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Special Collections Item Order Form
IMPORTANT!
This order form is for a photocopy of a single collection item. For multiple items in a collection, submit a request per additional collection item. For more information, contact us by phone at 410-260-6487 or by email at msa.helpdesk@maryland.gov.
Fees
The non-refundable and non-transferrable fee is $35.00 per copy.
Please Note:
The Archives will attempt to locate the record based upon the information you provide, but we cannot guarantee results. If the search provides no record matching the information provided, the fee is not returned, and a notification letter from the Archives is issued.
Order Delivery
Your order will be mailed to you in approximately 7-10 business days.
*
Indicates a required field
Collection Title:
Collection Number
*
:
Series Number
*
:
Item Number
*
:
Collection Date:
(MM/DD/YYYY or MM/YYYY or YYYY) - If unsure, you can take your best guess and note this in the "Additional Information" field below
Number of Copies Requested
*
:
Additional Information:
Payment Information
You can pay by credit card, money order, or check.
Information Needed for All Forms of Payment
Contact Information (both fields required):
Phone Number:
Email Address:
Shipping Information (all fields required):
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Country:
Credit Card Payment Information (all fields required if paying by card)
Credit Card Type (circle one): Visa MasterCard
Card Number:
CVV:
Expiration Date (MM/YY):
/
Billing Information (if same as shipping information, leave blank):
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Country:
