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Library Card Application

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Casper College Online Library Card Application:

(NOTE:  If you prefer, the Library would be happy to mail you an application.  Our contact information is listed at the bottom of this form).

Please complete every box.


Name:


Student ID Number:

Social Security Number (optional):


Street address:

City, State, & and Zip Code:


Telephone Number (including area code):


E-Mail Address:


Distance education instructor & course name:


I will be responsible for the appropriate use of all materials checked out on my library card.  I understand that my card may be used at other WYLD (Wyoming Libraries Database) Libraries and that I will also be responsible for the appropriate use of other libraries' material checked out on this card.

Initials and Date:


Last Updated 8/15/06