Pima County DOT Geographic Information Services Division

Pima County Department of Transportation

DVD and FTP Server GIS Data Download Order Form

Ship to:

Name
Organization
Address

City, State
ZIP Code
Phone number
E-mail address

Qty.	Product	Unit price	Total
	FTP Server GIS Data Download Username and Password Please know what this is before ordering.	N/C
	PCLAYERS DVD - Current release	$50.00
	PCLAD DVD - Current release	$50.00
	Shipping & handling (Not required for FTP Server GIS Data Download Username and Password.)	$7.50
		Order total:

I have enclosed a check for the order total made payable to Pima County Treasurer
(except for "FTP Server GIS Data Download Username and Password").

I certify that I have read, understood and, by my signature below, have

Agreed to the Product Support Policies and enclosed complete signed copies including all pages of the Verified Statement of Non-Commercial Purpose Public Data Request (Not required for internal Pima County departments) and Disclaimer and Use Restrictions documents.

Signature_________________________________________ Date__________________

Mail completed forms with your check to:

CD-ROM/DVD Orders
Pima County Department of Transportation
Geographic Information Services Division
201 N. Stone Ave, Suite 910
Tucson, AZ 85701-1207

PLEASE ALLOW 1-2 WEEKS FOR DELIVERY