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General information . Contact information

Full 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 Main service: (day-2-day assignments)
We choose the service provider for you. Full service. (no fee)  

Optional service:
(placing an ad)
Your Ad will be posted publicly online and also our members will be notified via text and email. (paid ads only) "Yes"

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 answer yes or no).

Would you like for us to find a F/T or P/T candidate for you to the exact specifications as you would describe below?  Fee $500.00 per assignment. 

How did you hear about us?

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

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