Fill - Free fillable EMPLOYEE NAME 4000 South Rose Avenue Oxnard, CA (Oxnard College) PDF form

Name to Appear on the Name Tag

Telephone Extension

Employee Group (Faculty, Staff or Administration)

Enter the Month/Year You Began Working for the VCCCD

Total Years of Service with the VCCCD

Choose the Type of Backing For Your Name Tag

 Standard Magnet Backing  Pin Attachment

 Clip On



Please order my FIRST ORIGINAL name tag with the information enclosed on this form,

at no cost.



Please order my Name Tag with the information enclosed on this form, at no cost, as

this is a “5-Year Increment of Service to Students“ pin.



Please reorder my name tag with the information enclosed on this form at $10 each.

Enclosed is my check made payable to “Oxnard College Foundation”.



lease repair my damaged name tag that is enclosed with this form at $5 each.

(Please note that damaged name tag and $5 fee must be submitted in order to qualify.)

Please forward your completed NAME TAG ORDER/REORDER FORM with check to:

Connie Owens, Oxnard College Foundation

For further information, please call (805) 678-5889

Please allow 3-4 weeks for delivery.

4000 South Rose Avenue  Oxnard, CA 93033  (805) 678-5889

Oxnard College

EMPLOYEE NAME

(Faculty, Staff or Administration)

Over Years of Services to Students

Order Date:

________________

Delivery Date:

________________

Please note that no deviations from the standard/approved format above will be accepted.

Fill Online, Printable, Fillable, Blank EMPLOYEE NAME 4000 South Rose Avenue Oxnard, CA (Oxnard College) Form