MOSH Publication Order Form Instructions

Publication Details

- Publications that you selected will be displayed in this table. You can sort the order of the publication titles in the table by clicking on the header information. The table displayed will include: Remove check box - Click in this box if you wish to remove the selected publication(s) from your order. Once you have placed a check mark in the box, click on the link that appears above the table and says, "remove checked publication titles below". The selected publication will be deleted from your order. If you do not wish to remove a publication(s) from your order, do not click in this box; Publication Title - The title of each publication will appear in this column; Quantity - A default value of 1 is filled in automatically for each publication. If you wish to order more than one copy of a publication, click in this box and enter the number you wish to order for that particular publication. You can order up to 999 copies of each publication; PubID - The publication identification number of each publication will appear in this column.

Audiovisual Details

- Audiovisual titles that you selected will be displayed in this table. Borrowers can borrow no more than two (2) audiovisual titles per order. If you selected more than two audiovisual titles, you will be prompted to remove all but two when you submit the request form. You can sort the order of the audiovisual titles in the table by clicking on the header information. The table displayed will include: Remove check box - Click in this box if you wish to remove the selected audiovisual title(s) from your order. Borrowers can borrow no more than two (2) audiovisual titles per order. Once you have placed a check mark in the box, click on the link that appears above the table and says, "remove checked audiovisual titles below". The selected audiovisual title will be deleted from your order. If you do not wish to remove a audiovisual title from your order, do not click in this box. You will only be permitted to request ; Audiovisual Title - The title of each audiovisual item will appear in this column; PubID - The publication identification number of each publication will appear in this column. Date Needed - The date needed will be backfilled to reflect a date that is at least two weeks after the date of the order. To change the date, click in the box and enter the new date in MM/DD/YYYY format. You cannot enter a date earlier than the date of the order. If you enter a date that is less than two weeks after the date on which the order is placed, we may not be able to fill the order, depending on availability of the audiovisual title and the mailing time required to deliver the audiovisual title.

Personal Information

First Name (required field)
	- Enter the requester's first name.

Last Name (required field)
	- Enter the requester's last name.

Address (required field)
	- Enter the requester's mailing address.

City (required field)
	- Enter the city of the requester's mailing address.

County (required field)
	- Click on the arrow to the right of the sentence and a drop down menu will appear. Select the county of the requester's mailing address. Choose "Not Maryland Resident" if the requester's address is outside of the State of Maryland.

State (required field)
	- The form will default to Maryland as the state for the requester's mailing address. If the requester is located in a state other than Maryland, click on the arrow to the right of the word, Maryland, and a drop down menu will appear. Click on the state of the requester's mailing address.

Zip Code (required field)
	- Enter the five-digit or nine-digit zip code of the requester's mailing address.

Telephone (required field)
	- Enter the telephone number where the requester can be reached during the day, including area code. Enter the phone number with dashes, like this 410-555-1212. Please do not use parentheses.

Extension (optional field)
	- Enter the extension number for the requester's telephone number, if applicable.

E-mail (required field)
	- Enter the requester's e-mail address.

How did you hear about this? (required field)
	- Click on the arrow to the right of the words, Select an item, and a drop down menu will appear. Click on the method by which you learned about this MOSH service.

Please describe (required field certain selections are made in the prior field)
	- If you selected a certain response in the prior field, this field will appear. Please type in the source from which you obtained the information. For example, if you learned about the service from the Baltimore Sunpaper, and you selected Newspaper for the prior field, please type in Baltimore Sun in this field.

Organizational Information:

Organization Name (required field)
	- Enter the name of the requester's organization/company.

Employer Type (required field)
	- Click on the arrow to the right of the sentence and a drop down menu will appear. Click on the term that most closely applies to the type of industry of the requester's organization/company.

Employer Primary Business (required field) -
	- Click on the arrow to the right of the sentence and a drop down menu will appear. Click on the term that most closely applies to the primary business of the requester's organization/company.

Number of Maryland Employees Less Than 250? (required field)
	- Click on the arrow to the right of the sentence and a drop down menu will appear. Click on either Yes or No on the drop down menu, indicating whether the requester's organization/company has less than 250 employees in Maryland.

Number of National Employees Less Than 500? (required field)
	- Click on the arrow to the right of the sentence and a drop down menu will appear. Click on either Yes or No on the drop down menu, indicating whether the requester's organization/company has less than 500 employees in the entire United States.