PAYROLL DEDUCTION AUTHORIZATION FOR SHOE PURCHASE


By filling out and submitting this form you will be redirected to the SR Max website to shop for shoes. If you make a purchase, you agree to voluntary paycheck deductions of not more than $15.00 per week until the total purchase has been repaid. The entire remaining amount owed, if any, should employment end, will be deducted from final wages.




NOTE: No deduction will occur if shoes are not ordered after pressing submit.

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