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Release of School Information 2011-2012 Academic/Summer School Year Please complete this form and return it to the Help Yourself Programs' Office. ___ is a student at ___ (Student's Name) (School

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CONTINUINGORDER NUMBERTO OTY ORDEREDBY YESNO ORDERTOTAL APPROVEDBY BELOIT CONFIRMINGP ACCT PAYMENTWITH BUDGETYEAR ATTN REQUISITION VENDOR CONFIRMING

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