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Email Forms Manager

Complete the form below to request your TLC-Vidyo account.

* Indicates required information
First name * 
Last name * 
Date of birth of baby(ies) * 
Street address * 
City * 
State * 
Zip * 
Phone number * 
Email address * 
First name of spouse or significant other (optional) 
Last name of spouse or significant other (optional) 
Do you have a computer? * 
Do you have an Internet connection? * 
Do you have a webcam? * 
If no to any of the above questions, do you plan to go to your local library for this service? 

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