KWORCC AND KCAMP - VIDEO LIBRARY
Maximum Number of Tapes to be checked out: 2
Please write down the Code # of each Video Tape
(i.e. SP-1, G-12, W-2, LE-3)
VIDEO TAPE
ORDER FORM
Borrower Name
County Name
Phone Number
xxx-xxx-xxxx
Video Tape Codes
(i.e.: SP-1, G-12)
Borrowing Date
Mo/Date/Yr
