News In Education Online Affidavit
If you would like to send your affidavit online, please fill in the requested information on the form below and click on the “Submit this form” button.
The information to complete this form can be found in an e-mail or letter regarding your order. Please note that the information you fill in must EXACTLY match the the information on the form you received.
If you have questions please call Sheila Shah at
(916) 321-1784 or e-mail
mie@sacbee.com
.
Teacher Name
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Prefix
First
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Last
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Suffix
Title
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Email Address
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Phone Number
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School Name
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School Address
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Street Address
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Address Line 2
City
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State / Province / Region
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Postal / Zip Code
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Country
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Agreement
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I agree the information in the affidavit is complete and accurate. These copies/licenses were ordered, received and used for access to The Modesto Bee electronic edition Monday - Sunday as part of the curriculum for the dates below.
From: Enter the start date from the form you received.
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2014
2015
To: Enter the end date from the form you received.
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2014
2015
Number of copies/licenses received
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Enter the number from the from you received.
Number of students in classroom(s)
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