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Project Title* :
Date Needed : (YYYY/MM/DD) (Please allow 10 working days to process an average data request or contact us to discuss a faster turnaround.)
Name*:
Company/Organization :
Address :
City :
Province/State :
Phone* :
Fax :
Email :
Project Description*: please enter a brief description of the project including how the information will be used.
Information Requested*: please describe what type of information is required.
Format Requested*: please specify the format in which you would like to receive the data; i.e., ASCII text file, Microsoft Excel Spreadsheet, Microsoft Word Document, ArcView Shapefile, or map sent by fax, mail, or e-mail.
Location*: please enter a detailed description of the project site and general location information. Include the legal description (qtr-sect-twp-rge-meridian) or the political, or natural boundary (i.e., Conservation District, provincial park, rural municipality, Indian Reservation, ecoregion, watershed, etc.)of the area.