Teacher Name
School Name
School Address
City/State/Zip
Phone
Fax
E-mail Address
NIE Programs
Special Delivery Instructions
Type of Delivery: Print & Electronic Print only Electronic only
Type of Order: Sponsored Customer Paid
Non-delivery Dates
* for General NIE orders - include dates, delivery days and qty.
First delivery date: Last delivery date:
Days of Delivery: Sun Mon Tue Wed Thu Fri
Number of Newspapers (minimum of 5)
* for Customer Paid orders - include following:
Billing Contact
Billing Address
Billing Phone
Questions? call 412-263-1551
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