PUBLICATIONS ORDER FORM
MARYLAND GEOLOGICAL SURVEY
2300 St. Paul Street
Baltimore, Maryland 21218-5210
Publication Sales: (410) 554-5505
Terms and Conditions:

Name   Daytime Phone

 


Your phone number during regular business hours is very important in case there is a question about your order.
Organization  
E-mail  
Address  
City  
State   Zip Code   Country  
Quantity Pbl. Number Abbreviated Title Unit Price Total Price
         
         
         
         
         
         
         
         
         
COMMENTS: SUBTOTAL (Page 1) 1
SUBTOTAL (Page 2;  if used) 2
Processing and Handling (to be determined) 3
Postage (to be determined) 4
TOTAL AMOUNT: boxes 1 through 4

!! Please specify rolled or folded maps.

 Office use only
We accept VISA or MasterCard only.
CHECK ONE: NAME ON CARD EXPIRES ON CARD NUMBER   V-Code *
VISA          
MASTERCARD  

*V-Code: the Verification Code is a three-digit number on the back of your Visa./Mastercard card. The full credit card number is in the signature box and at the end of the number is the Verification Code.

MGS PUBLICATIONS ORDER FORM (PAGE 2)
Quantity Pbl. Number Abbreviated Title Unit Price Total Price
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
SUBTOTAL (enter this number in box 2 of Order Form)