Wyoming Authentication Request Form - 2016

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Ed Murray
Wyoming Secretary of State
2020 Carey Avenue, Suite 600
Cheyenne, WY 82002-0020
Ph. 307.777.5343
Email:
SOSAdminServices@wyo.gov
Wyoming Authentication Request
Contact Information:
Date:
Contact Name:
Mailing Address:
Daytime Phone:
Email Address:
Country Documents Are Needed For:
Number of Documents to be Authenticated:
x $3.00 =
Payment Information:
Total Payment Enclosed:
Payment Method:
Cash
Money Order #_____________
Cashier’s Check # __________________
Check # __________________
Document(s) Return Method:
Prepaid Federal Express Air Bill
Prepaid UPS Air Bill
Self-Addressed Stamped Envelope
Will Pick-Up On (Date and Time):
AuthenticationForm – Revised 07/2016 

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