Customer Order Form for ANNEXUS Personnel and Business Services

CUSTOMER ORDER Fields in RED are required fields
Company Name:
Name:
Address:
City, State, Zip:	, ,
Email Address:
Primary Phone:
Fax:
Position Needed:
Detailed work description along with any specialized skills (or attach job description below):
Attach job description:
or enter additional details below:
Number of people needed:
Work Hours:
Approximate finish date:
Reason for Order:
Specify if Reason-Other:
Type of Business:
Worksite Address (if different from above):
City, State, Zip:	, ,
Directions (please include cross streets and parking information):
Who will they work for?
Title/Department:
Who will they report to?
Title/Department:
Who may we discuss this order with?
Title/Department:
Phone:
When do you need someone?
Salary for position:

* * * OUR GUARANTEE * * *
ANNEXUS guarantees that the ANNEXUS employees assigned to the customer shall satisfactorily perform the services ordered by the customer. Upon reasonable notice from the customer, ANNEXUS will cancel all charges for unsatisfactory service. If employment of an ANNEXUS direct hired recruit is terminated for unsatisfactory performance during the first three months, ANNEXUS will find a suitable replacement or refund a proration of our recruitment service charges.