Pima County Geographic Information Systems

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
	FTP Server GIS Data Download Username and Password Please know what this is before ordering.	N/C

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 or fax completed forms to:

FTP User Account Orders
Geographic Information Systems
Pima County Information Technology Department
201 N. Stone Ave, Suite 910
Tucson, AZ 85701-1207

Please allow approximately one week for delivery of your FTP server username and password to the e-mail address given above.