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School or Home Address:
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State:		Zip:
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What grade level do you teach? Pre K Elementary Intermediate Secondary College Adult Ed

	What discipline do you teach?
	Art & Music Languages other than English Health Careers	Guidance English Language Arts Math Science	Social Studies Adult/Continuing Education Other
	Do you use the following ITV services? Video Streaming Satellite Feeds Other No
	How did you learn about ITV? ITV Planner   WLIW21 Members Guide   Newspaper   School   Other
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