Jeans Day

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Jeans Day

Donate $5 to the Employee Relief Fund and wear jeans on Tuesday, October 3.

Please speak to your manager if you have questions regarding your department's dress code policy.

I am donating $5 to the Employee Relief Fund for Jeans Day:*

Yes

No

I authorize payroll deduction for the information indicated above:*

Yes

No

Employee Number:*

Department:*

I Am Employed By:*

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*