40 x 48 RII CIISC PC FRM

By checking the “CONSENT” box above, I consent to (1) provide the information in this form (“Information”) to ORBIS Corporation (“ORBIS”) to respond to my request and/or question, and (2) 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, ORBIS NV, and Steelpac de Mexico S.A. de C.V. (collectively, "Affiliates") — for the same purposes.

I understand that if the nature of my request or question is related to goods or services of ORBIS or its Affiliates, ORBIS and/or its Affiliates may directly market to me, including via email, mail, and telephone.

I further 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 Unites States) and which the European Union has not determined provides adequate safeguards for personal data.

I further 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 docs.orbiscorporation.com/privacypolicyUSwebsite.

I UNDERSTAND THAT I HAVE THE RIGHT TO OBJECT TO DIRECT MARKETING AT ANY TIME.