Name of Museum:

Address

City

State

Zip

Name of Contact Person:

Contact Person Email:

Title of the Exhibit

Is the exhibit permanent or temporary? Is the exhibit permanent or temporary?PermanentTemporary

Who should license be made out to (name)?

Address of who the license is made out to:

Who should invoice be made out to (name)?

Address of who invoice should be made out to:

When do you need the maps (month & year)?

How will the maps be paid for? How will the maps be paid for? PayPal (use PayPal to pay by credit card)Bank depositCheck

Approximately how many visitors does the Museum have annually?

Is there an entrance fee or yearly membership fee?

Is the project being completed by museum staff or is an outside party assisting?

Which maps/time slices do you want?

What map series are you ordering maps from?

What size will the reproduced images be?

JPEG or Photoshop (extra charge) files?

Maps can be labeled with a specific location or centered. Price to be determined by the project. Do you want a dot? Maps can be labeled with a specific location or centered. Price to be determined by the project. Do you want a dot? YesNo

If you want a dot, what color dot do you want?

How will you use the map? How will you use the map? Animation Photo in a display/exhibit Interactive kiosk Books Other

What type of use is this map for? What type of use is this map for? One-time useMultiple uses for the same exhibit—book, internet, brochure (extra charge)Unlimited use ---the ability to use in other exhibits in the future (extra charge)Temporary exhibit less than 1 year

Will maps be placed on a website, Facebook, etc.? (maps must have an embedded water mark and clearly marked as copyrighted)

Global Series only: do you want latitude longitude lines on the maps? Global Series only: do you want latitude longitude lines on the maps?YesNo

Global Series only: what projection do you want? Global Series only: what projection do you want?RectangularMollweideOrthographic

Do you have any special requests (locate your museum, city, country lines, USA state lines, other)?

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