Outreach Services for the Homebound Application Form
If you want to receive Outreach services or know someone who is eligible, please call the Outreach department at 417-8503 for further information. Service is restricted to Clallam County, Washington. More about Outreach.

Name:
Address:
City
State:   
Zip: 
Phone: E-mail
Adult Child
 

Type of reading material preferred check as many as needed): 
  Regular Print Large Print

  Books          Talking Books Music Tapes / CD's

Other 

 

Favorite Types of Books
 

Favorite Authors