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Government Map and Book Sales

Order Form 67-0012 (November 1999)

USGS Account Number NIMA Activity Address Code Federal Agency Location Code (ALC)
 

  

  

Government agencies ordering five or more sheets per title can receive a 40- percent discount by submitting the order to: USGS - Information Services, Box 25286, Denver, CO 80225.

Name (first, middle initial, last)

 Telephone Number Date
Company or Agency

 Ship to (if different from above)
Address

  
City, State, and Zip Code

  


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Quantity Product ID Number State Map Name or Book Title Map
Scale		 Unit
Price		 Total
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Any use of trade, product, or firm names is for descriptive purposes only and does not imply endorsement by the U.S. Government.

This document has undergone official review and approval for publications established by the National Mapping Division, U.S. Geological Survey.

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