Digital Data Order Form

Please use this form to order Digital Maps. Print this form, fill in the appropriate details then mail it with your cheque and signed agreement, as per step #5 .  Incomplete orders will take longer to fill, so please ensure everything required is included with your order.    

Who is ordering the digital Data:

Company Name: __________________________________________________________________________
Attention to: Name and Title: ________________________________________________________________
Address:  _______________________________________________________________________________
City / Province: ____________________________ Date: Telephone:  ___________________________
Postal Code:  _____________________________ Fax Number:  ______________________________
E-Mail:   _________________________________ Date:  ____________________________________
PST Exemption Number:  _____________________ GST Exemption Number:  ______________________

 

If a 3rd Party Contractor will use or access the Digital Data please enter their information below:. 
If no external contractor is used, please indicate N/A below.

Contractor Company Name: _________________________________________________________________
Contractor Name and Title: __________________________________________________________________
Address:  _______________________________________________________________________________
City / Province: ____________________________ Date: Telephone:  ___________________________
Postal Code:  _____________________________ Fax Number:  ______________________________
E-Mail:   _________________________________ Date:  ____________________________________

 

Please advise for what purpose the digital data will be used.

Purpose:  _________________________________________________________________________
(This data set is copyrighted and may not be altered or resold without our express written permission)

Cost per Map Fee Schedule:

Enter the BCGS map numbers you wish to order in the following order form:

Map Number
 (Use BCGS map numbers only)

Format
(Shape, DXF, or E00)

Projection
(Geographic, Albers, or UTM)

Cost

 

$

 

$
     

$
     

$
     

$
     

$

 

$

 

$
      $
      $
   

Total Cost
 $