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Home > Shopping Cart > Customer Information

Fill in the fields below to complete your order. Returning customers can edit their information on this screen before submitting the order, as well. Indicate how you want your products shipped at the end of the form.
* Indicates Required Information

User Information
Full Name: *
Address: *
City *
State: *
ZIP Code: *
E-Mail:
(This will be your user name for future orders)
*
Choose a Password: *
Re-enter Password: *
Phone Number: *
Fax Number:

Shipping Information
Preferred Shipping Method: *
Standard = U.S. First Class Mail
Pick-Up = Lane Council of Governments office, located on the fourth floor of the Wells Fargo Building at 99 East Broadway in downtown Eugene. Open weekdays from 8 a.m. to 5 p.m. Pacific Time.
Shipping Name:
Shipping Address:
City:
State:
ZIP Code:
Contact Phone Number:
Fax Number: