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Mailing List Request Form


        Form 517017 (2/2009)

Contact Information

* Required Information

* First name


* Last name


* E-mail


* Phone number (e.g. 555-123-4567)


* Business name
Fax number


* Address 1


Address 2


* City


* State            * ZIP code
          

Type of business


  City      County      Consultant      MPO      RPA

Please check the box that indicates the information you wish to receive

More than one box may be checked.

  City information - By checking this box, you will receive information of interest to cities, including but not limited to, the following:
  • BIAS 2000 bid item updates
  • Conference/Workshops/Seminars
  • City Bridge Program
  • Job openings
  • Updates to the Instructional Memorandums (I.M.s) to Local Public Agencies
  • Updates to the Federal-Aid Project Development Guide

 County information - By checking this box, you will receive information of interest to counties, including but not limited to, the following:
  • BIAS 2000 bid item updates
  • HBRR status reports
  • Updates to the Instructional Memorandums (I.M.s) to Local Public Agencies
  • Farm-to-market status reports
  • Job openings
  • Updates to the Federal-Aid Project Development Guide
  • Conference/Workshops/Seminars

SIIMS information - please visit the SIIMS website for more information.


Click the "Submit" button only once when completed to prevent duplication.