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Staff Discount Application
If your organization/company would like to provide a discount to all UC Santa Barbara employees please complete this form and submit it via email to: debbie.hudgens@hr.ucsb.edu.
UC employees can be asked to identify themselves with UC Staff identification or Business Card. Participation does not constitute and endorsement of your products/services by the University of California. Your organizations/company may end the staff discount upon written notification to: debbie.hudgens@hr.ucsb.edu. Your organization/company discount will be listed on the UCSB Human Resources webpage located at http:\www.hr.ucsb.edu/employee-services/staff-discount
Name of Organization/Company
Type of Products/Services offered
Contact Person
Your Email
Phone
###
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###
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Location (where the discount will be offered)
Dollar amount off
Percentage off
Please select
15%
25%
20%
Promo Code
Web Site
Other - Please explain in detail
Name
First
Last
Title
Date Time
MM
/
DD
/
YYYY
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