Please enter one keyword, or key phrase in each field below. (you may use one or all the fields.) If you would rather enter a Search Concpt then none of the keyword fields need to be filled in.

1.	2.
3.	4.

Search Concept:

5.

Please fill in the boxes below regarding how you would like to have your report formatted and delivered.

6. Unedited: Confidentialized text in nonspecific order or text formatting 50 cents per page.
Edited: Confidentialized text organized by subject (if multiple key word or key phrases), ordered by date of the reading from earliest to latest $1 per page.
Un-edited Edited

7. How would you like the text to be formatted? All formats allow you to open the file in any word processor. Rich Text format has some basic formatting such as different font sizes for headings and type character such as bold and italic
Rich Text Format Text only w/line breaks Text only Printed

8. What medium would like your reported delivered to in? Printing from a laser printer is 25 cents per page, by Floppy disk is $1, and for an e-mail attachment there is no charge.
e-mail attachment Printed Floppy Disk

9. How would you like the report delivered to you? US Priority Mail $5, Carrier is nogotiable and for e-mail there is no charge.
e-mail attachment US Priority Mail Carrier

10. What platform are you using?
Macintosh Windows Linux UNIX DOS

11. Once we've performed you initial request we'll need to contact you regarding any questions and to e-mail the estimated cost for the report. Please let us know what your name and email address is (physical address is only needed if you are requesting the report be mailed to you), without this information we cannot process the request.

First Name:		Last Name:
Address:		e-mail:
City:		ST:	Zip

Thank you for your Report Order, we'll be contacting you soon!