Please complete the below items as they are listed in @ease.

Completing these details as they are listed in @ease are crucial for the most efficient registration of core+ and your Facilisgroup Preferred Debit Card, and the distribution of rewards associated with qualifying incentives.

core+ by Facilisgroup Registration

First Name, as listed in @ease *

Last Name, as listed in @ease *

Company Name *

Email Address, as listed in @ease *

Confirm Email Address *

I understand that if not already registered for core+, I will receive my Welcome/Activation email within 5 business days. Please note: Every effort will be made to add users sooner than this time frame. *

Agree

Preferred Debit Card Registration

Please complete, in full, the following address form for where you would like your Facilisgroup Preferred Debit Card shipped.

Please select your Country: *

State *

Province *

Address, line 1 *

Address, line 2

City *

Postal Code *

I understand that I will not receive my Preferred Debit Card until the close of an incentive, if I qualify for that incentive. *

Agree

Taxes & Earnings

Please review and agree with these statements, as they apply to your earnings on your Facilisgroup Preferred Debit Card.

Full Legal Name, for tax paperwork purposes *

I understand that by completing this form, my earnings are taxable on distribution according to IRS or local tax guidelines. Program participants are responsible for taxes associated with rewards earned. *

Agree

I am a United States or Canadian citizen or resident and pay taxes as such. *

Agree

Please Note: Facilisgroup will provide program participants with the necessary forms if they earn past the reporting threshold in that individual's country. If you are not a United States or Canadian Citizen, please reach out to incentives@facilisgroup.com.

I understand that any allocations (sharing a percentage of earnings with my team) are as determined by Owners and Key Management on the Incentive | Team Selling form. *

Agree

PLEASE NOTE

Following the submission of this form, you will receive an email from DocuSign requesting your prompt completion of tax paperwork. This paperwork is required for payout of rewards earned.