Safety and Health Video Library PO Box 44607Olympia WA 98504-4607 www.videos.Lni.wa.gov Borrower Agreement FormBorrower Agreement • September 4th, 2015
Contract Type FiledSeptember 4th, 2015Name Delivery TypePick up (Thurston County) Ship Business Name Type of Business Physical Street Address (must be a Washington address) City StateWA Zip Code + 4 Mailing Address (if different from physical address) City StateWA Zip Code + 4 Email Address Phone Number Format Preference (check all that apply) DVD VHS Streaming No Preference Language Preference English Spanish Bo th