COVID-19: Screening Checklist for CMB Erectors Staff and Visitors

  • MM slash DD slash YYYY
  • Items

  • I hereby agree to purchase and pay for the above listed items from CMB Erectors Inc through 1 or 2 consecutive payroll deductions. If the cost of item(s) is under $100 the entire amount will be deducted on the first pay period immediately following the date from which this purchase was made. I understand that I will be informed of the total price and I will have the opportunity to return the items in their original condition and purchase the items from a retailer of my choice. I also agree that if I terminate employment prior to total repayment, I authorize the company to deduct any unpaid amount form the wage/salary owed to me at the time of termination of employment.