40 x 48 PSB

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By checking the boxes below, I consent to provide the information in this form ("Information") to ORBIS Corporation ("ORBIS") for the purposes "checked" below. I further consent to ORBIS sharing such Information with its affiliates Menasha Corporation, ORBIS RPM, LLC, ORBIS Canada Limited, ORBIS Empaques de Mexico S.A. de C.V., ORBIS Plastic Molding de Mexico, S. de R.L. de C.V., Servicio de Plastico Reutilizado, S. de R.L. de C.V., ORBIS GmbH, and ORBIS NV ("Affiliates") for the same purposes. I understand that by consenting, my Information will be transferred to the United States, which may not require the same level of protection of data as required in the country where I live (if different than the U.S.) and which the European Union has not determined provides adequate safeguards for personal data.

I understand that I may withdraw my consent at any time by emailing ORBIS at [email protected] For more information about ORBIS’ use of Information, please see ORBIS’ Privacy Policy at: https://www.orbiscorporation.com/wp-content/uploads/2023/01/ORBIS-Privacy-Policy.pdf.