MDAH Subscriber Services

Mr.

Ms.

Dr.

First Name:

Last Name:

Organization:

Title:

Street Address:

City:

State/Province:

Postal Code:

Country:

Office Phone:

Fax:

Mobile:

Project
Description:

Plan of Interest:

Subscriber 1 ($100)

Subscriber 2 ($1300)

Email Address:

Attach Vita:

Policy:

The information gathered herein is used only for the purposes of (1) contacting the subscriber candidate and (2) ascertaining their needs so that the staff of the Mississippi Department of Archives and History (MDAH) can be of better service. The MDAH reserves the right to refuse or terminate the membership of any subscriber based on violations of the code of conduct as outlined in the subscriber agreement, suspicion of criminal activity, or any abuse of subscriber privileges deemed as inappropriate or unethical. All materials shared with the subscriber are the property of the State of Mississippi and are not to be reproduced or shared with individuals outside the subscriber's immediate organization without written permission. Thank you.