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2. Custom Map Order Form
   Fill in the fields below. Provide a full description of the type of map(s) you need. Include special layers, background, and labeling. Contact information is required. Once all fields are properly filled in, press the Submit button to place your order. You will be notified through the phone number or email address provided when your order has been completed. Please note, there is a $60/hr labor charge in addition to the printing cost listed below.
3. 
5. If this is a large order, pre-payment will be required, which will include an initial $60 labor charge.
10. Contact Information
12. First Name*
13. Last Name*
15. Contact Phone Number (xxx)xxx-xxxx*
16. Email*
21. Order Specifications
24. Select Map Specifications:*

    1. Midas maps (8.5" x 11") ..$1.25 per page
    2. Historical Mylars ...$5.00 per map
    3. Maps printed on Plotter ...$50 per hour
    4. Radius Maps and corresponding lists ...$50 per job
    5. New Subdivision Mapping fees ... $30 per hour
26. Detailed Map Description*
29. Due Date
    Due Date
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field