Vendor Berry Gate Access Request Form

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Please complete the form and click on the submit button to send your information. Thank you.

1000 E. University Ave. Laramie, WY 82071 // UW Operators (307) 766-1121 // Contact Us

Request Type: *
New Renewal
Date: *

Primary Contact's Name: *

Company Name: *

Vendor License Plate #: *

UW Permit #: *

Phone Number: *

Email: *

Street Address:

City: *

State: *

Zip: *

Reason gate access is requested: *

Expected Frequency (please check one): *
Daily Weekly Monthly Other
If other was chosen please specify: *