Payroll Deduction Authorization

Provide your DOB to confirm your account for deduction.
Please confirm your address is entered correctly, any mistakes will result in added shipping fees to resend.
I authorize B&B Staffing Management, to deduct $35 from my paycheck to purchase the B&B Staffing Planner. I understand that the cost of the above items will be deducted from my paycheck in full, as a one time payment. Once payment is made from the paycheck, arrangements will be made to mail or pickup the Planner.