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1 Active Users:

none Current User:

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Privacy Act Statement:

Authority: The information requested is authorized by 30 CFR 250.197, 30 CFR 550.197, and 30 CFR 551.14.

Purpose: To allow access to and purchase of publicly releasable data and documents.

Routine Uses: The information on this form may be shared outside the DOI as follows: to the Department of Treasury to process payment information. More information about the routine uses can be found in system of records notice, Accounts Receivable: FBMS, DOI-86.

Disclosure: Providing the requested information is voluntary but if not provided we will not be able to process your request.

Please enter your information accurately. The information is used for shipping and for contact if there is a problem with an order. When you check out you will be required to enter billing information as well.

After entering your information you will be required to verify your e-mail address. An e-mail will be sent with detailed instructions.

If you are an Educational Institution, Student, or Federal Agency feel free to apply for an Educational Discount. You will be contacted for proof.

User Information

Company:

Full Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Country:*

Zip Code:*

E-Mail:*

Telephone:*

Fax:

User Name:*

Password:*

Retype Password:*

Billing Info. Same:*

Status Notifications:*

Educational Discount:*

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