Payroll Deduction Authorization for Employee Rental Agreement
(Must be an employee for more than 90 days)
Employee Name:________________________________ Date:________________ Stock Number:_________________Description____________________________ (Product must be New) Weekly Payment:____________________________________________________ Term of Agreement:__________________________________________________ Employee Authorizing Signature:_______________________________________ Manager’s Signature:_________________________________________________ Payroll:____________________________________________________________ First payment is to be made at the store File rental agreement Transfer agreement to 099 Send transfer disc to Accounting department with this form
Revised: January 25, 2006