SECTION I - REQUESTING ORGANIZATION
Registration Account Number: * Enter your DTIC user code. (A user code will be all numbers, for example 12345)
Requesting Organization: *
Address:*
City:*
State:*		AB AK AL AR AZ BC CA CO CT DC DE FLGAHIIAIDILINKSKYLAMAMBMDMEMIMOMNMSMTNCNDNENHNJNMNVNYOHOKONORPAPRRISCSDSKTNTXUTVIVTVAWA WI WV WY
ZIP:*
Requesting Official: * Enter your name, email address and telephone number. (This MUST match the information registered to the Registration Account Number you are using for this order)
Telephone:*
Email:*
Fax:

Click Here if You are a Contractor

(Contractors Only)
Contract Number: Enter the number of the contract that details and controls the work effort for which this document is needed. (NOTE: this contract must be registered with DTIC)
Contract Security Level: Enter the number of the contract that details and controls the work effort for which this document is needed. (NOTE: this contract must be registered with DTIC)
Government Monitoring Organization: Enter the name, address and phone number of the Federal Government employee who is responsible for administering the contract discussed above. (This person will hold the title of: Program Manager (PM); Contracting Officer (CO); Contracting Officer's Representative (COR); or Contracting Officer's Technical Representative (COTR)
Address:
City:
State:		ABAKAL ARAZBCCACO CTDCDEFLGA HIIAIDILIN KSKYLAMAMBMDMEMIMOMNMSMTNCNDNENHNJNMNVNYOHOKONORPAPRRISCSDSKTNTXUTVIVTVAWAWIWVWY
ZIP:
Government Contract Monitor:
Telephone:

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Enter the type of media; and the number of copies requested.

Type Copy and Quantity: *		Paper Copy Copy(s) Other Copy(s)
Method of Payment: Enter NTIS Deposit Account, Visa, MasterCard or American Express.		VISA MC AMX NTIS Deposit Account
User Routing: Enter your internal routing code/information (if used).
SECTION II - BIBLIOGRAPHIC INFORMATION *
AD Number (If known): Enter Accession Document number of the report you are ordering. This number is used for cataloging individual documents, and can be obtained from the Private STINET bibliography.
Distribution Limitation(s):
Title: Enter the unclassified report title.
Report Number:
Author: Enter the name of the report’s author.
Corporate Author :
Report Date: Enter the date of the report.
Contract Number:
Report Classification: Enter the reports DOD Security Classification Level.
Distribution Statement:
SECTION III - REQUESTER JUSTIFICATION
Requester Justification: Enter a comprehensive explanation of why you need the report. (The information you provide will be reviewed, by the releasing agent, to determine if the document is relevant for your objective) *		NOTES:
SECTION IV - RELEASING AGENCY(Not Required)
Releasing Agency Name:
Releasing Agency Address If available :
City:
State:		ABAKALARAZBCCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMOMNMSMTNCNDNENHNJNMNVNYOHOKONORPAPRRISCSDSKTNTXUTVIVTVAWAWIWVWY
Zip:
Fax:
Email:
Point of Contact
Telephone: