Wyoming Department of Education Outreach Library for the Deaf/Hard of Hearing Lending Library Material Request Form 
Please, complete this form to check out materials from the Outreach Library.  
If you would like to check out more than 5 items please complete an additional form.  

The Outreach Library is located at 539 Payne Ave, Casper, WY 82609
Materials will be sent at no cost to you. 

If you have questions about this form or about returning materials, please contact Christie Fritz at (307)-286-6282, christie.fritz@wyo.gov or or Brenda Ariosto at (307)-265-8818, brenda.ariosto@wyo.gov
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Your Email Address  *
First Name  *
Last Name  *
Phone Number 
(this won't be shared out- it is to contact you in the event that there are additional questions regarding your request)  
 *
Mailing address where you would like the materials sent. If you plan to obtain materials in person, indicate this below.  *
Item 1:Indicate Resource Type 
 *
List Item 1  
(Enter title below) 
 *
Item 2: Indicate Resource Type 
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List Item 2 
(Enter title below) 
Item 3: Indicate Resource Type 
Clear selection
List Item 3
(Enter title below) 
Item 4: Indicate Resource Type 
Clear selection
List Item 4
(Enter title below) 
Item 5: Indicate Resource Type 
Clear selection
List Item 5
(Enter title below) 
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