Kaya HR - Payroll Services, Human Resources, Worker's Comp & More

Name *

First

Last

Employer *

Email *

Phone *

Shipping Address *

Address Line 1

Address Line 2

City

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Zip Code

Click the picture below to view the options available to you. Please return to this form when you have identified the type of bag you want. Any orders placed directly through Redfora will not receive the Kaya HR discount.

Number of People You Are Prepping For *

Number of Days *

Choose Bag Type *

Total

$0.00

Authorization *

I authorize Kaya HR to deduct this cost from my next paycheck.

Comment or Message

Emergency Backpack Request Form

Portland Office

Eugene Office