JBC SALES CASH ADVANCE REQUEST

I hereby authorize the Company’s Payroll Department to deduct the repayment amount from my commissions until the outstanding balance has been fully settled.

I affirm that I have read and understand, and hereby accept the Terms and Conditions and Privacy Policy of JBC Marketing and Development OPC, and that I consent to the collection, storage, use, disclosure and processing of my personal information provided in this form by the company and any third party it authorizes, including its affiliates and their respective officers, employees, representatives and personnel.