*Teacher's Last Name:

 *Teacher's First Name:

*School Name:

*School Mailing Address:

 School Address 2:

*City:

*State:

*Zip Code:

 *School Phone:

 School FAX:

 *Your E-mail:

 *Students (7th, 8th, or Both):

 Number of Teams:

Select what type of SimCity Software you will require:

Windows (CD-ROM)

Macintosh (CD-ROM)

If you already have an engineer mentor who is willing to participate, please provide the engineer’s name:

Engineer's Name:

Company Name:

Address:

City:

State:

Zip Code:

Please click only once, processing may take a moment.

---