Distance Education Library Card Application

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Check all that apply *

University of Wyoming

Casper College

Other:

Required

Email Address *

Name *

First and Last Name

Student ID Number

Phone Number

We will use only use this number to contact you regarding questions for your library account.

Address *

Please double check your address. We will use this information to send you your library card. Casper residents, please come to the library to apply for a library card

e-Signature *

By typing my name here, I confirm that I am completing this form on my own behalf and that the information provided above is accurate.

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