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Courtest Form PDF
Association Reps Name
(Required)
Location
(Required)
Name of Staff Member
Staff Members Email
(Required)
Enter Email
Confirm Email
Position
(Required)
OECTA
CUPE
Administration
Occasion
(Required)
illness
death
birth
marriage
other
Date
(Required)
MM slash DD slash YYYY
Details
(Required)
(i.e. name of deceased, location of funeral, length of illness, special award, etc.)
Full mailing address
(and home phone number if there is to be a delivery)
Charitable donation
In the case of a death in the member’s family, would they like a donation to a specific charity? If so, which charity? Please provide home address of member (above).
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