NIE Order Form

TEACHER ORDER FORM

Name__________________________________________ Date____________________________

School_______________________________________

Grade Level & Subject________________

School Phone___________________________

District __________________________________

Personal School Email Address____________________________________________

(Giving me your email address allows me to communicate more quickly with you about any issues pertinent to NIE. We also need it to assign a password to allow access to the online version of The Porterville Recorder.)

Both Print and Online Editions are available to you. You may order one or both.

[ ] Online Edition                  [ ] Print Edition

REMINDER: MINIMUM FOR ORDERING PRINT EDITION IS TEN (10) COPIES. Remember numbers can be adjusted at any time.

Please fax back to ATTN: JEREMY at 559-784-5000 ext. 1039

List how many print papers you want each day.

Tues____ Fri____

Begin __________, End __________

Exclude these dates____________________________

_____________________________________________

Newspaper in Education is a program brought to the classrooms by generous donations from local businesses, and is largely underwritten by The Porterville Recorder. Would you like to help sustain NIE with a donation?

Yes! I want to support NIE with my donation of $_______

For Office Use Only:

Carrier _______________________________________ Route #_________

User Name______________________________________ Password__________