ORDER FORM FOR

I-74 Quad Cities Draft Environmental Impact Statement

October, 2003

Please follow the instructions below for ordering:

1. Use this order form only for the above document.

2. Complete:
   
   

   Company Name: ____________________________________________________

   Street Address: _____________________________________________________

   _____________________________________________________

   (P.O. Box not accepted)

   City:____________________________________ State: _____ Zip: ___________

   Attention: _______________________________

   Daytime Phone: (_______)________________

   Daytime Fax: (_______)________________

   E-mail Address: ________________________

3. Mail order form to:

Gregory L. Mounts, P.E.
District Engineer
Illinois Department of Transportation
Division of Highways, District 2
819 Depot Avenue
Dixon, Illinois  61021

This document will be available for review on IDOT’s web site until
May 21, 2003

Back