            Video Label
Title of program to be recorded
Channel
Date to be taped
Date
to be viewed by
(Program may only be used during the first ten consecutive
school days after broadcast)
Date to be destroyed
(Program
may only be retained for 45 days)
Requested to by
Viewed by

|
   Video Label
Title of program to be recorded
Channel
Date to be taped
Date
to be viewed by
(Program may only be used during the first ten consecutive
school days after broadcast)
Date
to be destroyed
(Program
may only be retained for 45 days)
Requested to by
Viewed by

|