Boise/SAMG Blue Jeans for A Cause

Pay $5 and wear jeans or your choice of scrub tops to work for any Friday in April.

April 3rd, April 10th, April 17th, and April 24th

To be compliant with the dress code, you must pay $5 for each Friday wearing jeans and

wear a visible "Jeans for a Cause" sticker with the date.

Jeans must be professional in appearance- no holes, frays, etc.

If you have questions about this form please contact Amy Kendall at 208-367-2759

Jeans Sticker Payment

Amount:

Colleague Information

Please be sure to fill out each box below to ensure timely delivery of your stickers

Please list the the dates you are purchasing stickers for

Please enter your Workday Colleague ID Number Here:

Please list the physical location of your department here:

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

Email:

Confirm Email:

Payment Information

Payment Method:

Credit Card

Donation Form