Corporate Subscriber Order

IT*CareerNET
P.O. Box 10563
McLean, Virginia 22102
phone 703 734-5650  *  fax 703 734-9114    *   email  contact@itcareernet.com 

CUSTOMER ORDER FORM

Before proceeding you must indicate that you have read and agree to our Subscription Agreement by entering in the box below  AGREE:  (*REQUIRED FIELDS)      

I AGREE (TYPE IN AGREE)   ALL CAPITAL LETTERS
   
*Contact Name:
*Company Name:
*Address:
*City:
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*Zip/Postal Code:
*Phone:
Extension:
*E-mail Address:
Fax:
BILLING INFORMATION BELOW
*Same As Above:
(
** NOT REQUIRED if this box selected)   
**Bill to Contact Name:
**Company Name:
**Address:
**City:
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**Zip/Postal Code:
**Phone:
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Select a Subscriber
Level
Subscription Level Subscription
Cost
Screen Searches Cost Per Search Hiring Fee Total Cost per Hire
I $2,400 3 $800 $6,000 $6,800
II $3,500 5 $700 $6,000 $6,700
III $6,000 10 $600 $6,000 $6,600
IV $10,000 25 $400 $6,000 $6,400