ENROLL FORM

To enroll in No Bull Charities – employee contributions, please complete this form for the Earnhardt Human Resources Department.

"*" indicates required fields

Employee Name*

First Last

Job Title

Store Location

Work #

Employee Number*

Contribution Amount per paycheck

Email*

Contributions will run until cancelled by the employee. The minimum contribution is $1.00 per paycheck. Employees can cancel at anytime. I authorize Earnhardt Human Resources to deduct the specified contribution from each of my paychecks.

Signature

Date

This field is for validation purposes and should be left unchanged.

Participating Earnhardt employees determine the charities for each 12 month period. Employees vote for the top 2 charities of their choice. The top overall charity vote, empire-wide, become the quarterly charities for the coming year. Employees can sign up to participate in No Bull Charities – Employee Contributions, at any time.