By checking this box, I agree to provide complete and accurate tax documentation (e.g., IRS Form W-9 or W-8, as applicable) as a condition of receiving referral payments. I understand that no payments will be issued until such documentation is received and verified, that I am solely responsible for the accuracy of the information and any resulting tax obligations, and that the Company may withhold payments, suspend participation, or terminate this Agreement if I fail to comply.

I also understand that by providing inaccurate banking or address information above, a fee of $55 will be deducted from any referral payments prior to being resubmitted, to cover costs the Company incurs for bounced, canceled, and/or returned checks. I verify that the above address and banking information are accurate.

By checking this box, I authorize NEXXVIA AI Consulting to keep me informed about its products, services and events through emails, text messages and/or phone calls. My data will be handled according to NEXXVIA's Privacy Policy and Terms & Conditions.