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General information . Contact information

First Name*
Last Name*
Company Name
Home/ Office#*
Facsimile #
Cellular #

What type of service do you need?

Did you already select one of our members online?  

What is this position?     Day-work (minimum 4 hours)

Does this position requires the person to live-in? 

What kind of salary or hourly rate are you willing to offer? 

Depending on the offer or work, are you willing to pay for transportation

Optional service: (please check one)

"Yes" Choose the person for me (paid ad only)  
I would rather receive the calls directly.

Please note:  Free ads will only be posted online and your number will be made available publically for people to call you directly.

How long would you like your help wanted ad to run: 

Please note: The one (1) day ad is mostly sufficient if you are looking to hire someone for the day or if there are maybe 1-3 positions available.  Otherwise, we would highly recommend the 3 or 30 day ads.

Special services: (please check one)

Would you like for us to conduct the interviews and choose someone for you to the exact specifications as you would describe it below?  Fee $500.00 per assignment.  (not included)

How did you hear about us?


(Enter "ad" or "job description" here) and any other instructions.

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