Publications Mail Order Form

Publication
Confirm and Submit

Publication
Confirm and Submit

Publication
Confirm and Submit

Publication

All fields are required, unless otherwise noted, and must be completed to submit the form.

Full Name

Date (MM/DD/YYYY)

Email Address

Shipping Address

Business name (if applicable)

Address Line 1 (NOTE: P.O Boxes cannot be used.)

Address Line 2

City

State

ZIP Code

Check this box if this is a business address

Phone Number (XXX-XXX-XXXX)

Tax Exempt Number

Also known as your Taxpayer ID. It is an 11-digit number.

Please mail me the following publication(s):

Select Publication

Quantity

Price

Qty	Title of Publication	Unit Price	Total

Sales Tax Rate %
Subtotal
Sales Tax
Total Due

District Rate

City Tax Rate

County Tax Rate

State Tax Rate

District Tax

County Tax

City Tax

State Tax

TxDOT will confirm the availability of your publications within 3 business days and reply via email with payment instructions provided they are in-stock.

NOTICE: The Texas Department of Transportation maintains the information collected through this form. With few exceptions, you are entitled on request to be informed about the information that we collect about you. Under 552.021 and 552.023 of the Texas Government Code, you also are entitled to receive and review the information. Under 559.004 of the Government Code, you are also entitled to have us correct information about you that is incorrect.

Confirm and Submit

By submitting this electronic form, I agree all information is true and correct to the best of my knowledge.

Form Title

Publication

Shipping Address

Please mail me the following publication(s):