Saturday, March 13, 2010   
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Newspaper in Education / Affidavit
 
 
Dear Subscriber: As a part of The Patriot-News in Education corporate sponsorship and/or vacation donation program, you receive newspapers for study in the classroom. In order to properly report this circulation, we MUST verify that you receive the newspapers which are paid for by your sponsor. So that our business office does not inadvertently bill you for these newspapers, please submit this form on last delivery date.
 
Affidavit:
 
I certify that I received and used in the classroom:
 
Copies: *
For: *
   
From: , *
, *
   
I receive the Patriot-News newspapers every:
Sun. Mon. Tue. Wed.
Thu. Fri. Sat. *
   
Number of print copies: *
Number of E-Editions: *
Number of students in class: *
   
Subscriber's Name: *
Subscriber's Email: *
   
School Name: *
School District: *
School Address: *
School City: *
School State: *
School Zip: *
   
Phone Number:
555-555-5555
*
Fax:
555-555-5555
   
I certify that all the information provided in this submission is true and accurate to the best of my knowledge and belief. *
 
Questions: Contact (717)255-4100 or nie@patriot-news.com
 
 
 


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