I have received keys to the Woman’s Exchange Store. I agree to return my keys to the store manager upon my termination from the organization. Failure to return store keys will result in a $20 fine that will be taken out of my last paycheck. I agree to use these keys only as appropriate and any inappropriate use of the store keys can result in a consequence including termination of my position. *

First Name

Last Name

Date Keys Received

MM

DD

YYYY

Keys in possession *

If other please list below.

Front Store Door

Upstairs Office (8811-C Ladue Road)

Safe

Kitchen

Other

Date Keys Returned

MM

DD

YYYY