Good Day,

A sample request has been generated by a user on the NWEdResources website. The details of the request are below.

Contact Information:
School/District:{txtDistrict:value}
Name:           {txtName:value}
Email:          {txtEmail:value}
Phone:          {txtPhone:value} 
Fax:            {txtFax:value}
Address:        {txtAddr1:value}
Address:        {txtAddr2:value}
CSZ:            {txtCity:value}, {selState:value} {txtZip:value}

Content Request:
Content:    {selContentArea:value}
Course Lvl: {selCourseLevel:value}

Note to representatives:
{txtNote:value}

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This request will be emailed within the next hour to all representatives that have indicated that they service this content.

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