AtlantaJobBeat.com Mail Order Form
Fill it out and Mail to:

Company Name: __________________________        Contact Name: _______________________       

Address: ____________________________________       Address 2: ___________________________

City: ___________________________        State: _________        Zip: __________________

E-mail: ________________________  Phone: _______________  Fax: ____________

Job Title  ___________________________________

Job Location:  City: ____________________________    State:  ______________________

Other ___________________________________        Start Date: __________________

Run Period:    30 days         60 days         90 days             Salary: _____________   Hourly  or  Salary

Job Description: ____________________________________________________________________

_________________________________________________________________________________

Skills: ____________________________________________________________________________

_________________________________________________________________________________

Comments: ________________________________________________________________________

_________________________________________________________________________________

Credit Card Number: _____________________         Expiration Date:  _____________

Billing Information:  Name:  _______________________  Address:  __________________

City: ______________  State: __________________  Zip: _______________________

 
_________________________________________
                           Authorized Signature 

An AtlantaJobBeat.com account representative will contact you when order is received to confirm information and charges