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NIE Teacher Order Form

NIE Teacher Order Form

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Published by robertharding22
NIE Teacher form.
NIE Teacher form.

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Categories:Types, School Work
Published by: robertharding22 on Aug 07, 2013
Copyright:Attribution Non-commercial

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04/10/2014

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Newspapers In Education
Affidavit Form for Teachers 2013-14
First Name: ____________________________ MI: __ Last Name: ________________________ School: _______________________________________________________________________ Mailing Address:___________________________ City: _____________________ Zip: ________ Phone Number: ( )_____ - _______ Ext: _____ Fax: ( ) ____ - ________ Grade(s) Taught: ________________________________________________________________ Subject(s) Taught: _______________________________________________________________ 
Email: (Required, either yours or a school contact person)____________________________
 You may choose to receive The Citizen in print format, digital format orboth. Please check which format you’d like to have delivered to you.£Print Subscription
Please list the total number of papers in which you would like to receive during the2012-2013 school year.
Minimum of 5 for each day signed up for.
 Tuesday: _______ Wednesday: _______ Thursday: _______Friday: _______ Saturday: _______ Sunday: _______  Total daily papers received: _______ Total Sunday papers received: _______ Previous customer for 2012-2013 school year?£ Yes £ No Account Number __________ 
£
 YES! Sign me up for a
Digital Subscription
 this year– receive the newspaper electronically!
New this year, we areoffering teachers a chance to access the electronic version of The Citizen for theirclassroom. Less mess, environmentally friendly, same great content!
 
£ Please send both thedigital and print subscriptions
 
to my classroom. (please fillout the print form above)E-Mail Address: (Required for digital subscription) __________________________________________ 
Please return this form as soon as possible.
School Representative’s Signature ______________________________ Date ____________ 

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