If you would like to submit a job order to Pacific Staffing either...

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Or submit your order online by completing the following form and your order will be e-mailed to Pacific Staffing.

Date:	mm\dd\yy
Company:
Person Calling:
Phone: Fax:
E-Mail:

No. of persons:	Job Title:
Pay Range:
Start Date:	Job Length:

Job Details: (Skills needed, job duties, type of business, work produced, etc.)