Common use of CONTRACT RECEIPT FORM Clause in Contracts

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December 1, 2016, until November 30, 2019. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 18000 XX Xxxxxx Xxxxx Xxxx Xxx Xxx. 000, Xxxxxxxx XX 00000-0000 or fax to xr by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint St. Xxxxxxx Medical Center - Redmond, December Prineville for May 1, 2016, until November 2017 through April 30, 20192020. Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx Xxx. 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint St. Xxxxxxx Medical Center - Redmond, December Prineville for May 1, 2016, until November 2017 through April 30, 20192020. Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx Xxx. 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December Xxxxxx County for July 1, 20162012 through June 29, until November 30, 20192014. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center Tuality Community Hospital February 12, 2018 - RedmondMarch 31, December 1, 2016, until November 30, 20192020. Signature: Today’s Date: Your Mailing AddressAddress Home Phone:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - RedmondGrande Ronde Hospital, December 1May 28, 2016, until November 2013 through April 30, 20192015. Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx PeaceHealth Sacred Heart Medical Center - Redmond, December FOR July 1, 20162016 through October 31, until November 30, 20192017. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December Samaritan Albany General Hospital for July 1, 2016, until November 30, 20192010 through June 30 2012. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx Xxx. 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December Pioneer Memorial Hospital (Prineville) for May 1, 2016, until November 2011 through April 30, 20192014. Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx St. Xxxxxxxxx Medical Center - Redmond, December – Xxxxx City July 1, 20162019April 1, until November 2016 – June 30, 2019202219. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) . Return to Oregon Nurses Association, : 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - RedmondXxxxx City Allied Health Workers through Oct. 31, December 1, 2016, until November 30, 20192022. Signature: Today’s Date: Your Mailing AddressAddress Home Phone:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx Xxxxx 000, Xxxxxxxx XX Xxxxxxxx, XX. 00000-0000 or fax to by Fax: 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - RedmondGrande Ronde Hospital, December May 1, 2016, until November 2023 through April 30, 2019. Signature: Today’s Date: Your Mailing Address:2025.

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - RedmondProvidence Seaside Hospital July 3, December 1, 2016, until 2019 through November 30, 20192022. Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December Providence Seaside Hospital for October 1, 2016, until 2010 through November 30, 20192012. Signature: Today’s Date: Your Mailing Address:

CONTRACT RECEIPT FORM. (Please fill out neatly and completely.) Return to Oregon Nurses Association, 00000 XX Xxxxxx Xxxxx Xxxx Xxx 000, Xxxxxxxx XX 00000-0000 or fax to by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Saint Xxxxxxx Medical Center - Redmond, December AMERICAN RED CROSS PACIFIC NORTHWEST BLOOD SERVICES REGION July 1, 2016, until November 2010 – June 30, 2019. 2013 Signature: Today’s Date: Your Mailing AddressAddress Home Phone: Work Phone: Email: Unit: