Customer Contact Information by carlmartin

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									Please complete and return to the DIS Call Center via email to:
dis.callcenter@arkansas.gov with a subject of: update APSCN
customer profile. This also can be faxed to 501-682-4310 to the
attention of Keith Glover. This information will be used in
emergency situations for contact by DIS or the State Security
Office.
                  Customer Contact Information
Coop:

School District:
LEA:

School:
LEA:

Superintendent:

Superintendent Work Phone:

Superintendent Cell Phone:

Superintendent Pager:

Superintendent Home Phone:

Superintendent E-mail:

Tech Coordinator:

Tech Coordinator Work Phone:

Tech Coordinator Cell Phone:

Tech Coordinator Pager:

Tech Coordinator Home Phone:

Tech Coordinator E-mail:

Other emergency/after hours contact information:

								
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