Knight Property Group

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Name:*

Email Address*

(must be @redcrosscarepartners.ca)

Phone Number

Branch:

Manager's Name:

Requested Dates (in order of preference):

1st Choice:

2nd Choice:

3rd Choice:

I hereby authorize the CarePartners payroll department to deduct the taxable benefit from my pay. In the event that I cannot go, I understand that I will be charged the taxable benefit if I fail to give at least 1 month notice of my cancellation and no one re-books my time slot (acceptance required for booking).

Authorization:*

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