Employment Form

ReginaOnline.net is offering Employment Ad space for the small fee of $10.00 for a LIMITED TIME ONLY!  This fee includes a posting of up to 30 days.  You will be billed by mail and you will be posted immediately, unless otherwise specified.

*If you want to include a photo, logo or require a full web page, we will contact you via email or phone.  Please include full contact information below.

Please fill out the form below with the necessary information,
and allow up to 2 days for processing.

IMPORTANT
The following information is for the sole use of ReginaOnline.net,
and will never be distributed to anyone else for any reason.
All information received will be kept confidential.

Confidential Contact Information

 Please fill in the blanks:

Business Name (*required) Contact Name (*required) Day Phone (*required) ( )Ext # Fax ( ) Email Mailing Address (*required) City (*required) Province/State (*required) PC/Zip (*required) Country

 Start Date: Day12345678910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember    
                              Or Immediately 

 Do you require the inclusion of:

     Photos (add $10.00)
        Logos (add $10.00)

 Do you require a full web page?

     Yes (add $50.00)   No

Advertisement Information
(*Note that any contact information should be included here as no information from above (marked confidential) will be included without your permission.)

Contact Name:

Title:

Contact Phone Number:
( )
Job Title:
    

Please type the job description in the space provided:

 

This form is transferred to us via email. Thank you.

*We reserve the right to cancel our introductory offer at any time. We reserve the right to reject any submissions that we feel are inappropriate or harmful to others. Any violators will be notified by email or mail.

Note: The ad may not appear exactly as you have written it though will keep all the important information. If there are any problems with how we may have changed the wording, visit our Suggestion Box, and we will respond promptly.

For the best service possible, please email our Help Desk with any suggestions or problems you may be experiencing. It is our obligation to you to provide you with our best service.