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GIS Technical Services Group

DIGITAL DATA REQUEST FORM


Request Date:

Due Date: 

Program/Company Name:  

Address: 

City/State: 

Contact Name:

Phone/FAX/E-Mail): 


REQUESTED DATA SETS (Please list here the names of all data sets being requested):
Data Set Name Quantity
   
   
   
   
   
   
   
   
   
   
Total Number of Data Sets:  
Multiply above line by $75.00:  
Grand Total:  

Format:

ü  Check One ü  Check One
  ArcExport (E00) _ Uncompressed
  Shapefile _ Zip
  Other: _ Gzip

Media:

FTP CD-ROM
E-Mail (if small) Other:

ORDERING PROCEDURES  & DISTRIBUTION:

  1. Clients will be notified via E-mail when data is ready for pickup from the state anonymous FTP site, www.ecy.wa.gov or mailed on CD-ROM disk. If e-mail delivery is specified and the file(s) is (are) too large, you will be contacted about FTP delivery.

  2. Please included a check or money order at time of order and allow seven days for filling data requests.

  3. Make checks payable to Washington State Department of Ecology.

  4. Mail your order(s) to:

Washington State Department of Ecology
Cashering Section
PO Box 47611
Olympia, WA  98509-7611