Thursday, October 16, 2008   
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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, your classroom receives newspapers for study in the classroom. In order to properly report this circulation, we MUST verify that you receive the papers which are paid for by your sponsor. So that Accounting does not inadvertently bill you for these newspapers, please submit this form.
 
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. *
   
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. *
 
 
 


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