General Appropriations Act Order Form

Fields marked with an * are required.

*Agency Name:

*Agency Number:

*Contact Person:

*Title:

*Division:

*Telephone Number:
(XXX-XXX-XXXX)

*Email:

*Number of copies ($15) each:
(digits only)

*Total Amount Due:
$

Payment Instructions

All orders must be prepaid by interagency transaction voucher (ITV) or check. Credit card and ACH payments are not accepted.

*Payment Method:

Interagency Transaction Payment (see instructions)
Check Mailed Separately and Payable to Comptroller of Public Accounts

*Method of delivery

My agency will pick up books at the LBJ Building, 111 E. 17th Street, Austin, Texas 78774
Interagency Mail (Enter Street Address)
Federal Express Ground Delivery (Enter Street Address)

Authorized
*Authorized by:

*Title:

*Agency Name:

For information

For more information, email fm.administration@cpa.texas.gov or call Fiscal Management Administration at (512) 463-4992.