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Information Select Service on-line order form

The last three fields will be remembered for this session unless you type in a new value. All other fields will be cleared each time you click the 'send order' button.

All fields marked * must be completed. Enter the full leaflet reference codes below (minimum of one leaflet, maximum of 12)

• Code 1:*
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• Code 12:
• Name:*
• Class:*
• Profile Code:
• Year:*
• School/College:*
• Requesting Officer:*
• Area Team: GatesheadNewcastle Upon TyneNorth TynesideSouth TynesideSunderland

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