Subscription / NIPC's Digital Map of the Region, Version 1.0, May 1999, CD-ROM Order Form

Please print and mail or fax this form to:  (click here to learn more about this product)

Northeastern Illinois Planning Commission
222 South Riverside Plaza, Suite 1800
Chicago, Illinois 60606
ATTN: Publications Department
Telephone (312) 454-0400 - FAX (312) 454-0411

NIPC's Digital Map of the Region, Ver. 1.0, May 1999, CD-ROM:  Quantity_______ @ $45.00  Total $__________

.........................................................................................................................................Less 20% for Subscribers $__________
A one year subscription to NIPC costs $300. To learn about the benefits of a subscription,
please call our Publications Department or click here

Postage per CD-ROM_________________________________  Quantity________ @ $1.50   Total $__________

One Year Subscription to NIPC..............................................................................................@ $325.00  Total $__________

.................................................................................................................................................Total Order Amount $__________

Method of Payment:  Check payable to NIPC enclosed: ______

American Express____ VISA____ MasterCard____ Account No._____________________________________________

Expiration date_____________________Signature_______________________________________________________

Name __________________________________________________________________________________________

Title ___________________________________________________________________________________________

Organization_____________________________________________________________________________________

Address________________________________________________________________________________________

City/State/Zip____________________________________________________________________________________

Telephone:_________________________ FAX:_________________________ E-mail:__________________________

What kind of GIS software (if any) do you anticipate using with this CD-ROM? ___________________________________

When using data from the CD-ROM, I/we understand that under no circumstances may the data be redistributed or made available over a network without explicit permission from the Northeastern Illinois Planning Commission (NIPC). Furthermore, I/we will cite NIPC on any products generated from the data. I/We understand that the metadata for each file contains wording for these citations.

Signature_____________________________________________________ Date_______________________________