JOCKEY REQUEST FORM
Name
*
First Name
Last Name
E-mail
*
example@example.com
What would you like to do?
*
Request Off
Supply Request
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Request Off
Please submit requests AT LEAST ONE WEEK before date. PLEASE NOTE: YOU ARE NOT GUARANTEED A REQUEST OFF!! The earlier you request, the better chance of us finding a sub. If you need to request off within one week of your show, contact your Area Manager directly. If you need a block of time off, please submit full range so we know you are unavailable for fill-ins.
Start Date (first day needed off)
-
Month
-
Day
Year
Date
End Date (last day needed off)
-
Month
-
Day
Year
Date
Reason For Requesting Off?
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Submit
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Supply Request
PLEASE TAKE INVENTORY OF YOUR SUPPLIES NIGHTLY AND GIVE US AT LEAST ONE WEEK TO FULFILL YOUR REQUEST.
SCORESHEETS (Live Trivia)
Please Select
100
150
200
250
300
350
400
SCORESHEETS (Pub Poll)
Please Select
100
150
200
250
300
350
BINGO SHEETS
Please Select
Ballistic Bingo Sheets (Single-Sided)
Ballistic Bingo Sheets (Double-Sided)
Special Order Sheets (Quincy's Only)
SINGO SHEETS
Please Select
30
40
50
60
70
75
80
90
100
More than 100 (please list below)
Which Singo playlists? (Example: 80s Pop/Party Starter Vol. 1)
ANSWER SLIPS (Live Trivia)
Please Select
8 Bundles
16 Bundles
ANSWER SLIPS (Pub Poll)
Please Select
8 Bundles
16 Bundles
PENCILS
Please Select
1 Box
2 Boxes
PENS or COLORED PENCILS (for Singo only)
Please Select
50
100
PRE-STAMPED ENVELOPES
Please Select
6
12
Submit
Should be Empty: