Confirmation of Receipt
for previous school year

E-Mail:
School:
Teacher's Name:
Teacher's Name
School Address 1:
School Address 2:
City:
State:
Zip:
Phone:

Please provide the daily itemized copies of the Opelika-Auburn News you received for your students in your classroom on the below listed days:
Please give number of copies per day
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Electronic Signature:
I, , certify that I received the above daily itemized copies of the Opelika-Auburn News for use by my students in my classroom.

New Request
for upcoming school year

E-Mail:
School:
Teacher's Name:
Teacher's Name
School Address 1:
School Address 2:
City:
State:
Zip:
Phone:

Please provide the daily itemized copies of the Opelika-Auburn News you would like to request for your students in your classroom on the below listed days:
Please give number of copies per day
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Electronic Signature:
I, , certify that I would like to receive the above daily itemized copies of the Opelika-Auburn News for use by my students in my classroom.

Last Update
Wednesday, February 17, 2010


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