VAC FORM

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					        2007 VACATION FORM                              Ver 1.18                          SEE BACK for INSTRUCTIONS
                                                                                           on HOW TO fill out FORM
        Check Box for Priority Wk
 Non-Split                3rd Single      2nd Single    1st Single            NAME:
     or                    Day Vac Wk      Day Vac Wk    Day Vac Wk
  1st Split    2nd Split      3rd Split     4th Split      5th Split                 Employee ID No.
Choice No. Choice No. Choice No.          Choice No.    Choice No.      Start   End                   NOT YOUR S.S.N.
Order Wks Order Wks Order Wks              Order Wks     Order Wks      Date    Date
                                                                         1-Jan   7-Jan
                                                                         8-Jan 14-Jan
                                                                       15-Jan 21-Jan
                                                                       22-Jan 28-Jan
                                                                       29-Jan   4-Feb
                                                                         5-Feb 11-Feb
                                                                       12-Feb 18-Feb
                                                                       19-Feb 25-Feb
                                                                       26-Feb   4-Mar
                                                                         5-Mar 11-Mar           NOTE
                                                                       12-Mar 18-Mar              TO
                                                                       19-Mar 25-Mar          VACATION
                                                                       26-Mar    1-Apr       COMMITTEE
                                                                         2-Apr   8-Apr         Clarifying
                                                                         9-Apr 15-Apr            your
                                                                        16-Apr 22-Apr          selection
                                                                        23-Apr 29-Apr              if
                                                                        30-Apr  6-May           needed
                                                                        7-May 13-May
                                                                       14-May 20-May
                                                                       21-May 27-May
                                                                       28-May    3-Jun
                                                                         4-Jun 10-Jun     Use 1st Single Day Vac
                                                                       11-Jun 17-Jun      as PRIORITY WEEK
                                                                       18-Jun 24-Jun
                                                                       25-Jun     1-Jul
                                                                          2-Jul   8-Jul
                                                                          9-Jul 15-Jul
                                                                         16-Jul 22-Jul
                                                                         23-Jul 29-Jul
                                                                         30-Jul 5-Aug
                                                                         6-Aug 12-Aug
                                                                       13-Aug 19-Aug
                                                                       20-Aug 26-Aug
                                                                       27-Aug   2-Sep
                                                                         3-Sep  9-Sep
                                                                       10-Sep 16-Sep
                                                                       17-Sep 23-Sep
                                                                       24-Sep 30-Sep
                                                                         1-Oct   7-Oct
                                                                         8-Oct 14-Oct
                                                                        15-Oct 21-Oct
                                                                        22-Oct 28-Oct
                                                                        29-Oct  4-Nov
                                                                         5-Nov 11-Nov
                                                                       12-Nov 18-Nov
                                                                       19-Nov 25-Nov
                                                                       26-Nov   2-Dec
                                                                         3-Dec  9-Dec
                                                                       10-Dec 16-Dec
                                                                       17-Dec 23-Dec
                                                                       24-Dec 30-Dec 7
       Put your NAME and Employee ID Number on Form
       YES Members seem to overlook this little detail every Year
       NO NAME & ID, figure on being forced starting in JANUARY

SINGLE DAYS WEEK VACATION ( 1 to 3 Weeks )
       Single Day Vac must be taken in 1 week increments
       and you must declare which week it is.
       ( All Single Days MUST be taken by end of week identified )

       Place a Check Mark in accompanying box to identify choice
       that is to be used as SINGLE DAYS VACATION




PRIORITY WEEK
       is for ONE Week ONLY
       Place a Check Mark in Priority Week Box to declare choosing Priority Week
       If NO NOTATION as to what week to use as Priority, 1st Split will be used for Priority Week
       If you Want to use a SINGLE DAYS VAC WK as your PRIORITY WK put a CHECK in BOX
       next to such under NOTE TO VACATION COMMITTEE




HOW TO FILL OUT CHOICES
       Number each Split Choice 1 through 52. 1 being your first preference and 52 being your last choice
       Indicate how many weeks wanted per split.

                  TOTAL WEEKS of ALL Splits MUST Equal TOTAL WEEKS Eligible for
                  Example: Entitled to 5 Weeks, 1st split 1 Wk, 2nd Split 3 Wks, 3rd Split 1 Wk
                                                  1+3+1=5



                                                   Those Who Elect NOT TO BID
                                                   will be forced starting in JANUARY


                                                   Submit this form to BLET Division 236
                                                   FAX (503) 282.4012
                                                   Email: BLET236LC@COMCAST.NET
                                                   Snail Mail:
                                                               5911 N.E. Emerson St.
                                                               Portland, OR. 97218-2410

                                                    Bids CLOSE on DEC 1st 23:59 PM

         DO NOT CALL CMS with BIDS
       DO NOT REQUEST THROUGH CMTS
                                                        JKF
MO/DA/YR
  1/1/07 <=== Enter first Monday of the Year MO/DA/YR


Password to unprotect is " jerry "



                                                        2007