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 by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Samaritan Lebanon Community Hospital Collective Bargaining Agreement 2019 – 2022 Signature: Today’s Date: Your Mailing Address: 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 by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Good Samaritan Lebanon Community Hospital Collective Bargaining Agreement 2019 – 2022 Regional Medical Center, September 6, 2013 - June 30, 2016. Signature: Today’s Date: Your Mailing Address: Address 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 by Fax 000-000-0000. Thank you. Your Name: I certify that I have received a copy of the ONA Collective Bargaining Agreement with Samaritan Lebanon Community Hospital Collective Bargaining Agreement 2019 Albany General Hospital, July 1, 2012 – 2022 June 30, 2014 Signature: Today’s Date: Your Mailing Address: Address Home Phone: Work Phone: Email: Unit: