Employee Meal Ticket System
For McCurtain Memorial Hospital Employees Only
Disclaimer:
*
Please Select
I do understand that the above amount will be deducted from my payroll check. I understand there will be no refunds or credits issued for lost, stolen or misplaced tickets. All sales are final.
Please Specify
*
Please Select
5 Meal Tickets = $22.05
10 Meal Tickets = $44.10
Employee Name
*
First Name
Last Name
Email
*
example@example.com
Employee ID Number
*
Signature
*
Submit
Should be Empty: