Job Posting Service Request Form
(This form is designed to be submitted via being printed or copied into word or an email message)
___$80 Individual announcement posting
___$299 Annual Subscription
___$500 Featured Employer
Name __________________________________________
Company _______________________________________
Address ________________________________________
City _____________________State ____ ZIP __________
Phone ____/_____________ Fax ____/_____________
E-mail address ___________________________________
Total Amount of Order $ _______
___Payment enclosed ___Credit Card
___Purchase Order #__________________________
Card Holder Name____________________________
Card No. ___________________________________
Card Expiration Date ___________
Card Type __VISA __ MC
Phone/Fax: 207-415-3031
E-mail: